Phys Clinical Cases · rheumatological
Allergic Rhinitis AND Asthma — DCE Clinical Case
DCE long-case and short-case station for Allergic Rhinitis AND Asthma.
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Target exams
Allergic Rhinitis AND Asthma — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Allergic Rhinitis AND Asthma. [1]
Presenting complaint: Subacute or acute symptoms referable to Allergic Rhinitis AND Asthma, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Allergic Rhinitis AND Asthma, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Redfern JS, Smith MA A quarter-century of montelukast: clinical lessons for adult and pediatric asthma and allergic rhinitis care Curr Med Res Opin, 2026.PMID 42466635
- [2]Liao CH, Chou AK, Wang LC, Chiang BL, et al. Distinct epidemiological patterns of allergic disease comorbidity across elementary school grades in Taiwan Pediatr Res, 2026.PMID 42457989
- [3]Hou Y, Zhang Q, Xu X, Zhao G Effects of vitamin D levels and vitamin D supplementation on allergic diseases: an umbrella review Front Allergy, 2026.PMID 42445461
- [4]Goh SLE, Yang JX, Kan SJ, Ricci V, et al. Evidence-to-Recommendation Framework for 2026 ACE Clinical Guideline on allergic rhinitis - diagnosis and management Singapore Med J, 2026.PMID 42434879
- [5]Taube C, Greulich T, Böing S, Pfaar O, et al. Between Guidelines and Daily Practice: The Persistent Use of Parenteral Depot Corticosteroids in Germany Clin Transl Allergy, 2026.PMID 42426834
- [6]Li JN [Interpretation of Allergic Rhinitis and Its Impact on Asthma (ARIA) Guidelines 2024-2025 Revision: guidelines on intranasal treatments] Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2026.PMID 42420039
- [7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922