{"presentation":{"slides":[{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":88.23529411764706,"height":77.7537796976242,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Introduction <\/strong><\/span><\/p>\n\n

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Urogenital TB was first described by Wildbolz in 1937<\/p>\n\t<\/li>\n\t
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In developed countries, urogenital TB occurs in 2% to 10% of cases of pulmonary TB<\/p>\n\t<\/li>\n\t
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In developing countries, 15% to 20% cases of pulmonary TB has concurrent urogenital TB<\/p>\n\t<\/li>\n\t
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India: <\/strong>4% cases of EPTB, may be an underestimate<\/p>\n\t<\/li>\n\t
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In >50% cases, involves both urinary and genital tracts, Renal > genital involvement<\/p>\n\t<\/li>\n\t
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Male : female ratio is 2 : 1, commonly seen in adults<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"2f082f2b-15a9-4f5e-b75b-cea4ffeeb52c","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":40.30359477124183,"y":77.91123110151187,"width":56.64488017429194,"height":17.278617710583152,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Diagnostic accuracy of NAATs in urine for genitourinary tuberculosis: a systematic review and meta-analysis, Altez-Fernandez et al. BMC Infectious Diseases, 2017<\/span><\/span><\/span><\/span><\/span>
\n Index TB guidelines: Guidelines on extra-pulmonary TB in India. 2016<\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"c691126f-0a26-43ff-a255-81faba9b0907","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":88.23529411764706,"height":77.7537796976242,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Definitions<\/strong><\/p>\n\n
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Urogenital TB is classified into three broad categories:<\/p>\n\t<\/li>\n\t
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Urinary TB: referring to TB of the kidney, ureters, bladder and\/or urethra<\/p>\n\t<\/li>\n\t
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Female genital TB: referring to TB of the uterus, fallopian tubes, ovaries, vulva and\/or vagina <\/p>\n\t<\/li>\n\t
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Male genital TB: referring to TB of the epididymis, prostate, testes and\/or penis <\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"d2ad6454-3e4d-4448-84f5-254a80bb358d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":37.03703703703704,"y":88.55291576673866,"width":58.82352941176471,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Index TB guidelines: Guidelines on extra-pulmonary TB in India. 2016<\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"0d000c88-11da-45eb-bd18-b202221454bd","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.442363834422658,"y":4.3280993520518365,"width":55.55555555555556,"height":82.07343412526998,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Pathogenesis: Urinary TB<\/strong><\/span><\/p>\n\n
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Hematogenous <\/strong>spread from primary pulmonary focus<\/p>\n\t<\/li>\n\t
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Most commonly involves renal cortex<\/strong><\/p>\n\t<\/li>\n\t
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Initially forms cortical granulomas<\/strong><\/p>\n\t<\/li>\n\t
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May remain dormant for many years<\/p>\n\t<\/li>\n\t
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When active, spread to medulla to cause papillitis<\/strong><\/p>\n\t<\/li>\n\t
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Eventual papillary necrosis resulting in cavitation<\/strong><\/p>\n\t<\/li>\n\t
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Spread to pelvis -> Pyelonephritis<\/strong> -> Pyonephrosis<\/strong><\/p>\n\t<\/li>\n\t
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Spread to ureters -> Strictures and dilatations<\/p>\n\t<\/li>\n\t
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Spread to bladder -> Granulomas and fibrosis<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"d8fcbfba-aa16-428c-8249-c33edc4304da","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":6.5359477124183005,"y":84.88120950323975,"width":53.37690631808279,"height":15.11879049676026,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Daher et al. Review: Renal Tuberculosis in the Modern Era. American Journal of Tropical Medicine. 2013<\/span><\/span><\/span><\/span><\/span>
\nViswesaran et al. Tuberculosis of the Urinary Tract <\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"4aeec34e-3d08-4d68-896a-08adc11c61d8","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":63.18082788671024,"y":4.319654427645788,"width":33.22440087145969,"height":88.55291576673866,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64b90e8d4a746.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":548,"height":737}},"subContentId":"34dcd56b-ec16-4b8a-a282-b27731beed7b","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"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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Urogenital TB

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