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1Dr

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qi

Prepared by: Dr.Nasrullah Farooqi

Designed by: Eng.Mukaram Farooqi

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Physiologic portion

Alveoler duct Alveoler sac Alveli .

Conducting portion

Dr.

.Faroo

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-: : Nose

.

: Larynx Voice box

Fibro muscular membrane . Folds : Trachea and Broncos

. :Lungs

.

. Dr

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:) Plura(

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Prital( portion (

Vissceral( Portion (

Plural Cuff Hillus

. Hillus Dr

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:

Mycobacterium actinomycitisum .

1882 Robert Koch

Mycobacterium Tuberculosis Mycobacterium kochi

Bacil kochi BK .Dr.Fa

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: Atypical Typical

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.

. 0.3-0.2 micron 8.8-5

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.Faroo

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-

. -

Neolite

. -

Mano .

Dr.Fa

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460-377 -

Instrumental

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Cavity

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-

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Dr. .Fa

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-Francis-Cylvius 1672 1614Tubercle Bayle

Tuberculum

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1882 24

. Clens 1929 1874 - von priqut Calmatte Geurine BCG

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Calmatte BCG

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1311

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Constitation symptoms :

. -: Respiratory symptoms:

Wheezing Hemoptysis . )B (Signs of pulmonary T.B :-

Anemia Fever Cachexia Clubbing Tachy( cardia (Keratitis Phylacteuular

conjunctivitis Anasarca Leukonychia Trail signs .

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-:) (

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Reflux

. Inhaltation

Inspir ( ( Epiglots Exhalation

Epiglots

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-:) (

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) 0,536,5( : .

Sub fibrid .

Multi tuberculosis Intermittent . Caseation

Sneezing reflux Cough reflux .

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-):Night Sweating( ) (

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48 .

.

40

Post menu past .

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B,I

Sore throat

Clavicular . Dr

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-: Anorexia ) (

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Peptid glycan Lipoply sachrid

D.N.A

Double strand R.N.A

Pro inflammatory cytokines

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-: Fatigue ) (

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-: Chest pain ) (

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-: Expectoration ) (

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24 200cc

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-: Hemoptysis) (

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Hemoptysis 40

. -: Weight loss ) (

. 76 ) Cachexia(

.

Dyspepsia

.

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-: Clubbing) (

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. ClubbingVasso dilatation Growth

Platelat derived growth Hepatocyt Growth .

Primary osteo artheropithy

PhE2 . Clubbing

Dr.Fa

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-:

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Cachexic I11

Phlyctenular conjunctivitis Keratitis .

Trail sign )Sternocliedo mastoid Clavicular . )

) Anasarca( Dr. Clubbing

.Faroo

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-:

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Trachea Pull Push FebrosisCollapsPleural

effusionEmpyema .... . Cavity Consolidation

. Vocal resonans Resonans Collaps Dulness

. Infiltration Empyema Pleural effusion Stony dullness

Hyper resonans Craked pot sound

Cavity Tuberculosic .

. Tubular High pitched bronchial Dr.F

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:

1)

2)

3)

4)

5)

6)(7TST

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Treatment

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: 1. 2.

.

INH( : Ethambutol Pyrazinamid Rifampicin (

. :

Dr. ) Ethambutol Rifampicin( .Fa

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: .

: ) Rifampicin INH Ethambutol Pyrazinamid(

.

: ) INH Ethambutol(

.

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.Faroo

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: Study Design

37

.

Retrospective Retrospective . Prospective

Prospective .

.

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: Sampling Method

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Simple randomly sampling

.

:

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:

. .

.

. Dr

.Faroo

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1392 1390

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%44 %56

. 40-20 35-15

%6767%1616%1010

%55%22%100100

! :

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%44 44 %56 56

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1 25 15 27% 2 35 26 21% 3 45 36 19% 4 55 46 13% 5 65 56 17% 6 70 3%

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:

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%67 67 %16 16 %10 10

%5 5 %2 2

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:

46

87

33

82

4245

0

15

4043

%87 1%33 2%82 3%42 45Hemoptysis45%

6Clubbing0%

%15 78Post tussive Crepitation40%

%43 9

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%57 1

%43 2

57

43

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:

48

12

36

%36 1%12 2 Dr

.Faroo

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! HCV HIV HBS

49

HIV HBS HCV

2

12

3

%2 HIV 1

%12 HBS 2%3 HCV 3 Dr

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50

79

12

7% 19% 2

12% 3Dr.Fa

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51Dr

.Faroo

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: : 1.

. : 2.

21 35-26 27 25-15 70 17 65-56 13 55-46 19 45-36

3 . Dr

.Faroo

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: 3.

16 67 5 10

.

87 : 4. 42 82 57

43 Hemoptysis 45 .

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: 5. 57

43

.

6. 36 :

12 ) (

. Dr

.Faroo

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: 7. HCV HIV HBS

HIV HCV HBS

. : 8.

: .

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