Goroll Ch 49-TB Flashcards
1
Q
What are the 4 syndromes associated with primary infection of TB?
A
- atypical pneumonia
- Tuberculosis pleurisy
- direct progression from primary to upper lobe involvement or another presentation
- early systemic dissemination
2
Q
What is the most common clinical form of TB?
A
reactivation/postprimary TB
3
Q
What are symptoms of postprimary TB?
A
anorexia, weight loss, night sweats, low-grade fever, cough, sputum production, hemoptysis
DYSPNEA IS UNCOMMON
4
Q
Who does extrapulmonary TB usually occur in?
A
HIV patients
5
Q
What is the progress of extrapulmonary TB?
A
TB spreads to individual organ system; pt usually asymptomatic –> local organ dysfunction –> eventual destruction
TB skin test is usually always +
6
Q
What is the diagnostic test for TB?
A
skin test (more senstivie than chest x-ray) followed by culture
7
Q
What are anti-TB drugs?
A
izoniazid rifampin pyrazinamide ethambutol streptomycin
