Term
| Tuberculosis is a common infectious disease most typically transmitted from a person with active tuberculosis (TB) by |
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Definition
| inhaling airborne bacilli |
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Term
| As a clinician, you should have a high suspicion for TB in patients displaying a chronic cough and having which of the following risk factors |
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Definition
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Term
| What is the causative agent for a TB infection? |
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Definition
bacterium
mycobacterium tubercolosis |
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Term
| During the physical examination of a patient presenting to the outpatient clinic for unresolved cough, what can you say about the physical examination of patients with TB |
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Definition
often entirely normal
note: a patient may present to the clinic for any reason and unless typical signs of TB are present, the exam could be entirely normal. Thus when patient comes in with unresolved cough in absence of possible high risk association (e.g. homelessness, immunosuppression, HIV positive persons…etc. etc.) a “normal exam” should not automatically exclude the potential presence of TB. |
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Term
| Based on the presentation of 3rd case, the patient indicated that his medications included “riff” and “isso…something…” Which of the following pairs would be the most typical regimen the patient would be on for treatment of TB? |
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Definition
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Term
| ESR stands for which of the following? |
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Definition
| erythrocyte sedimentation rate |
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Term
| The Trendelenburg sign (not the Trendelenburg test!) is useful for determining weakness of which of the following muscles? |
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Definition
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Term
In the review of systems, a patient indicates the presence of fatigue, weight loss, and nocturnal sweating. This information is collectively known as __________ signs/symptoms?
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Definition
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Term
| n the patient presented in Case Number 3, which of the following information would best suggest that something of a sinister pathology is going on. |
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Definition
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Term
| Psoas muscle abscess caused by TB |
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Definition
backpain
fever
groin pain
increase frequency
abdominal pain
distal extension of psoas abscess may present with an mass in the inquinal region |
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Term
movement of hip is :
PAINLESS in psoas abscess
PAINFUL in spetic arthritis |
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Definition
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Term
confirm psoas abscess Dx
and treatment
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Definition
high clinical suspicion
imaging studies: ultrasound, CT(more sensitive)
Treatment: DRAINGAGE, ANTIBIOTIC |
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Term
| primary vs. secondary psoas |
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Definition
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PRIMARY PSOAS
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SECONDARY PSOAS
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Most cause by staphylococcus aureus
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Cause by enteric (GI) bacteria such as E. Coli
Cause by M. TB infection ( usually associate with pulmonary finding, but can be found in many organ)
Other condition caused by ascess: diverticulitis, appendicitis, Crohn’s disease, UTI, vertebral osteomyelitis, septic arthritis.
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Term
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Definition
clinical one based on history, physical sign/symptom relate to site of disease
chest radiography alone often not distinguish between inactive vs active pulmonary TB
positive sin test show infection with TB but not diagnose active disease
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Term
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Definition
- high quality, sponstanoeus expectorated (cough out) sputum (respiratory tract mucus) is preferred for detection of ACID FAST baccili on smear
- Positive AFB smear makes a presumptive dx of TB in high risk patient. although a positive stain smear is not specific for M. TB
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Term
| "Gold Standard" for diagnosis of TB |
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Definition
| is culture isolation of organism from secretion or from tissue/fluid sample |
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Term
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Definition
| may cause acute renal failure, infrequent severe side effect, nephrotoxicity is very rare with INH (isoniazid) |
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