Intestinal TB

Question 0

What is most common location of intestinal tb?

Answer 0

Ilieocecal because most lymph nodes

Question 1

Location of ulcerative tuberculosis

Location of hypertrophic to

Answer 1

Ulcerative: small intestines
Hypertrophic: ileocecal

Question 2

Manifestation seen in colorectal tb but not ileocecal

Answer 2

Rectal bleeding

Question 3

Manifestations of gastroduodenal tb

Answer 3

Ulcer dyspepsia

Outlet obstruction

Question 4

Lab panels for ITB

Answer 4

Identify organism in tissue 
Acid fast stain 
Culture of tissue 
Pcr assay 
T-spot test

Question 5

Differential diagnosis for ITB

Answer 5

Crohn's disease
Carcinoma
Entamobia histolytica 
Schistisoma 
Syphilis 
Gastric Lymphoma

Question 6

Standard treatment for TB

Answer 6

Ciprofloxacin
Ofloxacin
Fluoroquinolone

Question 7

Manifestations of ITB induced peritonitis

Answer 7

Ascites

Peritonitis is due to rupture of a lymph node and spread to adjacent tissue

Question 8

Market that is increased in Ascites

Answer 8

ADA (adenosine deaminase) increase

Nonspecific,also raised in leukemias,leukemoid rxn, and liver disease

SAAG > 11G/L
Protein > 30g/L
Wbc > 500x10^6/L
Neutrophils > 250

Question 9

Gold standard for diagnosis

Answer 9

Laproscopy and biopsy

Or acid fast stain
Culture of excised tissue
PCR