aspire wrote:
Doubts:
If a patient presents with fever, cough with sputum production, dyspnea, night sweats and was recently exposed to TB patient:
Best initial test is CXR.
That sounds right because those symptoms -fever, night sweats, cough, etc are pretty non-specific symptoms and could be due to other lung pathologies instead of TB, plus the person was only exposed briefly to a TB patient... probably not enough time to catch it... so do a CXR sounds reasonable.
aspire wrote:
If a patient returns from his visit to a place endemic with TB or was taking care of a TB patient, but has no symptoms and is afraid that he has contracted TB:
Best initial test is PPD.
Is that right?
Thanks
Yes, PPD for the person at RISK of getting TB... Now this guy was in a country with endemic TB, plus he was taking care of TB patients so he has a higher chance of getting it. This case qualifies as "close contact" with a TB patient. Do a PPD first... If positive, do a CXR. If PPD positive but CXR negative -give INH. If both positive, give the TB meds: R, I, P, E,
Follow up questions for you:
In this patient what would be a positive PPD -how many mm of induration?
Which drugs would you give and for how long if PPD and CXR came back positive?
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| aspire
Forum Senior
Topics: 24
Posts: 158
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PPD positive-5 mm of induration.
Drugs when PPD and CXR are positive:
INH ,Rif, Pyrazin, Etham-2 months
INH and Rif for 4 months.
RIght?
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| solitarius
Forum Junior
Topics: 7
Posts: 71
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Yes Thats correct
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