INFECTIOUS DISEASE
HIV/AIDS
PromptHighest risk populations of HIV seroprevalence
ResponseIVDU + MSM = 30% prevalence
PromptList common diseases associated with HIV
ResponsePneumonia
Meningitis
Toxoplasmosis (parasite from undercooked meat)
Cerebral lymphoma
Cryptococcus
HIV encephalopathy
- PJP - Co-trimoxazole
- Mycoplasma - Azithromycin
- S. Pneumoniae - Benpen, ceftriaxone
- TB (Isoniazid, Rifampicin, Pyrazinamide and Ethambutol)
Meningitis
Toxoplasmosis (parasite from undercooked meat)
Cerebral lymphoma
Cryptococcus
HIV encephalopathy
PromptInvestigations in HIV related infection
ResponseHIV viral load
CD4 count
LP - meningitis/cryptococcus
CTB - Cerebral lymphoma/toxoplasmosis
CXR ? TB/pneumonia
CD4 count
LP - meningitis/cryptococcus
CTB - Cerebral lymphoma/toxoplasmosis
CXR ? TB/pneumonia
PromptAIDS defining bloods
ResponseCD4 <400
Viral load >50,000
(absolute lymphocyte count <1200)
Viral load >50,000
(absolute lymphocyte count <1200)
PromptAIDS defining illnesses
(basically repeat of above - pick a few and memorise them)
(basically repeat of above - pick a few and memorise them)
ResponseOesophageal candidiasis
Cryptococcus
CMV
HSV
Kaposi sarcoma
Brain lymphoma (burkitt lymphoma)
Mycobacterium avian complex
PJP
Progressive multifocal leukoencephalopathy
Brain toxoplasmosis
HIV encephalopathy
HIV wasting syndrome
Disseminated histoplasmosis (fungal infection found in bird and bat shit. Usually no issues in immunocompetent people)
Isosporiasis
Disseminated TB infection
Recurrent salmonella
CD4 <200
Pulmonary TB
Recurrent bacterial pneumonia
Invasive cervical cancer
Cryptococcus
CMV
HSV
Kaposi sarcoma
Brain lymphoma (burkitt lymphoma)
Mycobacterium avian complex
PJP
Progressive multifocal leukoencephalopathy
Brain toxoplasmosis
HIV encephalopathy
HIV wasting syndrome
Disseminated histoplasmosis (fungal infection found in bird and bat shit. Usually no issues in immunocompetent people)
Isosporiasis
Disseminated TB infection
Recurrent salmonella
CD4 <200
Pulmonary TB
Recurrent bacterial pneumonia
Invasive cervical cancer