Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with work-related respiratory symptoms including wheezing, chest tightness, dyspnea, and cough. Symptoms demonstrate a clear temporal relationship with workplace exposure, typically worsening during the work shift and improving during weekends or periods of leave. No history of pre-existing asthma prior to current employment. Symptoms are exacerbated by specific occupational irritants/sensitizers.
Clinical Examination Findings
General appearance: Patient in no acute distress. Chest auscultation reveals bilateral expiratory wheezing, most prominent in the lower lung fields. No signs of respiratory failure or accessory muscle use. Nasal examination shows no significant turbinate hypertrophy or polyps. Skin assessment negative for contact dermatitis. Vitals stable, SpO2 98% on room air.
Treatment Protocol
Immediate cessation of exposure to the identified occupational sensitizer is recommended. Initiate inhaled corticosteroid (ICS) therapy and short-acting beta-agonist (SABA) as needed for rescue. Consider referral to occupational health specialist for workplace assessment. Monitor peak expiratory flow (PEF) at home and at work to confirm diagnosis.