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L2W3 CP & Dx TB Flashcards

1
Q

Causative organism tb?(typical/atypical)

A

Typical:
-Mycobacterium TB (human type), Bovis & Africanum
Atypical:
-Pulmonary/lymph node(occasion)
-in pre-existing lung dis/suppress immune

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2
Q

TB bacilli char?

A

Xmotile, xform spore,xcapsule, acid fast & alcohol

Susceptible to:

  • Direct sunlight(lethal)
  • Heat(1 min boil)
  • Phenol 4% & alcohol 70%
  • UV radiatiom
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3
Q

Type tb? (2)

A 
1ry TB(child)
2ry/reinf/postprimary(adult)
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4
Q

Component 1ry TB? (3)

A
  • Ghon’s focus(TB granuloma)
  • Lymphangitis
  • TB lymphadenitis
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5
Q

Fate 1ry complex?(5)

A
  1. Heal wo cp(90%)
  2. Spread(10%)
  3. TB bronchopneumonia
  4. Miliary TB
  5. TB bronchitis
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6
Q

Symptom 1ry TB? (4)

A
  1. Asymp(major)
  2. Failure thrive, anorexia, fever
  3. Cough
  4. Expectoration(rare)
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7
Q

Sign 1ry?(5)

A
  1. Debilitation(severe)
  2. Crepitations
  3. Wheeze
  4. D’espine sign
  5. Sign segmental, lobar consolidation/ collapse
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8
Q

SS miliary TB?(6)

A
  1. Severe toxemia w dyspnea & cough
  2. Headache & rigidity
  3. Hepatosplenomegally
  4. Tachycardia
  5. Choroidal tubercules
  6. Few fine crepitations
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9
Q

Symptom post 1ry TB?(11)

A
  1. Asymp
  2. Tired & malaise
  3. Loss weight, appetite, night fever/sweat
  4. Cold
  5. Amenorhea
  6. Xsymp chest
  7. Persistent cough
  8. Expectoration(mucoid, purulent, bl stained)
  9. Hemoptysis
  10. Chest pain
  11. Wheeze & dyspnea
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10
Q

Sign pulmonary TB?(GE, chest exam, other sys)

A
  1. Xsign
  2. GE
    - Pallor & cachexia
    - Fever, inc HR & RR
    - Clubbing(xcommon)
  3. CE
    - Xsign
    - crepitation
    - cavitation/fibrosis
    - local/general wheezes
    - consolidation, collapse/fibrosis
  4. Other body system
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11
Q

Complication pul TB? (6)

A
  1. Bronchiectasis
  2. Aspergilloma (mycetoma)
  3. Massive hemoptysis
  4. Scar carcinoma
  5. ARDS(fulminant)
  6. Other organ
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12
Q

Haematogenous spread TB? (Intra/extrathoracic)

A 
1. Intrathoracic lesion
Pulmonary:
-multiple TB cavity
-miliary TB
-TBma
-Pleura, pericardium
-lymph gland(hilar adenopathy)
2. Extrathoracic lesion
-meninges(meningitis)
-cns(tbma)
-spine(Pott’s dis)
-lymph node(tb lymphitis)
-urogenital(urogenital tb)
-serous membrane
-joint(tb joint)
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13
Q

Ddx(4)

A
  1. Bronchial carcinoma
  2. Pneumonia
  3. Other coz hemoptysis
  4. Other coz prolonged fever/cough
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14
Q

Prognosis TB?

A

Proper management & compliance(high cure rate)

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15
Q

Extra pul TB? (9)

A
  1. Pleural
  2. LN
  3. Abd
  4. Pericarditis
  5. Bone & joint
  6. Genitourinary tract
  7. CNS
  8. Cutaneous
  9. Ocular
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16
Q

CP TB LN?(5)

A
  1. Neck, supraclavi, inguin, axil
  2. Fever
  3. Painless swell
  4. Gland discrete, firm, mobile then matted together
  5. Cold abscess/sinus
17
Q

Inv TB LN?(3)

A
  1. ZN exam
  2. Culture(node biopsy, excise/fine needle aspiration)
  3. Excise LN biopsy
18
Q

3 type abd TB?

A
  1. Tebes mesenterica(rt iliac fossa)
  2. Peritoneal tb(blstream)
  3. GIT tb(ileocecal & jejunoileum)
19
Q

CP peritoneal tb? (4)

A
  1. Symp dev insidious
  2. Fever, weight loss
  3. Swell, pain, tenderness
  4. Diarrhea
20
Q

CP GIT TB? (7)

A
  1. Fever & weight loss
  2. Pain & diarrhea
  3. Nausea & vomiting
  4. Rectal bleeding & melena
  5. Abd tenderness
  6. Mass(rt iliac fossa)
  7. Doughy abd
21
Q

Comp git tb? (2)

A
  1. Psoas abscess w ulcer(skin)

2. Intestinal narrowing, obs & acute abd

22
Q

Dx git tb? (5)

A
  1. CXR(past/present tb)
  2. US(thick loop of bowel, mesentric LN enlarge/hypoecho region(liver & spleen)
  3. CT abd
  4. Peritoneal fluid analysis
  5. Peritoneal biopsy
23
Q

CP TB Pericarditis? (2)

A
  1. Symptom toxemia

2. SS pericardial effusion

24
Q

Inv TB Pericarditis? (4)

A
  1. CXR(cardiomegaly, calcification)
  2. ECG(T wave inversion/flat)
  3. Echocardiography(pericardial effusion)
  4. Aspiration(bl stain/serous fluid)
25
Q

CP bone & joint tb?

A
  1. Local radicular pain, stiffness & limit movement
  2. Abscess/sinus formation
  3. Toxemia
  4. Paraplegia
  5. Quadriplegia
  6. Gibbous deformity, kyphosis
26
Q

Inv bone & joint tb? (3)

A
  1. Plain xray
  2. CT
  3. MRI
27
Q

CP genitourinary tract tb?(7)

A
  1. Toxemia
  2. Freq, dysuria, lion pain, nocturia & hematuria
  3. Recurrent uti/pyuria
  4. Perineal sinuses
  5. Scrotal swell
  6. Renal tb
  7. Infertility, menorrhgia, amenorrhea, adenexial mass
28
Q

Inv genitourinary tract tb? (4)

A
  1. Urine analysis
  2. IVP & renal us
    - calcification, dilatate calyces
  3. Renal biopsy
  4. Endometrial curetting

Chest (8 decks)

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