{"presentation":{"slides":[{"elements":[{"x":5.446623093681917,"y":17.278617710583152,"width":88.23529411764706,"height":51.83585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

\n\t
All patients should undergo detailed <\/span><\/span><\/span>clinical examination and routine evaluation <\/strong><\/span><\/span><\/span> <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\t<\/li>\n\t
\n\t
In patients with <\/span><\/span><\/span>deep lymphadenopathy<\/strong><\/span><\/span><\/span>, all peripheral lymph nodes must be assessed for <\/span><\/span><\/span>presence of lymphadenopathy<\/span><\/span><\/span> <\/span><\/span><\/span>and preferred for sampling <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\t<\/li>\n\t
\n\t
Chest radiograph <\/strong><\/span><\/span><\/span>to be performed in all patients to rule out pulmonary tuberculosis or any other primary pulmonary pathology <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\t<\/li>\n\t

\n\t
Chest X-ray may show findings in nearly <\/span><\/span><\/span>27.7% of LN TB patients<\/strong><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"4df35b5b-d3cf-464e-ae69-76b26df4b513","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":8.639308855291576,"width":28.32244008714597,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Investigation approach <\/span><\/span><\/span><\/span><\/strong><\/span><\/span><\/p>\n"},"subContentId":"07aacbee-25f8-423b-a8e9-15c18eb9515a","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":8.657300215982723,"width":23.965141612200437,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Array of Investigations <\/span><\/span><\/span><\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"f5141477-d36d-47a4-afe2-8d88b8ace55b","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":15.250544662309368,"y":17.278617710583152,"width":67.53812636165577,"height":75.5939524838013,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\n\t\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t
Routine investigation<\/span><\/td>\n\t\t\t Radiology<\/span><\/td>\n\t\t\t Sampling<\/span><\/td>\n\t\t\t Microbiological and pathological<\/span><\/td>\n\t\t<\/tr>\n\t\t
Routine (CBC, LFT\/KFT, ESR)<\/td>\n\t\t\t Chest X-ray<\/td>\n\t\t\t FNA<\/td>\n\t\t\t Microscopy (FNAC)<\/td>\n\t\t<\/tr>\n\t\t
RBS<\/td>\n\t\t\t Ultrasonography<\/td>\n\t\t\t Biopsy<\/td>\n\t\t\t Molecular (NAAT)<\/td>\n\t\t<\/tr>\n\t\t
Hemogram<\/td>\n\t\t\t CT Scan<\/td>\n\t\t\t EBUS-TBNA\/ cTBNA (subject to clinical indication and availability)<\/td>\n\t\t\t Culture (solid\/liquid)<\/td>\n\t\t<\/tr>\n\t\t
Liver and renal function tests<\/td>\n\t\t\t MRI\/PET- CT (subject to clinical indication and availability)*<\/td>\n\t\t\t <\/td>\n\t\t\t Cyto-histopathology<\/td>\n\t\t<\/tr>\n\t\t
HIV serology<\/td>\n\t\t\t <\/td>\n\t\t\t <\/td>\n\t\t\t <\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n<\/div>\n"},"subContentId":"cbe47b1a-ad5b-4f4e-a5ef-dc158afd1fc1","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":63.18082788671024,"y":90.71274298056156,"width":34.85838779956427,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
*maybe rarely performed in selected cases<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/em><\/span><\/p>\n"},"subContentId":"c0919131-1883-46e2-b208-f3f22ebc49dc","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":4.325658747300216,"width":63.18082788671024,"height":77.7537796976242,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
For Superficial Lymphadenopathy (Clinically Palpable):<\/span><\/strong> <\/span><\/strong>
\n\t
\n\t1. Proceed<\/span> for FNAC \/ Cytopathology
\n\t
\n\t2. Repeat<\/span> FNAC \/ LN Biopsy\/ USG guided sampling (if inconclusive)<\/p>\n\t<\/li>\n\t
\n\t
For Deep Lymphadenopathy:<\/strong><\/span>
\n\t
\n\t1. <\/span>CECT Chest and Abdomen \/USG Abdomen \/MRI (selected scenario)
\n\t
\n\t2. If significant lymphadenopathy, proceed<\/span> for Sampling:
\n\t
\n\t 2a) At Mediastinal : bronchoscopy \/CT guided
\n\t
\n\t 2b) At Abdominal : CT \/ USG guided <\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"684c42d3-b263-4611-b04b-5fb21cbcef35","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":8.639308855291576,"width":89.86928104575163,"height":86.39308855291577,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-649066b60a0d8.png","mime":"image\/png","copyright":{"license":"U"},"width":1752,"height":852}},"subContentId":"cc1d7a52-80ca-4976-81be-acec13406bc1","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":8.639308855291576,"width":23.965141612200437,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Fine Needle Aspiration<\/span><\/span><\/span><\/span><\/strong><\/span><\/span><\/p>\n"},"subContentId":"bf54ccad-957a-4472-a7f0-da9e0f75aa83","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":16.33986928104575,"y":19.474449244060477,"width":71.89542483660131,"height":69.11447084233261,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\n\t\n\t\t\n\t\t\t
