{"presentation":{"slides":[{"elements":[{"x":5.446623093681917,"y":6.491490280777537,"width":53.37690631808279,"height":64.79481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Common forms of extra-nodal ENT tuberculosis are-<\/strong><\/span><\/span><\/p>\n\n

\n\t
\n\t
Laryngeal TB (Most common)<\/strong><\/span><\/p>\n\t<\/li>\n\t
\n\t
TB Otitis Media\/ TB Mastoiditis<\/p>\n\t<\/li>\n\t
\n\t
Sinonasal TB<\/p>\n\t<\/li>\n\t
\n\t
Oropharyngeal TB<\/p>\n\t<\/li>\n\t
\n\t
Deep neck cold abscess (retro\/parapharyngeal)<\/p>\n\t<\/li>\n\t
\n\t
Salivary glands<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"69c80758-44f1-4bdc-a1b0-5bfd0ce0de71","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":6.479481641468682,"width":39.21568627450981,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical Presentation \u2013 Laryngeal TB<\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"10846d92-8cdd-492d-9b7a-f4b825e130a3","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":17.278617710583152,"width":40.30501089324619,"height":56.15550755939525,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
History:<\/span><\/strong><\/p>\n\n
\n\t
Hoarseness \u2013 most common symptom<\/li>\n\t
Chronic productive cough<\/li>\n\t
Dysphagia\/Odynophagia (usually due to perichondritis around arytenoid cartilages)<\/li>\n\t
Stridor<\/li>\n\t
May mimic non specific laryngitis<\/li>\n<\/ul>\n"},"subContentId":"9af5e97d-3742-4279-9688-126d639b6fdd","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":51.19825708061002,"y":17.278617710583152,"width":43.57298474945534,"height":60.47516198704104,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Examination:<\/strong><\/span><\/p>\n\n
\n\t
Indirect laryngoscopy\/fibreoptic laryngoscopy \u2013 diffuse erythema\/edema, granulomatous\/polypoidal\/exophytic\/ulcerative lesions of the vocal cords, moth-eaten appearance of vocal cords, pale granulations<\/li>\n\t
May be associated with similar lesions of epiglottis, pharynx, tonsils, mouth as well as middle ear involvement <\/li>\n<\/ul>\n"},"subContentId":"f6c6bf62-13a2-435b-a018-89f25efe4713","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":46.84095860566449,"y":19.49244060475162,"width":0.32679738562091504,"height":53.99568034557235,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"dotted","borderColor":"rgb(141, 137, 137)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"4994c495-7234-4381-809d-3d3a63ea8833","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":5.446623093681917,"y":73.58401727861772,"width":89.32461873638344,"height":0.6479481641468683,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"dotted","borderColor":"rgb(139, 139, 139)"},"type":"horizontal-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"d040f8d1-c4c5-4632-afc4-e4c0d8b183c7","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":5.446623093681917,"y":75.5939524838013,"width":90.41394335511983,"height":21.598272138228943,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
Most important differential diagnosis of laryngeal TB is MALIGNANCY (ie. Carcinoma larynx)<\/span><\/strong><\/li>\n\t
The two can ONLY<\/strong><\/span> be differentiated by histopathology<\/li>\n<\/ul>\n"},"subContentId":"0c6b9ba8-14aa-4801-98fe-984642ac79bd","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":6.491490280777537,"width":55.55555555555556,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical Presentation \u2013 TB Otitis Media\/Mastoiditis<\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"a832376f-c2ca-4bcf-9637-8ddcc1338516","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":17.278617710583152,"width":40.30501089324619,"height":56.15550755939525,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
Very rare presentation of EPTB<\/li>\n\t
Half the cases have no other evidence of present or past TB<\/li>\n\t
Commonly misdiagnosed even by experienced practitioners <\/li>\n\t
May mimic chronic suppurative otitis media<\/li>\n\t
