Flashcards
Respiratory: Pulmonary TB
Cards in this deck (9)
- 13423 S & Sx of pulmonary TB?Cough / sputum / malaise / weight loss / night sweats / pleurisy / haemoptysis / pleural effusion.
- 23424 DDx for haemoptysis?Acute viral or bacterial bronchitis / PE / CA of lung / pulmonary TB / URTI / nasal polyps / laryngeal carcinoma / pharyngeal tumours / lung abscess / bronchiectasis / Wegener's granulomatosis / pneumonia.
- 33425 Miliary TB?Miliary TB: follows haemtogenous spread - lung, liver, lymph nodes, marrow, retina. Signs may be non-specific or overwhelming. Do CXR, try and get biopsies - may yield AFB or granulomata.
- 43425 S & Sx of genitourinary TB? Where might renal TB spread?May cause dysuria, freq., loin/back P, haematuria, sterile pyuria. Renal TB may spread to bladder, seminal vesicles, epididymis, fallopian tubes. Do 3 x EMU's +/- renal US.
- 53425 What pathology might you see with bone TB?Look for vertebral collapse and Pott's vertebrae.
- 63425 What condition might you see with a case of TB of the skin?Lupus vulgaris: look for jelly like nodules , eg on face or neck.
- 73425 S & Sx of peritoneal TB? How would you Ix?Abdo P, GI upset. Look for AFB in ascites (tap). Laparotomy may be needed.
- 83425 What effect may TB have on the HT and how would you Rx it?Acute TB pericarditis, chronic pericardial effusion, constrictive pericarditis. Fibrosis/calcification may be prominent with spread to myocardium. Give steroids for 11/52 alongside anti-TB Rx.
- 93425 TB meningitis - good, bad? S & Sx? Ix?V bad - 30% mortality! S & Sx: fever, HA, N & V, abdo P, drowsiness, meningism, delirium, may be seizures, tremor, papilloedema, CN palsies. Usually develops over 1-3/52. Dx/Ix: LP, TB PCR, look for immunosuppresion and TB elsewhere (CXR etc), MRI + enhancement, CT (looking for obstructive hydrocephalus, basal enhancement, CNS tuberculomas).
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- MBBS5 Respiratory Flashcards on Respiratory: Pulmonary TB, created by Andrew Street on 12/05/2016.
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- Andrew Street
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