Presentation is loading. Please wait.

Presentation is loading. Please wait.

TB Diagnostics Chest X-Ray. Typical Chest Xray Patient 1 18 year old female Somalian UK 6 months Non productive cough and Chest Pain.

Similar presentations


Presentation on theme: "TB Diagnostics Chest X-Ray. Typical Chest Xray Patient 1 18 year old female Somalian UK 6 months Non productive cough and Chest Pain."— Presentation transcript:

1 TB Diagnostics Chest X-Ray

2 Typical Chest Xray

3 Patient 1 18 year old female Somalian UK 6 months Non productive cough and Chest Pain

4 Patient 1 contd.

5 Outcome of Patient 1 TB should always be actively excluded in anyone with suggestive symptoms and epidemiological risk (e.g. from high prevalence country)

6 Patient 2 17 years, Bangladeshi female Outbreak of TB at school Cough, Haemoptysis

7 Patient 3 79 year old Polish Living in Garage Diagnosed in A+E

8 Patient 3 contd. Malnourished Intermittent Treatment

9 Further Difficulties – Patient 4 Sudden onset of cough, breathlessness and foul phlegm Pleural thickening on each side due to prior asbestos exposure Sputum grew Klebsiella DIAGNOSIS: Bacterial chest infection

10 Patient 4 contd. Fever, Weight Loss, WBC, CRP, so referred for VATS Pleural Fluid

11 Patient 4 contd. HIV+ does not mean you wont get TB again Normal inflammatory response is different, subtle appearance CXR can change quickly

12 Patient 5 Mobile XRay screening unit Strongly positive Mantoux test CHAOTIC patient

13 Patient 5 contd. DNA X 6 (bronchoscopy) Abdominal pain, weight loss, fevers Refused empirical treatment Refused CT scan because of IV access Refused Biopsy because of IV access U/S showed TB changes but still no organisms…

14 Patient 5 contd. 4 months later - sputum grew TB Biopsy showed granuloma changes Now has extensive disease and treatment is difficult

15


Download ppt "TB Diagnostics Chest X-Ray. Typical Chest Xray Patient 1 18 year old female Somalian UK 6 months Non productive cough and Chest Pain."

Similar presentations


Ads by Google