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Results. * It is very unlikely that a side effect to the test will occur. If such an event does happen, the most common reaction is pain or redness at the test site. In very rare cases, a person who is hypersensitive to the solution could have a severe allergic reaction near the injection site. Such rare reactions may include blistering or a ...
TUBERCULOSIS/MANTOUX SKIN TESTING FORM. Mycobacterium tuberculosis (TB) is a disease which is carried through the air in small particles when people who have active TB cough, sneeze, speak, or sing.
TEST TWO: Given one to three weeks after Test One. Manufacturer & Lot number _____Manuf. Exp. Date _____ Date vial opened _____ Date & time test ... TB Screening Form – Please indicate if you have any of the following symptoms: Yes No Chronic Cough Yes No Unexplained weight loss Yes No Production of sputum Yes No Unexplained fatigue/tiredness ...
TUBERCULIN SKIN TEST FORM (also called TB or PPD) TO BE FILLED OUT BY THE STUDENT. TO BE FILLED OUT BY THE HEALTHCARE PROVIDER. *Please note that a positive result requires a chest x-ray.
TUBERCULIN SKIN TEST FORM (also called TB or PPD) TO BE FILLED OUT BY THE STUDENT. TO BE FILLED OUT BY THE HEALTHCARE PROVIDER. *Please note that a positive result requires student to contact umsn-undergradcompliance@med.umich.edu for further assistance and a clear chest x-ray. Revised: 4-6-2022.
Fill, download, and print a TB Test Result Form online. Easily customize and save as a PDF. Get a blank template for free in PDF and Word formats.
Mantoux Skin Testing for Tuberculosis. 2-Step Mantoux Skin Test. Step 1: Do an initial tuberculin skin test (Mantoux, 5 TU PPD). Read results 48-72 hours later. Step 2: If the results from Step 1 is 0-9mm of induration: Do a second tuberculin skin test in the other arm 7 to 21 days after Step 1.
