"SEMIOTICS OF TUBERCULOSIS OF THE RESPIRATORY ORGANS.THE CLASSIFICATION OF TUBERCULOSIS

Lecturer: Professor, Babaeva

I.Yu.D.M.

SEMIOTION

SEMIOTION (from greece Σημειωτική - sign, sign) is a branch of medicine that studies the signs and symptoms of various diseases. Also, symptomatology, semiotics, semiology. Medical semiotics is an important part of diagnosis.Also a generalized name for the symptoms of a disease (more commonly described by the word symptomatics).

A distinction is made between general and private semiotics.

The subject of study of general semiotics is signs related to the general characteristics of the patient (sex, age, nationality, profession, heredity, past diseases, physique) and his condition (changes in consciousness; body position, facial expression; fever, etc.) Each sign plays a role in the diagnosis. General semiotics also examines changes in organ function and morphology and laboratory tests.

The subject of private semiotics is symptoms of specific diseases, their diagnostic significance, mechanisms of occurrence, reasons for possible absence, peculiarities of their combination.

TUBERCULES

- is a widespread socially-dependent infectious disease that can affect all organs and tissues of the human body. It is a disease that occurs in the course of an infectious process as a result of the immune system's action in defending the host against the microorganism.

Approaches for Mycobacterium

classification

1. By speed and optimal growth temperature, pigment formation ability;

2. By clinically significant complexes: -causing tuberculosis, united in m.tuberculosis complex: m.tuberculosis, m.bovis, m. bovis BCG, m.pinnipedii, m.caprae;

3. Non-tuberculosis mycobacteria group: m. avium complex; m. fortuitum complex, m. terrae complex, m. nonchromogenicum complex

Currently, the International Statistical Classification of Diseases and Related Health Problems, tenth revisionrevision (WHO, 1995 )

The block "tuberculosis" (A15-A19) is included in the class "Certain infectious and parasitic diseases" (A00-B99).

A15-A16 Tuberculosis of the respiratory organs bacteriologically.

A15 Bacteriologically or histologically confirmed respiratory tuberculosis.

A16 Respiratory tuberculosis not confirmed bacteriologically or histologically.

A17 Tuberculosis of the nervous system

A18 Tuberculosis of other organs and systems (extrapulmonary localized tuberculosis)

Pulmonary tuberculosis

A15.0-A15.3; A16.0-A16.2 Pulmonary tuberculosis

1 - Focal tuberculosis

2 - Infiltrative tuberculosis

3 - Caseous pneumonia

4 - Pulmonary tuberculoma

5 - cavernous tuberculosis

6 - Fibrous cavernous pulmonary tuberculosis

7 - Cirrhotic pulmonary tuberculosis

8 - disseminated tuberculosis

Tuberculosis of the respiratory organsA15.4; A16.3 Tuberculosis of the VHLU (secondary)

1 - bronchopulmonary lymph nodes

2 - paratracheal lymph nodes

3 - tracheobronchial lymph nodes

4 - bifurcation lymph nodes

5 - lymph nodes of arterial duct window (bottall's duct)

6 - mediastinal lymph nodes

7 – others

8 - multiple localizations

9 - no further clarification

A15.5; A16.4 Tuberculosis of the larynx, trachea and bronchi

1 - Bronchial tuberculosis

2 - laryngeal tuberculosis

3 - tracheal tuberculosis

4 - other localizations

5 - combined affection

A15.6; A16.5 Tuberculosis pleurisy (secondary)

1 - pleural tuberculosis

2 - tuberculous empyema

3 - interlobular pleuritis

4 - other localizations

5 - combined lesion

A15-7; A16.7 Primary tuberculosis of the respiratory organs

1 - Primary tuberculosis intoxication in children

and adolescents

2 - primary tuberculosis complex

3 - Tuberculosis of VGLU

4 - pleural tuberculosis

5 - other localizations

6 - combined affection