Clinical factors increasing index of suspicion for tuberculosis

Slides:

Advertisements

Similar presentations

Epidermal growth factor receptor (EGFR) mutations in NSCLC

Advertisements

Myoma. Longitudinal sonogram of the pelvis demonstrating an enlarged myomatous uterus. A large anterior uterine myoma (M) can be seen displacing the endometrial.

Ulcerative colitis. This image from the colon shows edematous and inflamed mucosa indicative of severe inflammation. Although this patient has ulcerative.

Schematic drawing of a Nissl-stained motor neuron

Comparison of findings in sputum and saliva (inadequate sample)

Reproduced with permission from Albert MA, Ridker PM

Denture stomatitis caused by candida in a patient wearing a "flipper" (temporary removable denture to replace a missing tooth). Source: Diseases of the.

Management of asthma exacerbations: emergency department and hospital-based treatment. (Adapted from National Asthma Education and Prevention Program.

(Adapted, with permission, from Fagin JA

The tracing shown was observed at EP study in a young man without evidence of heart disease. What is the likely mechanism of tachycardia for both the narrow.

Aphthous ulcers in Crohn disease

Laparoscopic inguinal hernia repair (A→D). (Used with permission of Dr

An above-knee artificial leg invented by Ambroise Paré (mid-16th century). (From Paré A: Oeuvres Complétes, Paris, 1840, with permission from the National.

(Copied with permission from: Latson, L. A. , & Prieto, L. R. (2007)

Approach to hypernatremia

Pathophysiology of esophageal reflux disease

In certain patients with the long QT syndrome, potassium channel function is reduced (diagonal arrows), which leads to prolongation of the action potential.

Virtual integration involves contractual links between HMOs and physician groups, hospitals, and other provider units. Source: How Health Care Is Organized—II:

(Reproduced, with permission, from Findling JW, et al

Pathogenesis of bone diseases in chronic kidney disease

A chamber designed to treat multiple patients

(From Beutler E, Meerkreebs G,705 with permission from the Massachusetts Medical Society.) Source: Chapter 42. Disorders of Iron Metabolism, Williams Hematology,

Normal gastroesophageal junction: Note the gastroesophageal junction in this picture which is defined by the junction of the normal pearly white esophageal.

Nine patterns of inflammatory skin disease. (See also Table 8–1.)

Acne vulgaris, severe nodular cystic form with scarring

Diagnostic algorithm for normocytic anemia.

Using the prosthesis as an assisting hand

Algorithm for the management of aortic valve stenosis

Communication strategy: increasing mammogram use

Radiographs of the right femur in a patient with juvenile Paget disease before (left) and after (right) 10 months of treatment with calcitonin. Note the.

Negative-feedback control systems

(Used with permission from Lichtman’s Atlas of Hematology, www

Radiation-induced pulmonary fibrosis

Ochronotic pigmentation of the femur of a 56-year-old alkaptonuric patient. (Courtesy of Dr. H. W. Edmonds of the Washington Hospital Center, Washington,

Ochronotic pigmentation of the femur of a 56-year-old alkaptonuric patient. (Courtesy of Dr. H. W. Edmonds of the Washington Hospital Center, Washington,

Schematic representation of the main divisions of the respiratory tract. (Reproduced, with permission, from Junqueira LC, Carneiro J: Basic Histology:

Internal hemorrhoids. (Used, with permission, from John Cello, MD.)

Positive Ziehl-Neelsen sputum stain, with magenta-colored acid-fast bacilli on a blue background. (Courtesy of the Centers for Disease Control and Prevention.)

Ulcerative colitis proctitis: The rectal mucosa appears congested, edematous, with several areas of exudate and loss of the normal vascular pattern in.

Subdivision of conducting airways and terminal respiratory units

In diastolic dysfunction, the diastolic pressure-volume relationship is shifted upward and to the left (dashed line), which leads to an elevated left ventricular.

Eosinophilic pneumonia

Hands of patient with pseudohypoparathyroidism

Organizing pneumonia (OP)

D-dimer and helical CT-PA based diagnostic algorithm for PE

Nonalcoholic steatohepatitis (NASH)

Development of transfusion-related acute lung injury (TRALI) following blood transfusion. A. Pre transfusion; B. Post-transfusion showing rapid emergence.

Illustration of the actions of contraction of the intercostal muscles, abdominal muscles, and accessory muscles. (Reprinted with permission of the publisher.

Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.

Initial lymph capillaries are microscopic, one-way vessels that begin “blindly” in the interstitial spaces. The black arrows indicate blood flow, and white.

T cell differentiation

Rodin, “The Kiss” (545 x 800). Accessed at

Correlation between pulmonary arterial pulse pressure (PP) measured using fluid-filled Swan–Ganz (SG) versus high-fidelity micromanometer-tipped Millar.

Ulceration from infarction of the tip of the third digit of the left hand resulting from Raynaud phenomenon in a patient with scleroderma. (Used, with.

Diaphragmatic length–tension curve in normal hamsters and hamsters with elastase-induced emphysema. Tension is expressed as a percentage of maximum tetanic.

Patients presenting with clinical features compatible with MAE but with seizure semiology consistent with focal seizure or focal abnormality seen in the.

(Reproduced with permission from Amato AA, Russell JA

Esophageal adenocarcinoma: Note the ulcerated mass with fungating heaped up borders in this esophageal mass seen in the lower end of the esophagus. (Used,

The seasonal prevalence of bronchiolitis caused by specific pathogens

REVEAL Registry PAH Risk Score Calculator

(Adapted and reprinted with permission, from Hughes JM et al: Effect of lung volume on the distribution of pulmonary blood flow in man. Respir Physiol.

Fungal histopathology. A. India ink wet mount C. neoformans. B

Natural history of enteric (typhoid) fever

Internal hemorrhoids. (Used, with permission, from John Cello, MD.)

Volumetric reconstruction of axial magnetic resonance (MR) images in a normal subject (top panel) and a patient with sleep apnea (bottom panel). The mandible.

Crohn ileitis: The area of patchy inflammation, congestion, edema and whitish exudates consistent with ileal inflammation in this patient with Crohn ileitis.

Posteroanterior chest x-ray film in a man with acute pulmonary edema resulting from left ventricular failure. Note the bat’s wing density, cardiac enlargement,

Number of uninsured persons in the United States, 1980 to 2014 (U. S

Chest radiograph cardiac enlargement, with prominence of the pulmonary artery, right atrium, and right ventricle, in a patient with primary pulmonary hypertension.

The Hippocrates of Ostia

Presentation transcript:

Clinical factors increasing index of suspicion for tuberculosis Clinical factors increasing index of suspicion for tuberculosis. Increasing probability of TB warrants further investigation, especially collection of respiratory samples for mycobacterial stain and culture. For hospitalized patients, or those in congregate living settings, increasing suspicion warrants prompt isolation pending results of investigations. (Used with permission of Richard Long, unpublished observations). Source: Tuberculosis, Fishman's Pulmonary Diseases and Disorders, 5e Citation: Grippi MA, Elias JA, Fishman JA, Kotloff RM, Pack AI, Senior RM, Siegel MD. Fishman's Pulmonary Diseases and Disorders, 5e; 2015 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1344/p9780071796729-ch131_f011.png&sec=111843291&BookID=1344&ChapterSecID=81199723&imagename= Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved