11-23-2007, 08:23 AM
4)HIV pt female cd4 <200 -and leukoplakia -------what next step of mangement -----OP: TMX SMX/TM SMX+Pap smear/ MMR/ DTP/ pap smear
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hiv - lynna
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11-23-2007, 08:32 AM
i saw this quest before.somebody replied TMP SMX. i m still confused.
11-23-2007, 08:50 AM
I'm thinking of pap smear b/c leukoplakia also occurs in d genitals.Leukoplakia is usually treated with antivirals acyclovir,podophyllin .topical retinoic acid. It's caused by Ebstein Barr virus. I'm not sure of using TMSMX in it's tx
11-23-2007, 09:24 AM
The question and choices are not clear to me
But the question dosen't ask about treatment, it says management. Any HIV patient with CD4 less than 200 should receive TMP/ SMX prophylaxis and also MMR vaccine Pap smear is done from the age of 21 or 3 years after starting sexual intercourse whichever is earlier and repeated initially every year for 2-3 years and then every 3 years. So pap smear is irrevlavant in this question. My answer is TMP/SMX
11-23-2007, 10:38 AM
pranav I don't think we give MMR unless CD4 count is > 200 in hiv
do agree w/ TMp-SMX
11-23-2007, 10:41 AM
ho doyoudig,
you are right, we should give MMR if CD4 count is more than 200 only By the way vaccines indicated in HIV are 1. Influenza, 2. Pneumococcus, Hep B |
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