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Previous Topic | Next Topic  Chest Xray at 6 weeks gestation? 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

I found this in UW: 6th week of pregnancy Asian woman,asymptomatic, 12mm induration on PPD.Next step:

I would have gome for start Isoniazid but UW says do chest Xray.Do you'll agree?


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99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #2

i think if there is an emergency chest Xray cud b done if the disease cud be harmful to both mother n child
females are covered with lead aprons i suppose n then their baby is protected

wat are the other choices in question?


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God please help me....Haribol!

  #3

Isoniazid with pyridoxine is one choice and rifampicin,isoniazid and ethambutol were the other choices worth considering.Reassurance and routine antenatal care can be ruled out I think.


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #4

yes, for asian people PPD>10 is considered positive...so one must go for CXR to rule out active tuberculosis, one CXR radiation exposure doesnt hurt pregnancy......so if it comes out active then whole anti-tuberculous treatment n if not then INH+pyridoxine is to be given

  #5

thanks angel 23 and hir


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99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research







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