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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).  

Funding for this program is provided, in part, from Gilead Foundation.

View Live Webcast of Case Discussion: Wed., October 19, @ 8:00 a.m. [EDT]
--------------------We invite you to view it here on that day-----------------------------

Air Date:  July 20, 2011
Presenter
: Dr. Dilip Thombre JR III, BJMC

Case: 57  35yo chronic alcoholic male on ART since 2009 presents w/ fatigability, generalized weakness, dyspnea on exertion, loss of appetite and wght loss x 1mos.

   Low Bandwidth presentation          High Bandwith presentation

Case 57-7-20-11

Air Date:  May 25, 2011
Presenter
: Dr. Goutam Vaggar and Dr. Aitkumar Jadhav, BJMC

Case: 55  22yo male on ART complains of swelling of lower limbs, dyspnea, adbomenal distension x3mos, worsening in the last month

    Low Bandwidth presentation          High Bandwith presentation

Case: 56  42o male on ART x 1.5yrs presents with inability to walk x2 mos, fever, fatigue, dyspnea x 1mos, and decreased sensations below level of umbilicus

    Low Bandwidth presentation          High Bandwith presentation

Case 56 MRI

Air Date:  March 16, 2011
Presenter
: Dr. Reshman Puranik and Dr. Milind Patil, BJ Medical College

Case: 53  26yo female w/DX of PLHIV x1mo presents w/ vomiting, loose motions and sever abdominal pain

    Low Bandwidth presentation          High Bandwith presentation

Case 1 3-16-11

Case:54 39yo PLHIV+ male x1yr not on ART complains of fever, headache, lower limb weakness, urine retention, and decreased sensation below umbilicus

    Low Bandwidth presentation         High Bandwith presentation

Case 2 3-16-11

Air Date:  February 23, 2011
Presenter
: Dr. Lalit Patil, NARI

Case: 52   43yo HIV+ female presents with pain in lower abdomen, intermittent fever and RT sided supraclavicular swelling for past several months

    Low Bandwidth presentation          High Bandwith presentation

spacer

Air Date:  January 19, 2011
Presenter
: Dr. Abhijit Baheti and Dr. Deepesh Sharma, BJ Medical College

Case: 50   37yo HIV+ female presents with progressive swelling in the left axillary region x 2mos; painful x15days prior to admission in LT upper limb

    Low Bandwidth presentation          High Bandwith presentation

Case 50 Skin nodules-swelling

Case:51  32 yo mal w/PLHA x 6 yrs on ART x 1 yr admitted w/headache, nech pain, decreased speech output x 20 days and intermittent fever x 15 days

    Low Bandwidth presentation        High Bandwith presentation

Case 51 Brain MRI

Air Date:  December 15, 2010
Presenter
: Dr. Dipak C. Bangar, NARI

Case: 49 32yo male with HIV and TB presents with nasalpharyngeal mass

    Low Bandwidth presentation          High Bandwith presentation

Nasal image 12-15-10 

Air Date:  November 24, 2010
Presenter
: Dr. Pravir Gambhire and Dr. Goutam Vaggar, BJ Medical College

Case: 47 50yo male with weakness in 4 limbs x5mos, paraesthesias in glove and stocking distribution and difficulty in walking; wght loss, decreased appetite and urinary incontinence x3mos

    Low Bandwidth presentation          High Bandwith presentation

case 47 scan 

Case:48 44yo male presents with fever, chills, dry cough, palpitation on exertion, and dyspnea

    Low Bandwidth presentation        High Bandwith presentation

case 48 image

Air Date:  September 15, 2010
Presenter
: Amita Gupta, MD, Johns Hopkins University

Case: 43 Case of fever, shortness of breath in a 59 yo male; Chest xray shows RUL infiltrate

    Low Bandwidth presentation          High Bandwith presentation

Case42-CT scan 

Case:44 Case of night sweats, fever, malaise and lymphadenopathy in a 42yo male

    Low Bandwidth presentation        High Bandwith presentation

Spacer

Air Date:  August 18, 2010
Presenter
: Dr. Deepesh Sharma & Dr. Nitin Bote,  BJ Medical College

Case: 41 32yo HIV+ male admitted w/generalized weakness, fatigue and dark colored urine x 15 days; mild hepatosplenomegaly

    Low Bandwidth presentation          High Bandwith presentation

Case42-CT scan 

Case:42 35yo male dx w/HIV presents with bilateral hearing loss & nystagmus, fever and altered sensorium

    Low Bandwidth presentation        High Bandwith presentation

Spacer

Air Date:  July 21, 2010
Presenter
: Dr. Sunil Gaikwad,  NARI

Case: 40  42 yo admitted with intermittent low grade fever, dyspnea on exertion, anorexia, cutaneous nodules, and severe backache for 1.5 months.

