RSMU Class of 2008

This is the tuberculosis clinical classification chart taken from class today. It is used for formulating the x-ray diagnosis of tuberculosis.

Formulation of diagnosis:
(1) clinical form of tuberculosis
(2) localization of process (specify segments involved) *required chest x-ray of lateral projection
(3) phase:

I. Developing phase  (развитие)
(a) infiltrative – seen as “darkening”
(b)  disintegration (распада) – seen as “cavity/lightening”
(c) dissemination – seen as combination of “cavity” & “darkening”  (usually as multiple focal or focus darkening)

II. Clearing Phase (рассасывание) – when pathologic process starts to clear-off
III. Packing (уплотнение) – starting of formation of sclerosis/ scarring, transition to old process
IV. scarring (рубцование)
V. Clacification (обызвествление)

(4) bacterio-transmission (yes/no)
(5) complications

here is the slide for tuberculosis treatment WHO: