Tuberculous pericarditis diagnostic study of choice: Difference between revisions

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{{Tuberculous pericarditis}}
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{{CMG}}; {{AE}} {{Fs}}
== Overview ==
== Overview ==
[[Pericardiocentesis]] is the gold standard test for the [[diagnosis]] of tuberculous pericarditis. [[Pericardial]] [[biopsy]] must be performed when we can't find [[acid fast bacilli]] in sputum or [[pericardial fluid]]. Finding [[acid fast bacilli]] on [[pericardiocentesis]] is confirmatory for tuberculous pericarditis.


== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==


=== Study of choice ===
=== Study of choice ===
[Name of the investigation] is the gold standard test for the diagnosis of [disease name].


OR
*[[Pericardiocentesis]] is the gold standard test for the [[diagnosis]] of tuberculous pericarditis.
 
*[[Pericardial]] [[biopsy]] must be performed when:
The following result of [gold standard test] is confirmatory of [disease name]:
** We can't find [[acid fast bacilli]] in sputum or [[pericardial fluid]].
* [Result 1]
* [Result 2]
 
OR
 
[Name of the investigation] must be performed when:
* The patient presents with [symptom/sign 1], [symptom/sign 2], and [symptom/sign 3].
* A [name of test] is positive for [sign 1], [sign 2], and [sign 3] in the patient.
 
OR
 
[Name of the investigation] is the gold standard test for the diagnosis of [disease name].
 
OR
 
The diagnostic study of choice for [disease name] is [name of the investigation].
 
OR
 
There is no single diagnostic study of choice for the diagnosis of [disease name].
 
OR
 
There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
 
OR
 
[Disease name] is primarily diagnosed based on the clinical presentation.
 
OR
 
Investigations:
* Among the patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
* Among the patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
* Among the patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.
 
==== The comparison of various diagnostic studies for [disease name] ====
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! style="background: #4479BA; color: #FFFFFF; text-align: center;" | Test
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 1
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 2
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
|}
<small> [Name of test with higher sensitivity and specificity] is the preferred investigation based on the sensitivity and specificity</small>


===== Diagnostic results =====
===== Diagnostic results =====
The following finding(s) on performing [investigation name] is(are) confirmatory for [disease name]:
The following finding on pericardiocentesis is confirmatory for tuberculous pericarditis:
* [Finding 1]
* Acid fast bacilli
* [Finding 2]


===== Sequence of Diagnostic Studies =====
===== Sequence of Diagnostic Studies =====
The [name of investigation] must be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.
OR
The various investigations must be performed in the following order:
The various investigations must be performed in the following order:
* [Initial investigation]
* Imaging (CXR, CT scan, MRI)
* [2nd investigation]
*Echocardiography
 
*Evaluation of sputum for acid-fast bacilli (AFB)
=== Name of Diagnostic Criteria ===
*Evaluation of pericardial fluid for acid-fast bacilli (AFB)
 
*Lymph node biopsy
'''It is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.'''
*Pericardial biopsy
 
[Disease name] is primarily diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
 
OR
 
There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
 
OR
 
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
 
OR
 
The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
 
OR
 
[Disease name] may be diagnosed at any time if one or more of the following criteria are met:
* Criteria 1
* Criteria 2
* Criteria 3
 
OR
 
'''IF there are clear, established diagnostic criteria'''
 
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
 
OR
 
The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
 
OR
 
The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
 
OR


'''IF there are no established diagnostic criteria'''
=== Diagnostic Criteria ===


There are no established criteria for the diagnosis of [disease name].
There are no established criteria for the diagnosis of tuberculous pericarditis.


==References==
==References==

Latest revision as of 15:48, 19 December 2019

Tuberculous pericarditis Microchapters

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Overview

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Differentiating Tuberculous pericarditis from other Diseases

Epidemiology and Demographics

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Diagnosis

Diagnostic Study of Choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Pericardiocentesis is the gold standard test for the diagnosis of tuberculous pericarditis. Pericardial biopsy must be performed when we can't find acid fast bacilli in sputum or pericardial fluid. Finding acid fast bacilli on pericardiocentesis is confirmatory for tuberculous pericarditis.

Diagnostic Study of Choice

Study of choice

Diagnostic results

The following finding on pericardiocentesis is confirmatory for tuberculous pericarditis:

  • Acid fast bacilli
Sequence of Diagnostic Studies

The various investigations must be performed in the following order:

  • Imaging (CXR, CT scan, MRI)
  • Echocardiography
  • Evaluation of sputum for acid-fast bacilli (AFB)
  • Evaluation of pericardial fluid for acid-fast bacilli (AFB)
  • Lymph node biopsy
  • Pericardial biopsy

Diagnostic Criteria

There are no established criteria for the diagnosis of tuberculous pericarditis.

References

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