Exam 5 - HIV Flashcards
how is HIV transmitted
direct contact with infected blood, blood product, and/or bodily fluid
which 3 cell types are primarily infected
helper T
CD4
macrophages
where is CD4 located
antigen that sits on the surface of T cell
primary receptor for taking on the HIV virus
initial infection s/sx can occur when
within days to weeks
initial infection s/sx
fever
fatigue
sore throat
arthralgia
myalgia
N/V/D
HA
rash
s/sx with disease progression
malaise, fatigue
fever, night sweat
invol. weight loss
anemia
thrombocytopenia
leukopenia
mouth ulcers, thrush
pharyngitis
genital ulcers
hepatomegaly
normal CD4 count
> 1000
HIV CD4 count
< 500
CD4 count < 200 indicates ___
AIDS
can a person with an intact immune system have pneumocystis carinni PNA
No
pneumocystis carinii PNA is caused by a common
fungus
s/sx of pneumocystis carinii PNA
fever
cough
dyspnea, tachypnea
tachycardia
mild CP
sputum production
may lead to cyanosis and respiratory distress
leading cause of death among those with HIV
TB
s/sx of TB
productive cough
fatigue
weight loss
lymphadenopathy
this is often the first indication of progression to AIDS
candidiasis
candidiasis can cause these
oral thrush
esophagitis
vaginal candidiasis
when does mycobacterium avium complex occur
CD4 count is < 50
this is the major cause of wasting syndrome
mycobacterium avium complex
most common sites for Kaposi’s sarcoma
face + ears
common viscera sites: GI tract + lungs
average survival rate after Kaposi’s sarcoma dx
18 months
which 2 types of lymphomas are common with HIV
Hodgkin’s
lymphoma of the brain
common s/sx of lymphomas in HIV pts
HA
change in mental status
will a women with cervical can who has AIDS likely die from the cancer or AIDS
cancer
HIV associated nephropathy leads to these changes
proteinuria
azotemia
normal to enlarged kidneys
glomerular lesions