2 comparative diagnosis

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2 comparative diagnosis

  1. 1. MEDICAL ENGLISH TEAM N°02 COMMON AND DIFFERENT SYMPTOMS BETWEEN TBC AND AIDS INTEGRANTS : CARRIÓN ARCELA FIORELLA CHIQUINTA SALINAS CRISTIAN CUSTODIO BALLENA SPENCER FERNANDEZ MEZA MERCY FERNANDEZ PEÑA DAYTON REYES CARRASCO WILLIAM
  2. 2. Contagious bacterial infection that mainly involves lungs. It can spread to other organs. TUBERCULOSIS Chronic cough Blood-tinged sputum Fever Night sweats The causative species most and representative bacteria causing weight loss tuberculosis is mycobacterium tuberculosis or koch bacillus.
  3. 3. It’s a zoonotic disease thataffects people who have beeninfected by the humanimmunodeficiency virus (HIV). AIDS Early symptoms are nonspecific pain, fever and sore throat due toConcurrent symptoms and swollen glandsprogressive seriousness: Dry cough that does not go away. Swollen joints. Unexplained fever.
  4. 4. CLINICAL MANIFESTATIONS symptoms fever most important in patients with Weight’s HIV loss Cough and less cavitation, hemoptys Less frequent inflammation and i irritationPhysical examination endobronchial in patient with Doesn’t help distinguish pulmonary it from other lung tuberculosis in infections general
  5. 5. PULMONARY StrongTUBERCULOSIS clinical evidence Laboratory of Infectionconfirmation for HIV recommended forTUBERCULIN children LOW TEST VALUE diagnosis of tuberculosis in adults
  6. 6. LOSS OF WEIGHT NIGHT FEVER SWEATS COMMON SYMTOMSASTHENIA DIARRHEA COUGH
  7. 7. DIFFERENT SYMPTOMS BETWEENTBC AND AIDS
  8. 8. TUBERCULOS AIDS IS Fungal infections - common Expectoration (oral or vaginal) white patches in the mouth hemoptysis NauseaChest’s pain Severe headachetuberculous tuberculouspneumonitis pleuritis Lymphoma
  9. 9. In patients with HIV recommended SPUTUM SAMPLES it increases the diagnosis of pulmonary tuberculosisAcute bacterial pneumonia common in HIV patients differentiates pulmonary tuberculosis
  10. 10. Patients with AIDS tuberculin test may be negative even if they have theTB diseasePatients withTUBERCULOSIS
  11. 11. The differential diagnosis of pulmonary tuberculosis in childrenwith HIV includePneumonia bacterial diffuse interstitial pneumonitisneumocystis pneumonia
  12. 12. WHY IS CONFUSED TBC with AIDS? TBC Increases accelerates disease’s progression viral load HIV AIDSaffects the clinical presentation andevolution of tuberculosis CD4’s declineincreases the rate of recurrence of TBfavors forms of extrapulmonary TB
  13. 13. TBC death’s cause of one in three people with AIDS worldwideincrease in TBC ‘s cases attributed spread of HIVworldwide
  14. 14. In patients with HIV:HISTOPLASMOSIS  Respiratory symptoms mild or absent  It´s a opportunistic infection differential diagnosis of pulmonary tuberculosis with AIDS
  15. 15. Patient 45 years old, from Ucayali.Regular general and apparent nutritional status; apparentregulate hydration status, lucid, oriented to time, place andperson.The patient reported that the last few days have chestpain, shortness of breath, cough, and malaise, feeling heatrise unquantified (mostly at night), diarrhea and rapid weightloss, so go to the Health Center.
  16. 16. Clinical examination shows crackles in lung fieldssubcrepitantes high, increased respiratory’s frequency.The chest’s radiograph shows tracheal deviation, a thick cavityto the left infraclavicular region. Tests are requested AFB, PCRand ELISA to discard possible diagnosis:-Pulmonary Tuberculosis- HIV infection. Test Proven positive BAAR negative ELISA test PCR negative.
  17. 17. Diagnosis: Pulmonary tuberculosis The diagnosis is strengthened by the knowledge of the patient’s place of origin, as is the Ucayali region, which is known as one of the places with the highest incidence of the disease and diagnosed Also the plate or chest radiography and gives a prior diagnosis of the disease but has to be checked with biochemical tests, both to be certain of the diagnosis and to rule out other diseases with similar signs and symptoms such as infection with HIV

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