Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year. Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child. Physical Examination as follows: General: thin, anxious, acutely ill-appearing, young white man with tachypnea Neck/LN: slight cervical lymphadenopathy, thyroid normal Lungs/Thorax: CTA, slight axillary lymphadenopathy Labs Chest X-ray: Bilateral subtle infiltrates Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus Assessment: breakthrough opportunistic infection Case Study Questions: 1.Aside from HIV, what is your diagnosis? Support your clinical diagnosis.

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter10: Medication Administration Essentials
Section: Chapter Questions
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Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year.

Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.

Physical Examination as follows:

General: thin, anxious, acutely ill-appearing, young white man with tachypnea

Neck/LN: slight cervical lymphadenopathy, thyroid normal

Lungs/Thorax: CTA, slight axillary lymphadenopathy

Labs

Chest X-ray: Bilateral subtle infiltrates

Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus

Assessment: breakthrough opportunistic infection

Case Study Questions:

1.Aside from HIV, what is your diagnosis? Support your clinical diagnosis. 

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