Wheezing on maximal forced exhalation in the diagnosis of atypical asthma: lack of sensitivity and specificity

DK King, BT Thompson, DC Johnson - Annals of internal medicine, 1989 - acpjournals.org
Study Objective: To determine whether wheezing on maximal forced exhalation is a
predictor of asthma in persons with normal or nearly normal baseline spirometry. Design …

Interpretation of positive results of a methacholine inhalation challenge and 1 week of inhaled bronchodilator use in diagnosing and treating cough-variant asthma

RS Irwin, CT French, NA Smyrnios… - Archives of Internal …, 1997 - jamanetwork.com
Background: In diagnosing cough due to asthma, methacholine chloride inhalation
challenge (MIC) interpreted in a traditional fashion has been shown to have positive …

Diagnosis of bronchial asthma by clinical evaluation: an unreliable method

MR Pratter, DM Hingston, RS Irwin - Chest, 1983 - Elsevier
To determine the predictive value of wheeze compared to methacholine inhalation
challenge (MIC) in diagnosing asthma, we prospectively evaluated 34 patients considered …

What is the best pulmonary diagnostic approach for wheezing patients with normal spirometry?

WW Busse - Respiratory Care, 2012 - rc.rcjournal.com
Asthma is characterized by airway inflammation, airway hyper-responsiveness (AHR) and
variable air flow obstruction. The diagnosis of asthma, however, is often based upon …

Evaluation of wheezing in the nonasthmatic patient.

DA Holden, AC Mehta - Cleveland Clinic Journal of Medicine, 1990 - europepmc.org
Wheezing is a nonspecific manifestation of airway obstruction. Even though bronchial
asthma is the most common cause of wheezing, a variety of pulmonary and nonpulmonary …

Do physicians need objective measurements to diagnose asthma?

E Adelroth, FE Hargreave… - American Review of …, 1986 - atsjournals.org
The frequency with which disagreement occurs between the clinician's diagnosis of asthma
and the objective measurement of methacholine airway responsiveness is not known. We …

Asymptomatic bronchial hyperresponsiveness in rhinitis

EH Ramsdale, MM Morris, RS Roberts… - Journal of allergy and …, 1985 - Elsevier
Methacholine inhalation tests are used to help in the diagnosis of asthma when spirometry is
normal. However, the significance of increased methacholine responsiveness in patients …

Methacholine challenge test

LJ Fetters, JI Matthews - Archives of internal medicine, 1984 - jamanetwork.com
• Methacholine challenge has been proposed as a diagnostic test in situations where clinical
asthma is suspected but reversible airway obstruction cannot be demonstrated …

Lung auscultation in airway challenge testing

A Purohit, A Bohadana, MC Kopferschmitt-Kubler… - Respiratory …, 1997 - Elsevier
The appearance of wheezes and changes in inspiratory breath (vesicular) sound intensity
(BSI) were monitored in patients undergoing routine methacholine challenge test (MCT) …

[PDF][PDF] When should a methacholine challenge be ordered for a patient with suspected asthma?

E Swartz, D Lang - Cleveland Clinic journal of …, 2008 - mountainviewfamilypracticepc.com
If the diagnosis of asthma is in question, eg, if the patient has symptoms that suggest asthma
(either typical symptoms such as coughing, wheezing, and dyspnea or atypical symptoms) …