Hiv/aids is a topic covered in the 5-Minute Emergency Consult.

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  • AIDS: Defined as lab evidence of HIV with CD4 <200 or AIDS defining illness—infection (e.g., cryptosporidium), malignancy (e.g., Kaposi, cervical cancer), or other (e.g., HIV wasting disease, HIV encephalopathy)
  • Opportunistic diseases:
    • CD <500 cells/mm3:
      • Oroesophageal candidiasis
      • Pneumococcal infection
      • Hairy leukoplakia
      • Immune thrombocytopenic purpura
    • CD4 <200 cells/mm3:
      • Pneumocystis jiroveci pneumonia (PCP)
      • Cryptococcal infection
      • Disseminated tuberculosis
      • Cryptosporidiosis
      • Isosporiasis
      • Toxoplasmosis
      • Histoplasmosis
    • CD4 <50 cells/mm3:
      • CNS lymphoma
      • Mycobacterium avium complex (MAC)
      • TB pericarditis or meningitis
      • Cytomegalovirus (CMV)
      • Cholangiopathy: Most common cause Cryptosporidium parvum

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