{"presentation":{"slides":[{"elements":[{"x":4.3516230936819165,"y":6.501987041036717,"width":50.10893246187364,"height":84.23326133909288,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

10 % of skeletal tuberculosis<\/li>\n\t
Clinical features: painful, swollen, tender knee which may be warm to touch, with limping and reduced range of motion <\/li>\n\t
Joint feels boggy due to synovial thickening, with joint effusion <\/li>\n\t
Discharging sinuses or cold abscess may be seen. <\/li>\n\t

Deformity <\/li>\n<\/ul>\n\n

mild flexion deformity<\/li>\n\t

severe triple deformity consisting of flexion, posterior subluxation, external rotation<\/li>\n<\/ol>\n"},"subContentId":"0f06cf0c-10bf-49b0-adb8-e56d1105e7e7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":61.00217864923747,"y":10.799136069114471,"width":26.143790849673202,"height":47.084233261339094,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64a2c57399889.png","mime":"image\/png","copyright":{"license":"U"},"width":845,"height":769}},"subContentId":"370ea467-8d9a-4996-9654-a04eea81c818","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":57.73137254901961,"y":60.59892008639308,"width":38.12636165577342,"height":34.557235421166304,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Phemister triad- classical features of tuberculous arthropathy:<\/span><\/p>\n\n

juxta-articular osteopenia\/osteoporosis<\/span><\/li>\n\t
peripheral osseous erosions<\/span><\/li>\n\t

gradual narrowing of joint space<\/span><\/li>\n<\/ul>\n"},"subContentId":"607c9db2-3251-48d7-a5cd-2d1c3cf71ee4","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":55.552723311546835,"y":8.647753779697624,"width":0.32679738562091504,"height":86.39308855291577,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"dotted","borderColor":"rgb(143, 142, 147)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"5c929236-4043-4010-9da8-57d712d24f0e","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":5.446623093681917,"y":90.71274298056156,"width":31.59041394335512,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

PC: Dr Shivanand G, Dept of Radiology, AIIMS Delhi<\/span><\/p>\n"},"subContentId":"28ff8497-0d18-4d06-8286-4654d95d3f80","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":28.32244008714597,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Staging of TB Hip <\/strong><\/span><\/p>\n"},"subContentId":"b10ffa7c-ebda-490d-95e9-8a1f57710d84","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":7.625272331154684,"y":15.11879049676026,"width":83.87799564270152,"height":82.72138228941685,"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\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\n\t<\/tbody>\n<\/table>\n"},"subContentId":"4a1217a5-dfed-4267-9578-388e881f825e","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.443790849673203,"y":6.490734341252699,"width":52.287581699346404,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Diagnosis of Extra Spinal osteoarticular TB <\/strong><\/span><\/p>\n"},"subContentId":"5bad735d-cdfc-4e4f-84b2-4241040da907","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":15.11879049676026,"width":92.5925925925926,"height":82.72138228941685,"action":{"library":"H5P.Table 1.1","params":{"text":"

Stage <\/span><\/td>\n\t\t\t\t\t\t	X-Ray Findings<\/span><\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Synovitis<\/strong><\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Osteoporosis, soft tissue swelling and effusion, Distension of supra-patellar bursa on lateral radiograph of knee, Widening of the inter-condylar notch<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Early arthritis<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Loss of definition of articular surfaces, Marginal erosions, Osteoporosis<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Advanced arthritis<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Osteolytic cavities with or without sequestra formation, Marked reduction of joint space, Destruction and deformity of joints, Triple deformity : lateral, posterior and superior displacement of tibia<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Healed tubercular knee with deformity<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t Triple deformity, fixed flexion deformity<\/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\n\t\t\t <\/div>\n\t\t\t<\/th>\n\t\t\t	<\/th>\n\t\t<\/tr>\n\t<\/thead>\n\t

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\n\t\t\t\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\n\t\t\t\t\t\t\n\t<\/tbody>\n<\/table>\n"},"subContentId":"0a440464-deb8-4954-bd06-c85bb9308f15","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":79.520697167756,"y":93.52051835853132,"width":18.51851851851852,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

INDEX-TB guidelines 2016<\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"bdc84af5-48e3-439b-9bf7-8b12afe892d7","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"}}

<\/td>\n\t\t\t\t\t\t	General measures<\/span><\/td>\n\t\t\t\t\t\t	Immobilisation<\/span><\/td>\n\t\t\t\t\t\t	Surgery<\/span><\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Stage of synovitis<\/td>\n\t\t\t\t\t\t	Anti-tuberculous therapy + Adequate analgesia<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Traction for 6 weeks with gentle mobilisation<\/div>\n\n\t\t\t\t\t\t (To prevent flexion deformity)<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t	Open\/ Arthroscopic debridement in non-responders<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Stage of early arthritis<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Anti-tuberculous therapy + Adequate analgesia<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Double traction to prevent triple deformity<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t	Debridement usually necessary<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Stage of advanced arthritis<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Anti-tuberculous therapy + Adequate analgesia<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t	\n\t\t\t\t\t\t <\/div>\n\n\t\t\t\t\t\t Double traction to prevent triple deformity<\/div>\n\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t	Arthrodesis in most (Corrective plaster if growth incomplete)<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t
Healed knee with deformity<\/td>\n\t\t\t\t\t\t	-<\/td>\n\t\t\t\t\t\t	-<\/td>\n\t\t\t\t\t\t	Osteotomy or TKR<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\n\t\t\t <\/div>\n\t\t\t<\/th>\n\t\t\t	<\/th>\n\t\t<\/tr>\n\t<\/thead>\n\t

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TB of Knee Joint

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TB of Knee Joint

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