Record symptoms scores of treatment Consider alternative diagnosis. (RCP 3 questions or ACT) ?refer for second opinion Trial of treatment Appropriate to severity of symptoms Review 1 month or sooner if required. Any response? Yes? Symptoms improved Change in symptom scores Confirms high probability of asthma No? Check concordance and Appropriate to severity of symptoms inhaler technique. Review Consider referral 1 month or sooner if required Any response? Yes? Symptoms improved Change in symptom scores Confirms high probability of asthma No? concordance and inhaler technique Consider: (where possible) Serial peak flows Sophie Toor, Produced by Respiratory Matters Bronchodilator response Ltd. in conjunction with Calderdale CCG Spirometry Positive result: High probability of asthma Negative result: Primary Care Consider differential diagnosis/referral Paediatric Constipation Pathway
Record symptoms scores (RCP 3 questions or ACT) Trial of treatment Appropriate to severity of symptoms Review 1 month or sooner if required. Any response? Yes? Symptoms improved Change in symptom scores Confirms high probability of asthma No? Check concordance and inhaler technique. Consider referral of treatment Appropriate to severity of symptoms Review 1 month or sooner if required Any response? Yes? Symptoms improved Change in symptom scores Confirms high probability of asthma No? concordance and inhaler technique Consider: (where possible) Serial peak flows Bronchodilator response Spirometry Positive result: High probability of asthma Negative result: Consider differential diagnosis/referral Consider alternative diagnosis. ?refer for second opinion Produced by Sophie Toor, Respiratory Matters Ltd. in conjunction with Calderdale CCG Primary Care Paediatric Constipation Pathway