Hiv - mamamia

[ArchivalUser]

23 y.old male HIV positive was on Fluconasol for pain during swolowing and substernal chest pain.On day 5 he came with no impruvment.
Nex step?
!.Ganciclovir
2.FAMOTIDIN
3.Bactrum
4.Esophagoscopy
5.barium study
6.Acyclovir
7.Indinavir
8.EKG

[ArchivalUser]

4 IS IT?/

[ArchivalUser]

or we wud do a braium?

[ArchivalUser]

4/esophagoscopy with biopsy for cytology and culture to see is this a cytomegalovirus esophagitis,HSV esophagatis or something else
if fluconasol does not work=it is not candida esophagitis =so if u know that 3 most comon esophagitis in HIV patients are Candida,CMV,HSV .