Respiratory module CBL 3
A 24 years old married lady from a low socio economic class, presented with complaint of dry cough with occasional sputum and low grade fever for about 6 months. Fever usually occurs in evening with night sweats and remarkable weight loss.
On Examination: Thin, lean lady sitting on bed well oriented with time, place and person.
B.P : 90/60mmHg
Pulse : 110b/min, regular
Resp / R : 26 breaths/ min
Temp : 100° F
Anemia:++, Jaundice: Nil, Edema: Nil, Clubbing: Nil, Lymph nodes: Not palpable
Inspection: Moving symmetrical with respiration. No recession seen
Percussion: Resonant all over chest.Auscultation: Decreased breath sounds
Complete Blood Count-
Hb: 8 gm/dl, MCV: 74 fL, TLC: 12,400/cumm, Neutrophils: 45%, Lymphocytes: 55%,
Sputum for AFB: Negative for 3 consecutive days.
Sputum Gene expert: Positive.
Liver FunctionsTest & Urea, Creatinine&Electrolytes: with in normal limits
X-Ray Chest: Diffuse miliary shadowing, No nodal involvement.
- Identify the patient having tuberculosis.
- Describe the pathophysiology of the given pathology.
- Interpret different types of tuberculosis.
- Define the management for the given scenario.