5409868
Descripción
Fichas por Andrew Street, actualizado hace más de 1 año
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Creado por Andrew Street
hace más de 8 años
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| Pregunta | Respuesta |
| 3423 S & Sx of pulmonary TB? | Cough / sputum / malaise / weight loss / night sweats / pleurisy / haemoptysis / pleural effusion. |
| 3424 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. |
| 3425 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. |
| 3425 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. |
| 3425 What pathology might you see with bone TB? | Look for vertebral collapse and Pott's vertebrae. |
| 3425 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. |
| 3425 S & Sx of peritoneal TB? How would you Ix? | Abdo P, GI upset. Look for AFB in ascites (tap). Laparotomy may be needed. |
| 3425 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. |
| 3425 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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