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Iowa Department of Public Health Tuberculosis Control Program TB Screening Form Name: DOB: Signs and Symptoms of TB Disease Persons who answer yes to any of the following signs and symptoms warrant
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How to fill out tb signs and symptoms:

01
Start by gathering information about the patient's medical history, including any previous cases of tuberculosis or exposure to infected individuals.
02
Ask the patient about any current symptoms they may be experiencing, such as persistent cough, chest pain, fatigue, weight loss, or fever.
03
Conduct a physical examination, focusing on the respiratory system. Look for signs such as a productive cough, abnormal breath sounds, or enlarged lymph nodes.
04
Use diagnostic tests, such as a sputum smear microscopy, chest X-ray, or Interferon-Gamma Release Assay, to confirm the presence of tuberculosis infection.
05
Document the findings accurately and in detail, ensuring that all relevant information is recorded.
06
Share the completed signs and symptoms form with the healthcare provider responsible for diagnosing and treating the patient.

Who needs tb signs and symptoms:

01
Healthcare professionals, such as doctors, nurses, and laboratory technicians, who are involved in the diagnosis and treatment of tuberculosis patients.
02
Public health officials and organizations responsible for monitoring and controlling the spread of tuberculosis in communities.
03
Individuals who have been exposed to someone with tuberculosis or have a high risk of contracting the disease, such as those with weakened immune systems or living in overcrowded and unsanitary conditions.
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TB signs and symptoms include a persistent cough that lasts more than three weeks, chest pain, coughing up blood, weight loss, fever, night sweats, and fatigue.
Individuals showing signs and symptoms of tuberculosis, healthcare providers, and public health authorities are required to file reports regarding TB signs and symptoms.
To fill out the TB signs and symptoms form, provide personal information, detail the symptoms experienced, and include any relevant medical history or contact with TB cases.
The purpose of documenting TB signs and symptoms is to identify cases of tuberculosis, ensure prompt diagnosis and treatment, and prevent the spread of the disease.
The information that must be reported includes personal identification details, symptom description, duration of symptoms, any previous TB history, and exposure to known TB cases.
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