TB, D Kinder, DSA Flashcards

1
Q

what staining is used for M TB

A

ziehl neelsen staining

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2
Q

CXR of TB shows what

A

patchy opacities in midlung fields with unilateral hilar lymphadenopathy

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3
Q

what is ghon complex

A

small calcified scar in midlung dileds and associated hialr node

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4
Q

what is ranke complex

A

late fibrocalcific lesions of lung and hilar node

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5
Q

wha tis progressive primary TB

A

failure to develop immunity
most common in young children, elderly and immunocompromised
looks like reactivation TB

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6
Q

what are the types of reactivation TB

A
pulmonary
pleural
miliary
TB meningits, lymphadenitis, pericarditis, peritonitis, GI, renal
vertebral ostemyelitis
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7
Q

Sx and signs of pulmonary TB

A

productive cough, night sweats, anorexia, weight loss and fever
CXR with apical lesions, cavitation and air fluid levels

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8
Q

what causes pleural TB

A

direct extension when subpleural cavity discharges into pleural space

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9
Q

how does pleural TB present

A

unilateral pleural effusion

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10
Q

Sx and signs of miliary TB

A

fever, weight loss, night sweats, possible TB meningitis
lymphadenopathy, hepatomegaly, choroidal tubercles
miliary infiltrates on CXR

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11
Q

Sx TB meningitis

A

<2 week fever, HA and miningismus

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12
Q

Sx TB lympadenitis

A

more common in HIV

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13
Q

Sx TB pericarditis

A

fever, night sweats, chest pain, dyspnea and pedal edema

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14
Q

Sx TB peritonitis

A

abdominal pain, fever, swelling, night sweats, ascites and weight loss

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15
Q

Sx GI TB

A

fever, abdominal pain and GI bleeding or obstrution

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16
Q

Sx Renal TB

A

dysuria, hematuria and flank pain

steril pyuria or hematuria

17
Q

Sx vertebral osteomyelitis from TB

A

lower thoracic and lumbar vertebrae most commonly involved
back pain and radicular Sx
Gibbus formation

18
Q

Dx LTBI

A

PPD

Interferon gamma release assay (if patient has had BCG vaccine, and to confrim + PPD)

19
Q

Dx active TB

A

acid fast sputum smear and culture

20
Q

Tx LTBI

A

INH 6-9 mo

21
Q

Tx active TB

A

INH, rifampin, ethambutol and pyrazinamide for 2 mo

followed by INH/rifampin for 18 wks