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tuberculosis lombard
tb lombard
30
Medical
Professional
03/12/2009

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Cards

Term
what percent of the world infected with tb?
Definition
1/3
Term
consumption in the 1800s
Definition
thought to be a romantic condition of the body/soul
tragic but fashinable

eventually truth leads to sanitorium movement
Term
discoverer of m.tb?
Definition
robert koch 1882
Term
bump in hte 802 90s in tb
Definition
hiv
Term
who is really susceptible?
Definition
hiv
close congregate housing
Term
who is really susceptible?
Definition
hiv
close congregate housing
Term
isoniazid resistance
Definition
7 percent
multi drug 1 percent
Term
mycolic acid lipid bilayer on inisde and outside cell wall makes it
Definition
tough for drugs to enter
Term
primary onset
Definition
80-90 percent no symptoms
mild cold
insidous onset
untreated usually rspolves in 4-6 weeks
small percent get progressive primary tb
Term
pathology of tb
Definition
neutrophilic phase
subsequent mononuclear granulatomousinflammation
caseous necrosis
ghon complex
Term
Vitamin __is important int he battle
Definition
D
Term
gohn complex
Definition
primary tuberculosis indicator
Term
tuberculosis commonly causes a __ disease
Definition
cavi
Term
big hilar nodes, peripheral infiltrates ghon only in the ___ infection
Definition
primary
Term
Langerhan's histiocytes
Definition
macrohpages- active tb granuloma indicator. find the organism
Term
because of ____ they are stained with AFB
Definition
thick capsule
Term
in ht e small percent of patients with primary infectious tb they can spread it
Definition
Term
miliary tb
Definition
MASSIVE hematogeous dissemination
severelyill

usually primary though can occur in secodary
fulminant illness
heaptospleomegaly
meningitis
large caseuous nerotic break into the blood system through big vessel
kills a lot
Term
positive ppd, cxr with "old tb", inability to culture
Definition
probably latency
Term
two copeting hteories on latency
Definition
one that walled off granulomas lower ph and power o2 and replication is checked

2) organism spreads colonizes, protective immune response helps.
Term
most important thing i am gonna say this his how you ttreat latent not active
Definition
12 months of inh .36
6 months of inh .5
2 months of inh and ripamfin
Term
reactivation greates in the first___ years
Definition
5
Term
lifetime risk of reactivation on Average
Definition
5-8 percent
Term
where would you see infiltrate on a secondary tb
Definition
apices of lung
fluffy and cavy
Term
where will you get extrapulmonary tb
Definition
larynx, pleura
gi terminul ileum looks like corhns
lymph
meninges
Term
peripheral lymph nodes tb
Definition
scrofula
Term
paravertebral nodes/vertebral bone tuberculosis
Definition
pott's disease
Term
secondary tb in hiv infection
Definition
only 30 percent cavitate
not at the apices
Term
pyuria
Definition
white cells in urine
Term
treamtent of active
Definition
multi multi drugs!
never give one for active
18-24 months inh, strep, PAS
9 months of inh and rif
6 months inh, rif and pyr
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