Sx of Acute HIV Correct Answer-generalized illness lymphadenopathy,
sore throat, myalgia, Wt loss, HA, MUCOTANEOUS ULCERS.
Acute HIV infection Correct Answer-High viral load (Viral RNA), very
infectious, may test negative. 0-3 months.
Advanced HIV infection Correct Answer-CD4 < 50
Chronic HIV Correct Answer-if CD4 returns to >200 with treatment
What do you monitor with HIV ART therapy? Correct Answer-RT-PCR
(viral load test)
What do you immunize for at any CD4 level? Correct Answer-HBV,
HAV, influenza B, pneum, VZ, HPV, menige, TDap, MMR
CD4 less than 200
or Aids defining condition Correct Answer-diagnosis of AIDS
**AIDS defining conditions Correct Answer-- Candidiasis (thrush)
- Cytomegalovirus (CMV)
- Mycobacterium avium complex (MAC)
- Pneumocystis jiroveci pneumonia (PCP)
,- Recurrent pneumonia
- HIV-associated dementia
- Cervical cancer
- Wasting syndrome
- Histoplasmosis
- Many more
***This will be on test!***
Screening test for HIV Correct Answer-p24 antigen/antibody assay
What is a positive PPD in HIV patient? Correct Answer-> 5 mm
induration.
What is ART for HIV? Correct Answer-at least 3 medications from two
different classes
Treatment for PCP? Correct Answer-Bactrim
Treatment for MAC? Correct Answer-clarithromycin and ethambutol
Treatment of toxoplasmosis Correct Answer-pyrimethamine and
sulfadiazine
treatment of herpes simplex Correct Answer-Acyclovir
, treatment of herpes zoster Correct Answer-Valacyclovir
Treatment of Kaposi Sarcoma Correct Answer-ART +
systemic chemotherapy
Causes of high fever Correct Answer-bacterial
- less systemic
Causes of low grade fever Correct Answer-viral
- systemic
OA fever presentation Correct Answer-confusion, falls, decreased
appetite, fatigue
Fever Correct Answer-> 37.8/100
hypothermal Correct Answer-< 35
Treatment of fevers Correct Answer-Acetaminophen Q 4 hours.
Who would you start on broad spectrum antibiotics with a fever? Correct
Answer-unstable, neutropenic <500, immunosuppressed (on steroid
therapy), HIV