New HIV diagnosis
IV/Injection drug use
HIV related testing: HIV serology, CD4 count and percentage, Viral load, Resistance testing, HLA B55701 testing, Tropism testing
Lab testing: CBC w/diff, CMP, G6PD, Fasting lipid panel, UA, Calculated CrCl, A1C
Co-infection testing: Viral Hep B panel, TB, STI, CMV, VZV, Toxoplasma
Select testing- Anal pap?
Immunizations- HPV, Pneumococcal, Influenza, Varicella, Hep A, Hep B
Opportunistic infection prophylaxis
Counseling: Discussed HIV infection and its natural course. Described the various pharmacologic treatment currently available for HIV. We discussed the importance of taking this medication daily w/strict adherence to prevent the virus from developing resistance to medications. Patient also counseled on importance of safe sex w/100 % condom use and informing all partners of his HIV positive status. Also advised patient regarding potential opportunistic infections and signs/symptoms to monitor. Recommend that patient avoid exposure to cats, especially cat feces/litter boxes. Patient verbalized understanding of this education. Patient given opportunity to ask questions, which were all answered.
Dispo: F/u in 1 month for lab results. Will f/u sooner if CD4 count dictates.
Answered all patient's questions
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