Healthy lifestyle

Question 1

• 50 year old Polish male
• 2/52 cough and weight loss
• GP gave amoxicillin–no improvement
• Attended A&E–sent home

What does this person have?

Answer 1

Tb of the lung

Question 2

• 23 year old male
• 1/12 hx fevers, headache, weight loss
• Vomiting, ataxia, clonus, leg weakness

What do they have?

Answer 2

Tuberculosis of the brain

Question 3

62 year old male, Sudanese

•1 month history of fevers, rigors, lethargy and rapid weight loss - recent return from Sudan

what does this person have?

Answer 3

Miliary TB -> disseminated TB in blood stream

Question 4

• 19 year old male
• 2/12 history of shortness of breath, fatigue, weight loss and vomiting

Question 5

• 19 year old male

•2/12 history of shortness of breath, fatigue,

weight loss and vomiting

what does the person have?

Answer 5

• pericardial tb

Question 6

• 47 year old female
• Ascites, fevers, thickened peritoneum on CT

Question 7

what does this person have?

Answer 7

• This could be TB but other things need to be ruled out such as sarcoidosis.

Question 8

What is TB?

Answer 8

Infection

• Affects any part of the body
• Curable (6 months of combination therapy)
• Mycobacterium tuberculosis

Contagious

• If affecting the lungs (pulmonary)
• Transmission via airborne particles

Question 9

What happens when you contract TB?

Answer 9

Question 10

how do you test for latent tb?

Answer 10

T - spot is used for those with weakened immune system.

Quintiferon is used before.

Once you checked if they have TB -> see if they have clinical TB - this might be active

DONT DO THIS TEST FOR ACTIVE - MORE FALSE POSITIVE!

Question 11

What is the number 1 curable infectious disease

Why is that?

Answer 11

TB as a cause of death–Number 1 amongst curable infectious diseases

•Associated with

–poor sanitation

–overcrowding

–poverty

Question 12

What are typical symptoms and signs of TB?

Answer 12