| What imaging findings suggest damage to vertebral bodies in spinal conditions? | Destruction of intervertebral disc, adjacent vertebral bodies & opposing end plates | • X-ray Spine › In early stage X-ray may be normal › May show end plate erosions, joint space narrowing/collapse, decreased vertebral height, paravertebral soft tissue shadow • MRI Spine preferred, if not feasible do CT › Marrow edema › Destruction of intervertebral disc, adjacent vertebral bodies & opposing end plates › Pre/para vertebral or epidural abscess • Sputum/GA for NAAT, MGIT/LJ (if CXR abnormal) • FNAC (if peripheral lymphnodes enlarged) for Cytology, NAAT & MGIT/LJ DESIRABLE • Image guided (USG/CT) aspiration of abscess (if feasible) for NAAT & MGIT/LJ. | 237 | summary | 0.970 | • X-ray Spine › In early stage X-ray may be normal › May show end plate erosions, joint space narrowing/collapse, decreased vertebral height, paravertebral soft tissue shadow • MRI Spine preferred, if not feasible do CT › Marrow edema › Destruction of intervertebral disc, adjacent vertebral bodies & opposing end plates › Pre/para vertebral or epidural abscess • Sputum/GA for NAAT, MGIT/LJ (if CXR abnormal) • FNAC (if peripheral lymphnodes enlarged) for Cytology, NAAT & MGIT/LJ DESIRABLE • Image guided (USG/CT) aspiration of abscess (if feasible) for NAAT & MGIT/LJ. | 1 | page=1,block=33 | 0.700 | valid |
| What is the full form of AFB in medical terminology? | Acid fast bacillus | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: Ultrasonography ZN: Ziehl Neelson | 69 | definition | 0.940 | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: |
| What does CT stand for in medical imaging? | Computed Tomography | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: Ultrasonography ZN: Ziehl Neelson | 113 | definition | 0.940 | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: |
| What does the abbreviation DR refer to in the context of tuberculosis? | Drug Resistant TB | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: Ultrasonography ZN: Ziehl Neelson | 154 | definition | 0.940 | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: |
| What does the abbreviation DST stand for? | Drug Sensitivity Test | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: Ultrasonography ZN: Ziehl Neelson | 177 | definition | 0.900 | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: |
| What is the full form of FNAC? | Fine Needle Aspiration Cytology | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: Ultrasonography ZN: Ziehl Neelson | 241 | definition | 0.900 | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: |
| What is represented by the abbreviation HIV? | Human Immunodeficiency Virus | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: Ultrasonography ZN: Ziehl Neelson | 299 | definition | 0.900 | Confirm microbiologically in all cases, if possible, before ATT AFB: Acid fast bacillus AP: Antero-Posterior CT: Computed Tomography CXR: Chest X-ray DR: Drug Resistant TB DST: Drug Sensitivity Test ESR: Erythrocyte Sedimentation Rate FNAC: Fine Needle Aspiration Cytology GA: Gastric Aspirate HIV: Human Immunodeficiency Virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IP: Intensive Phase LJ: Lowenstein Jensen MGIT: Mycobacteria Growth Indicator Tube MRI: Magnetic Resonance Imaging NAAT: Nucleic Acid Amplification Test s/o: Suggestive of STB: Spinal TB TBA: TB Arthritis USG: |
