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Medicine General 57e2d90f

True regarding presentation of primary T.B. is

A
B/L pleural effusion with negative Tuberculin test
B
U/L hilar lymphadenopathy
C
Sustained chronic pyrexia
D
B/L pleural effusion with positive tuberculin test
High-Yield Explanation
Answer is B (Unilateral hilar lymphadenopathy): Unilateral hilar lymphadenopathy as pa of the primary complex is a characteristic feature of primary tuberculosis Primary tuberculosis: It is the first infection with tubercle bacilli in individuals who have not been previously exposed to the organisms Seen in children Q Primary complex is characteristic Primary (Ghon) complex Unilateral enlarged hilar lymph nodes (1 Ghon focus Q:Epitheloid-cell granulomatous inflammation (consolidation) at site of parenchymal infection. Usually small and subpleural most commonly located under pleura in lower pa of upper lobe Usually a symptomatic Q or manifested by a mild flu like illness at time of tuberculin conversion

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