EconomyEnglish7.6/10 · SilverCSV file availableUpdated 10 Oct 2026

Standard Treatment Workflow on Paediatric Abdominal Tuberculosis - Question and Answer Dataset

Name: Standard Treatment Workflow on Paediatric Abdominal Tuberculosis - Question and Answer Dataset
Creator: icmr.gov.in
Keywords: Economy, question-answering, extractive-qa, paediatric-abdominal-tuberculosis, standard-treatment-workflow-stw, icd-10-a18-31, peritoneal-tb, nodal-tb, intestinal-tb, visceral-tb, surgical-treatment, tb-culture

#question-answering#extractive-qa#paediatric-abdominal-tuberculosis#standard-treatment-workflow-stw#icd-10-a18-31#peritoneal-tb#nodal-tb#intestinal-tb#visceral-tb#surgical-treatment#tb-culture

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About this dataset

12 extractive question-and-answer pairs built from Standard Treatment Workflow on Paediatric Abdominal Tuberculosis, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include paediatric abdominal tuberculosis, standard treatment workflow (stw), icd-10-a18.31, peritoneal tb, nodal tb, intestinal tb, visceral tb, surgical treatment. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 6 factual, 6 list. 6 of the 12 pairs (50.0%) ask explanatory questions; the remaining 6 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.

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First 10 of 12 rows

Sample rows from Standard Treatment Workflow on Paediatric Abdominal Tuberculosis - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What conditions should be ruled out if there is non-response to abdominal tuberculosis treatment?	Crohn's disease OR Inflammatory Bowel Disease	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	533	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	1	page=1,block=16	0.700	valid
What diagnostic tests are recommended if exudative ascites is detected in abdominal tuberculosis?	ascitic fluid for NAAT, TB culture	CLINICAL FEATURES SPECIFIC TO TYPE OF ABDOMINAL TB RED FLAGS • Pain abdomen waking child from sleep • Chronic, severe, or nocturnal diarrhea • Presence of constitutional symptoms like fever, anorexia, weight loss, etc. • Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	323	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT
What optional diagnostic methods are available for histology and NAAT in cases of intestinal involvement in abdominal tuberculosis?	Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	CLINICAL FEATURES SPECIFIC TO TYPE OF ABDOMINAL TB RED FLAGS • Pain abdomen waking child from sleep • Chronic, severe, or nocturnal diarrhea • Presence of constitutional symptoms like fever, anorexia, weight loss, etc. • Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	683	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT
What physical findings might be observed in a patient with abdominal tuberculosis?	peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis or a moving mass	• Anthropometry • General physical & systemic examination • Look for peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis or a moving mass -"gola" formation due to partially obstructed dilated bowel loop • One or more of following › Recurrent/chronic abdominal pain in presence of red flag signs › Abdominal distension/mass › Altered bowel habits • Constitutional symptoms like Presence of Fever >2 weeks, Anorexia, Unexplained weight loss or no weight gain in last 3 months despite adequate nutrition may be present • History of contact with TB patient may also be present • Recurrent intestinal colic • Altered bowel habits • Chronic diarrhoea • Partial/complete intestinal obstruction • Weight loss, anorexia • Palpable abdominal lump • Lower gastrointestinal bleeding • Abdominal pain • Fever • Jaundice • Weight loss • Anorexia • Hepatomegaly • Splenomegaly • Hepatic abscess • Palpable abdominal lump • Abnormal LFTs WHEN TO SUSPECT?	69	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf
What symptoms might indicate the presence of constitutional signs in abdominal tuberculosis?	Fever >2 weeks, Anorexia, Unexplained weight loss or no weight gain in last 3 months despite adequate nutrition	• Anthropometry • General physical & systemic examination • Look for peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis or a moving mass -"gola" formation due to partially obstructed dilated bowel loop • One or more of following › Recurrent/chronic abdominal pain in presence of red flag signs › Abdominal distension/mass › Altered bowel habits • Constitutional symptoms like Presence of Fever >2 weeks, Anorexia, Unexplained weight loss or no weight gain in last 3 months despite adequate nutrition may be present • History of contact with TB patient may also be present • Recurrent intestinal colic • Altered bowel habits • Chronic diarrhoea • Partial/complete intestinal obstruction • Weight loss, anorexia • Palpable abdominal lump • Lower gastrointestinal bleeding • Abdominal pain • Fever • Jaundice • Weight loss • Anorexia • Hepatomegaly • Splenomegaly • Hepatic abscess • Palpable abdominal lump • Abnormal LFTs WHEN TO SUSPECT?	451	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf
What imaging techniques are desirable for assessing intestinal involvement in abdominal tuberculosis?	CECT Abdomen/CT enterography	CLINICAL FEATURES SPECIFIC TO TYPE OF ABDOMINAL TB RED FLAGS • Pain abdomen waking child from sleep • Chronic, severe, or nocturnal diarrhea • Presence of constitutional symptoms like fever, anorexia, weight loss, etc. • Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	582	list	0.740	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT
How often should clinical follow-up be conducted during and after treatment for abdominal tuberculosis?	every month during treatment & after that every 3 months	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	158	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement.
What are the pointers towards investigating drug-resistant tuberculosis in abdominal TB cases?	Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	414	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement.
What are the radiological methods used to assess the response to treatment for abdominal tuberculosis?	Radiologically by USG - At the end of treatment or if worsening or non response to treatment	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	217	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement.
What is the recommended duration for ATT treatment in the management of abdominal tuberculosis?	6 months (2HRZE + 4HRE)	SPLEEN, PANCREAS) • Abdominal pain, distension • Fever • Weight loss TREATMENT • Start treatment & follow-up as per NTEP • ATT for 6 months (2HRZE + 4HRE) • Pyridoxine supplementation- 10 mg/day • Steroids- Routinely not recommended (SAIO) • Supportive treatment- Management of SAM/Malnutrition as per national guidelines • Surgical treatment: › Acute intestinal obstruction, Bowel perforation › Persistence of obstructive symptoms despite conservative management & ATT	131	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	SPLEEN, PANCREAS) • Abdominal pain, distension • Fever • Weight loss TREATMENT • Start treatment & follow-up as per NTEP • ATT for 6 months (2HRZE + 4HRE) • Pyridoxine supplementation- 10 mg/day • Steroids- Routinely not recommended (SAIO) • Supportive treatment- Management of SAM/Malnutrition as per national guidelines • Surgical treatment: › Acute intestinal obstruction, Bowel perforation › Persistence of obstructive symptoms despite conservative management & ATT	1	page=1,block=8

