Paramount in the evaluation of AA is determination of attack severity and the risk of respiratory failure. Patients with AA at presentation to the ED or clinic are often in considerable visible distress. Dyspnea and wheezing are common elements in an asthma exacerbation. Among the myriad of other
attributable signs and symptoms, there is no uniformly consistent finding present in all cases. The key components of this assessment include history, physical examination, objective measurement of airflow limitation, and quantification of early response to initial therapy. Each of these components is independently informative in the complete evaluation of the AA patient (14).
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