Tb And DM Flashcards
1
Q
Why risk increased of dm in hiv
A
Hyper glycemia
Glycerol
Insulin decreases th1 immunity
2
Q
Effect of tb on dm
A
Overproduction of adrenocorticotropin hormone
Increased cs- insulin antagonist- ir dm
3
Q
Effect of dm on tb
A
Lengthens sputum culture conversion
Adverse drug rxn
4
Q
Clinical features
A
Less clincial manifestations
Long fever
Progress rapidly
Falreup / reactivation
5
Q
Radiology in dm
A
Lower lobe
Multi lobar
Effusion
Atypical
6
Q
Drugs s/e in dm
A
Ethambutol- on Inh- pn Rif- increSes insulin requirement Pioglitazone conc decreases Sulphonyl ureas also
7
Q
When does the ot become tuberculin positive after bcg
A
8- 14 wks
