Tarpaulin
Tarpaulin
PATHOGNOMIC SIGN
PATHOPHYSIOLOGY: After gaining access into the body, the organism penetrates the lining of the respiratory tract or the intestinal mucosa, is picked up by the lymph or blood channels, and reaches the lungs or other organs where it lodges and produces original lesions, the tubercle, from where the disease got its name. The initial tubercle is due to structural change in the tissue brought about by the tubercle bacillus at the site of the first recognizable location. Usually, the site is in the parenchyma of the lungs, and it termed Ghons tubercle. Then bacilli will establish themselves in the alveoli of the lungs, the walls of the blood vessels, in the lymph channels or gland, or in the wall of the bronchi. EPIDEMIOLOGY:
DIAGNOSTIC PROCEDURE: Sputum analysis for AFB Chest x-ray Tuberculin testing a. Mantaux test (PPD) b. Tine test (OT) c. Heaf test (LT) CONFIRMATORY TEST: y y y Sputum analysis for AFB
DRUG OF CHOICE: y Rifampicicn y Isoniazid y Pyrazinamide y Ethambutol CLINICAL MANIFESTATION: y After rise of temperature y Night sweating y Body malaise and weight loss y Cough, dry to productive y Dyspnea, hoarseness of voice y Hemoptysis y Occasiolnal chest pain y Sputum positive for AFB