Core EM - Emergency Medicine Podcast

Core EM - Emergency Medicine Podcast


Episode 136.0 HIV Related Infections in the ED

March 12, 2018

This week we discuss some pearls and pitfalls when caring for HIV+ patients in the ED.



https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_136_0_Final_Cut.m4a



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Tags: AIDS, HIV, Infectious Diseases, PCP, TB, Tuberculosis





Show Notes
HIV Associated Infections Based on CD4 Count (cooperhealth.org)
Total Lymphocyte Count  = (% lymphocytes x WBC count)/100

TLC 1200 cells/mm3 correlated with CD4 count of < 200 cells/mm3 with a maximal sensitivity of 72.2%, and specificity of 100%
TLC1500 cells/mm3 correlated with CD4 count of 200 – 499 cells/mm3 with a maximal sensitivity of 96.7% and specificity of 100%
TLC 1900 cells/mm3 correlated with CD4 count of ≥ 500 cells/mm3 with a maximal sensitivity of 98.5% and specificity of 100%

Show Notes
REBEL EM: REBEL Cast Episode 1 – Total Lymphocyte Count as a Surrogate Marker for CD4 Count
LITFL: HIV and AIDS
References
Obirikorang C et al. Total Lymphocyte Count as a Surrogate Marker for CD4 Count in Resource-Limited. BMC Infectious Diseases Journal 2012; 12 (128): 1 – 5. PMID: 22676809


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