Tuberculosis Flashcards

1
Q

How is TB spread?

A

airborne droplets

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2
Q

favorable environments for growth

A
  • upper lung lobes
  • kidneys
  • cerebral cortex
  • adrenal glands
  • epiphyses of bones
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3
Q

Classifcation

A

0: no exposure
1: exposure, no infection
2: latent TB, no disease
3: TB, clinically active
4: TB, not clinically active
5: TB suspected

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4
Q

Active Manifestations

A
  • fatigue
  • malaise
  • anorexia
  • weight loss
  • low grade fever
  • night sweats
  • frequent cough
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5
Q

Acute Manifestations

A
  • high fever & chills
  • productive cough
  • pleuritic pain
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6
Q

Complications

A
  • military: invade bloodstream & organs
  • pleural: bacteria in pleural space
  • pneumonia
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7
Q

TB Pneumonia Manifestations

A
  • fever
  • chills
  • productive cough
  • pleuritic pain
  • leukocytosis
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8
Q

Positive reaction

A

> 5mm: HIV group or recent contact
10mm: long term care facilities, IV drugs, health care
15mm: general public

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9
Q

TB treatment

A
STRIPE
STreptomycin
Rifampin
Isonlazid
Pyrazinamide
Ethambutol
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10
Q

Isoniazide

A
  • liver function tests
  • causes B6 deficiency and no alcohol intake
  • epigastric distress, jaundice, peripheral neuritis
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11
Q

Length of INH

A

6-9 months

-HIV: 9 months

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