{"presentation":{"slides":[{"elements":[{"x":4.3544662309368185,"y":6.490734341252699,"width":49.01960784313726,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Drug Therapy for Female Genital Tuberculosis<\/strong><\/span><\/p>\n"},"subContentId":"5356509c-8e2b-4198-916c-e77338d461a7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.262298474945534,"y":13.003952483801296,"width":92.5925925925926,"height":66.95464362850971,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

\n\t
Anti-Tubercular Therapy (ATT), Daily regimen: <\/strong><\/span><\/li>\n<\/ul>\n\n
a) Rifampicin\/Isoniazid\/Pyrazinamide\/Ethambutol (H\/R\/Z\/E): 2 months, Intensive phase<\/p>\n\n
b) H\/R\/E: 4 months, Continuation Phase<\/p>\n\n
\n\t
\n\t
All FGTB patients require assessment by a gynecologist to make the diagnosis and treat complications. <\/p>\n\t<\/li>\n\t
\n\t
ATT in women presenting with infertility alone should only be started following assessment by a specialist.<\/p>\n\t<\/li>\n\t
\n\t
Uncomplicated cases can be managed in secondary care centres. However, MDR cases, persistent TO masses and cases requiring surgical care need to be referred to higher centres.<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"4b06e5e4-394e-4474-9a2c-b4d5e6e12d9b","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3516230936819165,"y":6.501987041036717,"width":67.53812636165577,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Surgical Management of Female Genital Tuberculosis <\/strong><\/span><\/p>\n"},"subContentId":"292d620d-6453-472e-9367-519d60aca7f8","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.262298474945534,"y":13.003952483801296,"width":92.5925925925926,"height":66.95464362850971,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
It is performed rarely, is technically difficult and may be associated with significant comorbidity <\/p>\n\t<\/li>\n\t
\n\t
However, it may be needed for large, residual tubo-ovarian abscesses, in the form of drainage of persistent pelvic or tubo-ovarian abscess, despite medical treatment <\/p>\n\t<\/li>\n\t
\n\t
More severely affected cases may necessitate the removal of the uterus, both tubes and ovaries for persistent disease, tubercles, pyosalpinx, tubo-ovarian mass, non-healing ulcers<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"76c56b13-3c6a-4ad0-a3e7-9544a51e2459","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3516230936819165,"y":6.501987041036717,"width":67.53812636165577,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Follow up and long term complications for FGTB <\/strong><\/span><\/p>\n"},"subContentId":"ee53fcc6-8303-403c-a8f6-509ea1037f44","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":12.958963282937365,"width":92.5925925925926,"height":43.196544276457885,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Follow up: Assess response to treatment at completion of 6 months ATT<\/strong> by USG pelvis<\/p>\n\t<\/li>\n\t
\n\t
Persistent TO masses merit evaluation for drug resistance by FNAC<\/p>\n\t<\/li>\n\t
\n\t
Fertility outcome is poor in FGTB<\/p>\n\t<\/li>\n<\/ul>\n\n
Note: Infertility may be a permanent consequence of FGTB and does not indicate treatment failure or re-infection. It does not warrant repeated courses of ATT.<\/em><\/span>
\n <\/p>\n"},"subContentId":"abb57b1d-0351-471f-9b27-75a06b00a2c3","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3516230936819165,"y":6.501987041036717,"width":67.53812636165577,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Follow up and long term complications for FGTB <\/strong><\/span><\/p>\n"},"subContentId":"8ce305ee-522c-493f-8dc9-d2838404aebd","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.3544662309368185,"y":17.329244060475162,"width":91.50326797385621,"height":56.15550755939525,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Laparoscopy in selected patients (Infertility) may be advised for assessing the prognosis: <\/p>\n\n
\n\t
\n\t
If tubes, ovaries and uterus are normal, spontaneous conception or ovulation induction can be tried<\/p>\n\t<\/li>\n\t
\n\t
If fallopian tubes are still not patent following treatment, one can go for In-Vitro Fertilisation and Embryo Transfer<\/p>\n\t<\/li>\n\t
\n\t
If ovaries are normal but tubes and uterus are damaged, one may go for surrogacy<\/p>\n\t<\/li>\n\t
\n\t
If both ovaries are destroyed by the disease process, or endometrium is involved, then adoption is advised.<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"0467b19b-4076-4202-9f4a-b8227198bca4","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":67.53812636165577,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Challenges in Management <\/strong><\/span><\/p>\n"},"subContentId":"c1a56a22-084f-49ba-9667-765b5c922c10","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":17.278617710583152,"width":91.50326797385621,"height":19.43844492440605,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
Late diagnosis <\/li>\n\t
Infertility may be a permanent consequence<\/li>\n<\/ul>\n"},"subContentId":"f00141ef-caf8-4d43-a251-0585cd3400dd","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":51.83585313174946,"width":90.41394335511983,"height":36.717062634989205,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
FGTB causes gynecological symptoms such as infertility, menstrual dysfunction and chronic pelvic pain<\/li>\n\t
Diagnosis is made by history, clinical examination and endometrial aspirate for AFB culture, PCR and histopathology aided by endoscopy<\/li>\n\t
Fertility outcome is poor in FGTB, but In-Vitro Fertilization (IVF) can be performed for tubal blockage with normal endometrium with a good outcome<\/li>\n<\/ul>\n"},"subContentId":"2db23000-139b-42c8-abcd-0f31a803661a","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":45.35637149028078,"width":67.53812636165577,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Summary <\/strong><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"b988f398-b9df-4b24-8f0a-64ab6207037c"},"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"}}

Search

Management of Female Genital TB

Content Status

Type

Linked Node

Management of Female Genital TB

Content Creator

Reviewer