Page 84 - Children Bookt.pdf
P. 84

Chronic HIV-associated  History of cough productive with  :Œ*
               lung disease (including  copious amounts of purulent   honeycomb appearance
               bronchiectasis          sputum                     (small cysts) and/or
                                       (bronchiectasis only), with or   persistent areas of
                                       without                    "
                                       clubbing, halitosis, and   or widespread lung
                                       crepitations               destruction
                                       and/or wheeze on auscultation  '
                                                                  volume.


               K
&

	     No presumptive clinical diagnosis  Laboratory testing, not
               (<8 g/dl), or neutropenia                          
&
'
               @‡{&ƒ"?`                          other non-HIV
               thrombocytopenia (<50 X                            conditions, or not
               109/L/                                             responding to standard
                                                                  therapy with
                                                                  haematinics,
                                                                  antimalarials or
                                                                  anthelminthics as
                                                                  outlined in the IMCI
               Stage 4
               K
&

$

      Persistent weight loss not   :	
'
               wasting, stunting or severe  
&
'          documented weight loss
               malnutrition not adequately  poor or inadequate feeding or   of >-3 SD +/- oedema
               responding to standard  other
               therapy                 infections and not adequately
                                       responding in two weeks to
                                       standard
                                       
:
~
'*$'
                                       severe wasting of muscles, with or
                                       without oedema of both feet, and/
                                       or
                                       weight-for-height of -3 SDs,
                                       

'
šG!9:!
                                       guidelines
















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