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The medical history includes obtaining the symptoms of pulmonary TB: productive, prolonged cough of three or more weeks, chest pain, and hemoptysis.Systemic symptoms include low grade remittent fever, chills, night sweats, appetite loss, weight loss, easy fatiguability, and production of sputum that starts out mucoid but changes to purulent. [1]
Tuberculosis creates cavities visible in x-rays like this one in the patient's right upper lobe.. A posterior-anterior (PA) chest X-ray is the standard view used; other views (lateral or lordotic) or CT scans may be necessary.
The first test is read 48–72 hours after injection. If the first test is positive, consider the person infected. If the first test is negative, give a second test one to three weeks after the first injection. The second test is read 48–72 hours after injection. If the second test is positive, consider the person infected in the distant past ...
IGRAs may increase sensitivity when used in addition to the skin test, but may be less sensitive than the skin test when used alone. [ 110 ] The US Preventive Services Task Force (USPSTF) has recommended screening people who are at high risk for latent tuberculosis with either tuberculin skin tests or interferon-gamma release assays . [ 111 ]
Diagnosis of pneumonia is made clinically, rather than on the basis of a particular test. [13] Evaluation begins with a physical examination by a health provider, which may reveal fever, an increased respiratory rate ( tachypnea ), low blood pressure ( hypotension ), a fast heart rate ( tachycardia ) and changes in the amount of oxygen in the ...
A dull, muffled sound may replace resonance in conditions like pneumonia or hemothorax. Hyper-resonance: Very loud, very low pitch, and longer in duration. Abnormal. [14] Hyper-resonance can result from asthma or emphysema; Tympany: Loud and high pitched. Common for percussion over gas-filled spaces. [14] Tympany may result in pneumothorax. [15]
It is the most common bacterial pneumonia found in adults, the most common type of community-acquired pneumonia, and one of the common types of pneumococcal infection. The estimated number of Americans with pneumococcal pneumonia is 900,000 annually, with almost 400,000 cases hospitalized and fatalities accounting for 5-7% of these cases. [2]
S. pneumoniae is a common member of the bacterial flora colonizing the nose and throat of 5–10% of healthy adults and 20–40% of healthy children. [2] However, it is also a cause of significant disease, being a leading cause of pneumonia, bacterial meningitis, and sepsis.
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