Page 200 - fourth year book

COMMUNICABLE DISEASES (T.B)

Signs and Symptoms of TB Disease

Symptoms of TB disease depend on where the TB bacteria are growing
in the body. It most commonly grow in the lungs (pulmonary TB).

Symptoms of Pulmonary TB Symptoms of Extrapulmonary TB

Disease Disease
TB disease usually causes one or Depends on the affected part of the
more of the following symptoms: - body: -
Central Central nervous system
• Generalized weakness - Meningitis
• Fever Lymphatics

• Loss of appetite - Scrofula (of the neck)
• Weight loss Pleura
Lungs - Tuberculosis pleurisy
• Cough for more than 3 Bones and joints
weeks - Pott's disease
• Hemoptysis (coughing up Genitourinary

blood) - Urogenital TB
• Pleurisy: sharp chest pain Disseminated
felt during deep breathing - Miliary TB
in or coughing
• Shortness of breath
Skin

• Night sweats

Diagnosis of TB

A complete diagnostic evaluation for TB disease includes the
following five components:

1. Medical history

2. Physical examination
3. Test for M. Tuberculosis infection

 Tuberculin skin test or

 TB blood test (Interferon Gamma Release Essay)
4. Chest radiograph

5. Bacteriologic examination of clinical specimens.

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