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9 Cards in this Set
- Front
- Back
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What are the 4 main UGI infections in HIV/AIDS pts?
What is the one class, and 4 examples of intestinal infections/diarrhea seen in HIV pts? |
esophagus: candida, CMV, HSV, idiopathic
protozoa: cryptosporidium, cyclosporta, isospora, microsporidia |
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AIDS pts are at risk for MAC, CMV, and Cryptosporidiosis (amongst other things) @ what CD4 counts?
Candidiasis, Lymphoma, Kaposi's? Pneumocystis? |
<100
200-500 100-200 |
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Non-ulcerative, oropharyngeal lesions in HIV pts include:
Candida, OHL, HPV, Lymphoma, and Kaposi's Class these as white, red or both. What can cause Oral ulcers? |
White: Candida, Oral hairy leukoplakia (OHL), HPV
Red: Candida, Kaposi’s, Lymphoma Could be aphthous stomatitis ("canker sore") or a viral infection, HSV, CMV, VZV. |
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What are the common etiologies of HIV esophagitis?
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Candiasis, CMB, HSV, Idiopathic esophageal ulcer (IEU)
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When characterizing HIV esophagitis, match the Dz with their following sx:
Dysphagia & Thrush Odynophagia single Ulcer (or few) Multiple ulcers |
Candida
CMV, IEU, HSV CMV, IEU HSV |
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What is the dx response to HIV esophagitis?
Is barium swallow indicated? Endoscopy? |
empiric fluconazole to rule out fungal? who knows. the others are tx'ed with this, so I don't know why you'd start with it.
No only when there is fluconazole non-response, or when severe odynophagia is present. |
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Is GI hemorrhage common or uncommon in HIV gastric dz?
Are isolated stomach OD's common? Which is the most common? |
uncommon
uncommon - CMV |
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How would you approach a HIV pt with diarrhea?
- when is endoscopy indicated? - when is endoscopy most likely to produce a dx? |
- CD4 count, consider small bowel vs large bowel sx, HAART status, etc.
- obtain c-diff culture, look for ova/parasite in stool eval - CD4 < 100-200, AFB and trichrome stains looking for fungus - when we can't dx otherwise - CD4 < 100 |
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jaundice is uncommon
Symptoms: fever, RUQ pain LFTs: Cholestatis (AP/GGT >> ALT) Imaging: CT or US abnormal in two-thirds; MRCP ... what dz related to HIV status does this describe? Tx? - does it improve survival? |
AIDS cholangiopathy
Consider ERCP Sphincterotomy: confirmed papillary stenosis - no |
