Week 5 - Persistent cough in a young woman

Question 1

What further history should be obtained?

Answer 1

Question 2

What does the chest X-ray show? What might the findings suggest? Would any other imaging be of help?

Answer 2

Question 3

What simple investigation would you request urgently? Are there any other
investigations that may assist in making the diagnosis?

Answer 3

Question 4

Why does this result necessitate an urgent call? What should you do now?
What additional investigations are indicated?

Answer 4

Question 5

What treatment would you recommend initially and why? What are the main treatment concerns?

Answer 5

Question 6

Are there any other issues that you need to address promptly in a patient with TB?

Answer 6

Question 7

Could TB have been prevented in this patient?

Answer 7

Question 8

Pulmonary TB
- Causative Organism?
- Mode of Transmission?
- Incidence?
- Risk Groups?

Answer 8

Question 9

Pulmonary TB
- Pathology?

Answer 9

Question 10

Pulmonary TB
- Immunopathology?
- Clinical Presentation?

Answer 10

Question 11

Pulmonary TB
- Diagnosis?

Answer 11

Drug susceptibility testing requires a further 10-15 days.

Question 12

Pulmonary TB
- Treatment?
- Public Health?

Answer 12

Question 13

Pulmonary TB
- Prevention?

Answer 13