Download Internal Medicine - The Carter Center

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts

Infection wikipedia, lookup

Disease wikipedia, lookup

Management of multiple sclerosis wikipedia, lookup

Multiple sclerosis research wikipedia, lookup

List of medical mnemonics wikipedia, lookup

Dental emergency wikipedia, lookup

Sjögren syndrome wikipedia, lookup

Adherence (medicine) wikipedia, lookup

Syndemic wikipedia, lookup

Focal infection theory wikipedia, lookup

Transcript
Internal Medicine
•
It is a late manifestation which often occurs when the CD4count falls below 200/mm3
Three main categories seen with HIV
•
Grade III or IV Immunoblastic lymphoma (60%)
•
Burkitt’s lymphoma(20%)- associated to EBV
•
Primary CNS lymphoma
Treatment
1. In patients with high CD4 count – Intensive Chemotherapy
In patients with low Cd4 count – low dose Chemotherapy
2. Palliative measures : to decrease the size of the lesion and associated edema
•
Radiotherapy
•
Glucocorticoides :
Cervical cancer
•
There is a five-fold risk of developing cervical c.a. in women with AIDS
•
Is associated with human papilloma virus infection
•
Invasive c.a. of the Cervix is an AIDS defining illness.
•
Abnormal PAP smear is seen in 60%of HIV infected women
•
Anorectal c.a. may also be seen in homosexual men
Clinical Staging of HIV/AIDS
There are different types of staging systems. The most common are:
•
The WHO clinical staging system
•
The CDC staging system
WHO Clinical Staging System for HIV/AIDS
•
It is a system designed for estimating the degree of immuno-suppression on clinical
criteria
•
Intended for use in patients known to have HIV (i.e. HIV+ antibody test)
•
It is widely used in recourse limited settings to make decisions as to when to start
patients on ART
•
According to this staging system there are 4 clinical stages
121