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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
close this folderCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
View the document10.1 Introduction
close this folder10.2 Clinical features commonly encountered in patients with HIV/AIDS
View the document10.2.1 Fever
View the document10.2.2 Cough and dyspnoea
View the document10.2.3 Oropharyngeal and oesophageal Candidiasis
View the document10.2.4 Vaginal candidiasis
View the document10.2.5 Weight loss
View the document10.2.6 Diarrhoea
View the document10.2.7 Persistent generalized Lymphadenopathy
View the document10.2.8 Skin rashes, sores and generalized pruritis.
View the document10.2.9 Altered mental status and persistent severe headache
Open this folder and view contents10.3 Prophylactic treatment of common opportunistic infections in HIV/AIDS
Open this folder and view contents10.4 Treatment of Opportunistic Infections:
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

10.2.9 Altered mental status and persistent severe headache

Amongst the numerous causes of altered mental status and severe headache are:

Severe dehydration

Hypoglycemia

Bacterial and/or fungal meningitis

Toxoplasma encephalitis

HIV-dementia

Depression

Psychotic conditions

In altered consciousness, cerebral malaria must always be excluded since this is a common and curable infection.

Investigations:

Blood slide for malarial parasites

Lumbar puncture for CSF examination including Indian ink stain for cryptoccocal meningitis

Salmonella and syphillis serological tests

Blood cultures + sensitivity studies.

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