Thursday, September 2, 2010

Check the HIV test...

I have had a 45 year old lady on the ward the last 10 days with Congestive Heart Failure. She has not responded well to conventional treatment. I was concerned she may have Pericardial TB, especially after her HIV test was positive.

Today I did an ultrasound on her and it appeared she had fluid around her heart with a thickened pericardium(consistent with pericarditis). I started her on TB drugs today and hope to see an improvement in the next week.

Whenever things don't make sense medically it becomes prudent to check an HIV test.

No comments:

Post a Comment