Professional Documents
Culture Documents
Edy Moeljono
PDSRAI, Semarang
17 Desember 2006
QS. Al Baqarah : 32
Qaaluuu
subhaanaka
laa ‘ilma lanaa
illaa
maa ‘allamtanaa
innaka antal ‘aliimul hakiim..
Tuberculosis / TB
1. Diagnosis
2. Locating & Extention of Disease
3. Treatment Respons
4. Detecting Complications
5. Detecting Presdiposing Chest Disease
CTxR for Lung Disease
NEITHER SENSITIVE
NOR SPECIFIC
→SUGGESTIVE
Lung TB
MTb ~ 95 % of Mycobacterium
Droplet ≤ 5μm
→ Alveolies / Airspace
Droplet > 5μm
→ Airways
Hematogen
→ Interstitial
Terminology
Primary TB : Previously unexposed
Post Primary TB : Previously exposed
or
BCG vaccinated
Progressive Primary TB : PTB → PPTB without break
Primary Complex Pulmonary TB
M.Tb → Alveolies → Ghon Focus
Lymphangitis
Lymphadenitis
TUBERCULOSIS
I. Endothoracic / Lung TB
II. Extrathoracic TB
I. ENDOTHORACIC / LUNG TB
1. Primary Pulmonary TB
2. Endobronchial TB
3. Pleurisy of TB
4. Progressiv Primary TB
5. Milliary TB
6. Post Primary TB
II. EXTRATHORACIC TB
Hillar Lymphadenopaties
Complications of
Primary Pulmonary TB
B. Lymphadenopaty Complications
1. Hyperinflations
2. Atelectasis
3. Bronchial Spreading
4. Pericardial Effusion
B. Lymphadenopaty Complications
Hyperinflation Atelectasis
B. Lymphadenopaty Complications
Pericardial Effusion
Primary TB
Hyperinflation
Atelectasis
Endobronchial TB
Endobronchial TB Complications
1. Bronchial Spreading
2. Stricture of the bronchial trees
3. Bronchiectasis
4. Fibrosis
Endobronchial TB Complication
Bronchiectasis
CHILDREN LUNG TB
Primary TB :
Primary Pulmonary TB & Complications
Endobronchial TB & Complications
Progressive Primary TB :
Milliary TB
Post Primary TB
Extrathoracic TB :
Lymphnodes TB
Progressive Primary TB
“Wallgreen Timetable”
Complications of nodes
Complications of focus 1. Extension into bronchus
1. Effusion 2. Consolidation
2. Cavitation 3. Hyperinflation
3. Coin shadow
Hematogenous Spreading
CHILDREN LUNG TB
Primary TB :
Primary Pulmonary TB & Complications
Endobronchial TB & Complications
Progressive Primary TB :
Milliary TB
Post Primary TB
Extrathoracic TB :
Lymphnodes TB
Post Primary TB
Axillar
Lymphnodes
Calcifications
CONCLUSION
Thanks…