1. 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..

2. વહેલો તે સહેલો

3. Why early Diagnosis  Prolong life expectancy  Prevent major opportunistic infection  Pregnancy  Social interest

4. Objectives  Most Common Symptoms  Most common signs which lead to suspect HIV infection ( System wise)

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

6. Eye  Symptoms : Decrease Visual Acuity  Evaluation : Fundoscopy  Findings: Retinitis  Suspect : C.M.V.

7. Ear Nose & Sinuses  Symptoms : Recurrent URTI  Evaluation : L.E. & Radiology  Findings: Chronic Sinusitis  Suspect : Bacterial / Fungal

8. Oral Cavity  Symptoms : Oral Ulcers  Evaluation : L.E.  Findings: Coated / Striate Tongue  Suspect : Candidacies / H.L.P

9. Neck  Symptoms : Enlarged Painless L.N  Evaluation : L.E. & FNAC  Findings: Soft / hard  Suspect : TB / HIV-Lymphoma

10. Lungs  Symptoms : Cough with/ Without Expectoration  Evaluation : S.E. & Radiology  Findings: Consolidation/Effusion  Suspect : TB/PCP/ Recurrent C.A.P

11. Mediastinum  Symptoms : Dry cough  Evaluation : S.E. & radiology- Biopsy  Findings: Lymphadenopathy  Suspect : TB/Carcinoma/Fung al

12. Cardiovascular System  Symptoms : Tachycardia, Fatigue  Evaluation : Radiology & ECG  Findings: Peri cardial Effusion / Cardiomyopathy  Suspect : TB / HIV

13. Oesophagus  Symptoms : Difficulty in Swallowing Painful Swalloeing  Evaluation : Barium study / Scopy / Biopsy  Findings: Ulcers, Narrowing  Suspect : candidacies / Herpes / CMV / TB / Idiopathic

14. Intestine  Symptoms : Diarrhea  Evaluation : Radiology & stool exm.  Findings: Organism  Suspect : Giardiasis, Isospora, Cryptosporiasis, E.Histolytica

15. Spleen,Liver  Symptoms : Abdominal pain  Evaluation : Radiology & FNAC  Findings: Granulomatous lesions  Suspect : TB / Fungal

16. Kidney Findings: On USG – Medical Renal Disease  Suspect : HIV Nephropathy / TB

17. Skin  Symptoms : Itching, Skin lesions, Ulcers  Evaluation : L.Examination  Diagnosis: Herpes Zoster, Herpes Labialis, P.P.E., Sebhorric Dermatitis,  Suspect :

18. Seborreic Dermatitis

19. Herpes Zoster

20. Herpes Labialis

21. Papular Pruritic Eruption

22. C.N.S  Symptoms : Headache, Convulsion, meningism  Evaluation : MRI, CT Scan, CSF study  Findings: SOL, Focal Lesions, meningitis  Suspect : TB, Toxoplasma, Cryptococcus, Lymphoma

23. Tuberculosis

24. Toxoplasmosis

25. Cryptoccal

26. Thank You With Internees from Europe, Africa and China came for Training on HIV