Cyprian needs to have an ELIZA sent to confirm
the diagnosis.
- She needs to be referred to 'Clinic 49' for
follow-up of HIV/AIDS.
- Why the pancytopenea?
- HIV itself
- Infiltration of marrow with M. tuberculosis
or atypical mycobacterium.
Her
treatment consisted of
- Septrin and prednisone for her PCP
--->
- Oral fluconazole for her thrush.
- Nutritional supplements.
- 'Gentle' hydration.
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A CD4 count is simply too expensive to order
routinely.
The differential diagnosis for her pulmonary
symptoms should include:
- Miliary tuberculosis
- Malignancy with lymphangitic spread.
- Pulmonary embolus
- Atypical pneumonia should be kept in mind, but
generally doesn't cause such marked hypoxia.
Grace is our next patient.
She has a productive cough and 'hotness of the body'.
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