Browse Health
Otolaryngologist (ear, nose, throat)

Education ?

Medical School Score Rankings
Boston University
  • Currently 3 of 4 apples
Top 50%

Affiliations ?

Dr. Dowdall is affiliated with 3 hospitals.

Hospital Affilations

Score

Rankings

  • Massachusetts General Hospital
    Otolaryngology
    55 Fruit St, Boston, MA 02114
    • Currently 4 of 4 crosses
    Top 25%
  • Brigham and Women's Hospital
    Otolaryngology
    75 Francis St, Boston, MA 02115
    • Currently 2 of 4 crosses
  • Massachusetts Eye And Ear Infirmary
    243 Charles St, Boston, MA 02114
  • Publications & Research

    Dr. Dowdall has contributed to 1 publication.
    Title Cervical Tuberculosis: a Decision Tree for Protecting Healthcare Workers.
    Date August 2008
    Journal The Laryngoscope
    Excerpt

    OBJECTIVES/HYPOTHESIS: The clinical presentation of cervical tuberculosis (TB) is a unique challenge to the otolaryngologist. To minimize the risk of nosocomial transmission, otolaryngologists must suspect the diagnosis and be familiar with recommendations for TB prevention. STUDY DESIGN: Scientific review. METHODS: We review current literature and recent changes in TB prevention strategies including the Centers for Disease Control and Prevention "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005." RESULTS: Nosocomial transmission may occur from either unrecognized pulmonary disease or from aerosolization of tubercle bacilli during diagnostic procedures. History of prior TB infection, residence in a country where TB is endemic, close contact with a TB patient, or positive tuberculin skin test should raise suspicion of cervical TB. Physical examination findings may include painless, unilateral cervical lymphadenopathy. Children and human immunodeficiency virus infected patients present unique challenges, as these groups may have atypical presentations. When cervical TB is suspected, the provider should always screen for pulmonary and laryngeal disease. Fine needle aspiration with polymerase chain reaction or culture may accurately identify cervical TB. In rare cases, excisional biopsy may be required. CONCLUSIONS: To facilitate interpretation and rapid diagnosis while minimizing risk to health care providers, we provide a decision tree based on new federal guidelines and the clinical experience of a team of infectious disease specialists and otolaryngologists.

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