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File: 123096_sep96_decls23_0036.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
iv) INH, 300 mg PO QD, plus rifampin, 600 mg
(10 mg/kg) PO QD, for 6 months to I
year. C. Laboratory:
1. Hematologic:
Incubation: a. May be normal.
b. Anemia, mild leukocytosis or monocytosis (>.
A. For development of primary lesion: 4 to 12 weeks. 10%)
2. Chemistry:
B. For progressive, reactivation or extrapulmonary dis- a. Usually normal,
ease: 4 weeks to lifetime. Risk of active disease is b. Hypercalcemia.
greatest during the first 6 to 24 months after infec- C. Hyponatremia.
tion, or with development of other systemic illnesses d. Other abnormalities may represent specific
which weaken host defenses. effects of extrapulmonary involvement.
3. Urinalysis:
Diagnosis: a. Usually normal.
b. In presence of genitourinary tuberculosis may
see sterile pyuria, proteinuri, and/or
1. Disease may be asymptomatic, especially early. hematuria.
2. Fever (may be intermittent) 4. Microbiologic:
night sweats a. Examination of smear (sputum, gastric aspir-
anorexia ate) with acid-fast staining may show or-
weight loss ganism. A single organism on a slid, ay be
fatigue significant, though usually 3 to 5 organisms
cough (productive or non-productive) per slide is considered a true positive.
hemoptysis I Fluorochrome staining is most efficient.
chest pain (pleuritic) ii) Alternatives include Ziehl-Neelson, Kin-
dyspnea youn, or blue-light fluorescent stains.
3. Symptoms produced by extrapulmonary tuberculosis b. Radiometric culture system (i.e. BACTEC) will
depend on the organ system involved. In rough reveal presence of organisms in 2 to 6 days.
Standard mycobacterial cultures may take up
a. lymphatics to 6 weeks to define organism,
b. pleura d. Drug sensitivity results are generally u,-
C. genitourinary tract available before 4 to 6 weeks.
d. bone/joint a. In presence of urinary sediment abnor-
e. meninges malities, obtain AFB smear, nd culture, n
f. peritoneum centrifuged urine.
9- other, including: liver, pericardium, middle 5. Ser0logy: not in general us,.
ear and brain. 6. Coagulation: generally normal.
B. Signs: D. X-ray: findings depend on the character and ,t,nt of
1. Signs may be absent, especially in early disease. disease.
In general they are nonspecific and less sig- 1. Early or primary TR may present in any lob, (,,re
nificant than would be expected from extent of typically lower) as pneumonic infiltrate, stelae-
disease. tasis or mass, with or without ipsilateral hilar
adenopathy.
percussion; and diminished breath sounds. 2. Later, chronic, or reactivation TR typically shows
3. Other signs depend on the site(s) of extrapul- patchy or nodular infiltrates in the apices or
monary involvement. superior segments of lower lob,,; avitation may
or may not be present.
3. Pleural effusions may be seen.
62
63
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996