Rule out pulmonary tuberculosis – Clinical and radiographic clues for the internist
Cleveland Clinic J of Medicine Jan 2015 V.82 N.1 P.32-38
CATHERINE ANNE CURLEY, MD
Division Director, Hospital Medicine, Department of Medicine, MetroHealth Medical Center, Cleveland, OH; Medical Director, Cuyahoga County TB Program; Associate Professor of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH
ADDRESS: Catherine Anne Curley, MD, Department of Medicine, MetroHealth Medical Center, 2500 Metrohealth Drive, Cleveland, OH 44109; e-mail: Ccurley@metrohealth.org
As tuberculosis rates decline in the United States, clinicians are less likely to consider it early in a patient’s illness. Certain clinical and radiographic features increase the likelihood of tuberculosis.
This review covers the clinical and radiographic features of tuberculosis, the initial evaluation of the patient, the use of airborne infection isolation, and the utility of new molecular techniques in diagnosing tuberculosis.