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Flashcards in HIV clinical Deck (21)
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1

Can CD4 count be used for HIV diagnosis?

no, CD4 alone should not. if you have sepsis, your CD4 count may drop down to 100.

2

what is a cut off of CD4 count for HIV clinical infection?

200

3

what kind of skin dz can you get with HIV?

1. seborrheic dermatitis
2. papulopruritic eruptions nodular prurigo

4

what is the CD4 account when skin dz occur with HIV?

about 500

5

what is the CD4 account when pulmonary TB?

about 300

6

what is the characteristics of TB in AIDS pt?

TB can be found in anywhere in the lung (not just at the apex)

7

what causes oral luekoplakia?

herpes

8

oral thrush?

candida albicans

9

what is kaposi's sarcoma?

blood vessel tumor

10

what is the most common serious dz with AIDS?

PCP --> now called Pneumocystis jirovecii --> responds best to Sulfar drug

11

what do you see from pt with PCP in AIDS?

lymphadenopathy

12

what is esophageal Candida?

thrush extended to esophagus?

13

herpes can lead to

facial lesion

14

toxoplasmosis?

multiple ring enhancing on MRI, usually associated with basal ganglia

15

JC Virus can cause

Progressive Multifocal leukoencephalopathy

16

CMV can cause

Retinitis

17

what is Mycobacterium avium-intracellulare

MAI or MAC, a dz of advanced HIV

18

what is the goal of Antiretrovial therapy?

to suppress HIV-1 replication --> prevent/delay destruction of immune system --> achieve normal survival

19

if the viral load is NOT high but CD4 count is 350

defer therapy

20

what are the reasons to delay HAART?

1. toxicities
2. resistance to drugs
3. cost
4. non-adherernce

21

What is the intial HAART?

2 nucleoside + 1 PI or 2 necleoside + 1 integrase inhibitor