Term
| Tuberculosis is 200x more common in what demographic? |
|
Definition
|
|
Term
| What diameter induration should be considered positive in HIV, high risk patients? Everyone else? |
|
Definition
HIV-5mm
High Risk - 10mm
Everyone else - 15mm |
|
|
Term
| What tests are used to diagnosis TB? |
|
Definition
| Nucleic Acid Amplification (NAA) and cultures |
|
|
Term
| How do 90% of Primary infections manifest? |
|
Definition
| asymptomatic w/normal CXR |
|
|
Term
| What is the most common symptomatic presentation of pulmonary TB? |
|
Definition
|
|
Term
| Extrapulmonary TB is most common in whom? |
|
Definition
|
|
Term
| What is the most common clinical form of TB? |
|
Definition
| Reactivation (post-primary) TB |
|
|
Term
| What is the most rapidly progressive form of TB? |
|
Definition
|
|
Term
| What is the most common extra-thoracic form of TB? |
|
Definition
|
|
Term
| all HIV patients with an induration of 5mm or more should receive what drug and for how long? |
|
Definition
|
|
Term
Prophylaxis in HIV-negative patients
1) Recent converter
2) less risk factors
3) no risk factors |
|
Definition
1) >5mm - INH
2) < 35yo and >10mm - treat, >35yo and >15mm - treat.
3) <35 yo and >15mm - INH |
|
|
Term
| What tests must be done before Anti-TB chemotherapy is given? |
|
Definition
| cultures and sensitivities |
|
|
Term
| When can you discharge someone from the hospital who was admitted for TB? |
|
Definition
| after 3 consecutive negative sputum cultures and clinical improvement |
|
|
Term
| According to the lecturer what are the 4 TB meds used? |
|
Definition
1) Isoniazid (INH)
2) Rifampin
3) Pyrazinamide
4) Ethambutol or Streptomycin |
|
|
Term
| What is a major toxicity of Isoniazid? |
|
Definition
|
|
Term
| What is a major side effect of Rifampin? |
|
Definition
| orange discoloration of urine, sweat, tears and saliva |
|
|
Term
| What is the most common opportunistic bacterial infection in AIDS patients? |
|
Definition
|
|
Term
| Treatment plan for mycobacterium avium? |
|
Definition
Antiretroviral therapy-control AIDS-may control infection.
Azithromycin/Clarithromycin |
|
|
Term
| What is characteristic of Leprosy and what causes it? |
|
Definition
| mutilation caused by sensory loss |
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