TAILIEUCHUNG - Pulmonary Tuberculosis: Detailed History of Presenting Illness (HPI)

All the necessary information and data were collected from both medical records of the patients and special questionnaires that were designed by our staff in 1996 for this purpose. Statistical analysis was carried out descriptively by using frequency and percentage. Presence of TB in the patients was confirmed by identifying the microorganism in the tissues detecting pathological changes in favour of TB and/or having past history of pulmonary TB associated with its anatomical complications such as cavitation, bronchiectasis, and bronchial stenosis. Results: A total number of 172 patients underwent surgical procedures either for diagnosis of TB or managing its complications. Lobectomy was performed in 27 patients. | put together by Alex Yartsev Sorry if i used your images or data and forgot to reference you. Tell me who you are. iPulmonazy Tubeculosi Detailed History of Presenting Illness HPI - Chronic productive cough occasional haemoptysis - HAEMOPTYSIS resistant to Amoxicillin if previously treated for bronchitis with antibiotics - Recent onset of night sweats. - 5kg weight loss. RED FLAG List of Differential Diagnoses DDx - chronic bronchitis - pneumonia - Tuberculosis - Lung cancer - asthma List Pertinent Findings on History Hx Need to check level of English Interpreter required - Duration of cough complaint - Productive - What colour is it HAEMOPTYSIS - wheeze - short of breath At rest Duration Severity - How much activity can be sustained before shortness of breath puts a stop to it - Chest pain Exacerbated by coughing or movement - Duration of nightsweats - Reason to explain weight loss eg diet loss of appetite - Over what period did the weight loss occur - Fatigue - Joint pain Past Hx - any previous respiratory illnesses eg pneumonia TB chronic bronchitis asthma. - Recent Chest XRay Previous CXR - ever been vaccinated against TB BCG - Ever had a MANTOUX TEST - ever had these symptoms before - had a recent cold - ever been treated with oral steroids NB oral steroids may predispose patients to tuberculosis. SHx Social History Occupational history Important to note exposure to dust in mining industries and factories eg asbestos coal silica . - Has anyone at the workplace been diagnosed with TB - Smoking How many cigarettes day How many years Previously Lung Ca - Alcohol Amount day FHx Family History - any family Hx of respiratory disease eg asthma cystic fibrosis lung ca. - Is there any family history of infection with tuberculosis - Anyone in family currently unwell or have the same symptoms ie cough weight loss night sweats - Were you born in whatever country your from The incidence of TB in immigrants from the Asian subcontinent is 40 times

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