We diagnose tuberculosis at our hospital frequently.
We do not actually treat tuberculosis, because the government is in charge of the treatment. So a patient like the above will come in looking very malnourished and chronically sick, and even if I cannot diagnose TB in the moment, I will send them on to the governmental health care clinic near their pueblo to have TB ruled out. It is tough sometimes, because you are torn between whether you should admit to the hospital this very ill looking patient, or whether you should send them on to the place where they can get a more definitive treatment. This patient I sent on, and I hope it was the right decision.