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clinical predictors of ileocecal tb a prospective strongstudystrong.doc

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clinical predictors of ileocecal tb a prospective strongstudystrong

Clinical Predictors of Ileocecal Tuberculosis: A Case Series Jonathan R. Malabanan, MD Catherine Co, MD, DPBS Reynaldo Joson. MD, MHA, MS Surg, MHPed Department of Surgery Ospital ng Maynila Medical Center Clinical Predictors of Ileocecal Tuberculosis: A Case Series Jonathan R. Malabanan, MD Catherine Co, MD, DPBS Reynaldo Joson. MD, MHA, MS Surg, MHPed Introduction Tuberculosis (TB) remains a major health problem worldwide. In the Philippines, TB ranked 5th in the 10 leading causes of death and 5th in the 10 leading causes of illnesses. In the data presented by the Philippine Health Statistics in 2003; 1,197 patients out of 526,771 patients with TB, died of extrapulmonary involvement. Extra-pulmonary TB affects 10-15% of patients. Of extrapulmonary TB cases, gastrointestinal involvement has been reported to be 25%. The ileocecal area was the area most commonly involved in intestinal tuberculosis with a range of 2.5- 90%. ????? Ileocecal TB is one of the most prevalent forms of extra-pulmonary TB. The clinical presentation of intestinal TB has an insidious course similar to any other infectious disease. It presents as a disease without any specific clinical, laboratory or radiological finding. Due to this non-specificity, a physician encounters difficulties in diagnosing intestinal TB. As a result, the diagnosis of ileocecal TB remains a challenge to the physician. In this case series, the authors analyzed the clinical and intraoperative features of patients with ileocecal TB, to aid the clinician in recognizing features of intestinal TB. Objective: General Objective To determine the clinical predictors and intraoperative findings suggestive of ileocecal tuberculosis. Specific Objectives To determine the clinical predictors suggestive of ileocecal tuberculosis symptoms and signs radiologic findings To determine the intraoperative findings suggestive of ileocecal tuberculosis Review of Literature: TB is a chronic disease which has a wide body distributi