EARLY SIGNS AND SYMPTOMS TO SUSPECT

HIV

Dr. Alap J. MehtaM.B.B.S.

Fellow in HIV Medicine ( New Delhi)Fellow in Industrial Health ( Ahmadabad)

Diploma in HIV Medicine (London, U.K.) cont..

વહેલો તે સહેલો

Why early Diagnosis Prolong life expectancy Prevent major opportunistic infection Pregnancy Social interest

Objectives Most Common Symptoms Most common signs which lead to

suspect HIV infection ( System wise)

Most Common Symptoms Unexplained Weight Loss Chronic Fever Chronic Diarrhea Oral Ulcers Lymphadenopathy Anorexia Severe fatigue Unexplained anemia

Eye Symptoms :

Decrease Visual Acuity

Evaluation : Fundoscopy

Findings:Retinitis

Suspect :C.M.V.

Ear Nose & Sinuses Symptoms :

Recurrent URTI Evaluation :

L.E. & Radiology Findings:

Chronic Sinusitis Suspect :

Bacterial / Fungal

Oral Cavity Symptoms :

Oral Ulcers Evaluation :

L.E. Findings:

Coated / Striate Tongue

Suspect :Candidacies / H.L.P

Neck Symptoms :

Enlarged Painless L.N

Evaluation : L.E. & FNAC

Findings:Soft / hard

Suspect :TB / HIV-Lymphoma

Lungs Symptoms :

Cough with/ Without Expectoration

Evaluation : S.E. & Radiology

Findings:Consolidation/Effusion

Suspect :TB/PCP/ Recurrent C.A.P

Mediastinum Symptoms :

Dry cough Evaluation :

S.E. & radiology-Biopsy

Findings:Lymphadenopathy

Suspect :TB/Carcinoma/Fungal

Cardiovascular System Symptoms :

Tachycardia, Fatigue Evaluation :

Radiology & ECG Findings:

Peri cardial Effusion /Cardiomyopathy

Suspect :TB / HIV

Oesophagus Symptoms :

Difficulty in SwallowingPainful Swalloeing

Evaluation : Barium study / Scopy / Biopsy

Findings:Ulcers, Narrowing

Suspect :candidacies / Herpes / CMV / TB / Idiopathic

Intestine Symptoms :

Diarrhea Evaluation :

Radiology & stool exm. Findings:

Organism Suspect :

Giardiasis, Isospora, Cryptosporiasis, E.Histolytica

Spleen,Liver Symptoms :

Abdominal pain Evaluation :

Radiology & FNAC Findings:

Granulomatous lesions

Suspect :TB / Fungal

Kidney Findings:

On USG – Medical Renal Disease Suspect :

HIV Nephropathy / TB

Skin Symptoms : Itching, Skin lesions, Ulcers Evaluation : L.Examination Diagnosis: Herpes Zoster, Herpes

Labialis, P.P.E., Sebhorric Dermatitis, Suspect :

Seborreic Dermatitis

Herpes Zoster

Herpes Labialis

Papular Pruritic Eruption

C.N.S Symptoms :

Headache, Convulsion,meningism

Evaluation : MRI, CT Scan, CSF study

Findings:SOL, Focal Lesions, meningitis

Suspect :TB, Toxoplasma, Cryptococcus, Lymphoma

Tuberculosis

Toxoplasmosis

Cryptoccal

Thank You

With Internees from Europe, Africa and China came for Training on HIV