Clinical Indicators for HIV Testing

Question 1

List some AIDS-defining respiratory conditions which should prompt HIV testing

Answer 1

Tuberculosis

Pneumocystis

Question 2

List some non AIDS-defining respiratory conditions which should prompt HIV testing

Answer 2

Bacterial pneumonia

Aspergillosis

Question 3

List some AIDS-defining neurological conditions which should prompt HIV testing

Answer 3

Cerebral toxoplasmosis
Primary cerebral lymphoma
Cryptococcal meningitis
Progressive multifocal leucoencephalopathy

Question 4

List some non AIDS-defining neurological conditions which should prompt HIV testing

Answer 4

Aseptic meningitis / encephalitis
Cerebral abscess
Space occupying lesion or unknown cause
Guillain-Barre syndrome
Transverse myelitis
Peripheral neuropathy
Dementia
Leucoencephalopathy

Question 5

List some AIDS-defining dermatological conditions which should prompt HIV testing

Answer 5

Kaposi’s sarcoma

Question 6

List some non AIDS-defining dermatological conditions which should prompt HIV testing

Answer 6

Severe or recurrent seborrhoeic dermatitis
Severe or recurrent psoriasis
Multidermatomal or recurrent herpes zoster

Question 7

List some AIDS-defining gastroenterology conditions which should prompt HIV testing

Answer 7

Persistent cryptosporidiosis

Question 8

List some non AIDS-defining gastroenterology conditions which should prompt HIV testing

Answer 8

Oral candidiasis
Oral hairy leukoplakia
Chronic diarrhoea of unknown cause
Weight loss of unknown cause
Salmonella, shigella, campylobacter
Hep B infection
Hep C infection

Question 9

List some AIDS-defining oncological conditions which should prompt HIV testing

Answer 9

Non-Hodgkin’s lymphoma

Question 10

List some non AIDS-defining oncological conditions which should prompt HIV testing

Answer 10

Anal cancer or anal intraepithelial dysplasia
Lung cancer
Seminoma
Head and neck cancer
Hodgkin's lymphoma
Castleman's disease

Question 11

List some AIDS-defining gynaecological conditions which should prompt HIV testing

Answer 11

Cervical cancer

Question 12

List some non AIDS-defining gynaecological conditions which should prompt HIV testing

Answer 12

Vaginal intraepithelial neoplasia

Cervical intraepithelial neoplasia grade 2 or above

Question 13

List some non AIDS-defining haematological conditions which should prompt HIV testing

Answer 13

Any unexplained blood dyscrasia including:

• Thrombocytopenia
• Neutropenia
• Lymphopenia

Question 14

List some AIDS-defining ophthalmological conditions which should prompt HIV testing

Answer 14

CMV retinitis

Question 15

List some non AIDS-defining ophthalmological conditions which should prompt HIV testing

Answer 15

Infective retinal diseases including HSV and toxoplasma

Any unexplained retinopathy

Question 16

List some non AIDS-defining ENT conditions which should prompt HIV testing

Answer 16

Lymphadenopathy of unknown cause
Chronic parotitis
Lymphoepithelial parotid cysts

Question 17

List some non AIDS-defining ‘other’ conditions which should prompt HIV testing

Answer 17

Mononucleosis-like syndrome
Pyrexia of unknown origin
Any sexually transmitted infection