Clinical presentations of HIV Flashcards

1
Q

What other illness should you think about in a patient when you suspect has glandular fever?

A

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which other STI often co-exists with HIV?

A

syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are symptoms of primary HIV/Seroconversion?

A
Soar throat
Fever
Lymphadenopathy
Malaise/lethargey
Arthralgia/myalgia
Rash - maculopapular rash on trunk
Orogenital/perianal ulceration
Headache/meningism
Diarrhoea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long after infection does seroconversion generally take place? What proportion of patients have symptoms?

A

2-6 weeks

Symptoms in 60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why should people with TB be screened for HIV?

A

often co-exist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When would you consider HIV in a patient with shingles?

A

Young otherwise fit patient

Severe

Multidermatomal

Other clinical clues of immunosuppression

HIV risk factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How are psoriasis and HIV linked?

A

HIV may trigger or exacerbate psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What malignancies are related to AIDS?

A

Kaposis sarcoma
Non-Hodgkins lymphoma
Invasive cervical carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What should all people with non-hodgkins lymphoma be screened for?

A

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does molluscum contagiosum on the face indicate?

A

Immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some non-AIDS defining malignancies?

A
Hodgkin's lymphoma
Anal cancer
Hepatocellular carcinoma
Head and neck/oral cancer
Lung cancer (non-small cell and adenocarcinoma)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some risk factors for non-AIDS-defining malignancies?

A
Increasing age
Low CD4
Lack of HIV treatment
Smoking
HBV infection
Oncogenic HPV-type infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When, in a history should you consider HIV as a differential diagnosis?

A

If presentation of something is:

atypical
recurrent
severe

RISK OF HIV INFECTIOn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List some general clinical syndromes where HIV could be a differential diagnosis?

A
Lymphadenopathy
 Weight loss
 Night sweats / PUO
 Confusion / dementia
 “Glandular fever”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

List some oral conditions where HIV could be a differential diagnosis?

A
Candida
Oral hairy leukoplakia
KS
Gingivitis
Aphthous ulceration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List some dermatological conditions, where HIV could be a differential?

A

Psoriasis (newly presenting or worsening)

Acne

Impetigo

Itchy folliculitis

Seborrhoeic dermatitis

Fungal infections– tinea pedis/cruris, pityriasis versicolor, onychomycosis

HSV– frequently recurring, disseminated, severe

HZV – recurrent chicken pox, shingles in young patient, multidermatomal shingles

Crusted scabies

Molluscum contagiosum- giant, facial

Viral warts – severe, recalcitrant, oral

17
Q

What are some respiratory conditions where HIV could be a differential diagnosis?

A

Atypical pneumonia

Recurrent bacterial pneumonia

TB

18
Q

What are some gastro conditions where HIV could be a differential diagnosis?

A

Oesophageal candida

Chronic diarrhoea

19
Q

What are some haematological conditions where HIV could be a differential diagnosis?

A

Thrombocytopenia

Lymphopneia

Lymphoma

20
Q

How might pneumocystis pneumonia show up on an X-ray?

A

Pulmonary interstitial infiltrates
Pneumatoceles
(ground glass appearance)
Predominant hilar

21
Q

What are some symptoms of pneumocystis pneumonia?

A

fever (low grade)
dry cough
SOB

Often presents sub-acutely