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JCOM Abstract


J Clin Outcomes Manage 
2005 Sep;12(9):470-478
Vocal cord dysfunction
O'Connell MA

Program Audience Primary care physicians. Educational Needs Addressed As asthma has increased in frequency and severity, more primary care physicians have become involved in the care of patients with complex or atypical presenting respiratory complaints. As such, common masqueraders of asthma need to be recognized by primary care physicians so that patients can be referred for an appropriate specialty evaluation. One such masquerader is vocal cord dysfunction (VCD), and, unfortunately, the evolving literature over the past 22 years has primarily been focused on a subspecialty audience. Primary care physicians need to be aware of common presentations of VCD so that they can recognize clinical clues early on. Proper recognition and subsequent referral will reduce inappropriate health care utilization, lower costs, and allow optimal outcomes and reduction of inappropriate medication use, particularly corticosteroids. Educational Objectives 1. Recognize that vocal cord dysfunction (VCD) may masquerade as asthma 2. Identify common clinical signs and symptoms that suggest a diagnosis of VCD 3. Understand the pathophysiology of VCD and how paradoxical vocal cord motion can create symptoms that mimic acute asthma 4. Formulate an appropriate referral for patients with suspected VCD

Review, CME

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