     Low Bandwidth presentation          High Bandwith presentation

Case 40 image -CT scan 

Air Date:  May 19, 2010
Presenter
: Bob Bollinger, MD Johns Hopkins University

Case: 39  58 yo HIV+ man with HIV, last CD4 114, VL <50 1mo prior, presents with 3 month week hx of bi-frontal headache, which has worsened over the past week.  He also reports photophobia, sweats and fatigue. 

     Low Bandwidth presentation          High Bandwith presentation


brain 

Case:38  69 yo HIV+ man from Jamaica, last CD4 159, VL 24K 1mo prior, presents with 2-3 week hx of headache, fever and lethargy, per his wife.  The patient is unable to give a history.   His symptoms began with fever and rigors.  He subsequently developed sore throat, malaise and anorexia.  In Jan 2010, he had a fall with head trauma and a 10 minute loss of consciousness.

     Low Bandwidth presentation        High Bandwith presentation

operateedit2

Air Date:  April 21, 2010
Presenter
: Dr. Atul Saroch and Dr. Kadam, BJMC Medical College

Case :37  38yo male presents with h/o acute onset of weakness of right side of the body with slurred speech and deviation of mouth to left.
 
     Low Bandwidth presentation        High Bandwith presentation

devendraPic42110 

Case :36  40yo HIV+ male presents w/fever and abdominal pain x15 days.  Abdominal USG shows gross hepatomegaly w/hypoechoic lesion.

     Low Bandwidth presentation       High Bandwith presentation

Atulcase37pic

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.
   
      Low Bandwidth presentation        High Bandwith presentation

 Case35

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

      Low Bandwidth presentation         High Bandwith presentation

  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

      Low Bandwidth presentation          High Bandwith presentation

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

      Low Bandwidth presentation         High Bandwith presentation

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.
      Low Bandwidth presentation          High Bandwith presentation

Indiacase31 

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

      Low Bandwidth presentation           High Bandwith presentation

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.
       Low Bandwidth presentation      High Bandwith presentation

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.
 
       Low Bandwidth presentation      High Bandwith presentation

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.       

        Low Bandwidth presentation          High Bandwith presentation

Spacer 

Case 26:    22 yo female on HAART x 1 mo presents with dry cough; intermittent fever and weight loss.
 
        Low Bandwidth presentation         High Bandwith presentation     

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

      Low Bandwidth presentation                 High Bandwith presentation

Case 25 jw

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.
 
      Low Bandwidth presentation           High Bandwith presentation


Case 24 jmw 

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.  
 
      Low Bandwidth presentation          High Bandwith resentation


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. 
 
      Low Bandwidth presentation        High Bandwith Presentation                      


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.       

      Low Bandwidth presentation          High Bandwith presentation

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
 
      Low Bandwidth presentation          High Bandwith presentation


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.      

      Low Bandwidth presentation          High Bandwith presentation

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
 
      Low Bandwidth presentation       High Bandwith presentation


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.      

     Low Bandwidth presentation         High Bandwith presentation


 

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
 
     Low Bandwidth presentation         High Bandwith presentation


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.      

    Low Bandwidth presentation          High Bandwith presentation

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
   
    Low Bandwidth presentation          High Bandwith presentation


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
      
    Low Bandwidth presentation          High Bandwith presentation

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.
   
    Low Bandwidth presentation          High Bandwith presentation                      


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
      
    Low Bandwidth presentation         High Bandwith presentation

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
   
  Low Bandwidth presentation            High Bandwith presentation
                      


Case 9 histology
 

Case 10: 28yo female ICS x 2yrs presents w/R-sided abdominal pain, fever, and decreased appetite
      
   Low Bandwidth presentation              High Bandwith presentation

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                    

    Low Bandwidth presentation            High Bandwith presentation                      


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

   Low Bandwith presentation                High Bandwith presentation                      


Case 5 MRCP scan

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

   Low Bandwith presentation                High Bandwith presentation

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


SPECIAL HIV WEBINAR SERIES

Air Date:  10/19/2011
Presenter:  Kelley Dooley, MD
Topic:  TB Management in the HIV Patient: Current Strategies and Exciting New Possibilities

Kelly Dooley, MD
CLICK HERE

Air Date:  9/21/2011
Presenter:  Paul A. Pham Pharm.D.
Topic:  Antiretroviral Drug Interactions and New Antiretroviral Drug Interactions

Paul Pham
CLICK HERE

Air Date:  8/17/2011
Presenter:  Joel Gallant, MD, MPH
Topic:  HIV Drug Resistance and Sequencing

Joel Gallant
CLICK HERE

 

 

 

 
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