USMLE/COMLEX - Step 2 - Mycobacterium tuberculosis
Risk factors
Advanced age
Immunosuppression
HIV/AIDS
Preexisting lung disease
Alcoholism
Diabetes
Symptoms
Fever
Cough
Hemoptysis
Night sweats
Weight loss
Dyspnea
Fatigue
Diagnostics
Sputum culture is most accurate
Chest x-ray showing cavitary infiltrate in the upper lobe and hilar lymphadenopathy
Treatment
Mnemonic RIPE for two months
- Rifampin
- Isoniazid
- Pyrazinamide
- Ethambutol
Isoniazid and Rifampin for four months thereafter