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 HIV Clinical Case Discussions in India

The following case discussions were broadcast live from the Johns Hopkins Center for Clinical Global Health Education.  These cases are presented and discussed between care providers at Johns Hopkins University, Byramji Jeejeebhoy Medical College (BJMC) and National AIDS Research Institute (NARI).  

View Live Webcast of Case Discussion: Wednesday, April 21, 2010 @ 8:00am [EDT]
--------------------We invite you to view it here on that day-----------------------------

Air Date:  March 17, 2010
Presenter
: Dr. Nilesh Lawhari and Dr. Harshad B. Nalgirkar, NARI, Pune

Case 35: 42 yo male with complaint of multiple joint swelling and pain on AKT and ART with muscle wasting.
   
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 Case35

Case 34:  32 yo HIV+ male with Rt-sided abdominal pain + backache x4-6 months; h/o bilat renal calculi 6 mons prior

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Spacer
 

Air Date:  January 20, 2010
Presenter
: Dr. Anita Basavaraj, Dr. Prajakta Gailkwad, Dr. Pramod Ghuge, and Dr. R.T. Borse, BJMC Medical College & SGH, Pune,

Case 33:    37 yo HIV+ male admitted w/headache, nausea, vomiting, headache and cervical swelling x2-3 wks; hx of pulmonary involvement

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PRAJAKTA
 

Case 32:  42 yo male on ART complains of generalized weakness, headache and mild fever x4mos, blurred vision x4days and severe breathlessness x2days x

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pramodpic3copy
 

Air Date:  December 16, 2009
Presenter
: Amita Gupta, MD, and Bob Bollinger, MD Johns Hopkins University

Case 31:   A 30 year old female with unsteady gait, blurry vision, and weekness.
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Indiacase31 

Case 30:    A 35 year old male with fevers, fatigue, progressive dyspnea, and hemoptysis.

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IndiaCase30
 

Air Date:  November 18, 2009
Presenter
:  Dr. Satish Guthe, Dr. S.A. Sangle, Dr. Satish Kolekar, and Dr. D.B. Kadam, BJMC Medical College

Case 29:   31 yo HIV+ female presents w/mild fever, yellowish discoloration of eyes & urine, swelling of hands & feet and desquamation of skin.
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desquamation of hand 

Case 28:    36 yo HIV+ male admitted with h/o trival trauma to right arm followed by pain, swelling, tenderness and mild fever x 1 mon.
 
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Kolekar111809
 

Air Date:  September 16, 2009
Presenter
:  Dr. Asmita Gaikwad and Swapna Kanitkar, DGO, NARI, BJMC Medical College

Case 27:  45 yo HIV infected female on ART with GI symptoms and grade 4 weight loss in 3 months.       

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Case 26:    22 yo female on HAART x 1 mo presents with dry cough; intermittent fever and weight loss.
 
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Case26091609
 

Air Date:  August 26, 2009
Presenter
:  Robert Bollinger, MD, Johns Hopkins University

Case 25:    48 yo w/recent HIV dx male dx 4mos prior w/PML; presents w/3wk hx of mental status changes after surgical procedure and some changes in vision

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Case 24:    48 yo HIV+ Female on HAART, Type 2 DM, depression, hyperlipidemia, chronic renal failure presents w/fever, chills, myalgia, dry cough and decreased oral intake.
 
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case24final

 

Air Date:  July 1, 2009
Presenter
:  BJMC Medical College

Case 23:    43 yo male HIV+ x1yr lost to f/u not on ART complains of headache, Rt-side progressive weakness, seizure and behavioral changes.  
 
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Case 23 cytology
 

Air Date:  May 20, 2009
Presenter
:  Swapna Kanitkar, DGO and Dr. Ravi Jawalge, BJMC Medical College

Case 21:   24 yo HIV+ female presents with nausea, loss of appetite, fever,burning sensation in epigastruim/retrosternum and intermittent headache. 
 
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Case 21 pic
 

Case 22:  42 yo male w/12 day hx of L-sided, weakness, and mild headache; which was preceded by an episode of seizure whereby pt was unconscious for a few seconds.       

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Case 22 Pic

Air Date:  March 18, 2009
Presenters
: Rajesh Wagh, MD and Judith Namchyo, MD, BJ Medical College

Case 19:   13yo male complains of severe epigastric pain and continuous vomiting x2days; on ART x6yrs
 
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ct scan
 

Case 20:  40yo female w/loose motions (4-5x per day) x 1mo & evening fever w/chills; on pE, midline anterior neck swelling 4x4.5cm.      

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histology
 

Air Date:  February 18, 2009
Presenters
: Mercy Samuel, MD and Kishore Jadhav, MD, NARI

Case 17:   33yo male w/HIV and hx of HBV presents w/ multiple skin lesions on both limbs, back, & neck w/intense itching during night
 
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pick of skin lesions
 

Case 18:  40yo female w/loose motions (4-5x per day) x 1mo & evening fever w/chills; on pE, midline anterior neck swelling 4x4.5cm.      

