Term
| what are most common opportunistic infections with HIV (5) |
|
Definition
pneumocystis jirovecii
candidad albicans
toxoplasma gondii encephalitis
cytomegalovirus
MAC |
|
|
Term
pneumocystis jirovecii is what type of org?
its the _ most common casue lung disease |
|
Definition
|
|
Term
| you see pneumocystis jirovecii when CD4 count is below |
|
Definition
|
|
Term
| presentaiton of pnumocyst jiro- 4 |
|
Definition
slow onset
fever
hypoxemia
non-productive cough |
|
|
Term
| how is the pneumocystis jiro diagnosed? 2 |
|
Definition
stains of sputum
bronchoscopy |
|
|
Term
| prophylaxis for pneumocysitis is only for ppl with- 2 things |
|
Definition
|
|
Term
| when do you stop prophylaxis for pneumocystis |
|
Definition
|
|
Term
| 50-100% of HIV patients will get this infection |
|
Definition
|
|
Term
| what is oropharyngeal candida albicans |
|
Definition
| erthymateous legions on oral surfaces |
|
|
Term
| what is esophageal candida albicans |
|
Definition
|
|
Term
| for what infections is primary porphylaxis not reccomended? |
|
Definition
|
|
Term
| when do you do secondary prophylaxis for candida albicans |
|
Definition
| if frequent occurances or if very severre |
|
|
Term
what type of org is toxoplasma gondii?
when do you get this encephalitis? |
|
Definition
|
|
Term
when do you do prophylaxis fro encephalitis?
when do you discontinue? |
|
Definition
CD4<100
when CD4>200 x 3 months |
|
|
Term
| how does encephalitis present? |
|
Definition
| headache, CNS (fever, confusion) |
|
|
Term
| what is the infection of the retina? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| how long is secondary prophylaxis of CMV? |
|
Definition
| lifelong unless CD4>100 x 3 months |
|
|
Term
| MAC is commonly found in? |
|
Definition
|
|
Term
|
Definition
| weihgt loss, fever, night sweats, diarrhea, anemia |
|
|
Term
when do you do prophylaxis for MAC?
when do you discontinue? |
|
Definition
CD4<50
CD4 >100 x 3 months |
|
|
Term
| all HIV ppl shouldave what immunizations- 3 |
|
Definition
hep B
flu (not intranasal)
pneumococcal |
|
|
Term
| High risk groups should have ths vaccine |
|
Definition
|
|
Term
| HIV females of 9-26 should ahve what vaccine |
|
Definition
|
|
Term
| college students and military recruits shoudl have what vaccine? |
|
Definition
|
|
Term
| who should recieve the varicella vaccine? - 2 things |
|
Definition
|
|
Term
| what vaccine is neverr reccomended? |
|
Definition
|
|
Term
| HIV wasting syndrome is -2 things |
|
Definition
>10% weight loss
+
symptoms |
|
|
Term
| is HIV wasting caused only by malnutrition? |
|
Definition
|
|
Term
most common malignancy with HIV
what virus is it asssoc. with? |
|
Definition
Kaposi's sarcoma
herpesvirus 8 |
|
|
Term
| other malignancies of HIV |
|
Definition
non hodgkin's lymp
hodgkin's |
|
|
Term
| what med class is preferrred in most OIs |
|
Definition
|
|
Term
| when should ART be started? -2 |
|
Definition
-kaposi's sarcoma or other malginancy
-no treatment of OI exists |
|
|
Term
IRIS is defined as
when does it occur? |
|
Definition
clinical syndromes assoc with immune recovery
4-8 weeks |
|
|
Term
| what 2 infections most commonly occur in IRIS |
|
Definition
|
|
Term
| what disease should ART not be initiated |
|
Definition
|
|
Term
| if new OI devlops while on ART, what do you recomend? |
|
Definition
continue ART
+
treat new OI |
|
|
