Instructions: Read the following case study and answer the reflective questio

Instructions: Read the following case study and answer the reflective questions.
Requirements:
– Formatted and cited in current APA 7
– The discussion must address the topic
– Rationale must be provided
– Use at least 600 words (no included 1st page or references in the 600 words)
– Use 3 academic sources. Not older than 5 years
– Not Websites are allowed.
– Plagiarism is NOT allowed
AIDS (Acquired Immunodeficiency Syndrome)
The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed right-sided pneumonitis. The following studies were performed:

Studies
Results

Complete blood cell count (CBC), p. 174

Hemoglobin (Hgb), p. 259
12 g/dL (normal: 14-18 g/dL)

Hematocrit (Hct), p. 256
36% (normal: 42%-52%)

Chest X-ray, p. 1014
Right-sided consolidation affecting the posterior lower lung

Bronchoscopy, p. 587
No tumor seen

Lung biopsy, p. 738
Pneumocystis jiroveci pneumonia (PCP)

Stool culture, p. 855
Cryptosporidium muris

Acquired immunodeficiency syndrome (AIDS) serology, p. 297

p24 antigen
Positive

Enzyme-linked immunosorbent assay (ELISA)
Positive

Western blot
Positive

Lymphocyte immunophenotyping, p. 306

Total CD4
280 (normal: 600-1500 cells/mL)

CD4%
18% (normal: 60%-75%)

CD4/CD8 ratio
0.58 (normal: >1.0)

Human immune deficiency virus (HIV) viral load, p. 297
75,000 copies/mL
1. Diagnostic Analysis: establish a diagnostic analysis of this case supported by a clinical guideline :
-summary of signficiant clinical data
– create a diagnostic rationale of the case including diagnosis and clinical data that support it
Critical Thinking Questions
1. What is the relationship between levels of CD4 lymphocytes and the likelihood of clinical complications from AIDS?
2. Why does the United States Public Health Service recommend monitoring CD4 counts every 3 to 6 months in patients infected with HIV?