Case study HIV

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Case study Human Immune Deficiency Virus Bio-molecule: T Cell-CD4

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  • 1. By Nweke Ifeanyi Valentine
  • 2.  John Doe is a 40 Years Old Native American Male. He Arrived to the ER, with complaint of, Weight Loss, skin rashes, headache, fatigue, weakness, nausea that started Last 3 months, chronic diarrhea and Shortness of breath. Patient Data & Chief Complain
  • 3.  Vital signs Temp: 102F BP: 90/55 Pulse:110 RR: 20 Physical Assessment: Patient looks ill Mouth Bruised Facial petechiae Erythematous maculopapular rash on the trunk Symmetric adenopathy Assessment
  • 4.  WBC: 14.2 ( 4.1-10.9) RBC: 2.9 ( 3.3-5.5) Plt : 84 (150-400) Hgb: 9.5 (9-12.5) PH: 7.39 PO2: 70 PCO2 : 30 Laboratory Result
  • 5.  X ray chest : Multiple Nodule to Bilateral Lungs Blood culture: Positive Herpes simples virus & Retrovirus Sputum culture : Fungal Pneumonia- organism Candida species and Aspergillus species Lab cont
  • 6.  What is your Initial diagnosis for this patient ?
  • 7.  What other test will you order to confirm this Diagnosis?
  • 8.  HIV : Is a human immunodeficiency Virus. HIV Infect vital cell of the immune system such CD4+T Cell, macrophages and dendrites cells.  There are two main types of HIV: HIV-1: Global HIV-2: West Africa Diagnosis HIV
  • 9.   p24 antigen blood test  CD4 count  HIV ELISA and Western blot tests Other Test
  • 11.   No cure  Treatment Options: Antiviral such as : Retrovir, Combivir,Abacavir Treatment of Complications such as TB, fungal infection Antifungal TB drug: Isoniazid, Rifampin Antibacterial Cure /Treatment
  • 12.   ART: Treatment
  • 13.   Hussain Khuraidah, Respiratory Therapist at University of Dammam Follow. (2013). HIV Case Study. Retrieved December 12, 2016, from http://www.slideshare.net/hussainkhuraidah/hiv-case-study-15817177  Fungal Pneumonia Overview of Fungal Pneumonia. (n.d.). Retrieved December 12, 2016, from http://emedicine.medscape.com/article/300341- overview  HIV and AIDS: Treatment & Care. (n.d.). Retrieved December 12, 2016, from http://www.webmd.com/hiv-aids/guide/hiv-treatment-care Reference

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