Slide 2:
ESR >100 mm/hr:
Tuberculosis
Malignancy
Rheumatic fever
Connective tissue disease Elevated alkaline phosphatase in:
Biliary tract infections
Hepatitis
Lymphomas
Miliary TB
Infectious mononucleosis
CMV infections
Blood culture :
Blood culture Aerobic, anaerobic, fungal and mycobacterial infections.
Temperature to be recorded 30 mins.
6 blood cultures.
10 ml of blood in 100 ml of culture medium reqd
Are the cultures negative? Culture in a supplemental medium.
Skin tests :
Skin tests Tuberculin test: perform in patients.
For histoplasmosis & coccidiodomycosis.
SEROLOGIC TESTS
Enteric fever, HIV, infectious mononucleosis, Hepatitis A, B; CMV, Syphilis, Amoebiasis.
Imaging techniques :
Imaging techniques X-RAYS:
Plain films: Chest, abdomen, bone & sinuses.
Contrast films: barium meal and barium enema
intrinsic bowel disease.
USG: Space occupying lesions in the heptobiliary tree >1 cm diameter.
ECG: Atrial myxoma, endocarditic vegetations.
CT Scan: lesions in retroperitoneum, liver, CNS.
MRI: Spinal cord visualization, Pelvis.
Biopsies :
Biopsies All biopsies to be cultured for aerobes, anaerobes, fungi and mycobacteria.
Bone marrow: hematologic malignancies, TB,
brucellosis, part. ttd. Typhoid, kala azar.
Liver: miliary TB, sarcoidosis, granulomatous hepatitis, cancer, chronic active hepatitis.
Lymph node: lymphomas, TB, histoplasmosis,
toxoplasmosis.