Night Sweats

Table Of Contents

Physical Exam:
- – History of TB exposure
- – VS: State (or WNL or WNL except…)
- – General: Patient is in no acute distress
- – HEENT: HEENT exam including throat inspection for lymphadenopathy – Mouth and pharynx WNL
- – Neck Exam: No JVD, no lympadenopathy
- – Chest Exam: Auscultation – Clear breath sounds bilaterally/Clear breath sounds bilaterally, no rhonchi, rales, or wheezing; tactile fremitus normal
- – Heart Exam: Palpation, Auscultation – Apical impulse not displaced, RRR, S1, S2 wnl, No murmurs, rubs, or gallops heard
- – Abd Exam: Palpation, Auscultation – Soft, non-distended, non-tender, (+) BS, no hepatosplenomegaly
- – Extremities: Inspect – No clubbing, cyanosis, or edema
DDX:
Work-up:

Presentation:
- – Primary/Acute HIV infection occurs 2 – 4 weeks after infection with the human immunodeficiency virus (HIV).
- – Virus is spread by:
- – Breastfeeding (rarely)
- – Contaminated blood transfusions and blood products
- – Intravenous (IV) drug use with contaminated needles and syringes
- – Passing through the placenta from the mother to the fetus
- – Sexual contact
- – HIV seroconversion (converting from HIV negative to HIV positive [HIV Abs detected in blood]), occurs w/in 3 months of exposure (can be up to 1 year)
- – Following the acute infection, there may be no further evidence of illness for the next 10 years.