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Table 2. Other Medical and Surgical History
Comorbidities: Current or Past Chronic Medical Conditions That Might Affect
the Choice of Therapy or Response to Therapy
• Prior and present gastrointestinal disease
• Liver disease including viral hepatitis
• Cardiovascular disease and risk factors, including hyperlipidemia, hypertension,
diabetes mellitus, smoking
• Osteopenia or osteoporosis
• Kidney disease
• History of receipt of blood products, organ transplant, or tattoos
Other Past Medical Conditions That May Have Implications for Persons With HIV
• History of chickenpox or shingles, measles
• Mycobacterium tuberculosis illness, exposure, treatment; prior testing or treatment for
latent TB
• Sexually transmitted infections including syphilis, chlamydia, gonorrhea, herpes
simplex, trichomoniasis, chancroid, human papillomavirus
• Abnormal anal cytolog y; past anorectal disease including warts, fissures
Gynecologic and Obstetric History
• Past pregnancies and plans for future pregnancy, history of artificial insemination by
an unidentified donor
• Birth control practices
• Last cervical Pap test, abnormal Pap test ever, colposcopy, LEEP, biopsy (cone/knife)
• Menstrual history
• Other g ynecologic conditions including pelvic inflammatory disease
Mental Health History, Current and Past
• Previous or current psychotherapy and medication treatment
• Anxiety disorders, bipolar disorder, depression, violent behavior
• Suicidal, homicidal ideation; history of hospitalization due to mental health issues
• History of trauma, including sexual and physical abuse, intimate partner and other
violence; post-traumatic stress disorder (with appreciation for the sensitive nature of
these inquiries and the emotional responses they may elicit)
Current or Past Use of Psychoactive Substances
• Tobacco including e-cigarettes; years of use and estimate of cumulative exposure
• Cannabis and cannabinoids (including vaping )
• Vaping (regardless of substance)
• Alcohol use — quantify weekly/monthly use
• Stimulants, including methamphetamine, cocaine, crack cocaine
• Opioids
• Other non-prescription drugs
