Nonpharmacologic Therapy

Steps should be taken to: (a) prevent the spread ofTB (respiratory isolation); (b) find where TB has already spread (contact investigation); and (c) return the patient to a state of normal weight and well-being. The older term for TB is consumption because wasting was a primary symptom of disease progression in the prechemother-apy era and remains descriptive today. Items 1 and 2 are performed by public health departments. Clinicians involved in the treatment of TB should verify that the local health department has been notified of all new cases ofTB. Surgery may be needed to remove destroyed lung tissue, space-occupying infected lesions (tuberculomas), and

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certain extrapulmonary lesions.

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