Professional Documents
Culture Documents
Edy Moeljono
PDSRAI, Semarang
17 Desember 2006
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
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
Primary TB :
Primary Pulmonary TB & Complications
Endobronchial TB & Complications
Progressive Primary TB :
Milliary TB
Post Primary TB
Extrathoracic TB :
Lymphnodes TB
Primary 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
Resistance reduced :
infection 1. Early infection
(esp. in first year)
2. Malnutrition
3. Repeated infections :
measles, whooping cough 24 months
4-8 weeks 3-4 weeks fever of onset 12 months streptococcal infections
4. Steroid therapy
Development
Of Complex DIMINISHING RISK
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
Primary TB :
Primary Pulmonary TB & Complications
Endobronchial TB & Complications
Progressive Primary TB :
Milliary TB
Post Primary TB
Extrathoracic TB :
Lymphnodes TB
Extrathoracic TB
Axillar
Lymphnodes
Calcifications
CONCLUSION
Thanks…