Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of HIV/AIDS, complaining of [hematochezia/melena/abdominal pain/early satiety]. Symptoms are progressive. Review of systems positive for unintentional weight loss, night sweats, and persistent diarrhea. No history of recent travel or infectious contacts. Current antiretroviral therapy (ART) adherence status: [Adherent/Non-adherent].
Clinical Examination Findings
General: Patient appears [cachectic/well-nourished]. Skin: Multiple violaceous, non-blanching macules/papules noted on [extremities/trunk/oropharynx]. Abdomen: Soft, non-distended, [tenderness noted/absent]. Bowel sounds present. Digital Rectal Exam: [Positive/Negative] for occult blood; no palpable masses. Oropharyngeal exam: Violaceous lesions noted on hard palate/gingiva.
Treatment Protocol
Plan: 1. Oncology/Infectious Disease consultation for systemic chemotherapy (e.g., Liposomal Doxorubicin). 2. Optimize ART regimen to improve immune status. 3. Consider endoscopic intervention (polypectomy/cautery) for symptomatic GI bleeding. 4. Monitor CBC, LFTs, and CD4 count. 5. Supportive care for nutritional status.