HIV and the gut Flashcards
Causes of oral pain in HIV (2)
Candidiasis
Oral Ulcers
Treatment of oral candidiasis
Oral nystatin solution
Features and managment of oesophageal candidiasis
oesophagitis, dysphagia, odynophagia
oral fluconazole
Pathogenesis and features of oral ulcers in HIV (3)
CMV infection
distal ulcers
rolled ulcers-like carcinoma
Management of oral ulcers in HIV (2)
Ganciclovir
SCREEN FOR RETINITIS
Causes of chronic diarrhoea in HIV (4)
Bacteria
Protozoa
Viruses
Other-ART, lymphoma
Bacterial causes of chronic diarrhoea (5)
Salmonella Shigella Campylobacter Mycobacterium avium intracellulare C. Diff
Management of chronic diarrhoea
usually responds to ciprofloxacin
Features of mycobacterium avium intracellulare infection (5)
severe abdo pain (enlarge intra-abdo LNs)
raised ALP
anaemia
fever
severe night sweats and wt. loss (like TB)
Management of mycobacterium avium intracellulare infection (3)
ethambutol+clarithromycin+rifabutin
Protozoal causes of (4)
cryptosporidium-commonest cause of diarrhoea in HIV
microsporidium
isospora belli
cyclospora
Features and Rx of cryptosporidium infection (3)
commonest cause of chronic diarrhoea in HIV
commonly affects immunocompetent patients but infection can be chronic>rapid wt. loss
treat with cART and albenzazole
Viral causes of chronic diarrhoea (2)
CMV
adenovirus
Features, complications and Rx of CMV colitis (5)
bloody diarrhoea owl's eye inclusions on histology complications: perforation and toxic dilatation Rx w. ganciclovir or foscarnet CHECK FOR RETINITIS
Causes of peri-anal disease (3)
SCC
reccurrent HSV ulceration
peri-anal warts
