Pulmonology Book

http://www.fpnotebook.com/

Extrapulmonary Tuberculosis

Aka: Extrapulmonary Tuberculosis, Disseminated tuberculosis, Miliary Tuberculosis
  1. Distribution: Areas of dissemination
    1. Tuberculous Lymphadenitis (most common form)
    2. Pleural Tuberculosis (5%)
    3. Skeletal Tuberculosis (35%)
    4. Tuberculous Meningitis
      1. CSF with moderate lymphcytosis
    5. Gastrointestinal Tuberculosis
    6. Genitourinary Tuberculosis
    7. Tuberculous Peritonitis
    8. Miliary Tuberculosis
    9. Tuberculous Pericarditis
    10. Miliary Tuberculosis (Disseminated tuberculosis)
      1. Seen in AIDS and untreated Tuberculosis
      2. Presents with fever, Night Sweats, weight loss
      3. PPD is positive in only 50% of cases
  2. Management
    1. Duration of therapy (phase 1 and 2 combined)
      1. Most forms of Extrapulmonary Tuberculosis: 4-7 months
      2. CNS Tuberculosis: 9-12 months
      3. Musculoskeletal Tuberculosis: Extended duration
    2. Phase 1: First 2 months (altered if suspect resistance)
      1. Isoniazid
      2. Rifampin
      3. Pyrazinamide
      4. Ethambutol
    3. Phase 2: Duration varies per guidelines above
      1. Isoniazid
      2. Rifampin
  3. References
    1. Golden (2005) Am Fam Physician 72(9):1761-8

Tuberculosis, Miliary (C0041321)

Definition (NCI) I would say the hematogenous widespread dissemination of tuberculosis in the body. The term derives from the chest X-ray image of the tiny (1-5 mm) tuberculosis lesions which are seen through out the lung parenchyma.
Definition (MSH) An acute form of TUBERCULOSIS in which minute tubercles are formed in a number of organs of the body due to dissemination of the bacilli through the blood stream.
Concepts Disease or Syndrome (T047)
MSH D014391
ICD9 018.90, 018, 018.9
ICD10 A19, A19.9
SnomedCT 154291001, 187295007, 186280001, 47604008
English Miliary Tuberculoses, Tuberculoses, Miliary, Tuberculosis, Miliary, Unspecified miliary tuberculosis, TUBERCULOSIS, MILIARY, Miliary tuberculosis, NOS, Miliary TB,unspecified, Miliary tuberculosis NOS, Miliary tuberculosis, unspecified, Unspecified miliary tuberculosis, unspecified examination, [X]Miliary TB,unspecified, [X]Miliary tuberculosis, unspecified, miliary tuberculosis (diagnosis), miliary tuberculosis, Miliary TB, TUBERCULOSIS MILIARY, [X]Miliary tuberculosis, unspecified (disorder), Miliary TB NOS-unspec, Miliary tuberculosis NOS (disorder), Tuberculosis, Miliary [Disease/Finding], Unspecified miliary tuberculosis, unspecified, miliary tb, miliary tuberculosys, Miliary tuberculosis, MTB - Miliary tuberculosis, Miliary tuberculosis (disorder), miliary; tuberculous, tuberculosis; miliary, Miliary Tuberculosis
Dutch miliaire tuberculose niet-gespecificeerd, niet-gespecificeerde miliaire tuberculose, niet-gespecificeerde miliaire tuberculose, niet-gespecificeerd onderzoek, miliaire tuberculose, miliaire TBC, miliair; tuberculose, tuberculose; miliair, Miliaire tuberculose, niet gespecificeerd, Miliaire tuberculose, Tuberculose, miliaire
French Tuberculose miliaire, non précisée, Tuberculose miliaire non précisée, TB miliaire, Tuberculose miliaire non précisée, examen non précisé, Miliaire tuberculeuse, Tuberculose miliaire
German unspezifische Miliartuberkulose, unspezifische Untersuchung, miliaere TB, Miliartuberkulose, unspezifisch, unspezifische Miliartuberkulose, Miliartuberkulose, nicht naeher bezeichnet, Miliartuberkulose, Tuberkulose, Miliar-
Italian Tubercolosi miliare non specificata, Tubercolosi miliare non specificata, esame non specificato, Tubercolosi miliare
Portuguese TB miliar, Tuberculose miliar NE, Tuberculose miliar NE, exame NE, Tuberculose miliar, Tuberculose Miliar
Spanish Tuberculosis miliar, Tuberculosis miliar no especificada, estudio no especificado, Miliaria TB, Tuberculosis miliar no especificada, Miliary tuberculosis, [X]tuberculosis miliar, sin otra especificación, [X]tuberculosis miliar, sin otra especificación (trastorno), [X]tuberculosis miliar, no especificada (trastorno), [X]tuberculosis miliar, no especificada, tuberculosis miliar (trastorno), tuberculosis miliar, SAI (trastorno), tuberculosis miliar, SAI, tuberculosis miliar, Tuberculosis Miliar
Japanese 粟粒結核, 詳細不明の粟粒結核, 詳細不明の粟粒結核、検査の詳細不明, 粟粒結核、詳細不明, ｿﾞｸﾘｭｳｹｯｶｸｼｮｳｻｲﾌﾒｲ, ｼｮｳｻｲﾌﾒｲﾉｿﾞｸﾘｭｳｹｯｶｸ, ｿﾞｸﾘｭｳｹｯｶｸ, ｼｮｳｻｲﾌﾒｲﾉｿﾞｸﾘｭｳｹｯｶｸｹﾝｻﾉｼｮｳｻｲﾌﾒｲ
Swedish Tuberkulos, miliär
Czech tuberkulóza miliární, Miliární TBC, Miliární tuberkulóza, blíže neurčená, Miliární tuberkulóza, Blíže neurčená miliární tuberkulóza, blíže neurčené vyšetření, Blíže neurčená miliární tuberkulóza
Finnish Miliaarituberkuloosi
Russian TUBERKULEZ MILIARNYI, ТУБЕРКУЛЕЗ МИЛИАРНЫЙ
Korean 상세불명의 좁쌀 결핵, 좁쌀 결핵
Croatian TUBERKULOZA, MILIJARNA
Polish Gruźlica prosówkowa
Hungarian Nem meghatározott miliaris tuberculosis, nem meghatározott vizsgálat, miliaris tuberculosis, nem meghatározott, miliaris tuberculosis, nem meghatározott miliaris tuberculosis, Miliaris TBC
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Tuberculosis, extrapulmonary (C0679362)

Concepts Disease or Syndrome (T047)
SnomedCT 423997002
English Tuberculosis, extrapulmonary (disorder), TB, extrapulmonary, Tuberculosis, extrapulmonary, extrapulmonary tuberculosis, extra-pulmonary tuberculosis, Extrapulmonary tuberculosis, TUBERCULOSIS EXTRAPULMONARY, tuberculosis extrapulmonary, extra pulmonary tuberculosis
Spanish tuberculosis extrapulmonar (trastorno), TB extrapulmonar, tuberculosis extrapulmonar, Tuberculosis extrapulmonar
Italian Tubercolosi extrapolmonare
French Tuberculose extrapulmonaire
Dutch extrapulmonale tuberculose
German extrapulmonale Tuberkulose
Portuguese Tuberculose extrapulmonar
Japanese 肺外結核, ﾊｲｶﾞｲｹｯｶｸ
Czech Extrapulmonální tuberkulóza
Hungarian Extrapulmonalis tuberculosis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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