Dr. Harshita Jain (Intensive Care Specialist) needs a second opinion on this medical case.
A 45-year-old female presented with the following symptoms - Shortness of breath - Productive cough last 2 weeks - Weight loss - Fever Background history - HIV positive on 2nd line ARVs - Unknown CD4 and viral count - No known covid contacts On examination - Vitals: BP 143/92, HR 123, Sats: 52% on RA and 94% on polymask O2, RR- 38 - General: increased BMI, half-and-half nails, generalized lymphadenopathy - Resp: mild alar flaring, SCR, scattered crackles. - others systems: nothing of note What special investigations would you like to do and what would be your differential diagnoses?
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