\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\tProcedure<\/span>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\tInvestigation <\/span>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tMerits<\/span>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t Limitations<\/span><\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\t\u2022FNA can be directly done from superficial nodes\n\n\t\t\t \n\n\t\t\t\u2022Deep nodes requires USG \/CT\/EBUS guided aspiration\n\t\t\t<\/td>\n\t\t\t \n\t\t\t\u2022Samples to be sent for AFB microscopy\n\n\t\t\t \n\n\t\t\t\u2022CBNAAT\n\n\t\t\t \n\n\t\t\t\u2022Cytopathology\n\n\t\t\t \n\n\t\t\t\u2022MGIT\/LPA\n\t\t\t<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\u2022Simple, inexpensive\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t \n\t\t\t\u2022Limited sample amount\n\n\t\t\t \n\n\t\t\t\u2022Pathology might be distorted in immunodeficiency (e.g. HIV)\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n<\/div>\n"},"subContentId":"80652ba3-5cf0-43dd-9244-11b99f148538","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":38.12636165577342,"y":88.73585313174945,"width":58.82352941176471,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Nodal tuberculosis revisited: a review Uma Handa Journal Infect Dev Ctries 2012; 6(1):6-12.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"d3521f17-3b8c-4bdc-a12a-fa1915fcba5f","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":25.05446623093682,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Radiological diagnosis<\/strong><\/span><\/p>\n"},"subContentId":"864127c8-380f-4e59-aa87-25aad4da052f","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":15.11879049676026,"width":21.78649237472767,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
A. Ultrasonography <\/span><\/strong><\/p>\n"},"subContentId":"30d16567-17a2-45f4-99fd-8945f85316fc","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":19.43844492440605,"width":90.41394335511983,"height":49.676025917926566,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Indication: It can aid in FNA from deeper nodes and May help differentiating infective and malignant nodes <\/p>\n\t<\/li>\n\t
\n\t
First line for abdominal lymphadenopathy <\/p>\n\t<\/li>\n\t
\n\t
Tuberculous nodes tend to be hypoechoic, round, and without echogenic hilus and tend to show intranodal cystic necrosis, nodal matting, adjacent soft-tissue oedema or calcification<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"c65dc294-aa49-4480-a22a-bc0866a8eed5","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":27.233115468409586,"y":56.15550755939525,"width":44.06175055910342,"height":40,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64906be0c9f1a.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":433,"height":199}},"subContentId":"140a4fc4-abf4-4479-aa8c-982366868475","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":25.05446623093682,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Radiological diagnosis<\/strong><\/span><\/p>\n"},"subContentId":"fd2404c0-d31d-4662-b562-823ff34cd2ca","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":15.11879049676026,"width":21.78649237472767,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
B. Radiology- CT Scan<\/strong><\/span><\/p>\n"},"subContentId":"ebbe9292-6c21-4db5-a4f7-5582a5153298","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":19.510431965442763,"width":51.19825708061002,"height":73.43412526997841,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Indication: Suspected Mediastinal \/ Abdominal TB and Non-resolution of symptoms even after 4 month of treatment <\/p>\n\t<\/li>\n\t
\n\t
Early disease: <\/p>\n\n\t
\n\t\t
\n\t\t
Nodes with homogenous attenuation <\/p>\n\t\t<\/li>\n\t<\/ul>\n\t<\/li>\n\t
\n\t
On disease progression<\/p>\n\n\t
\n\t\t
\n\t\t
Conglomerate lymph node masses with areas of necrosis secondary to perinodal inflammation<\/p>\n\t\t<\/li>\n\t\t
\n\t\t
Center of low attenuation with rim enhancement<\/p>\n\t\t<\/li>\n\t\t
\n\t\t
