Mr. Abrahms' chest X-Ray shows bilateral fluffy infiltrates in the lung fields, very suggestive of pnemocystis pneumonia.

• Do you see the changes?
• How about a normal film for comparison?

Lab values of signficance:

• His CBC is not abnormal.
• Total lymphocyte count is fine.
• CD4 count = 29/mm³ (nml = 1,500-4,000)
• CD8 count = 220/mm³ (nml = 325-1000)
• PCR HIV viral load = 38,000/mm³ (nml = 0)

Mr. Abrahms' completed SGA.

The nutritional issues associated with HIV/AIDS are many.

• Increased need because of chronic infection with HIV virus itself.
• Associated infections as AIDS evolves.
• Infections that affect the person's ability to eat and/or absorb nutrients.
  • Thrush (oral candidiasis) causes pain, thus affecting one's ability to eat.
  • Candida esophagitis (very painful swallowing).
  • Giardiasis affecting upper GI function and motility.
  • Cyrptosporidium causing diarrhea and increased GI motility.

Mr. Abrahms has clearly progressed from HIV positivity to overt AIDS.