Term
|
Definition
- pneumoccystis pneumonia
- common in adults, most common in peds with aids
- protazoa may be transmitted via inhalation of airborne cysts
- infection of the lungs can lead to resp failure
- tx is bactrim /septra
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Term
|
Definition
- mycobacterium avium complex
- not a good indication of HIV
- associated with rising mortality
- infection of lungs but can also affect GI tract, lymph nodes, bone marrow
- tx is clarithromycin (biaxin)
- tx is azithrmycin ( zithromax)
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Term
|
Definition
- mycobacterium tuberculosis
- often occurs in IV drug users
- early in course of HIV maybe first sign of HIV
- "DOT" direct observed therapy
- tx is isoniazid(INH), rifampin
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Term
| Gastrointestional issues with HIV/AIDS ? |
|
Definition
- Diarrhea
- oral candidiasis
- wasting syndrome
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Term
|
Definition
- pathogens affect intestional lining
- major cause of chronic diarrhea
- tx is sandostatin (SQ) decreases gastrin
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Term
|
Definition
- fungus
- occurs early in disease
- if untreated progresses to esophagus, stomach
- tx is mycelex, nystatin, nizoral, diflucan
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Term
|
Definition
- loss of more than 10% body weight, diarrhea, weakness, fever
- weight loss - loss of fat (lipodystrophy), lean muscle
- low food intake
- poor nutrient absorption
- altered metabolism - hypermetabolic state
- decreased androgen production
- increased TNF - tumor necrosis factor
- hypertriglyceridemia
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Term
| Neurologic issues of HIV/AIDS are ? |
|
Definition
- encephalopathy
- progressive decline in cognitive, behavioral and motor responses
- early S/S - HA memory deficits, decreased concentration
- Late S/S - seizures tremors global impairments death
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Term
|
Definition
- cryptococcus neoformans
- fungal infection
- s/s fever HA malaise, nuchal rigidity
- tx is amphotericin B alone or with oral flucytosine or diflucan
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|
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Term
| cytomegalovirus retinitis is ? |
|
Definition
- CMV
- major cause of blindness
- tx is ganciclovir s/e neutropenia no azt
- tx is foscarnet s/e renal failure, f/e imbalances
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Term
|
Definition
- molluscum contagiosum
- viral infection
- deforming plaque formation painful
- drug induced rash
- herpes simplex, herpes zoster(shingles)
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Term
|
Definition
- kaposis sarcoma
- Human papillomavirus
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|
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Term
|
Definition
- malginancy several forms
- involves endothelial layer of blood and lymph tissues
- occurs with immunosuppression therapy
- cutaneous lesions brownish pink to purple
- venous stasis, lymphedema, pain
- lymph nodes, gi lungs, organ involvment can occur
- tx varies - excision, radiation, alpha-interferon
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Term
|
Definition
- risk factor for cervical cancer
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Term
|
Definition
- depression or anxiety
- fatigue
- lethargy
- sleep disturbances
- tx is antidepressant meds/counseling
- sever depression may require ECT
- social isolation / fear
- no cure
- possible job loss
- guilt shame
- stigma
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