Shared Flashcard Set

Details

Tuberculosis
PA CLin Med
19
Health Care
Graduate
09/25/2009

Additional Health Care Flashcards

 


 

Cards

Term
appx _/_ of the global pop is infected with TB.
Definition
1/3
Term
most TB deaths occur in developing countries, notably in =:
Definition
asia/africa
Term
if you have a new Dx of TB what else should Pt be tested for?
Definition
HIV
Term
4 classic Sx of TB:
Definition
1. cough (w or wo hemoptysis)
2. low grade fever
3. anorexia/ weight loss
4. night sweats
Term
lab Dx approach to TB:
Definition
CBC, Chem , LRESC x 3 am spec
Term
in advanced TB other organ sys can be involved indicated by analysis of:
Definition
CSF, urine
Term
pts with TB are in isolatin until:
Definition
there are 3 consecutive TB negative cultures
Term
what is DOT?
Definition
directly observed therapy required for most TB pts
Term
histology of TB infection shows:
Definition
caseating granulomas
Term
4 facgtors that increase the progression toward active TB:
Definition
1. any immunosupressive disease
2. silicosis
3. renal insuf
4. gastrectomy
Term
TB usually affect the ____ & _____ lungs and heals with no clinical Sx in __% of cases.
Definition
affects the lower and middle lungs and heals in more than 90% of cases
Term
what is measured when reading PPD
Definition
the induration not the erythema
Term
PPD >5mm is positive in which people?
Definition
HIV/immunosupressed, recent contact with TB, prior TB,
Term
PPD >9 is positive if
Definition
immunosup, recent immigrants, people from crowded places, children >4, AFB laboratorians
Term
PPD >14 is positive in:
Definition
persons with no risk for TB
Term
what is the Tx for Latent TB
Definition
isoniazid for 9mo
Term
Tx of active TB:
Definition
INH, Rifampin, pyrazinamide, ethambutol, aminoglycosides
Term
side effects of active TB medications
Definition
liver damage hepatitis (INH,RF,PYZ)optic neuritis (ethambutol), ototoxicity (aminoglycosides)
Term
Tx of MDRTB active infection:
Definition
1yr Tx, more toxic and less effective, assoc with high mortality esp in HIV pts
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