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Dr. D.S. Merchant's Articles in Medicine

  • Tuberculosis (TB) Part 6
    Diagnosis may be based on the presence of lymphadenopathy on chest radiographs. Most children can be treated with INH and reampin for 6 months, with pyrazinamide for the first 2 months if the culture from the source case is fully susceptible. Gastric aspirates or biopsies are not necessary if cultures can be obtained from the source case.
  • Tuberculosis (TB) Part 5
    Pregnancy provides an opportunity to screen for TB; all pregnant mothers can have tuberculin skin testing performed. If skin testing results are positive, a chest radiograph can be obtained with lead shielding (the amount of radiation exposure of a single chest radiograph has been compared to that incurred on a regular flight from New York to Los Angeles). The chest radiograph should not be delayed during the first 3 months of pregnancy if the patient has symptoms.
  • Tuberculosis (TB) Part 4
    The Relapse rate following appropriate completed therapy is only 0-4% and occurs within the first 2years after completion. Therefore re-treatment usually is not necessary, especially after DOT.
  • Tuberculosis (TB) Part III
    It is critical that hopitalized patients with suspected or documented TB be placed in appropriate isolation. This includes a private room with negative pressure and adequate air exchanges. Persons entering the room must wear masks or respirators capable of filtering droplet nuclei.
  • Tuberculosis (TB) Part II
    Typical symptoms of pulmonary TB include a productive cough, fever, and weight loss. Occasionally, patients may presents with hemoptysis or chest pain. Other systemic symptoms include anorexia, fatigue, or night sweats.
  • Tuberculosis (TB) Part I.
    Tuberculosis (TB) is the number one infections disease killer worldwide. The World Health Care Organization estimates that 2 billion people have latent TB, while another 3 million people worldwide die each year due to TB.
  • Pulmonary Sarcoidosis Vs Tuberculosis
    Sarcoidosis with a prevalence of 10/100,000, is a multisystem disease of unknown etiology characterized by non-caseating granulomas.ı It involves virtually any organ, lungs, thoracic lymph nodes, skin liver, central nervous system, eyes, kidneys and heart, and is more common in Afro-Americans. There is no sex predilection but some manifestations of the disease are more common is females. ² It begins in the third or fourth decade and tends to be rare in children and the elderly.

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