VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication
HIV CASE PRESENTATIONS Mike Silverman MD FRCPC Jason Brunetta MD CCFP David Fletcher MD FRCPC
CASE 1 66 yr old woman / HIV /Asymptomatic NO THERAPY DATECD4% CD4CD4/CD8VL
CASE 1 NO THERAPY DATECD4% CD4CD4/CD8VL
CASE 1 NO THERAPY DATECD4% CD4CD4/CD8VL
CASE 1 Other Issues Hypertension 180/100 x 8 yrs – No Meds as per patient request 2D echo x2 over 5 yrs – Normal function – Normal LV Mass
CASE 1 Late 2010 Increased eosinophillic folliculitis of skin Tongue/oral pain/burning – denies dysphagia or odynophagia 10 lb weight loss O/E – severe oral candidiasis
CASE 1 Late 2010 Hb 140 → 111 ( ) CD4 60 %CD4 12 CD4/CD8 0.2 HIV VL 295,251 WHAT HAPPENED HERE ???