EARLY SIGNS AND SYMPTOMS TO

SUSPECT HIV

Dr. Alap J. Mehta

M.B.B.S.

Fellow in HIV Medicine ( New Delhi)

Fellow in Industrial Health ( Ahmadabad)

Diploma in HIV Medicine (London, U.K.) cont..

વહે� લો� તે� સહે� લો�

Why early Diagnosis

Prolong life expectancy Prevent major opportunistic infection Pregnancy Social interest

Objectives

Most Common Symptoms Most common signs which lead to

suspect HIV infection ( System wise)

Most Common Symptoms Unexplained Weight Loss Chronic Fever Chronic Diarrhea Oral Ulcers Lymphadenopathy Anorexia Severe fatigue Unexplained anemia

Eye Symptoms :

Decrease Visual Acuity

Evaluation :

Fundoscopy Findings:

Retinitis Suspect :

C.M.V.

Ear Nose & Sinuses Symptoms :

Recurrent URTI Evaluation :

L.E. & Radiology Findings:

Chronic Sinusitis Suspect :

Bacterial / Fungal

Oral Cavity Symptoms :

Oral Ulcers Evaluation :

L.E. Findings:

Coated / Striate Tongue

Suspect :

Candidacies / H.L.P

Neck Symptoms :

Enlarged Painless L.N

Evaluation :

L.E. & FNAC Findings:

Soft / hard Suspect :

TB / HIV-Lymphoma

Lungs Symptoms :

Cough with/ Without Expectoration

Evaluation :

S.E. & Radiology Findings:

Consolidation/Effusion

Suspect :

TB/PCP/ Recurrent C.A.P

Mediastinum Symptoms :

Dry cough Evaluation :

S.E. & radiology-Biopsy

Findings:

Lymphadenopathy Suspect :

TB/Carcinoma/Fungal

Cardiovascular System Symptoms :

Tachycardia, Fatigue Evaluation :

Radiology & ECG Findings:

Peri cardial Effusion /

Cardiomyopathy Suspect :

TB / HIV

Oesophagus Symptoms :

Difficulty in Swallowing

Painful Swalloeing Evaluation :

Barium study / Scopy / Biopsy

Findings:

Ulcers, Narrowing Suspect :

candidacies / Herpes / CMV / TB / Idiopathic

Intestine Symptoms :

Diarrhea Evaluation :

Radiology & stool exm. Findings:

Organism Suspect :

Giardiasis, Isospora, Cryptosporiasis, E.Histolytica

Spleen,Liver Symptoms :

Abdominal pain Evaluation :

Radiology & FNAC Findings:

Granulomatous lesions

Suspect :

TB / Fungal

Kidney

Findings:

On USG – Medical Renal Disease Suspect :

HIV Nephropathy / TB

Skin

Symptoms : Itching, Skin lesions, Ulcers Evaluation : L.Examination Diagnosis: Herpes Zoster, Herpes

Labialis, P.P.E., Sebhorric Dermatitis, Suspect :

Seborreic Dermatitis

Herpes Zoster

Herpes Labialis

Papular Pruritic Eruption

C.N.S Symptoms :

Headache, Convulsion,

meningism Evaluation :

MRI, CT Scan, CSF study Findings:

SOL, Focal Lesions, meningitis Suspect :

TB, Toxoplasma, Cryptococcus, Lymphoma

Tuberculosis

Toxoplasmosis

Cryptoccal

Thank You

With Internees from Europe, Africa and China came for Training on HIV