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This document is a questionnaire designed to assess symptoms related to tuberculosis in individuals who have tested positive for the TB skin test.
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How to fill out tuberculosis symptom questionnaire
How to fill out Tuberculosis Symptom Questionnaire
01
Begin by reviewing the instructions provided at the top of the questionnaire.
02
Read each question carefully to understand what symptoms are being inquired about.
03
For each question, select 'Yes' or 'No' based on your current condition.
04
If you answer 'Yes' to any question, provide additional details if prompted.
05
Check your responses for completeness and accuracy.
06
Submit the completed questionnaire as directed, either electronically or in person.
Who needs Tuberculosis Symptom Questionnaire?
01
Individuals who have been exposed to someone with tuberculosis.
02
People displaying symptoms of tuberculosis, such as cough, fever, or weight loss.
03
Patients with a history of tuberculosis or certain risk factors.
04
Healthcare workers in settings where tuberculosis is prevalent.
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People Also Ask about
What questions do they ask for TB screening?
Tuberculosis Risk Assessment Have you had a cough lasting more than three weeks? Have you lived with or spent time with anyone who had or may have had TB? Have you lived in or visited any of the following areas for more than a month: Africa, Asia, Mexico, Central or South America, the Caribbean or Eastern Europe?
What are the key signs and symptoms of tuberculosis?
Active TB disease. Cough. Coughing up blood or mucus. Chest pain. Pain with breathing or coughing. Fever. Chills. Night sweats. Weight loss.
What are 5 early warning symptoms of tuberculosis?
Check if you have tuberculosis (TB) a cough that lasts more than 3 weeks – you may cough up mucus (phlegm) or mucus with blood in it. feeling tired or exhausted. a high temperature or night sweats. loss of appetite. weight loss. feeling generally unwell.
What are the specific signs and symptoms of tuberculosis?
Active TB disease. Cough. Coughing up blood or mucus. Chest pain. Pain with breathing or coughing. Fever. Chills. Night sweats. Weight loss.
What are the 4 symptom screening for TB?
The World Health Organization (WHO) recommends that PLHIV, including pregnant women, should be routinely screened for symptoms of active TB at every health facility visit using a four‐symptom screen (cough, fever, night sweats, and weight loss (WHO 2011a).
What are the symptoms of tuberculosis review?
Common symptoms of active TB disease include cough, pain in the chest, and coughing up blood or sputum (phlegm). People with inactive TB, also called latent TB infection, do not have symptoms of TB disease and cannot spread TB to others.
Which of the following signs or symptoms are specific to tuberculosis?
Common symptoms of active TB disease include cough, pain in the chest, and coughing up blood or sputum (phlegm). People with inactive TB, also called latent TB infection, do not have symptoms of TB disease and cannot spread TB to others.
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What is Tuberculosis Symptom Questionnaire?
The Tuberculosis Symptom Questionnaire is a standardized tool used to assess individuals for symptoms associated with tuberculosis (TB), aiding in early detection and diagnosis.
Who is required to file Tuberculosis Symptom Questionnaire?
Individuals who have been exposed to TB, exhibit symptoms consistent with the disease, or are part of populations at higher risk for TB infection are typically required to file the questionnaire.
How to fill out Tuberculosis Symptom Questionnaire?
To fill out the Tuberculosis Symptom Questionnaire, individuals should carefully read each question and provide honest responses regarding their symptoms, travel history, and potential exposure to TB.
What is the purpose of Tuberculosis Symptom Questionnaire?
The purpose of the Tuberculosis Symptom Questionnaire is to identify potential TB cases early, which can facilitate timely diagnosis and treatment, ultimately reducing the spread of the disease.
What information must be reported on Tuberculosis Symptom Questionnaire?
The questionnaire generally requires reporting of symptoms such as persistent cough, fever, night sweats, weight loss, and any known exposure to TB, as well as demographic information.
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