Tuberculosis of Bone

Question 1

Extraarticular Tuberculosis affects

Answer 1

epiphyseal / bones with haemodynamic marrow

Question 2

Intraarticular Tuberculosis affects

Answer 2

Large Joints

Question 3

Clinical Features of Tuberculosis of Bone (10)

Answer 3

Insidious Onset
Contact with TB
Pain at Night
Swelling
loss of weight
low grade pyrexia
joint swell
decrease rom
ankylosis
deformity

Question 4

Tuberculosis Pathology (2)

Answer 4

Primary Complex in Lung or Gut

Granuloma

Question 5

Spinal Tuberculosis present (3)

Answer 5

Little pain
abscess
kyphosis

Question 6

Diagnosis of Tuberculosis of Bone Examination (4)

Answer 6

Long History
Thickening of Synovium
Muscle Waste
Periarticular Osteoporosis

Question 7

Testing of Tuberculosis of Bone

Answer 7

FBC,ESR
Mantoux Test
Sputum/Urine
Xray
Joint Aspiration and Biopsy

Question 8

What does X-Ray find in Tuberculosis of Bone (3)

Answer 8

Soft Tissue Swell
Periarticular Osteopaenia
Articular Space Narrow

Question 9

Differential Diagnosis of TB of Bone (4)

Answer 9

transient synovitis
monoarticular RA
haemorrhagic arthritis
pyogenic arthritis

Question 10

Treatment of TB of Bone (6)

Answer 10

Chemo
Rifampicin, Isoniazid, Ethambutol for 8 Weeks
Rifampicin and Isoniazid 6-12 months