tailieunhanh - PULMONARY TUBERCULOSIS - TWO CONTRASTING PRESENTATIONS

This statement integrates recent scientific advances with current epidemiologic data, other recent guidelines from this series, and other sources into a coherent and practical approach to the control of TB in the United States. Although drafted to apply to TB control activities in the United States, this statement might be of use in other countries in which persons with TB generally have access to medical and public health services and resources necessary to make a precise diagnosis of the disease; achieve curative medical treatment; and otherwise provide substantial science-based protection of the population against TB. This statement is aimed at all persons who advocate, plan,. | Hku Jay HMS. 3 September 2005 gg2lifl Gillian Lieberman MD - pi i IIMVI Pulmonary Tuberculosis -Two ContrastingPresentations íkaứiứ ee rcan hide Jay Shendure HMS III Gillian Lieberman MD Core Radiology Clerkship BIDMC Jay Shendure HMS 3 Gillian Lieberman MD TB Epidemiology 8 million cases year 284 in Massachusetts Primary infection 70-90 asymptomatic Latency 1 risk of reactivation per year 10 with HIV Typical HPI fever weight loss cough night-sweats anorexia hemoptypsis 50 fatality if untreated Jay Shendure HMS 3 Gillian Lieberman MD Pulmonary Manifestations of TB 71 pulmonary involvement only 20 extrapulmonary involvement only 9 pulmonary and extrapulmonary involvment Ayala Speilberg Boards Wards 2003

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