Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, non-bloody, watery diarrhea of [Number] weeks duration. Associated with significant weight loss, abdominal cramping, and nausea. Known history of HIV/AIDS with current CD4 count of [Number] cells/mm³. Denies recent travel, but reports persistent fatigue and malabsorption symptoms.
Clinical Examination Findings
General: Patient appears cachectic and chronically ill. HEENT: Dry mucous membranes. Abdomen: Soft, non-distended, hyperactive bowel sounds, mild diffuse tenderness to palpation, no rebound or guarding. Skin: Decreased turgor suggesting mild dehydration. Vitals: Tachycardic, afebrile.
Treatment Protocol
Initiate Albendazole 400 mg PO BID for [Number] weeks. Optimize ART (Antiretroviral Therapy) to improve immune status (CD4 > 100 cells/mm³). Supportive care: Oral rehydration therapy, electrolyte replacement, and nutritional counseling. Monitor for drug-related hepatotoxicity and hematologic side effects.