Case Study
HIV
Patient Case Question 1. Identify this patient’s two most significant risk factors for developing HIV disease.
Unprotected sex
IV drug use
Patient Case Question 2. Why do you think that this patient had been taking dapsone?
Preventative for pneumonia because he is allergic to Bactrim
Patient Case Question 3. Identify the two most specific clinical signs in the physical examination that support a
diagnosis of pneumonia.
Cough
Fever
Moderate dyspnea
Bibasilar crackles
Heart rate of 90
RR of 30
Patient Case Question 4. Relative to his previous two visits to the HIV clinic, what do the patient’s HIV
markers indicate at this time?
Advancing to AIDS, markers trending down
Patient Case Question 5. The correct assessment of this patient’s arterial blood gas analysis is:
a. hypoxemia and hypercapnia
b. hypoxemia and hypocapnia
c. normal PaO2 and hypercapnia
d. normal PaO2 and hypocapnia
e. normal PaO2 and normal PaCO2
Patient Case Question 6. Following seroconversion of this patient to HIV disease, which AIDS-defining
clinical manifestations or complications has this patient developed?
Thrush
Lesions
Pneumonia
Retinitis
CD4 count trending down, 163
Patient Case Question 7. Direct HIV infection of renal cells may result in clinical manifestations of kidney
disease. Do laboratory tests indicate that HIV has affected kidney function?
No renal involvement
Patient Case Question 8. Based on the CDC HIV Classification System, what is the current clinical category
(or stage of HIV infection) for this patient?
Stage 4, progressing from HIV to AIDS