{"presentation":{"slides":[{"elements":[{"x":5.446623093681917,"y":4.301075268817204,"width":90.41394335511983,"height":34.40860215053763,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Medical management (cornerstone of treatment):<\/strong><\/p>\n\n

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Intestinal and peritoneal: <\/span><\/strong>6 months of first line ATT (2 HRZE+ 4 HRE), with decision to extend treatment made on a case to case basis<\/p>\n\t<\/li>\n\t
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Pancreatic and hepato-biliary TB:<\/strong><\/span> Duration ill-defined, given for at least 9 months, with decision to extend treatment made on a case to case basis<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"6ac05569-1aa3-4325-8fe4-9c0bc0b05c9d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":20.697167755991288,"y":38.70967741935483,"width":64.27015250544663,"height":31.61290322580645,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65f6120a255bb.png","mime":"image\/png","copyright":{"license":"U"},"width":1194,"height":297}},"subContentId":"28ece812-70fa-42a5-b973-d49960fe98f4","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":20.697167755991288,"y":73.11827956989247,"width":30.501089324618736,"height":24.731182795698924,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Referral: <\/strong>Presumptive intestinal and those presumptive peritoneal TB where the diagnosis is uncertain require referral to a gastro-enterologist<\/p>\n"},"subContentId":"f1078d4b-a3c4-4f87-826a-d0a5186248ca","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":55.335729847494555,"y":72.60021505376343,"width":29.084967320261438,"height":22.58064516129032,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Follow-up:<\/strong> Patients are assessed 2 months (end of IP) and 6 months after starting treatment<\/p>\n"},"subContentId":"1d8867f2-7375-42f8-a0af-45f9d4d70596","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":32.35294117647059,"y":45.806451612903224,"width":8.823529411764707,"height":17.419354838709676,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65f6124a83a6a.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512}},"subContentId":"6013069f-e98d-46aa-9c24-ed743b166e3f","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":65.79520697167756,"y":45.59139784946236,"width":8.81858696841476,"height":17.419354838709676,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65f612672cc39.png","mime":"image\/png","copyright":{"license":"U"},"width":512,"height":512}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"4974975b-7344-4ecc-b0c3-83555cdb6490"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3544662309368185,"y":4.325269978401728,"width":92.5925925925926,"height":88.55291576673866,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Critical areas for management of the abdominal TB:<\/strong><\/p>\n\n
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What is the ADA cutoff for peritoneal TB in cirrhotics? More studies needed<\/span><\/p>\n\t<\/li>\n\t
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Role of PCR based tests like GeneXpert in diagnosis of peritoneal tuberculosis? More studies needed, sensitivity is low, but should be considered along with all other tests for TB<\/span><\/p>\n\t<\/li>\n\t
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Which patients warrant a therapeutic trial of ATT? High index of suspicion with all tests inconclusive and other sinister diagnoses ruled out<\/span><\/p>\n\t<\/li>\n\t
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How long to wait for resolution of symptoms before considering alternate diagnosis? 2 months<\/span><\/p>\n\t<\/li>\n\t
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When to consider extending duration of ATT? Persistent symptoms, compliance ensured, persistent ascites\/peritoneal thickening<\/span><\/p>\n\t<\/li>\n\t
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How to decide duration of ATT in pancreatic\/hepato-biliary tuberculosis? More studies needed, but at least 9 months based on expert opinion<\/span><\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"4d13c3b1-5668-47b9-8389-28a51ce575a0","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"}}

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Treatment of Abdominal TB

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Treatment of Abdominal TB

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