Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a subacute-to-chronic productive cough, hemoptysis, night sweats, unintentional weight loss, and low-grade afternoon fevers. History significant for prior TB exposure or endemic region residence. Denies recent travel or known sick contacts. Symptoms progressive over [X] weeks.
Clinical Examination Findings
General: Cachectic appearance, appears chronically ill. Respiratory: Tachypnea, diminished breath sounds or localized crackles/bronchial breath sounds in the apical or posterior segments of the upper lobes. Lymphatic: Possible cervical or supraclavicular lymphadenopathy.
Treatment Protocol
Initiate RIPE therapy (Rifampin, Isoniazid, Pyrazinamide, Ethambutol) for the intensive phase. Monitor LFTs, CBC, and renal function. Supplement with Pyridoxine (Vitamin B6) to prevent peripheral neuropathy. Ensure DOT (Directly Observed Therapy) compliance.