tuberculosis meningitis and tuberculosis pleurisy

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theme: "tuberculosis meningitis and tuberculosis pleurisy" the purpose of this case study: acquisition of knowledge of etiology, pathogenesis, clinical course, laboratory and x-ray changes, diagnosis and differential diagnosis, treatment and monitoring of patients with tuberculosis meningitis (tm) and tuberculosis pleurisy(tp). skills selection tactics, diagnosis and rehabilitation of patients with tm and tp in primary care. expected learning outcomes - based on the results of work with a case, students acquire skills: · planning examination of patients; · interpretation of the results of laboratory and instrumental and radiological methods of research; · step rationale and design of clinical and final diagnoses; · purpose complex treatment of clinical supervision and anti-treatment. for the successful solution of the case of a student should know · etiology and epidemiology of tm and tp; · pathogenic and immunological mechanisms of tm and tp; · conduct a differential diagnosis and to determine the most likely causes …

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culosis in the progression. in a place with that in recent years, meningitis may develop for no apparent tuberculosis changes in the lungs or respiratory organs, or on the background of the transferred residual effects of tuberculosis. for the development of tb meningitis three conditions are necessary: reduction of immune resistance of the organism, meninges sensitization to the office and tuberculosis bacteremia. in the development of meningitis are essential triggers: acute infection (influenza, measles, whooping cough, pneumonia, etc.), physical and psychological trauma, treatment with massive doses of corticosteroids and others. pleurisy - is an inflammation of the pleural leaflets with the formation on their surface fibrin (dry, fibrosis pleurisy) or accumulation in the pleural cavity exudate of a different nature (exudative pleurisy). depending on the etiology all plevritis can be divided into two large groups: infectious and non-communicable (aseptic). in infectious pleurisy the inflammatory process in the lungs due to …

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$municable (aseptic) plevritis are observed for the following diseases: * malignant tumours (cancer of the pleura is the cause of plevri in 40% of cases). this may be the primary tumor of the pleura (mesothelioma); metastases of malignant tumors of the pleura, in particular, the cancer of the ovary syndrome (pleurisy and ascites with ovarian carcinoma); chlamydia, lymphosarcoma, hemoblastosis and other malignant tumors; * system diseases of conjunctive tissue (systemic lupus erythematosus, dermatomyositis, scleroderma, rheumatoid arthritis); * systemic vasculitis; * trauma chest, rib fractures and operative intervention (traumatic pleurisy); * myocardial light due to a pulmonary embolism; * acute pancreatitis (enzymes pancreas penetrate into the chest cavity and is developing«, the enzymatic» plevritis); * myocardial infarction (postinfarction syndrome dresler); * hemorrhagic diathesis; * chronic renal insufficiency («urine pleurisy»); * periodic disease. the purpose of this case study is to develop the student - user case study analysis of the situation …$

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in the afternoon his condition was satisfactory, attended classes at the college. recently there has been deterioration in the state, an increase in body temperature to 39,00s, severe headaches, nausea and vomiting, irritability, constipation. objective: determined positive meningeal symptoms and lesions of the cns - anisocoria, strabismus, smoothing nasolabial triangle. the previous medical history: • due to an illness - frequent colds, a child was treated for about bronhoadenita, cured, removed from the register; • allergies no notes; • grew and developed a healthy child. epidemiological anamnesis: • contact with tb patients - my father was ill and died of pulmonary tuberculosis. • contact with other infectious patients denied. • blood products not received • injection therapy denies • the reception was at the dentist was not. physical examination: objectively, the patient's condition serious. consciousness is inhibited. pale skin, a marked vegetativno- vascular disorders in the form of a persistent …

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ed in crh showed: • mantoux test with 2 te - backlash • sputum smears: triply vc - • a plain film of the chest: increased pulmonary field on both sides, in the roots petrifikaty. • research fundus -vyyavlyaet stagnant nipples optic nerves and bugorkova changes in the retina. questions and tasks 1. what is your diagnosis and justify it? 2. in your, opinion, with some pathologies need to make a differential diagnosis? 3. specify the tactics gp. task: based on the analysis of the patient should make a preliminary diagnosis, carry out the necessary diagnostic methods, make an informed decision for the further conduct with a patient with tuberculous meningitis and tuberculosis pleurisy. situation №2: to the gp said the man, 40 years old, with complaints of pain in the rib cage on the right. from the history of the disease: a month ago, the temperature rose to 39 …

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theme: "tuberculosis meningitis and tuberculosis pleurisy" the purpose of this case study: acquisition of knowledge of etiology, pathogenesis, clinical course, laboratory and x-ray changes, diagnosis and differential diagnosis, treatment and monitoring of patients with tuberculosis meningitis (tm) and tuberculosis pleurisy(tp). skills selection tactics, diagnosis and rehabilitation of patients with tm and tp in primary care. expected learning outcomes - based on the results of work with a case, students acquire skills: · planning examination of patients; · interpretation of the results of laboratory and instrumental and radiological methods of research; · step rationale and design of clinical and final diagnoses; · purpose complex treatment of clinical supervision and anti-treatment. for t...

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