Clinical Vignettes HIV Disease
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Transcript of Clinical Vignettes HIV Disease
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8/13/2019 Clinical Vignettes HIV Disease
1/26
HIV DiseaseHIV Disease
Clinical VignettesClinical Vignettes
BRN
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Case 1Case 1
22 year old lady presents with a 3day history of fever, chills, fatigue,night sweats, tenderlymphadenopathy, pruritic macularrash
Name 4 differential diagnosis
What further question would you asthe atient!2
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Case 1
"he had unprotected se# with a newpartner 4 wees ago$ %er %&'anti(ody test negative
What could (e happening to thispatient!
%ow should the patient (e
evaluated! 3
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Case 2Case 2
24)year)old %&' positive woman witha past history of *+B which has (eentreated
urrent pro(lems) chronic fever
) chronic diarrhoea
) - 1./ weight loss) mild dry cough 0intermittent
What is the W% clinical stage !4
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Case2Case2
%er 4 is cells5mm6$
"hould she tae cotrimo#a7oleprophyla#is!
Would you start 8R+ or not and why!
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Case 3Case 3
91 year old %&' positive patient(eing treated for *+B developssudden onset of left hemiparesis
What are the differential diagnosis!
%ow will you investigate the patient!
:
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Case 3Case 3
8 + head scandone for patientshows a single
ring enhancedlesion$
What is the mostliely diagnosis!
What is the W%clinical stage!
%ow will you treat
this patient!
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Case 4Case 4
8 3. year old teacher diagnosed with%&' infection : years ago complainsof difficulty in swallowing
What are the possi(le differentialdiagnosis!
;
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Case 4Case 4
%e has loss of weight and a history ofherpes 7oster 9 years ago
n physical e#amination he has oralcandidiasis and dar plaques on hissin
What is his dermatological diagnosis!
What is his W% clinical stage!
%ow will investigate him!