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Get the free Tuberculosis Signs and Symptoms Self-declaration

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This form is required to be completed annually by students who have previously tested positive on a Tuberculin Skin Test (TST) as part of the clinical placement risk management process. It aims to collect essential health information related to tuberculosis symptoms.
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How to fill out tuberculosis signs and symptoms

01
Start by identifying common symptoms of tuberculosis, such as a persistent cough lasting more than three weeks.
02
Note any associated symptoms, including chest pain, coughing up blood, or weight loss.
03
Record respiratory signs like fever, chills, or night sweats.
04
Include symptoms of fatigue or reduced appetite.
05
If the patient has been in contact with someone with tuberculosis, note this information.
06
Complete any relevant sections regarding the patient's medical history and risk factors.

Who needs tuberculosis signs and symptoms?

01
Individuals who exhibit signs and symptoms of tuberculosis.
02
Healthcare professionals conducting assessments for potential tuberculosis cases.
03
Patients with a history of close contact with tuberculosis carriers.
04
People living in high-risk areas or populations.
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Common signs and symptoms of tuberculosis include a persistent cough that lasts more than three weeks, chest pain, coughing up blood, fatigue, weight loss, fever, and night sweats.
Health care providers, individuals with diagnosed tuberculosis, and those who have been exposed to tuberculosis are typically required to report signs and symptoms.
To fill out a tuberculosis signs and symptoms report, include patient demographics, clinical findings, duration of symptoms, and any relevant exposure history.
The purpose is to monitor the incidence of tuberculosis, facilitate early diagnosis and treatment, and prevent further transmission of the disease.
Information that must be reported includes patient name, demographics, medical history, symptoms experienced, onset duration, and any previous tuberculosis treatment.
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