{"presentation":{"slides":[{"elements":[{"x":5.442080610021787,"y":4.289118279569893,"width":90.41394335511983,"height":6.451612903225806,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Introduction <\/strong><\/span><\/p>\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":40.30501089324619,"y":81.72043010752688,"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":""},{"x":10.89173202614379,"y":38.66193548387097,"width":35.947712418300654,"height":10.75268817204301,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In developed countries, urogenital TB occurs in 2% to 10%<\/strong><\/span> of pulmonary TB cases<\/p>\n\n

<\/p>\n\n

<\/p>\n"},"subContentId":"07e80efb-daf3-4a4a-8310-e84ab6062293","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":57.734204793028326,"y":36.55913978494623,"width":41.067538126361654,"height":13.333333333333332,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In developing countries, 15% to 20% <\/strong><\/span>of pulmonary TB cases have concurrent urogenital TB<\/p>\n"},"subContentId":"cd37c2ce-b891-430c-b5cc-e7ea77e4bbc6","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":10.89173202614379,"y":57.992903225806444,"width":34.85838779956427,"height":15.053763440860214,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In India<\/strong><\/span>, the estimated prevalence of UGTB is approximately 4%<\/strong><\/span> of all patients of EPTB<\/p>\n"},"subContentId":"09758193-b87c-4d4b-a022-c2efa3f79ff9","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":57.734204793028326,"y":58.064516129032256,"width":40.30501089324619,"height":12.903225806451612,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

In >50%<\/strong><\/span> cases, both urinary and genital tracts are involved where renal > genital involvement<\/p>\n\n

<\/p>\n"},"subContentId":"8bbabb74-8f95-4141-b133-3d06ae9ddeb8","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":57.73420479302832,"y":17.18040860215054,"width":41.394335511982575,"height":10.75268817204301,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Urogenital tuberculosis mostly affects adults with a male to female ratio of 2:1<\/span><\/strong><\/p>\n"},"subContentId":"4eaaff40-cdb1-4d0b-886a-a09040c8945c","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":36.55913978494623,"width":6.532286643270193,"height":12.903225806451612,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de267156493.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"subContentId":"97a9b0c6-2583-4cb7-92a6-eee094ebcd7d","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":49.01960784313726,"y":34.40860215053763,"width":6.5359477124183005,"height":12.903225806451612,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de261658d9d.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"228a58f9-2be3-4043-8a38-f3f189d9580d"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":58.064516129032256,"width":6.532286643270193,"height":12.903225806451612,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de26790ab5b.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"03af81b3-0122-456d-a3ca-5751459ede09"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":49.01960784313726,"y":55.91397849462365,"width":6.532286643270193,"height":12.903225806451612,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de2681215d3.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"e9a5d85d-f090-4eba-b959-1f7c68f61866"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":49.01960784313726,"y":15.053763440860214,"width":6.532286643270193,"height":12.903225806451612,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de2696cde14.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"2df6c2a0-16ea-4661-b9c4-3b7d9f2ef5b9"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":10.89173202614379,"y":19.318989247311826,"width":35.947712418300654,"height":10.75268817204301,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Urogenital TB (UGTB) was first described by Wildbolz<\/strong><\/span> in 1937<\/p>\n"},"subContentId":"b2c84035-3a20-43a6-8eb6-d0274e77fb80","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":17.204301075268816,"width":6.532286643270193,"height":12.903225806451612,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de275dd8b3a.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"5b659c7a-ae00-4c21-bc5c-b1bf580b0409"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.442080610021787,"y":6.457591397849462,"width":88.23529411764706,"height":17.204301075268816,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Categorization<\/strong><\/p>\n\n

Urogenital TB is classified into three broad categories:<\/p>\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":""},{"x":8.714596949891067,"y":25.806451612903224,"width":79.520697167756,"height":17.204301075268816,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","expandImage":"Expand Image","minimizeImage":"Minimize Image","file":{"path":"images\/file-65de2375c8fa6.png","mime":"image\/png","copyright":{"license":"U"},"width":1660,"height":181}},"subContentId":"edd00b4b-0db4-4cc1-9d65-4d5ada6c93f7","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":16.33986928104575,"y":32.25806451612903,"width":15.250544662309368,"height":6.451612903225806,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Urinary TB<\/strong><\/p>\n"},"subContentId":"c15bf7a4-f521-402d-85ab-adeb4b0fd184","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":9.803921568627452,"y":47.204301075268816,"width":24.40087145969499,"height":17.204301075268816,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Referring to TB of the kidney, ureters, bladder and\/or urethra<\/p>\n"},"subContentId":"48ded135-d09b-41bf-bba1-ccfa29c8ad44","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":40.30501089324619,"y":32.25806451612903,"width":18.51851851851852,"height":6.451612903225806,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Female Genital TB<\/strong><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"c33b866e-bd14-4610-aeeb-b45a4fc81fa8"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":34.31372549019608,"y":47.096774193548384,"width":24.29193899782135,"height":18.064516129032256,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Referring to TB of the uterus, fallopian tubes, ovaries, vulva and\/or vagina <\/p>\n"},"subContentId":"11e52a83-bc88-4ccb-9376-f5051a8520cf","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":60.348583877995644,"y":46.82795698924731,"width":27.886710239651418,"height":15.698924731182794,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Referring to TB of the epididymis, prostate, testes and\/or penis <\/p>\n"},"subContentId":"54de99ec-9308-47e9-a160-5aac7d275081","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":65.359477124183,"y":32.25806451612903,"width":18.51851851851852,"height":6.451612903225806,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Male Genital TB<\/strong><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"d55794a2-20a4-4c2b-b072-2318cdba83e5"},"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

\n\t
\n\t
Hematogenous <\/strong>spread from primary pulmonary focus<\/p>\n\t<\/li>\n\t
\n\t
Most commonly involves renal cortex<\/strong><\/p>\n\t<\/li>\n\t
\n\t
Initially forms cortical granulomas<\/strong><\/p>\n\t<\/li>\n\t
\n\t
May remain dormant for many years<\/p>\n\t<\/li>\n\t
\n\t
When active, spreads to medulla to cause papillitis<\/strong><\/p>\n\t<\/li>\n\t
\n\t
Eventual papillary necrosis resulting in cavitation<\/strong><\/p>\n\t<\/li>\n\t
\n\t
Spread to pelvis -> Pyelonephritis<\/strong> -> Pyonephrosis<\/strong><\/p>\n\t<\/li>\n\t
\n\t
Spread to ureters -> Strictures and dilatations<\/p>\n\t<\/li>\n\t
\n\t
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},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"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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Urogenital TB

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