BotMed
Calculator
DDX
Topics
Conditions
Conditions by Topic
Cases
About
Log in
Condition Info
ConditionName
HIV
ConditionDescription
Symptoms
Acute phase: Fever; Myalgias; Fatigue; Headache; Sore throat; Rash; Cough (rare); Lymphadenopathy; 2-4 weeks; No symptoms for few years Late phase: Opportunistic infection; Weight loss; Night sweats; Neurological changes; Increased risk of infection
PhysicalFindings
ClinicalTests
HIV antibody and viral load; CD4 count CD4+cells: Macrophages; Dendritic cells; CD4+Tlymphocytes; First test: ELISA (99% sensitive, ab); Western blot (specific) WB will come back positive in neonates;
RiskFactors
Body fluids transmission (blood, semen, vaginal secretion, breast milk); Male sex with male; IV Ddug user; Blood transfusion before 1985; Needle sticks; Multiple sex partners; Sex partner of high risk individuals; Infected mother; Unprotected anal sex;
IsRedFlag
IsNPLEX
Consequence
B cell Lymphoma Herpes zoster simplex Kaposi sarcoma CD4 count <500 Parasitic diarrhea (cryptosporidium) Wasting syndrome CD4<100 Coccidioidomycosis AIDS dementia Bacteria pneumonia: Strep pneumo Haemo influenzae Nocardia Canada esophagitis Cervical cancer STI IV drug use
ProgressionFromCondition
TreatmentOptions
PharmOptions
WebLink
https://www.merckmanuals.com/professional/infectious-diseases/human-immunodeficiency-virus-hiv/human-immunodeficiency-virus-hiv-infection
Back to Conditions