Nausea in HIV

Aka: Nausea in HIV, Vomiting in HIV

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II. 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

III. Labs: Initial studies

  1. Chemistry panel
  2. Liver Function Tests
  3. Pancreatic Enzymes (Lipase, Amylase)
  4. Triglycerides
  5. Serum cryptococcal Antigen

IV. Management: Symptomatic therapy

  1. Prochlorperazine
  2. Metoclopramide
  3. Promethazine
  4. Ondansetron

V. References

  1. Paauw (2003) AAFP Board Review, Seattle

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