MedBugs: SAQ #436

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Case: HIV with fever, cough and confusion

A 45-year-old man known to be HIV positive, presents to your department with fever, nonproductive cough, weight loss and mild confusion. His vitals signs are :

HR 105
BP 110/70
Sats 94% RA

BSL 5.4 T 38.6

1. List (4) important differential diagnoses to be considered in this patient. (4 marks) 4 marks

2. List and justify (4) specific investigation which will help in differentiating the cause of this patient’s illness. (4 marks) 4 marks

The patient’s new girlfriend is in attendance. She is concerned about her risk of contracting HIV.

3. List (4) factors that influence commencement of PEP in this patient. (4 marks) 4 marks

4. List (6) things that a clinician must discuss with patients to whom they are prescribing PEP. (6 marks) 6 marks

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Case: HIV with fever, cough and confusion

1. List (4) important differential diagnoses to be considered in this patient. (4 marks) 4 marks

2. List and justify (4) specific investigation which will help in differentiating the cause of this patient’s illness. (4 marks) 4 marks

3. List (4) factors that influence commencement of PEP in this patient. (4 marks) 4 marks

4. List (6) things that a clinician must discuss with patients to whom they are prescribing PEP. (6 marks) 6 marks

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