{"presentation":{"slides":[{"elements":[{"x":8.714596949891067,"y":21.598272138228943,"width":83.87799564270152,"height":69.11447084233261,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Routine investigations<\/strong><\/p>\n\n

\n\t
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CBC, ESR, LFT, KFT, HIV, Mantoux test<\/span><\/p>\n\t<\/li>\n<\/ul>\n\n
ENT review<\/strong><\/p>\n\n
\n\t
\n\t
Rhinoscopy\/otoscopy\/laryngoscopy<\/span><\/p>\n\t<\/li>\n\t
\n\t
Pure tone audiometry (if indicated)<\/span><\/p>\n\t<\/li>\n<\/ul>\n\n
Imaging modalities<\/strong><\/p>\n\n
\n\t
\n\t
CT of PNS\/temporal bone\/head\/cervical spine (as indicated) with contrast for ENT involvement<\/span><\/p>\n\t<\/li>\n\t
\n\t
Chest radiograph for evidence of concurrent pulmonary TB<\/span><\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"f2115580-0eb6-4fce-940e-93e1fe576a13","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":25.05446623093682,"y":6.479481641468682,"width":52.287581699346404,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Approach to diagnosis of ENT TB<\/span><\/a><\/h2>\n"},"subContentId":"54574d29-ee9c-4d6d-8d54-8d9013f7a238","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":6.5359477124183005,"y":10.799136069114471,"width":91.50326797385621,"height":84.23326133909288,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Definitive diagnosis can only be established with tissue sampling (PUNCH BIOPSY is preferred over FNAC)<\/strong><\/span><\/p>\n\n
Tissue sample to be sent for (in descending order of priority)<\/strong><\/p>\n\n
\n\t
Histopathology (formalin)<\/li>\n\t
TB (saline) \u2013CB-NAAT, AFB staining, MGIT culture followed by LPA<\/li>\n\t
Fungus (saline) \u2013 KOH stain and fungal culture<\/li>\n\t
Bacteria (saline) \u2013 Gram stain and bacterial culture<\/li>\n<\/ul>\n"},"subContentId":"fc831bd9-bbf5-4465-899c-95c4254724a5","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":22.875816993464053,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Diagnostic Algorithm <\/strong><\/span><\/p>\n"},"subContentId":"83a1acfb-7a27-4594-8b69-06556932f854","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":15.11879049676026,"width":88.01742919389979,"height":79.91360691144709,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64956f34e7cad.png","mime":"image\/png","copyright":{"license":"U"},"width":1964,"height":904}},"subContentId":"e9e2d7c5-c98b-4b71-b10e-72992dc7b5fa","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":22.875816993464053,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
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Approach to diagnosis of ENT TB

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