Calcification of nodes<\/p>\n\t\t<\/li>\n\t<\/ul>\n\t<\/li>\n<\/ul>\n"},"subContentId":"cbb44d73-cebe-411d-bd22-a5ef1ad1eba7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":59.912854030501094,"y":86.39308855291577,"width":37.03703703703704,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinico Radiological Series. Imaging of Chest infections - Ashu<\/span><\/span><\/span><\/span><\/span> Seith Bhalla, Manisha Jana, and Priyanka Naranje<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"ec3831a0-dba3-46f5-ab93-662623353144","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":58.82352941176471,"y":17.278617710583152,"width":16.33986928104575,"height":34.557235421166304,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64906d38cb0a6.png","mime":"image\/png","copyright":{"license":"U"},"width":523,"height":562}},"subContentId":"cb14b4f6-5937-4a16-a1f7-ea197174b4c2","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":75.16339869281046,"y":43.196544276457885,"width":19.607843137254903,"height":31.317494600431967,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64906d44abacf.png","mime":"image\/png","copyright":{"license":"U"},"width":607,"height":490}},"subContentId":"5f642d44-4e21-4b5b-af2a-942f92a6db65","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":64.27015250544663,"y":10.799136069114471,"width":26.143790849673202,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Mediastinal necrotic lymph nodes<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"64f9b7f8-1a99-4d68-ba16-ca27ddd09e00","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":14.161220043572985,"y":28.077753779697623,"width":77.34204793028323,"height":56.15550755939525,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\n\t\n\t\t\n\t\t\t
\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\n\t\t\t
\n\t\t\t\t\t\tINFECTIOUS<\/span>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t NON-INFECTIOUS<\/span><\/td>\n\t\t<\/tr>\n\t\t
Presence of necrosis<\/td>\n\t\t\t May or may not show necrosis<\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tPerinodal fat stranding\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t Less common<\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tConglomerate nodes\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t Less common<\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\tAssociated changes: Calcification,
\n\t\t\tLung consolidation\/CLN\/cavity\n\t\t\t<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\tAssociated changes: Primary mass in the lung,
\n\t\t\t\t\t\tRandom metastatic nodules\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n<\/div>\n"},"subContentId":"ca4fd6cc-2d3f-45ad-b5f3-5a064e5b86b1","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":6.479481641468682,"width":25.05446623093682,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Radiological diagnosis<\/strong><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"7fe5c37f-62e7-439c-b7d9-2be693e51f26"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":15.11879049676026,"width":21.78649237472767,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
B. Radiology- CT Scan<\/strong><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"0f277da0-1ee3-466b-89b9-c2da7d66d3eb"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":20.697167755991288,"y":10.799136069114471,"width":76.03485838779957,"height":82.07343412526998,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\t\n\t\t\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/colgroup>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t<\/tbody>\n\t\t\t\t\t\t<\/table>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/td>\n\t\t\t Tuberculosis<\/span><\/td>\n\t\t\t Sarcoidosis<\/span><\/td>\n\t\t\t Lymphoma<\/span><\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tDistribution\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t Rt. Hilar, Rt. paratracheal and subcarina<\/td>\n\t\t\t Symmetrical B\/L hilar most common<\/td>\n\t\t\t Prevascular, paratracheal most common. Hilar are rare<\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\tEnhancement\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t Peripheral and heterogenous enhancement<\/td>\n\t\t\t Homogenous<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\n\t\t\t
\n\t\t\t\t\t\tHomogenous\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t
Size<\/td>\n\t\t\t <4cm<\/td>\n\t\t\t <4cm<\/td>\n\t\t\t >4cm<\/td>\n\t\t<\/tr>\n\t\t
