early signs and symptoms to suspect hiv
Post on 24-Feb-2016
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EARLY SIGNS AND SYMPTOMS TO SUSPECT
HIV
Dr. Alap J. MehtaM.B.B.S.
Fellow in HIV Medicine ( New Delhi)Fellow in Industrial Health ( Ahmadabad)
Diploma in HIV Medicine (London, U.K.) cont..
વહેલો તે સહેલો
Why early Diagnosis Prolong life expectancy Prevent major opportunistic infection Pregnancy Social interest
Objectives Most Common Symptoms Most common signs which lead to
suspect HIV infection ( System wise)
Most Common Symptoms Unexplained Weight Loss Chronic Fever Chronic Diarrhea Oral Ulcers Lymphadenopathy Anorexia Severe fatigue Unexplained anemia
Eye Symptoms :
Decrease Visual Acuity
Evaluation : Fundoscopy
Findings:Retinitis
Suspect :C.M.V.
Ear Nose & Sinuses Symptoms :
Recurrent URTI Evaluation :
L.E. & Radiology Findings:
Chronic Sinusitis Suspect :
Bacterial / Fungal
Oral Cavity Symptoms :
Oral Ulcers Evaluation :
L.E. Findings:
Coated / Striate Tongue
Suspect :Candidacies / H.L.P
Neck Symptoms :
Enlarged Painless L.N
Evaluation : L.E. & FNAC
Findings:Soft / hard
Suspect :TB / HIV-Lymphoma
Lungs Symptoms :
Cough with/ Without Expectoration
Evaluation : S.E. & Radiology
Findings:Consolidation/Effusion
Suspect :TB/PCP/ Recurrent C.A.P
Mediastinum Symptoms :
Dry cough Evaluation :
S.E. & radiology-Biopsy
Findings:Lymphadenopathy
Suspect :TB/Carcinoma/Fungal
Cardiovascular System Symptoms :
Tachycardia, Fatigue Evaluation :
Radiology & ECG Findings:
Peri cardial Effusion /Cardiomyopathy
Suspect :TB / HIV
Oesophagus Symptoms :
Difficulty in SwallowingPainful Swalloeing
Evaluation : Barium study / Scopy / Biopsy
Findings:Ulcers, Narrowing
Suspect :candidacies / Herpes / CMV / TB / Idiopathic
Intestine Symptoms :
Diarrhea Evaluation :
Radiology & stool exm. Findings:
Organism Suspect :
Giardiasis, Isospora, Cryptosporiasis, E.Histolytica
Spleen,Liver Symptoms :
Abdominal pain Evaluation :
Radiology & FNAC Findings:
Granulomatous lesions
Suspect :TB / Fungal
Kidney Findings:
On USG – Medical Renal Disease Suspect :
HIV Nephropathy / TB
Skin Symptoms : Itching, Skin lesions, Ulcers Evaluation : L.Examination Diagnosis: Herpes Zoster, Herpes
Labialis, P.P.E., Sebhorric Dermatitis, Suspect :
Seborreic Dermatitis
Herpes Zoster
Herpes Labialis
Papular Pruritic Eruption
C.N.S Symptoms :
Headache, Convulsion,meningism
Evaluation : MRI, CT Scan, CSF study
Findings:SOL, Focal Lesions, meningitis
Suspect :TB, Toxoplasma, Cryptococcus, Lymphoma
Tuberculosis
Toxoplasmosis
Cryptoccal
Thank You
With Internees from Europe, Africa and China came for Training on HIV
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