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Early Signs and Symptoms to Suspect HIV

Dr. Alap J. Mehta M.B.B.S. Fellow in HIV Medicine ( New Delhi) Fellow in Industrial Health ( Ahmadabad) Diploma in HIV Medicine (London, U.K.) cont. Early Signs and Symptoms to Suspect HIV. વહેલો તે સહેલો . Why early Diagnosis. Prolong life expectancy Prevent major opportunistic infection

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Early Signs and Symptoms to Suspect HIV

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  1. Dr. Alap J. Mehta M.B.B.S. Fellow in HIV Medicine ( New Delhi) Fellow in Industrial Health ( Ahmadabad) Diploma in HIV Medicine (London, U.K.) cont.. Early Signs and Symptoms to Suspect HIV

  2. વહેલો તે સહેલો

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

  4. Objectives • Most Common Symptoms • Most common signs which lead to suspect HIV infection ( System wise)

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

  6. Eye • Symptoms : Decrease Visual Acuity • Evaluation : Fundoscopy • Findings: Retinitis • Suspect : C.M.V.

  7. Ear Nose & Sinuses • Symptoms : Recurrent URTI • Evaluation : L.E. & Radiology • Findings: Chronic Sinusitis • Suspect : Bacterial / Fungal

  8. Oral Cavity • Symptoms : Oral Ulcers • Evaluation : L.E. • Findings: Coated / Striate Tongue • Suspect : Candidacies / H.L.P

  9. Neck • Symptoms : Enlarged Painless L.N • Evaluation : L.E. & FNAC • Findings: Soft / hard • Suspect : TB / HIV-Lymphoma

  10. Lungs • Symptoms : Cough with/ Without Expectoration • Evaluation : S.E. & Radiology • Findings: Consolidation/Effusion • Suspect : TB/PCP/ Recurrent C.A.P

  11. Mediastinum • Symptoms : Dry cough • Evaluation : S.E. & radiology-Biopsy • Findings: Lymphadenopathy • Suspect : TB/Carcinoma/Fungal

  12. Cardiovascular System • Symptoms : Tachycardia, Fatigue • Evaluation : Radiology & ECG • Findings: Pericardial Effusion / Cardiomyopathy • Suspect : TB / HIV

  13. Oesophagus • Symptoms : Difficulty in Swallowing Painful Swalloeing • Evaluation : Barium study / Scopy / Biopsy • Findings: Ulcers, Narrowing • Suspect : candidacies / Herpes / CMV / TB / Idiopathic

  14. Intestine • Symptoms : Diarrhea • Evaluation : Radiology & stool exm. • Findings: Organism • Suspect : Giardiasis, Isospora, Cryptosporiasis, E.Histolytica

  15. Spleen,Liver • Symptoms : Abdominal pain • Evaluation : Radiology & FNAC • Findings: Granulomatous lesions • Suspect : TB / Fungal

  16. Kidney Findings: On USG – Medical Renal Disease • Suspect : HIV Nephropathy / TB

  17. Skin • Symptoms : Itching, Skin lesions, Ulcers • Evaluation : L.Examination • Diagnosis: Herpes Zoster, Herpes Labialis, P.P.E., Sebhorric Dermatitis, • Suspect :

  18. Seborreic Dermatitis

  19. Herpes Zoster

  20. Herpes Labialis

  21. Papular Pruritic Eruption

  22. C.N.S • Symptoms : Headache, Convulsion, meningism • Evaluation : MRI, CT Scan, CSF study • Findings: SOL, Focal Lesions, meningitis • Suspect : TB, Toxoplasma, Cryptococcus, Lymphoma

  23. Tuberculosis

  24. Toxoplasmosis

  25. Cryptoccal

  26. With Internees from Europe, Africa and China came for Training on HIV Thank You

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