10 results
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
TB • LTBI is diagnosed ... TB AFB smear microscopy ... used to exclude pulmonary ... #Workup #TB #Latent ... #Active #LatentTB
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
emboli • Lung abscess ... Active TB: • ... : Latent TB: • ... Active TB: • ... #Diagnosis #Management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
emboli • Lung abscess ... Active TB: • ... : Latent TB: • ... Active TB: • ... #Diagnosis #Management
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
signs/symptoms of active ... pulmonary TB PE ... for concomitant pulmonary ... - Detection of AFB ... #Diagnosis #Management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... necrosis (7-14 days later ... weight loss • Late ... westermani • Other: TB ... #pulmonary #differential
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... (< 5% pts with afibb ... pericardial disease; assess ... serum creatinine, test ... #diagnosis #management
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
pressure is constant Best ... Passive or partially active ... breathing patterns - Active ... #Ventilation #management ... #pulmonary
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
, pulmonary infiltrates ... osteomyelitis, cutaneous abscesses ... • Persistently active ... treatment, unless the patient ... #Management
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
(+) screening test ... no evidence of active ... or latent TB ... and molecular diagnostic ... Prevention #Treatment #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... murmur 3/6) - Pulmonary ... determine if stress test ... medical and surgical management ... stratification #diagnosis