Conglomeration<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tPresent\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t Discrete<\/td>\n\t\t\t Discrete<\/td>\n\t\t<\/tr>\n\t\t
Calcification<\/td>\n\t\t\t Common<\/td>\n\t\t\t Egg-shell pattern<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tNot seen\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t
Perinodal fat<\/td>\n\t\t\t Obscured<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\tClean\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t
\n\t\t\t\t\t\tClean\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t
Lung involvement<\/td>\n\t\t\t CLN, cavities<\/td>\n\t\t\t Perilymphatic nodules<\/td>\n\t\t\t \n\t\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\tUncommon\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n"},"subContentId":"725f043e-c6b0-4ffd-8e30-0e3e2872efac","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":30.23758099352052,"width":19.607843137254903,"height":25.91792656587473,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
C. Comparison between tuberculosis, sarcoidosis and lymphoma<\/strong><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"26483a4a-1c44-4dd9-8735-6e0188a827df"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":20.697167755991288,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
D. Guided Sampling<\/strong><\/span><\/p>\n"},"subContentId":"1c7eae7e-f6ea-40e9-a770-dd29f97db571","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":8.657300215982723,"width":42.48366013071895,"height":88.55291576673866,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
<\/p>\n\n
\n\t
\n\t
Conventional transbronchial needle aspiration cTBNA<\/p>\n\n\t
\n\t\t
\n\t\t
Helpful in resource limited setting (EBUS not available)<\/p>\n\t\t<\/li>\n\t\t
\n\t\t
Right Lower paratracheal and sub carinal lymph nodes can be sampled easily<\/p>\n\t\t<\/li>\n\t<\/ul>\n\t<\/li>\n\t
\n\t
Endobronchial ultrasound (EBUS) transbronchial needle aspiration (TBNA)<\/p>\n\n\t
\n\t\t
\n\t\t
Both the radiological characteristics of nodes and sampling can be done and many mediastinal lymph nodes stations can be sampled<\/p>\n\t\t<\/li>\n\t<\/ul>\n\t<\/li>\n<\/ul>\n"},"subContentId":"46735f32-7b5c-4223-8c50-c3cc6e7a7ca0","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":51.19825708061002,"y":12.958963282937365,"width":46.84095860566449,"height":82.07343412526998,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Procedure : Performed in cases where FNAC is inconclusive or in cases of alternative clinical suspicion <\/p>\n\t<\/li>\n\t
\n\t
Merits : Highest diagnostic yield and Sample to be sent for AFB microscopy , culture and molecular tests<\/p>\n\t<\/li>\n\t
\n\t
Limitation : Associated with sinus tract formation and requires experience <\/p>\n\t<\/li>\n\t
\n\t
Note: In absence of microbiological evidence ,but in presence of strong clinical suspicion and cyto\/histopathological evidence, initiation of anti-tubercular therapy is recommended<\/p>\n\t<\/li>\n<\/ol>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"73dd6829-e79d-47bf-a501-f8e088b74d6c"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":52.287581699346404,"y":6.479481641468682,"width":9.803921568627452,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
E. Biopsy<\/strong><\/span><\/p>\n"},"subContentId":"15a1ad5d-abc4-4175-a29f-b5f81fe549ca","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":47.930283224400874,"y":8.639308855291576,"width":0.32679738562091504,"height":84.23326133909288,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"dotted","borderColor":"rgb(105, 106, 113)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"e91bc0bc-0d8e-4ab3-b001-a2f0cacf282e","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":23.965141612200437,"y":86.39308855291577,"width":23.965141612200437,"height":12.958963282937365,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Ayub I et. al. <\/span><\/span>The Clinical Respiratory Journal <\/span><\/span>2018 vol: 12 (2) pp: 681-690<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"94b4932b-92d0-45e8-b3c5-8d72975b9e66","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":71.89542483660131,"y":84.23326133909288,"width":25.05446623093682,"height":15.11879049676026,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Nodal tuberculosis revisited: a review Uma Handa Journal Infect Dev Ctries 2012; 6(1):6-12.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"ef9a66cc-9cca-44ed-bf5e-220c91d73762","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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