RT Book, Section A1 Goodman, Catherine A1 Helgeson, Kevin SR Print(0) ID 1133952389 T1 Tuberculosis T2 Exercise Prescription for Medical Conditions: Handbook for Physical Therapists YR 2011 FD 2011 PB McGraw-Hill Education PP New York, NY SN 9780803617148 LK fadavispt.mhmedical.com/content.aspx?aid=1133952389 RD 2024/09/10 AB Tuberculosis is an infectious disease that affects the lungs and can spread to the lymph nodes and other organs. It is caused by the mycobacterium tuberculosis, which creates necrotic granulomas in the parenchyma of the lungs. The tissues of the lungs control these organisms by forming a tubercle around the infection. Individuals with this condition usually are asymptomatic until they become debilitated due to another illness that results in a depressed immune system. The infection then spreads through the lobes of the lungs and becomes systemic through the lymph nodes. Clients exhibit a chronic productive cough, crackles (formerly called rales), and bronchial breath sounds, with fever, weight loss, and malaise. They have signs of excessive inflammation and exudates from their lungs that make breathing difficult. The infection can spread to numerous other tissues (including bone), resulting in their destruction. Clients with the spread of infection into connective tissues experience limited mobility and pain. Clients with an active tuberculosis episode have limited endurance due to their inflammatory lung condition.