tuberculosis 4

Clinical manifestations

anamnesis
Complaints that can be enjoyed by people with diverse, which was
1. Fever; fever can occur and is usually lost accompany influenza (subfebril).
2. Cough; nature of the onset of cough, dry cough (non-productive) and arising after infection to be productive (produces sputum). The situation is that the form of coughing up blood (hemoptoe) because there is a broken blood vessel.
3. Shortness of breath; Sasak disease found in the breath that is information, which is half the infiltrasi lungs.
4. Chest pain, chest pain arises when the inflammation is infiltration to the pleura so that the cause pleuritis.
5. Malaise; Symptoms include malaise often found: anorexia, no appetite, the body lean (body weight down), headaches, fell dizzy, muscle pain, night sweat, and others.

Physical examination
Place aberration is the most suspect part apex (top) tuberculosis. When suspected of infiltrate a rather broad, it was found that perkusi dim auscultate voice and breath brokial. Cavities when there is a large, perkusi vote hipersonor or timpani and auscultate vote amforik. Will also include additional breath sounds ronkhi wet rough and loud.

Vetting radiologist
- Shade lesi located in the field over the lung segment or apical lobus under cloudy shadow form (patchy) or The speck (nodular) or shadow milier.
- The kavitas, single or double and / or the kalsifikasi.
- Shadows live image on the back a few weeks later.

Vetting laboratory
1. Blood
At the time of starting a new tuberculosis (active), will be lekositosis with differentiation shifting left, limfosit below normal, LED increases.
2. Sputum
BTA criteria sputum is positive when at least 3 rod bacteria found on the BTA a sample. In other words needed 5000 bacteria in 1 ml of sputum.