2 comparative diagnosis
TRANSCRIPT
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MEDICAL ENGLISH TEAM N° 02
COMMON AND DIFFERENT SYMPTOMS BETWEEN TBC AND AIDS
INTEGRANTS : CARRIÓN ARCELA FIORELLA
CHIQUINTA SALINAS CRISTIAN
CUSTODIO BALLENA SPENCER
FERNANDEZ MEZA MERCY
FERNANDEZ PEÑA DAYTON
REYES CARRASCO WILLIAM
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Contagious bacterial infection that mainly involves lungs.It can spread to other organs.
The causative species most representative bacteria causing tuberculosis is mycobacterium tuberculosis or koch bacillus.
TUBERCULOSIS Chronic cough Blood-tinged
sputum Fever Night sweats
and weight loss
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It’s a zoonotic disease that affects people who have been infected by the human immunodeficiency virus (HIV).
Concurrent symptoms and progressive seriousness: Dry cough that does not
go away. Swollen joints. Unexplained fever.
AIDS Early symptoms are nonspecific pain, fever and
sore throat due to swollen glands
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CLINICAL MANIFESTATIONS
symptoms most
important in patients with
HIV
fever
Weight’s loss
Cough and
hemoptysi
less cavitation, inflammation and irritation
endobronchialPhysical
examination in patient with pulmonary
tuberculosis in general
Doesn’t help distinguish it from
other lung infections
Less frequent
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PULMONARY TUBERCULOSIS
Laboratory confirmation
of Infection for HIV
Strong clinical
evidence
TUBERCULIN TEST
recommended for children LOW
VALUE
diagnosis of tuberculosis in
adults
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COMMONSYMTOMS
LOSS OF WEIGHT
NIGHT SWEATS
DIARRHEA
COUGH
ASTHENIA
FEVER
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DIFFERENT SYMPTOMS BETWEEN TBC AND AIDS
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TUBERCULOSIS AIDS
Fungal infections - common (oral or vaginal)
white patches in the mouth
Nausea
Severe headache
Lymphoma
Expectoration
hemoptysis
Chest’s pain
tuberculous pneumonitis
tuberculous pleuritis
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it increases the diagnosis of pulmonary tuberculosis
SPUTUM SAMPLES In patients with HIV recommended
Acute bacterial pneumonia common in HIV patients
differentiatespulmonary tuberculosis
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Patients with AIDS
Patients withTUBERCULOSIS
tuberculin test may be negative even if they have theTB disease
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The differential diagnosis of pulmonary tuberculosis in children with HIV include
Pneumonia bacterial diffuse interstitial pneumonitis neumocystis
pneumonia
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WHY IS CONFUSED TBC with AIDS?
CD4’s decline
Increasesviral load
accelerates disease’s progression
HIV AIDS
affects the clinical presentation and evolution of tuberculosis
increases the rate of recurrence of TBfavors forms of extrapulmonary TB
TBC
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TBC death’s cause of one in three people with AIDS worldwide
increase in TBC ‘s cases worldwide
spread of HIVattributed
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HISTOPLASMOSIS
In patients with HIV:
Respiratory symptoms mild or absent
It´s a opportunistic infection
differential diagnosis of pulmonary tuberculosis with
AIDS
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Regular general and apparent nutritional status; apparent regulate hydration status, lucid, oriented to time, place and person.
The patient reported that the last few days have chest pain, shortness of breath, cough, and malaise, feeling heat rise unquantified (mostly at night), diarrhea and rapid weight loss, so go to the Health Center.
Patient 45 years old, from Ucayali.
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Clinical examination shows crackles in lung fields subcrepitantes high, increased respiratory’s frequency.
The chest’s radiograph shows tracheal deviation, a thick cavity to the left infraclavicular region. Tests are requested AFB, PCR and ELISA to discard possible diagnosis:
-Pulmonary Tuberculosis- HIV infection.
Test Proven positive BAARnegative ELISA testPCR negative.
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The diagnosis is strengthened by the knowledge of the patient’s place of origin, as is the Ucayali region, which is known as one of the places with the highest incidence of the disease and diagnosed
Also the plate or chest radiography and gives a prior diagnosis of the disease but has to be checked with biochemical tests, both to be certain of the diagnosis and to rule out other diseases with similar signs and symptoms such as infection with HIV
Diagnosis: Pulmonary tuberculosis
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