Examination reveals clubbing, bibasal crepitations, hepatosplenomegaly. Multiple L/N enlargement.
Hb 10
WBC 4.1
Plt 43
Na 112 K3.2 U 3.8 Cr 69
pH 7.43 pCO2 2.4 pO2 9.8 HCO3 12 BE -10 SpO2 95%
What is your choice of treatment ?
A. IV Ceftazidime 2 g stat and 8H
B. IV (sulfamethoxazole and trimethoprim)Bactrim 3 ampules stat & qid
C. Isoniazid, Rifampicin, Ethambutol and Pyrazinamide
D. IV Acyclovir 500 mg stat and 8H
E. IV Amphotericin B
7 comments:
B
What are the reasons for choosing the answer?
Because thats the treatment for PCP{if i'm right}.
My answer is B. Patient has legionellosis ?
Yes, this patient has HIV and PCP.
How we know this patient got PCP and HIV?
Why is the patient having clubbing here? HIV is not a cause for clubbing
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