Dr. Shekhar Verma (Emergency Medicine) needs a second opinion on this medical case.
*Chief Complaint* A 34 year old female presents with breathlessness and wheezing on exertion. *History* He has the same complaint every year in the rainy season. She works in a leather factory. She takes daily Albuterol. *Vitals* BP: 125/80 mmhg, Pulse: 80 beats/mint, Resp rate: 19 breaths/ minute, Temp: 9.3 degree F *Physical examination* She looks pale. Lungs shows diffuse wheezing with fair excursion and prolonged expiratory phase. *Investigations* Spirometry: Predicted Actual % FVC: 1.635, FEV: 1.385, FEV1/FVC: 84 FEf: 1.635 *Diagnosis* Does she have asthma? but her spirometry is normal. *Treatment* Please suggest.
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