Esophageal Ulcers HIV Patient | Medical Algorithm

Are you evaluating an HIV-positive patient?

Yes

Does the patient have?

• painful swallowing?

Yes

• substernal chest pain?

Yes

• hematemesis or acute GI bleeding?

Yes

• a history of recent passage of a nasogastric tube?

Yes

• a recent history of caustic ingestion?

Yes

• a history of radiation therapy to the chest?

Yes

• ulcer disease in the mid to distal esophagus?

Yes

Does endoscopic samplings show?

• inclusions or viral cultures for CMV?

Yes

• inclusions or viral cultures for HSV?

Yes

• acid fast bacilli?

Yes

• Candidal pseudohyphae?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of clinical findings associated with ulcer disease that are present

Number of possible explanations for the ulcer disease identified

Should HIV disease be considered as a possible cause?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
- The Symptom Sensitivity Index of Breumelhof and Smout for Gastroesophageal Reflux
- Alarm Symptoms for Patients with Gastroesophageal Reflux Disease
Laboratory Tests
- The Symptom Sensitivity Index of Breumelhof and Smout for Gastroesophageal Reflux
Other Testing
- The Symptom Sensitivity Index of Breumelhof and Smout for Gastroesophageal Reflux
Criteria For Diagnosis
- Alarm Symptoms for Patients with Gastroesophageal Reflux Disease
Severity, Prognosis, Stage
- The Symptom Sensitivity Index of Breumelhof and Smout for Gastroesophageal Reflux
- Alarm Symptoms for Patients with Gastroesophageal Reflux Disease
Complications
- Alarm Symptoms for Patients with Gastroesophageal Reflux Disease

Therapy

Selection
- The Symptom Sensitivity Index of Breumelhof and Smout for Gastroesophageal Reflux

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Giant Ulceration in Esophagus of HIV Patient

Purpose: To evaluate an HIV-positive patient with a giant esophageal ulceration.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10