TB, D Kinder, DSA Flashcards Preview

Year 2 Resp Exam 2 > TB, D Kinder, DSA > Flashcards

Flashcards in TB, D Kinder, DSA Deck (21):
1

what staining is used for M TB

ziehl neelsen staining

2

CXR of TB shows what

patchy opacities in midlung fields with unilateral hilar lymphadenopathy

3

what is ghon complex

small calcified scar in midlung dileds and associated hialr node

4

what is ranke complex

late fibrocalcific lesions of lung and hilar node

5

wha tis progressive primary TB

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

6

what are the types of reactivation TB

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

7

Sx and signs of pulmonary TB

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

8

what causes pleural TB

direct extension when subpleural cavity discharges into pleural space

9

how does pleural TB present

unilateral pleural effusion

10

Sx and signs of miliary TB

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

11

Sx TB meningitis

<2 week fever, HA and miningismus

12

Sx TB lympadenitis

more common in HIV

13

Sx TB pericarditis

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

14

Sx TB peritonitis

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

15

Sx GI TB

fever, abdominal pain and GI bleeding or obstrution

16

Sx Renal TB

dysuria, hematuria and flank pain
steril pyuria or hematuria

17

Sx vertebral osteomyelitis from TB

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

18

Dx LTBI

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

19

Dx active TB

acid fast sputum smear and culture

20

Tx LTBI

INH 6-9 mo

21

Tx active TB

INH, rifampin, ethambutol and pyrazinamide for 2 mo
followed by INH/rifampin for 18 wks