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Dr Ira Shah: Diagnosis of TB-When to Treat and Not to Treat
 
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https://i.ytimg.com/vi/1n6ZT9KQvvA/mqdefault.jpg 02/19/2016 09:02:33 Dr Ira Shah discusses about Diagnosis of TB-when to treat and not to treat. Usual recommendation to start 2nd line AKT –only when there is bacteriological confirmation. A 4 years old boy was referred for non-healing pulmonary TB. Diagnosed to have pulmonary TB at the age of 2 years in view of positive AFB on GL. Treated with ATT for 9 months. Chest X-ray continued to show bilateral mid and lower zone haziness. Sputum smear :AFB positive. Strong clinical suspicion of MDR TB. Started on 2nd line ATT pending culture reports. Sometimes time is an essence and treatment may have to be started pending culture reports. WHO recommends a wait and watch policy in such a situation and to treat the child only when the child becomes symptomatic.
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Also check out Dr. Ira Shah : How Much to Investigate Neonatal Cholestasis | Pediatric Oncall
https://youtu.be/vMCD6W10yJY
Dr Ira Shah: Diagnosis of TB-When to Treat and Not to Treat
Description
Dr Ira Shah discusses about Diagnosis of TB-when to treat and not to treat. Usual recommendation to start 2nd line AKT –only when there is bacteriological confirmation. A 4 years old boy was referred for non-healing pulmonary TB. Diagnosed to have pulmonary TB at the age of 2 years in view of positive AFB on GL. Treated with ATT for 9 months. Chest X-ray continued to show bilateral mid and lower zone haziness. Sputum smear :AFB positive. Strong clinical suspicion of MDR TB. Started on 2nd line ATT pending culture reports. Sometimes time is an essence and treatment may have to be started pending culture reports. WHO recommends a wait and watch policy in such a situation and to treat the child only when the child becomes symptomatic.
-~-~~-~~~-~~-~-
For more info visit our WEBSITE Pediatric Oncall: https://www.pediatriconcall.com/
SUBSCRIBE to Pediatric Oncall for more such videos: https://www.youtube.com/pediatriconcall
FOLLOW us on social media pages for updates and regular case discussions:
Facebook: www.facebook.com/PediatricOncall/
Instagram: https://www.instagram.com/pediatriconcall
Twitter: https://twitter.com/pediatriconcall
-~-~~-~~~-~~-~-
Also check out Dr. Ira Shah : How Much to Investigate Neonatal Cholestasis | Pediatric Oncall
https://youtu.be/vMCD6W10yJY
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