HIV AIDS physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Ujjwal Rastogi, MBBS; Ammu Susheela, M.D. [2]
Overview
Physical Examination
Appearance of the patient
The appearance of the patient depends on the stage of the disease. The patient may be completely asymptomatic or be ill-looking and/or malnourished. The patient have fever, nightsweats, weight loss, sleep disturbance, adenopathy, frailty.
Vitals
Temperature
- Fever can be present
Pulse
Blood pressure
Respiratory rate
- Tachypnea can be seen during fever and respiratory tract infections
Skin
Eyes
- Change in vision is a common aspect.
- The patient may see flashes of light sometime.
- Blurry vision
- Double vision or loss of vision can occur.
- Retinal lesions
- Yellow or white discoloration
- Retinal hemorrhage
- Retinal infiltrates
Head
- Headache
- Tenderness of sinuses
Nose
Ears
- Hearing loss
- Unilateral or bilateral deafness
- Discharge from ears
Throat
- Dental pain
- Peridontal disease
- Oral herpes simplex leisions
- Oral thrush
- Difficulty in mastigation
- Dysphagia
- Odynophagia
- Halitosis
Lungs
- Cough
- Hemoptysis
- Dyspnea
- Rales
- Rhonchi
- Dullness to percussion
- Increased vocal fremitus
- Increased tactile fremitus
Cardiovascular system
- Chest pain
- Palpitation
- Dyspnea
- Heart murmur
Abdomen
- Abdominal pain
- Vomiting
- Nausea
- Diarrhea
- Rectal bleeding
- Consipation
- Hemorrhoids
- Hepatomegaly
- Spleenomegaly
- Rebound tenderness
Genito-urinary
- Vaginal or urethral discharge
- Vaginal pain
- Dysuria
- Rectal pain
- Increased urinary frequency
Extremities
Central nervous system
- Behavoural changes
- Tingling sensation of extremities
- Burning sensation of extremities
- Gait disturbances