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14 Cards in this Set
- Front
- Back
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TB TEST
- done on what basis? |
"intent to treat" basis
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TB TEST
- who are the types of people we "intent to treat" by doing a TB test? x4 |
People COUP
- Country natives from endemic places - Occupation exposing them to likely infected people - Underlying conditions that make them susceptible - Providers of medical care |
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LATENT TUBERCULOSIS INFECTION
- what does a latent infection mean? |
BS SC
Person who is Positive skin or blood test but NO systemic evidence of infection and Negative CXR |
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LATENT TUBERCULOSIS INFECTION
- Latent Infected individuals, if there is any possible active TB disease, patients should be started on what type of therapy? |
- REGULAR therapy
(as opposed to Prophylaxis) |
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WHO SHOULD BE TREATED?
- Positive TB Test indicates need for Therapy (REGARDLESS of age) for whom? x5 |
(PERCH and Treat)
Presence of Medical Dz that increases TB risk Evidence of Radiograph of prior TB Recent Converter Close contact of Active case HIV infection known or suspected patients |
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TB DIAGNOSIS
T/F : A negative Skin or Blood Test exludes out TB as a diagnosis. |
False
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TB DIAGNOSIS
- if Mycobacterium TB is found in any culture from any specimen, than it is felt to that this means what? |
- Represent Dz
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TB DIAGNOSIS
- If pulmonary involvement is present and sputum samples are negative, what test should be performed? - the above ttest should be done only if you have met what criteria? |
- Bronchoscopy with Lavage
- If you have 3 negative sputum samples |
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ATYPICAL TB
- Pulmonary symptoms are similar to TB, but symptoms are how different? - what are these symptoms? |
- More SLOOOOOWLY Progressive
- Cough - occasional hemoptysis/fever - Loss of weight - Dyspnea |
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ATYPICAL TB
- usually indolent and commonly affects what population group? |
- Older patients with COPD
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ATYPICAL TB DIAGNOSIS
(guarantee test question) - how is a diagnosis made? |
- Good clinical picture
and CXR in a patient with repeated isolation of organisms from sputum or biopsy evidence of tissue invasion by organisms. |
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ATYPICAL TB DIAGNOSIS
- So if you’ve got someone who has a chest x-ray that shows findings consistent with it ATYPICAL TB, then you do what diagnostic testing? |
- you culture it AT LEAST TWICE from their sputum,
then that is usually indicative enough of infection to warrant therapy. |
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ATYPICAL TB DIAGNOSIS
- describe the Success rate for Cure in Atypical TB |
- Low
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ATYPICAL TB DIAGNOSIS
- Treatment is usually done for how long? - is recurrence common? |
- 12 to 18 months afer sputum smears and cultures come back negative.
- yes, thats why the long ass treatment dumbass |
