Term
Primary HIV (acute)
best test to order |
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Definition
| HIV viral load RNA via PCR |
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Term
| main more of aquisition of HIV for females |
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Definition
| heterosexual sex- sex with men lots and lots of sex. sluts whores, prostitutes, ladies of the night. |
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Term
| Sexually infecting someone who is on HIV surpression therapy |
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Definition
| when a person with HIV is on supression therapy which reduces its blood viral load the probability of infecting someone else is reduced by 90% |
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Term
what are the AIDs defining conditions in a person who is known to be HIV infected
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Definition
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Term
what is a HIV genotype assay and why is it important for HIV treatment?
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Definition
| HIV genotype assay is the detection of mutations in the genotype of HUV cells which allows us to choice the right antivrial which is why it is important |
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Term
| what do elderly HIV + pts have higher risks for |
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Definition
| osteoporosis and avascular necrosis |
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Term
| what can happen if an HIV+ misses one HIV trxt pill |
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Definition
| their disease burden can progress rapidly |
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Term
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Definition
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Term
| what are true in regards to the HIV rate in the US |
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Definition
- as a percentage, men who have sex with men HIV rate is increasing
- IV drug user HIV rates are decreasing
- minorities are over represented within the total percentage of HIV+
- 20% of hiv+ ppl in the US are unaware
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Term
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Definition
| AIDS is defined as HIV infection plus CD4 count less than 200 regardless of sx's and/or HIV infection aids defining condition at any CD4 count |
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Term
| risk factors for HIV transmission |
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Definition
- viral load
- uncircumscribed males
- sexual partner numbers and sexual practices
- genetics
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Term
what % of HIV pts are asymptomatic
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Definition
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Term
| what % of female transmission is from heterosexual contact |
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Definition
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Term
| Mycobacteruim avuim complex (MAC) |
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Definition
found in aids pts
is a disseminated infection
can be grown from the blood
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Term
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Definition
| typically presents with 2-3wks fever, dry cough, and progressing SOB |
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Term
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Definition
found in AIDS pts- cd4 <150 sx of fever, hepatomegly, splenomegly, lymphadenopathy
- an infetion which presents itself in pts exposed to MI, Ohio river valley and Puerto Rico
- oftern prestents in a diseeminated fashion like TB
- histoplasma urinary antigen is used as DX test
- can be caused by inhalation of ednemic fungi that changes from mold to ayeast inside the body
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Term
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Definition
| CMV virus in aids pts that includes esophogitis, colitis, retinitis |
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Term
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Definition
| Will vary with cd4 cell counts |
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Term
| CMV is an organ system disease that presents with what level of CD4 counts |
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Definition
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Term
| recurent VZV (varicella zoster) infections typically occur at what cd4 count |
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Definition
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Term
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Definition
- presents as painless, purplish, nodular rash on pts face and chest, lesions can be a manifestation with herpes virus 8
- assuming pt has +HIV and presents with these clinical findings, he would meet the criterion for AIDS
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Term
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Definition
| most pts with a + toxoplasmic encephalitits have + serum antibodies |
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Term
| CNS lymphoma chartiterized by |
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Definition
- EVB, herpes family virus
- opportununistic infection typically occurs at cd4 count less than 100
- tumors have ring enhancing changes on MRI
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Term
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Definition
- erythema migran, flat, slightly raised red lesion that expands with central clearing like a target
- head ache stiff neck
- arthralgias, arthritis, myalgias, chronic and recurrent
- wide geographic distribution, NE, mid atlantic, upper midwest, pacific coast
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Term
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Definition
- residence ofr resecnt exposure to malaria places- think recent travel
- intermttent attacks of fever chilld and sweating
- HA, myalagias, vomiting, splenomegly, anemia, thrombocytopenia
- intraerythrocytic parasites are found in the thick or thin blood smears
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Term
| complications of falciparum malaria |
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Definition
- cerebral malaria
- severe anemia
- hypoten
- noncardiogenic pulmo edema
- acute kidney infection
- hypo glycemia
- acidosis
- hemolysis
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