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Retired NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 2/Question#44 (reveal difficulty score)
A 37-year-old woman with AIDS comes to the ...
Cryptosporidium parvum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease AIDS

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submitted by โˆ—bwdc(697)
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The differential for chronic diarrhea in an AIDS patient includes bacterial, viral, and parasitic causes as well as HIV enteropathy. Cryptosporidium is a protozoa that classically causes watery diarrhea in AIDS patients, especially those exposed to unclean water sources (hence the traveling to Asia). CMV is a reactivation infection and MAC is ubiquitous; disease caused by either of these pathogens is due to severely depressed immunity (i.e. CD4 < 50).

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icestreak  Isn't cryptosporidium assoc with CD4 <180? UW Q3590 +1
tinylilron  AMBOSS also says CD4+<100, but I think it is probably still possible +
asmamohammadi  just when I utilize my knowledge of correct CD4 counts and diseases, it has to be this!!!! +



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