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TB facts from lecture

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Question
Answer
What are the most important symptoms of TB?   Cough w/ or w/out hemoptysis, fever, chills, night sweats, weight loss, poor appetitie  
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What are teh common sites of TB?   Lungs, pleura, CNS, lymphatics, GU system, bones and joints , disseminated (miliary TB)  
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Is Latent TB contagious? What is treatment?   No it isn't. Prophylaxis with isoniazid for 6-9months reduces risk of progression by 90%.  
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What are the disadv of TST?   False +s due to cross rxsn with BCG, 2 patient visits, inter reader variability  
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What are the advantages of QFt?   TB specific antigens, 1 patient visit, minimal inter reader variability  
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How many people develop TB if infected?   10%  
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What are the conditions that increase the risk of TB progression?   HIV, recently acquired infection, DM, Silicosis, Corticosteriods + other immunosuppressive therapy, Cancer of head and neck, hematologic and reticuloendothelial diseases, end stage renal disease, History of malabspsorption syndromes  
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What is the contagiousness of TB?   It is airborne, it depends on environment, duration of exposure, virulence of organism and infectiouness of person with TB  
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What are the side effects of isoniazid?   Peripheral neuropathy, hepatitis, liver failure, sleepiness/lethargy  
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What are the side effects of Pyrazinamide?   Joint pains, hepatitis, Rash  
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What are the side effects of Ethambutol?   Optic neuritis, decreased red/green colour discrimination  
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What are the side effects of Rifampin?   GI upset, orange discoloration of body secretions  
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How does Rifampin influence metabolism of other drugs?   It upregulates p450 cytochrome,therefore it decreases drug levels  
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How do you get MDRTB?   Acquired - noncompliance/inappropriate therapy Primary - Infected with a drug resistant strain  
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What are the genotyping techiniques used in NYC?   RFLP and Spoligotyping  
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