Reference no: EM133221416

Mr. W is a 29-year-old male who was in a drug rehabilitation program last year. He has been admitted to the hospital with a history of weight loss, weakness, and intractable diarrhea. His height is 72 inches, and his weight has dropped from 190 lb to 120 lb. He is also suffering from fever and night sweats.

Physical examination: swollen lymph glands, tongue lesions of herpes simplex and ulcers in the perianal region. Further tests indicated depressed T-cell levels and the presence of Pneumocystis carinii. He was tested for HIV infection, and the blood test for HIV infection antibodies was positive.

While in the hospital, he developed additional symptoms: anorexia, fever, fatigue, nausea, vomiting, watery diarrhea, and fecal incontinence. His temperature was 102.9°F and was treated with antibiotics, to which he did not respond well. Diarrhea increased markedly, necessitating intravenous hydration. He also developed esophageal candidiasis and a duodenal infection.

The patient did not tolerate a soft diet nor any oral nutritional supplements, continued to lose weight, and had severe anorexia, abdominal cramping, and bloating. His gastro-intestinal system is not functioning normally per physician notes.

Name and describe 2 major clinical complications in the final stage of AIDS. Explain how these complications impact a patient's nutritional status.