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Flashcards in HIV Deck (26):
1

Acute phase HIV is what?

Like mono but higher fevers and mucosal ulcers

last a few weeks

2

Cryptosporidium tx?

Nitazoxonide (AIDs defining illness, it is from things that happened at NIGHT)

3

Wasting syndrom is what?

Losing body weight with HIV and CD4 low

Tx witth emgesterol and testosterone if both are low

ANTIRETROVIRAL therapy is best

4

Cocciodiomycocis in HVIV

Cough, fever, disseminated disease

Bilateral infiltrates on CXR with positive antibodies

Tx: fluconazole or ampho

5

AIDS dementia? Tx

Low CD4 with ataxia, intellectual decline

ANTIRETROVIRAL THERAPY IS TX

6

CAndida esophagitis is AIDS defining illness. Dx? Tx?

Very painful swallowing

Oral or IV fuc
Nystatin
Ampho

7

HIstoplasmosis tx?

Amphotericin B or fluconazol

8

What is concern about history of toxoplasmosis in low CD4?

Reactivation of it. Need prophylaxis

Pyramethine, leucovorin

9

HIV with focal neurologic symptoms think what?

Toxoplamsosis or LYMPHOMA!!!

10

What is progressive multifocal leukoencephalopathy?

PCR test on CSF does it

VIRAL DISEASE BUT NO GOOD TREATMENT

11

Cryptococcus stain?

India ink. Antigen studies usually used

Ampho and fluconazole

12

Cytomegalovirus concern in HIV?

RAPID VISUAL LOSS

Can cause esophagitis with painful ulcers!!!

Foscarnet or ganciclovir

13

Mycobacterium avid complex? MAC? Tx?

MACROLIDES for MAC

It is from blood cultures

14

HIV screening?

ELISA for HIV antibodies

15

Specific test for HIV?

western blot

16

Side effects of NRTIs?

Lipodystrophy
LACTIC ACIDOSIS CAN BE DEADLY

17

Abacavir bad side effect?

HYPERSENSITIVITY (can be deadly)

18

Zidovudine side effect?

Bone marrow suppression is always asked

19

Which are the NNRTIs? Major side effect?

They are the vir in the middle.. Inhibit reverse transcriptase

Rash is side effect

20

Efavirenz side effect?

NNRTI so RASH and
TERATOGENIC AND NEUROPSYCH SYMPTOMS

21

Protease inhibitors end in what?

NAVIR. Boosted with ritonavir

Block activation of virus

22

Atazanavir side effect?

HYPERBILIRUBINemia

23

Side effect of protease inhibitors

Navir cause METABOLIC issues and GI side effects

24

HAART basics?

2 NRTIs and one of the others

25

Screening for HIV in infant?

They will all be positive form mom's antibodies

So the screening is for viral load

26

Prophylaxis in HIV? KNOW THIS!

CD4 less than 200

PCP TMPSMX
Toxoplasmosis TMPSMX
MAC Macrolide