Pathogenesis
Macropgaes engulf- phagolysosome
Cm damage - other macrophage take up - same
Tnf alpha - fibrosis
Fibrosis interfere with clearance of mtb
Humaral and cell mediated immunity absent
Radio
Nodule apical lobe doesn’t cross fissure
Silicotic nodule with cavitation
Sputum. Bronch,tblb
Rx of silico tb
Ipt for 1yr
Limit exposure
Periodic cxr and tuberculin test