PREDISPOSING FACTORS

>Age:
>Sex: Female
>Filipino
>Has Diabetes Mellitus

PULMONARY TUBERCULOSIS

PRECIPITATING FACTORS
>Living in unsanitary conditions
>Lack of Medical Care

Inhalation of droplets
infected by Mycobacterium
Tuberculosis
Primary defenses is activated
(mucus secreting goblet cell and
cilia)
Bacteria reaches and deposits
itself in the lung periphery
(alveoli)
Bacteria is quickly surrounded by
polymorphonuclear leukocytes and engulfed by
the alveolar macrophages
As macrophages engulf the bacteria these cells
join and form into giant cells that encircle the
foreign cell
Exudate formation occurs in initial
lesions
Significant reaction to
tuberculine test

Initial infection

Cannot be seen through

X-ray results

Cell mediated or
Type IV immunity
develops

Dyspnea
Cough

Creation of
granulomatous
inflammation

Sputum
Sleep
Fatigue
Night Sweats

Formation of
collage,fibroblast and
lymphocytes around
inflammation

Nausea
Irregular
Menstruatio
n
Bronchial breath
sounds upon
auscultation
Wheezing related
to obstruction
may be heard

Occurence of cessation
necrosis
in
Ghons
Tubercle
Occurence of
more lesions

Low grade fever

Production of
mucoid
mucopurulent
sputum
Night Sweats

Fibrosis and
calcification
occurs

PULMONARY TUBERCULOSIS

Activity
Intolerance