Causative organism Mycobacterium tuberculosis Route of spreading Droplet infection Predisposing factors Poor hygiene Overcrowding Low socioeconomic strata Malnutrition Immunocompromised ID: 910548
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Slide1
Chest infections
Slide2Pulmonary Tuberculosis (Koch’s Disease)
Causative organism:
Mycobacterium tuberculosis
Route of spreading:
Droplet infection
Predisposing factors
Poor hygiene
Overcrowding
Low socioeconomic strata
Malnutrition
Immunocompromised
individuals
eg
: AIDS, leukemia etc
Slide3Clinical Features
Evening rise of temperature
Night sweats
Productive cough
Loss of appetite
Loss of weight
Haemoptysis
Malaise
Chest Pain if there is pleural involvement
Diminished respiratory movements with
dyspnoea
Increased work of breathing
Slide4Investigations
Chest Radiograph: cavity formation and calcification
Sputum culture
Prevention:
Vaccination
Pasteurization of milk to prevent spread of TB from cow to humans
Medical management
Isolation of Patient
Drugs (DOTS therapy)
Anti tubercular drugs (ATT):
Rifampicin
,
isoniasid
,
ethambutol
, streptomycin,
pyrazinamide
Slide5Surgery:
Lobectomy
PHYSIOTHERAPY MANAGEMENT
Not indicated in
activeTB
Befor
contacting the patient: Follow safety precautions – Facial masks, gloves should be used
If too much secretions:
Positioning
Nebulisations
Once patient is clear with organism
Chest expansion exercises
Breathing exercises
Ambulation/
Mobilisation
Slide6PNEUMONIA
Inflammation of lung tissue that is alveoli and adjacent airways