Patient with respiratory symptoms are the symptoms typical of asthma
Detailed history/examination for asthma diagnosis?
Further history and test for altemative diagnosis confirmed?
Preform spirometry /PEF with reversibility test results support asthma diagnosis?
Repeat on another occasion or arrange other tests
Confirms asthma diagnosis?
Empiric treatment with ICS and prn SABA review response diagnostic tests with in 1-3 months
Consider trial of treatment for most likely diagnosis or refer for further investigations
Treat for asthma
Treat for alternative diagnosis