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Details

Category: Economy
Language: English
Format: CSV
Rows: 12
File size: 18.7 KB
Licence: Not specified
Source: icmr.gov.in
DesiData Scale™: 7.6 / 10 · Silver

Preview

First 10 of 12 rows

Sample rows from Standard Treatment Workflow on Paediatric Abdominal Tuberculosis - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What conditions should be ruled out if there is non-response to abdominal tuberculosis treatment?	Crohn's disease OR Inflammatory Bowel Disease	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	533	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	1	page=1,block=16	0.700	valid
What diagnostic tests are recommended if exudative ascites is detected in abdominal tuberculosis?	ascitic fluid for NAAT, TB culture	CLINICAL FEATURES SPECIFIC TO TYPE OF ABDOMINAL TB RED FLAGS • Pain abdomen waking child from sleep • Chronic, severe, or nocturnal diarrhea • Presence of constitutional symptoms like fever, anorexia, weight loss, etc. • Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	323	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT
What optional diagnostic methods are available for histology and NAAT in cases of intestinal involvement in abdominal tuberculosis?	Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	CLINICAL FEATURES SPECIFIC TO TYPE OF ABDOMINAL TB RED FLAGS • Pain abdomen waking child from sleep • Chronic, severe, or nocturnal diarrhea • Presence of constitutional symptoms like fever, anorexia, weight loss, etc. • Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	683	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT
What physical findings might be observed in a patient with abdominal tuberculosis?	peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis or a moving mass	• Anthropometry • General physical & systemic examination • Look for peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis or a moving mass -"gola" formation due to partially obstructed dilated bowel loop • One or more of following › Recurrent/chronic abdominal pain in presence of red flag signs › Abdominal distension/mass › Altered bowel habits • Constitutional symptoms like Presence of Fever >2 weeks, Anorexia, Unexplained weight loss or no weight gain in last 3 months despite adequate nutrition may be present • History of contact with TB patient may also be present • Recurrent intestinal colic • Altered bowel habits • Chronic diarrhoea • Partial/complete intestinal obstruction • Weight loss, anorexia • Palpable abdominal lump • Lower gastrointestinal bleeding • Abdominal pain • Fever • Jaundice • Weight loss • Anorexia • Hepatomegaly • Splenomegaly • Hepatic abscess • Palpable abdominal lump • Abnormal LFTs WHEN TO SUSPECT?	69	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf
What symptoms might indicate the presence of constitutional signs in abdominal tuberculosis?	Fever >2 weeks, Anorexia, Unexplained weight loss or no weight gain in last 3 months despite adequate nutrition	• Anthropometry • General physical & systemic examination • Look for peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis or a moving mass -"gola" formation due to partially obstructed dilated bowel loop • One or more of following › Recurrent/chronic abdominal pain in presence of red flag signs › Abdominal distension/mass › Altered bowel habits • Constitutional symptoms like Presence of Fever >2 weeks, Anorexia, Unexplained weight loss or no weight gain in last 3 months despite adequate nutrition may be present • History of contact with TB patient may also be present • Recurrent intestinal colic • Altered bowel habits • Chronic diarrhoea • Partial/complete intestinal obstruction • Weight loss, anorexia • Palpable abdominal lump • Lower gastrointestinal bleeding • Abdominal pain • Fever • Jaundice • Weight loss • Anorexia • Hepatomegaly • Splenomegaly • Hepatic abscess • Palpable abdominal lump • Abnormal LFTs WHEN TO SUSPECT?	451	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf
