LECTURE BY DR MUHAMMAD FAROOQUE MB BS DTCD CHEST SPECIALIST

1. PRIMARY TUBERCULOSIS DR.MUHAMMAD FAROOQUE M.B.,B.S. D.T.C.D. IN THE NAME OF ALLAH,THE MOST GRACIOUS,THE MOST MERCIFUL

2. PRIMARY TUBERCULOSIS DR. MUHAMMAD FAROOQUE MB BS DTCD

5. 2 MILLION PEOPLE DIE EVERY YEAR EQUAL TO 20 SUCH STADIUMS

7. KING TUTANKHAMEN EGYPTIAN PHARAOH

8. BARUCH SPINOSA DUTCH PHILOSOPHER

9. SIMON BOLIVER VENEZUELAN REVOLUTIONARY LEADER

10. JOHN KEATS ENGLISH POET

11. EDGAR ALLAN POE AMERICAN WRITER,POET

12. FREDERIC CHOPIN POLISH COMPOSER , PIANIST

13. ROBERT LOUIS STEVENSON SCOTISH WRITER

14. ANTON CHEKHOV RUSSIAN WRITER

15. FRANZ KAFKA CZECH NOVELIST

16. ELEANOR ROOSEVELT AMERICAN HUMANIYARIAN/FIRST LADY

17. EUGENE ONEILL AMERICAN PLAYWRIGHT

18. GEORGE ORWELL ENGLISH NOVELIST/ESSAYIST

21. M.HAEMOPHILUM BCG M.GENAVENSAE M.FORTUITUM M.CHELONEI. . MAC(HIV-ASSOCIATED) DISSEMINATED(SEEN IN IMMUNODEFICENY STATES) M.TUBERCULOSIS M.MARINUM M.FORTUITUM M.CHELONEI. M.LEPRAE M.ULCERANS SOFT TISSUE/SKIN M.MALMOENSE M.BOVIS, M.FORTUITUM M.CHELONEI. M.TUBERCULOSIS MYCOBACTERIUM AVIUM COMPLEX (M.SCROFULACEUM,M.INTRACELLULARE & M.AVIUM) LYMPH NODE M.BOVIS M.XENOPI MAC M.KANSASII M.MALMOENSE M.TUBERCULOSIS PULMONARY LESS COMMON MAJOR SITE-SPECIFIC MYCOBACTERIAL DISEASE.

28. ROUTE OF TRANSMISSION AIRBORNE BY DROPLET NUCLEUS

34. TST

43. SKIN TESTING IN TB SINGLE PRICK TEST. READ AT 2-4 DAYS. POSITIVE IF INDURATION 5-14 MM(=HEAF GRADE 2) >15 MM =HEAF GRADE 3-4 MULTIPUNCTURE METHOD. READ AT 3-7 DAYS. GRADE 1:4– 6 PAPULES. GRADE 2: CONFLUENT.FORMING RING. GRADE 3:CENTRAL INDURATION GRADE 4: > 10 MM INDURATION MANTOUX TEST HEAF METHOD

48. ---

52. DIFFERENCE B/W INFECTION & DISEASE INFECTION MEANS THAT MTB IS IN THE BODY BUT IMMUNE SYSTEM IS KEEPING THE BACTERIA UNDER CONTROL.

53. YES NO Defined as TB case +ve -ve Infectivity +ve -ve S/S +ve -ve Sputum C/S +ve -ve Sputum D/S +ve -ve CXR +ve +ve TST +ve +ve MTB DISEASE TB infection DIFF;B/W

57. 50% Dead 25% CURED 25% chronic

58. STAGES OF DISEASE PATHOLOGY STAGE 1 DROPLET NUCLEI INHALED… REACH ALVEOLI.---VASODILATION—INFLUX OF PMN & MACROPHAGES

71. ERYTHEMA NODOSUM PHLECTENULAR CONJUNCTIVITIS DACTILITIS HYPERSENSITIVITY LYMPHADENOPATHY COLLAPSE CONSOLIDATION OBSTRUCTIVE EMPHYSEMA CAVITATION PL EFFUSION ENDOBRONCHIAL LESION MILIARY MENINGITIS PERICARDITIS DISEASE INFLUENZA LIKE ILLNESS TST CONVERSION PRIMARY COMPLEX INFECTION (4-8 WEEKS) FEATURES OF PRIMARY TB

97. THANK YOU