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Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

Author

7 Posts

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/24/04 - 10:48 AM

AIDs pt with Cd 4 count 800.Immunize against ...

A. influenza vaccine

B. Td

C. MMR

D. pneumococcal

dpk
Forum Junior

Topics: 10
Posts: 66

07/24/04 - 01:13 PM

pneumococcal vaccine

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/25/04 - 12:22 PM

i think its influenza vaccine.

anybody who would like to show light ??

dimps
Forum Guru

Topics: 63
Posts: 446

07/25/04 - 05:22 PM

we give all these vaccines in aids pt ,i m confused which is to be given in this patient

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dmnz
Forum Junior

Topics: 7
Posts: 72

07/26/04 - 07:45 PM

Influenza vaccine

Greatest prevention of RESPIRATORY morbidity is associated with flu vaccination.
Lung should be protected first in AIDS as they harbour many other opportunistic infections later. Count is still 800. so its not bad.
remember to start prophylaxis

if CD4 < 500 - START ANTIRETROVIRAL
if CD4 < 200 - TMP-SMX for P.carinii & toxoplasmosis
if CD4 < 100 - Clarithromycin for MAC(atypical TB)
if CD4 < 50 - Ganciclovir(CMVretinitis)

:wink:

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/26/04 - 09:39 PM

"dmnz" wrote:
Influenza vaccine

Greatest prevention of RESPIRATORY morbidity is associated with flu vaccination.
Lung should be protected first in AIDS as they harbour many other opportunistic infections later. Count is still 800. so its not bad.
remember to start prophylaxis

if CD4 < 500 - START ANTIRETROVIRAL
if CD4 < 200 - TMP-SMX for P.carinii & toxoplasmosis
if CD4 < 100 - Clarithromycin for MAC(atypical TB)
if CD4 < 50 - Ganciclovir(CMVretinitis)

:wink:

Excellent :idea:

dimps
Forum Guru

Topics: 63
Posts: 446

07/27/04 - 02:46 PM

very good dmnz

just 1 thing
for MAC infection i think azithromycin is preffered ,reason being only once a week

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