What imaging techniques are desirable for assessing intestinal involvement in abdominal tuberculosis?	CECT Abdomen/CT enterography	CLINICAL FEATURES SPECIFIC TO TYPE OF ABDOMINAL TB RED FLAGS • Pain abdomen waking child from sleep • Chronic, severe, or nocturnal diarrhea • Presence of constitutional symptoms like fever, anorexia, weight loss, etc. • Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT	582	list	0.740	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• Localized distension or mass ESSENTIAL • Ultrasound abdomen Ascites Essential • If exudative ascites, ascitic fluid for NAAT, TB culture • No role of ADA Enlarged Abdominal mass Desirable • USG guided Abdominal mass-FNA for cytology, NAAT, TB culture Optional • USG/CT guided core biopsy of LN for histology, NAAT, TB culture Intestinal involvement Desirable • CECT Abdomen/CT enterography • USG guided Abdominal Mass -FNA for cytology, NAAT, culture Optional • Ileocolonoscopy, tissue biopsy (HPE, NAAT) • Laparoscopy, tissue biopsy for HPE, NAAT
How often should clinical follow-up be conducted during and after treatment for abdominal tuberculosis?	every month during treatment & after that every 3 months	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	158	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement.
What are the pointers towards investigating drug-resistant tuberculosis in abdominal TB cases?	Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	414	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement.
What are the radiological methods used to assess the response to treatment for abdominal tuberculosis?	Radiologically by USG - At the end of treatment or if worsening or non response to treatment	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement. Rule out Crohn's disease OR Inflammatory Bowel Disease • Obstructive symptoms may persist or worsen despite treatment with appropriate ATT • Monitor for › Adherence to treatment (ATT) › Adverse drug reactions- ATT induced	217	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	• No response to appropriate treatment • Oral drug (ATT) intolerance/cannot be given MONITORING • Assessment of response to treatment: › Clinical follow up - every month during treatment & after that every 3 months › Radiologically by USG - At the end of treatment or if worsening or non response to treatment › Microbiological - If worsening or non response to treatment • Pointers towards DR TB investigation: › Non response to treatment or Worsening or deterioration of constitutional symptoms after initial improvement.
What is the recommended duration for ATT treatment in the management of abdominal tuberculosis?	6 months (2HRZE + 4HRE)	SPLEEN, PANCREAS) • Abdominal pain, distension • Fever • Weight loss TREATMENT • Start treatment & follow-up as per NTEP • ATT for 6 months (2HRZE + 4HRE) • Pyridoxine supplementation- 10 mg/day • Steroids- Routinely not recommended (SAIO) • Supportive treatment- Management of SAM/Malnutrition as per national guidelines • Surgical treatment: › Acute intestinal obstruction, Bowel perforation › Persistence of obstructive symptoms despite conservative management & ATT	131	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964684_1_paediatric_abdominal_tb.pdf	SPLEEN, PANCREAS) • Abdominal pain, distension • Fever • Weight loss TREATMENT • Start treatment & follow-up as per NTEP • ATT for 6 months (2HRZE + 4HRE) • Pyridoxine supplementation- 10 mg/day • Steroids- Routinely not recommended (SAIO) • Supportive treatment- Management of SAM/Malnutrition as per national guidelines • Surgical treatment: › Acute intestinal obstruction, Bowel perforation › Persistence of obstructive symptoms despite conservative management & ATT	1	page=1,block=8

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