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Air Date:  November 19, 2008
Presenters
: Padmakar  Sabnis, MD and Kishore Jadhav, MD, BJ Medical College

Case 15:   60yo male admitted w/dyspnoea, dry cough, evening rise fever and swelling over cervical region x1 mos
 
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case15 picture
 

Case 16:  30yo male presents w/pain and distension of abdomen, yellowish discoloration of sclera, progressive breathlessness with orthopnoea and constipation x10 days.      

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case 16 histology
 

Air Date:  October 15, 2008
Presenters
: Sampada Dhayarkar, MD, and Milind Kulkarni, MD  NARI

Case 13:  20yo female presents w/binocular diplopia towards the R-side x2mos; diagnosed w/HIV 2.5mos earlier
   
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Case 13 CT scan
 

Case 14:  40yo male presents w/ h/o sudden onset R-upper limb continuous, involuntary, irregular movements with large amplitudes around the body x20 days; difficulty swallowing d/t oral ulcerations
      
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Case 14 MRI
 

Air Date:  September 17, 2008
Presenters
: Robert Bollinger, MD, Johns Hopkins University

Case 11:  35yo male w/no significant PMH, presents to ED w/ 3mo hx of productive cough; sputum production was yellow with blood specks; fevers, pleuritic chest pain, fatigue, decreased appetite and weight loss, as well as increasing dyspnea x1mo.
   
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Case 11 Chest X-Ray
 

Case 12:  40yo male w/recent HIV dx presents w/ increasing lethargy, anorexia, 25lb wght loss and dizziness x2mos; 1 wk hx of occasional fever
      
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Case 12 Brain CT
 

Air Date:  August 20, 2008
Presenters
: Nirmal Kolte, MD, S.D. Ratnalikar, MD, and D.B. Kadam, MD, BJ Medical College

Case 9:  42yo male on ART and CD4 340 presents w/abdominal pain and swelling, decreased appetite, and fever
   
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Case 9 histology
 

Case 10: 28yo female ICS x 2yrs presents w/R-sided abdominal pain, fever, and decreased appetite
      
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Case10 histology
 

Air Date:  July 16, 2008
Presenter
: Celine Gounder, MD Johns Hopkins University

Case 7: 35 yo HIV-infected male in Uganda presents with painless swelling on the tongue x3 mos which gradually increased over time
                                           Learning Objectives                    

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pic of tongue
Take CME Review

Case 8: 31yo female with HIV who presented with subjective fevers, chills and non-pruritic rash
                                          Learning Objectives                         

   Low Bandwidth presentation              High Bandwith presentation

pic of skin lesions
Take CME Review

Air Date:  June 18, 2008
Presenter
: Mercy Samuel, MD, and Swati Chunkhade, MD, NARI

Case 5: 34yo male w/HIV x13yrs started on ART Sep 2006; TB lymphadenitis detected & treatment initiated; pt now presents w/epigastric discomfort, anorexia, nausea & jaundice

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Case 5 MRCP scan

Case 6: 28yo HIV+ female presents 15days after starting ART w/ acute onset of vomiting, abdominal pain and distension

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case 6 colonoscopy

Air Date:  May 21, 2008
Presenters
: Bob Bollinger, MD Johns Hopkins University;  Wategaonkar R.N., MD, and Mahesh Deshpande, MD, BJMC

Case 3: 45 yo male of immunocompromised staus on ART admitted with difficulty swallowing x5days
                                            Learning Objectives   

   Low Bandwith presentation                 High Bandwith presentation                                                

case 3 esophageal ulcer
Take CME Review

Case 4: 40 yo female on ART x2mos presents with skin rash on face and distal hand and right lower limb swelling x3days
                                           Learning Objectives

   Low Bandwith presentation                High Bandwith presentation

case 4 nodular rash
Take CME Review

Air Date:  April 16, 2008
Presenters
: Amita Gupta, MD, and Bob Bollinger, MD Johns Hopkins University;  Shripad Ratnalikar, MD, and Abhijit Dasgupta, MD, BJMC

Case 1: 42yo female w/hx of pulmTB presents with headache, L-sided weakness, facial asymmetry, incontinence and slurred speech
                                            Learning Objectives   

   Low Bandwith presentation                 High Bandwith presentation                                                

Case 1 CT scan
Take CME Review

Case 2: 43yo male HIV+ x6mos presents with skin coloured lesions over body x4mos and headache x1mos
                                           Learning Objectives

   Low Bandwith presentation                High Bandwith presentation


Case 2 nodular rash
Take CME Review

 

 

 

 
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