ILA- TB Flashcards
What does GREAT TOM CAT stand for with differentials for a cough?
GORD Rhinitis Embolism Asthma TB Bronchitis Aspiration Drugs eg ACE-i Thoughts Other Malignancy CF/ cardiogenic Achalasia Thyroid (goitre)
What are red flags of a cough?
bld, dysphagia, fever, >55 and heavy smoker, peripheral oedema, wt loss, SOB at night, recurrent infections
What are the RF for TB?
born in high prevalence areas; children; previous untreated infection; being in close contact with active TB; immunosuppressive conditions or drugs; and some under-served groups.
What are red flags for TB?
Persistent productive cough, breathlessness, and haemoptysis.
What are the ix for TB?
A chest X-ray and three spontaneously-produced respiratory (sputum) samples, particularly if chest X-ray appearances suggest TB infection.
What is the mx of TB?
6 months of isoniazid (with pyridoxine) and rifampicin, supplemented in the first 2 months with pyrazinamide and ethambutol.
What is the ix for latent TB?
mantoux test - tuberculin is injected intradermally. The skin is inspected for signs of a local skin reaction (induration) after 2–3 days, and the test is considered positive at an induration of 5 mm or more, regardless of previous BCG vaccination history.
Interferon gamma release assay (IGRA) test - This is a blood test based on detecting the response of white blood cells to TB antigens. It is less likely to give false positive results compared with a Mantoux test and gives a rapid result.
