Assessment and Management of the HIV-Positive Patient with Respiratory Symptoms - Flowchart
Assessment and Management of the HIV-Positive Patient with Respiratory Symptoms - Flowchart Assessment and Management of the HIV-Positive Patient with Respiratory Symptoms Assessment and Management of the HIV-Positive Patient with Respiratory Symptoms
Flowchart

HIV-positive patient with respiratory symptoms

HIV-positive patient with respiratory symptoms

HIV-positive patient with respiratory symptoms

End

End

End

Treat

Treat

Treat

Key observations (Table 1.1)
Focused assessment (Tables 34.1 and 34.3)
Urgent investigation (Table 34.2)

Key observations (Table 1.1)
Focused assessment (Tables 34.1 and 34.3)
Urgent investigation (Table 34.2)

Key observations (Table 1.1)
Focused assessment (Tables 34.1 and 34.3)
Urgent investigation (Table 34.2)

Table 1.1
34.1 34.3
Table 34.2

Chest X-ray

Chest X-ray

Chest X-ray

Normal

Normal

Normal

Abnormal

Abnormal

Abnormal

Sputum examination

Sputum examination

Sputum examination

Pathogen identified

Pathogen identified

Pathogen identified

No sputum/pathogen not identified

No sputum/pathogen not identified

No sputum/pathogen not identified

Treat

Treat

Treat

Observation

Observation

Observation

Further investigation for Pneumocystis jirovecii pneumonia: CT, examintaion of induced sputum; bronchoalveolar lavage (BAL)

Further investigation for Pneumocystis jirovecii pneumonia: CT, examintaion of induced sputum; bronchoalveolar lavage (BAL)

Further investigation for Pneumocystis jirovecii pneumonia: CT, examintaion of induced sputum; bronchoalveolar lavage (BAL)

Pneumocystis jirovecii

Positive

Positive

Positive

Negative

Negative

Negative

Treat likely diagnosis (Table 34.4)

Treat likely diagnosis (Table 34.4)

Treat likely diagnosis (Table 34.4)

Table 34.4

Sputum examination

Sputum examination

Sputum examination

Pathogen identified

Pathogen identified

Pathogen identified

No sputum/pathogen not identified

No sputum/pathogen not identified

No sputum/pathogen not identified

Seek advice from chest/infectious diseases physician

Seek advice from chest/infectious diseases physician

Seek advice from chest/infectious diseases physician