Pulling her chest X-ray from under her mattress, it is held to the window to be read.

Cyprian's X-ray shows bilateral interstitial infiltrates. Click here for larger X-ray image. At this time her biox is 78% with pulse of 104 Her hemogram shows pancytopenia: Hbg = 8.5 gm% Platelets = 85,000/cumm WBC = 2.1/cumm Absolute lymphocyte count = 400/cumm Blood smear is negative for parasites.

Photo courtesy of NIH

• It's noted that Cyprian is sharing a bed with someone who has miliary tuberculosis. It's requested she be moved to a different bed.

Cyprian has the classic picture of AIDS.

• Presents with PCP (hypoxia, dry cough and interstitial infiltrates.
• Chronic diarrhea and thrush (in Eldoret, thrush = AIDS until proven otherwise).
• Pancytopenea

Further evaluation........