CASE STUDY

By Nweke Ifeanyi Valentine

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

Vital signs Temp: 102F BP: 90/55 Pulse:110 RR: 20Physical Assessment:Patient looks ill Mouth Bruised Facial petechiaeErythematous maculopapular rash on the trunk Symmetric adenopathy 

Assessment

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: 7.39PO2: 70PCO2 : 30

Laboratory Result

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

What is your Initial

diagnosis for this patient ?

What other test will you

order to confirm this Diagnosis?

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

p24 antigen blood test CD4 count HIV ELISA and Western blot tests

Other Test

No cure Treatment Options: Antiviral such as : Retrovir, Combivir,AbacavirTreatment of Complications such as TB, fungal infection Antifungal TB drug: Isoniazid, Rifampin Antibacterial

Cure /Treatment

ART: Treatment

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