A 45-year-old man known to be HIV positive, presents to your department with fever, nonproductive cough, weight loss and mild confusion. His vitals signs are :

  • HR 105
  • BP 110/70
  • Sats 94% RA
BSL 5.4 T 38.6

1. List (4) important differential diagnoses to be considered in this patient. (4 marks) 4 marks

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2. List and justify (4) specific investigation which will help in differentiating the cause of this patient’s illness. (4 marks) 4 marks

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The patient’s new girlfriend is in attendance. She is concerned about her risk of contracting HIV.

3. List (4) factors that influence commencement of PEP in this patient. (4 marks) 4 marks

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4. List (6) things that a clinician must discuss with patients to whom they are prescribing PEP. (6 marks) 6 marks

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