| What factors increase the risk of developing tuberculosis? | Contact history with TB case • Immunocompromised • HIV | Site samples like aspiration of pus from lesions including psoas abscess (if worsening of symptoms/poor response) • Imaging: MRI/CT/X ray of affected parts: at end of treatment or early if worsening BOX A: Risk factors for TB • Contact history with TB case • Immunocompromised • HIV BOX B: Clinical manifestation of Spinal TB (STB) /TB arthritis (TBA) • Insidious onset back pain for >6 weeks (STB) • Spine deformity/Kyphoscoliosis/Gibbus/Paraplegia/Sensory loss/Autonomic dysfunction (STB) • Insidious onset pain and swelling in joints for >6 weeks (TBA) • TB Symptoms: Persistent Fever, Anorexia, Weight loss (>5% in last 3 months) Suspect if symptoms of STB/TBA present with/without constitutional symptoms of TB (Box B) and/or risk factors of TB • • X-ray of Spine (AP/Lateral): May show end plate erosions, narrow /collapsed joint space, reduced vertebral height, paravertebral soft tissue shadow. | 228 | list | 0.820 | Site samples like aspiration of pus from lesions including psoas abscess (if worsening of symptoms/poor response) • Imaging: MRI/CT/X ray of affected parts: at end of treatment or early if worsening BOX A: Risk factors for TB • Contact history with TB case • Immunocompromised • HIV BOX B: Clinical manifestation of Spinal TB (STB) /TB arthritis (TBA) • Insidious onset back pain for >6 weeks (STB) • Spine deformity/Kyphoscoliosis/Gibbus/Paraplegia/Sensory loss/Autonomic dysfunction (STB) • Insidious onset pain and swelling in joints for >6 weeks (TBA) • TB Symptoms: Persistent Fever, Anorexia, |
| What are the signs and symptoms of spinal tuberculosis? | Insidious onset back pain for >6 weeks (STB) • Spine deformity/Kyphoscoliosis/Gibbus/Paraplegia/Sensory loss/Autonomic dysfunction (STB) | Site samples like aspiration of pus from lesions including psoas abscess (if worsening of symptoms/poor response) • Imaging: MRI/CT/X ray of affected parts: at end of treatment or early if worsening BOX A: Risk factors for TB • Contact history with TB case • Immunocompromised • HIV BOX B: Clinical manifestation of Spinal TB (STB) /TB arthritis (TBA) • Insidious onset back pain for >6 weeks (STB) • Spine deformity/Kyphoscoliosis/Gibbus/Paraplegia/Sensory loss/Autonomic dysfunction (STB) • Insidious onset pain and swelling in joints for >6 weeks (TBA) • TB Symptoms: Persistent Fever, Anorexia, Weight loss (>5% in last 3 months) Suspect if symptoms of STB/TBA present with/without constitutional symptoms of TB (Box B) and/or risk factors of TB • • X-ray of Spine (AP/Lateral): May show end plate erosions, narrow /collapsed joint space, reduced vertebral height, paravertebral soft tissue shadow. | 354 | list | 0.820 | Site samples like aspiration of pus from lesions including psoas abscess (if worsening of symptoms/poor response) • Imaging: MRI/CT/X ray of affected parts: at end of treatment or early if worsening BOX A: Risk factors for TB • Contact history with TB case • Immunocompromised • HIV BOX B: Clinical manifestation of Spinal TB (STB) /TB arthritis (TBA) • Insidious onset back pain for >6 weeks (STB) • Spine deformity/Kyphoscoliosis/Gibbus/Paraplegia/Sensory loss/Autonomic dysfunction (STB) • Insidious onset pain and swelling in joints for >6 weeks (TBA) • TB Symptoms: Persistent Fever, Anorexia, |
| What abnormalities can be seen on joint X-rays in osteoarticular tuberculosis? | Erosions, sclerosis, calcification or narrow joint space | Early stage X-ray may be normal • X-ray joints (AP/Lateral): Erosions, sclerosis, calcification or narrow joint space • USG abdomen for Iliopsoas Abscess • USG joints for joint effusion and diagnostic aspiration • Chest X-ray, ESR, blood sugar, HIV | 61 | list | 0.820 | Early stage X-ray may be normal • X-ray joints (AP/Lateral): Erosions, sclerosis, calcification or narrow joint space • USG abdomen for Iliopsoas Abscess • USG joints for joint effusion and diagnostic aspiration • Chest X-ray, ESR, blood sugar, HIV | 1 | page=1,block=11 | 0.700 | valid |