MARC details
| 000 -LEADER |
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| fixed length control field |
02740nam a22002657a 4500 |
| 001 - CONTROL NUMBER |
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| control field |
CH 2020 0008 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
PILC |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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| control field |
20240720153216.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
211027b xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Language of cataloging |
eng |
| Transcribing agency |
FEU-NRMF MEDICAL LIBRARY |
| Description conventions |
rda |
| 041 ## - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
english |
| 050 ## - LIBRARY OF CONGRESS CALL NUMBER |
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| Classification number |
CH 2020 0008 |
| 245 ## - TITLE STATEMENT |
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| Title |
"Mistaken" |
| Remainder of title |
a case report of a 15-year old male with an atypical presentation of extrapulmonary tuberculosis / |
| Statement of responsibility, etc. |
Czarinnah Elaine F. Dy and Maria Anna P. Bañez. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
|---|
| Place of publication, distribution, etc. |
Fairview, Quezon City: |
| Name of publisher, distributor, etc. |
Department of Child Health, FEU-NRMF, |
| Date of publication, distribution, etc. |
2020. |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Other physical details |
tables, photos; |
| Dimensions |
(in folder) |
| Accompanying material |
with flash drive (soft copy). |
| 336 ## - CONTENT TYPE |
|---|
| Source |
rdacontent |
| Content type term |
text |
| 337 ## - MEDIA TYPE |
|---|
| Source |
rdamedia |
| Media type term |
unmediated |
| 338 ## - CARRIER TYPE |
|---|
| Source |
rdacarrier |
| Carrier type term |
volume |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc |
Includes appendices and bibliographical references. |
| 520 ## - SUMMARY, ETC. |
|---|
| Summary, etc. |
Abstract: Among Filipinos, tuberculosis (TB) remains to be a major health problem. Abdomen is one of the major extrapulmonary sites. Despite its prevalence, non- specific clinical presentation leads to a delay in the diagnosis. A high index of clinical suspicion is required since it mimics other diseases. We present a male adolescent with an atypical presentation of extrapulmonary TB. Patient had 14-month history of fever at night, chills nighttime diaphoresis and gradual abdominal distension, 12-month history of gradual weight loss, 3-month history of umbilical discharge and, 1-month history of on and off watery-based stools. Physical examination revealed BMI of 16.7 (underweight), pallor, foul-smelling, purulent umbilical discharge, abdominal tenderness on the right upper and lower quadrant areas and palpable liver and spleen. On investigation, Mantoux skin test was 23 mm and GeneXpert of umbilical discharge revealed Mycobacterium tuberculosis without rifampicin resistance, hence a diagnosis of abdominal tuberculosis. In addition, right suprahilar lymphadenopathy was seen on chest x-ray, hence a consideration of mediastinal lymph node TB as well. Contrast-enhanced whole abdomen CT scan with fistulogram revealed an umbilical fistulous communication to a complex fluid collection in the abdominopelvic region extending into the perihepatic region. Peritoneal caking, splenomegaly, enlarged mesenteric lymph nodes and minimal ascites were noted. CT-guided percutaneous drainage of the abdominopelvic abscess was initially done and was converted to a pigtail catheter insertion due to the viscosity of the fluid. Patient was treated with anti-Koch's medications for 6 months, which offered resolution of symptoms and weight gain that reached a normal BMI. |
| 521 ## - TARGET AUDIENCE NOTE |
|---|
| Target audience note |
Research - Department of Child Health |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Dy , Czarinnah Elaine F., MD. |
| Relator term |
author |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Bañez, Maria Anna P., MD. |
| Relator term |
author |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Library of Congress Classification |
| Koha item type |
Room Use |
