4/22/08

The Diagnosis of Tuberculosis

First, history
1. Asked a past history of exposure or pleurisy, anal fistula, cervical lymphadenopathy, diabetes and a history of exposure to BCG.
2. Tuberculosis poisoning symptoms, such as fever, general malaise, fatigue, night sweats, and decreased appetite, facial flushing, etc.. Cheese miliary tuberculosis and pneumonia often with high fever, joint pain Some can be with women can be? A href = 'http://lx.jibingku.com/' target = _blank> of lu  У Ao? BR> 3. Early dry cough and empty a merger was infected mucus purulent sputum or purulent, hemoptysis, chest pain, serious respiratory difficulties.

Second, the medical examination early lesions or small deep in the lung tissue may be no abnormal signs. Lesions of the larger campaign to reduce respiratory side. Kouzhen was voiced.

Third, ancillary inspection
1. Most active tuberculosis can be found in the sputum Mycobacterium tuberculosis. General smears negative, the concentration should be done by check. If repeated still negative, culture should be done.
2. Active tuberculosis often mildly elevated white blood cell count. Acute miliary tuberculosis, WBC count can be reduced, sometimes leukemoid reaction blood.
3. Tuberculin test for the diagnosis of large infant, 3-year-old the following tips positive activity pulmonary tuberculosis.
4. Chest X-ray examination using perspective, post-anterior chest films, the former arch-radiography, points films, pulmonary apex of the radiography, tomography X-ray film.
5. CT selective use of CT in the diagnosis of pulmonary tuberculosis cover chest X-ray inspection deficiencies.

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