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Nausea in HIVAka: Vomiting in HIV

Differential Diagnosis
1. Drug interaction or drug adverse effects (common)
2. Drug induced Pancreatitis
3. Drug induced hepatitis
4. Drug induced hepatic Steatosis
5. CNS Lymphoma
6. Toxoplasmosis
7. Cryptococcal Meningitis
8. Adrenal Insufficiency
Labs: Initial studies
1. Chemistry panel
2. Liver Function Tests
3. Pancreatic enzymes (Lipase, Amylase)
4. Triglycerides
5. Serum cryptococcal antigen
Management: Symptomatic therapy
1. Prochlorperazine
2. Metoclopramide
3. Promethazine
4. Ondansetron
References
1. Paauw (2003) AAFP Board Review, Seattle

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