May have history of unsuccessful treatment attempts including surgery (mastoidectomy)<\/li>\n<\/ul>\n"},"subContentId":"71c2c779-f0c9-4dcd-8eb7-7f88b59b495e","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":51.19825708061002,"y":17.314622030237583,"width":44.66230936819172,"height":75.5939524838013,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
History:<\/strong><\/span><\/p>\n\n
\n\t
Painless chronic ear discharge (despite antibiotics use)<\/strong><\/li>\n\t
Early severe hearing loss<\/li>\n\t
Complications \u2013 facial nerve palsy, mastoid bone necrosis<\/li>\n<\/ul>\n\n
Examination by otoscopy: <\/strong><\/span><\/p>\n\n
\n\t
Multiple tympanic membrane perforations<\/strong> is characteristic<\/li>\n\t
Exuberant, pale granulation tissue<\/li>\n<\/ul>\n"},"subContentId":"bef95b89-210d-484f-b6c6-d9eda0e40208","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":47.930283224400874,"y":19.474449244060477,"width":0.32679738562091504,"height":66.95464362850971,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"dotted","borderColor":"rgb(141, 137, 137)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"c322b4a1-78dd-407f-874c-13659e49ce7d","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":6.491490280777537,"width":55.55555555555556,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical Presentation \u2013 Sinonasal TB <\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"8642affe-4651-41c4-86ae-7d3485a5fcf8","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":19.474449244060477,"width":88.23529411764706,"height":49.676025917926566,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
History: may simulate Granulomatosis with Polyangiitis<\/strong><\/span><\/p>\n\n
\n\t
Persistent nasal discharge (despite antibiotics use)<\/li>\n\t
Nasal obstruction<\/li>\n\t
Epistaxis<\/li>\n\t
Headache<\/li>\n<\/ul>\n\n
Examination:<\/strong><\/span> Abundant polypoid or avascular pale granulation tissue<\/p>\n"},"subContentId":"11086795-f304-43f8-9dd6-0957dc3cccbe","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":6.491490280777537,"width":55.55555555555556,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical Presentation \u2013 Oropharyngeal TB<\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"1a7631af-44ae-483b-a0c4-58e04508d178","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":19.510431965442763,"width":88.23529411764706,"height":58.31533477321815,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
History:<\/strong><\/span><\/p>\n\n
\n\t
Dysphagia<\/li>\n\t
Odynophagia<\/li>\n\t
Dyspnea<\/li>\n\t
Drooling of saliva<\/li>\n<\/ul>\n\n
Examination:<\/strong><\/span> Significant edema of oropharyngeal region (palate and uvula) which may extend to epiglottis (\u201cTurban epiglottitis\u201d)<\/p>\n"},"subContentId":"ebb7119a-ccb4-4955-a2bd-6eb4d1b4e2ed","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":6.491490280777537,"width":55.55555555555556,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical Presentation \u2013 Deep Neck Cold Abscess <\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"2547f779-299a-4f9b-b7ff-006165adb656","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":15.11879049676026,"width":88.23529411764706,"height":71.27429805615552,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
May be retropharyngeal or parapharyngeal abscess<\/p>\n\t<\/li>\n\t
\n\t
Most causes are bacterial - usually acute, pyogenic, more common in children and secondary to infection of surrounding structures<\/p>\n\t<\/li>\n\t
\n\t
Tubercular abscesses are rare, chronic, and secondary to TB of the cervical spine, petrous apex or lung<\/p>\n\t<\/li>\n\t
\n\t
Symptoms \u2013 fever, dysphagia, neck pain\/stiffness, respiratory obstruction<\/p>\n\t<\/li>\n\t
\n\t
Laryngoscopy \u2013 minimal signs of inflammation, localized swelling of pharyngeal wall<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"27725cce-1521-4886-aeb0-a5138c477cfe","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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EPTB: ENT TB

ENT TB

Clinical Presentation of ENT TB

Approach to diagnosis of ENT TB

Management of ENT TB

ADR: Hearing Loss/ Ototoxicity

ENT TB Clinical Scenarios