Case #4 AJ is a 37-year-old man who has been positive for human immunodeficiency virus (HIV) for six years. He went to the outpatient clinic today, stating that he has a cough that will not go away and increasing shortness of breath. He is being admitted as an inpatient on the medical unit of the hospital. He is taking: Efavirenz (Sustiva) 600 mg po daily at bedtime, Tenofovir DF and emtricitabine (Truvada) 1 tablet PO daily at bedtime. AJ has had increasing fatigue and shortness of breath over the past week, stating “I can’t even walk to the bathroom without stopping to catch my breath”. Has had a nonproductive cough for two weeks and pain with coughing. He has lost 13 pounds over the past two months. AJ has the following: blood pressure 115/70, pulse 112, temperature 102° F, respiration 20, O2 sat 90% on room air, cachectic. AJ has crackles at bases of lungs, left side greater than right, heart rate and rhythm regular, no murmurs. Cxray shows probable pneumonia in left lower lobe. CD4 count 76 & (+) HIV Antibody. 1. What is the likely medical diagnosis for AJ? What assessment data leads you to this conclusion? Dx: Assessment data: 2. What diagnostic criteria are needed for a diagnosis of AIDS? 3. Now that AJ has AIDS, what additional opportunistic infections should he monitor for? List at least 4 infections he is prone to.
[Verified Answer]: Case #4 AJ is a 37-year-old man who has…
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