Primary Care Management of HIV-Infected Patients

Primary Care Management of HIV-Infected Patients

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Assessment and Diagnosis Primary Care Management of HIV Screening Rapid HIV or ELISA (A-I) + Confirm with Western blot or IFA (A-I) Initial Evaluation  History & Physical (A-III)  CD4 count (A-I) >> Staging (Table 1) (C-III)  HIV serology (A-III)  HIV RNA (viral load) (A-I)  HIV genotype (A-III)  CBC, Chem panel (AIII)  Fasting lipids (B-III)  UA, ClCr (B-II) Other Tests Sometimes Indicated   G6PD (A-I)  HLA-B*5701 (before abacavir) (A-I)  Coreceptor tropism (before CCR5 antagonist) (A-II)  Free and total testosterone (C-III) 1

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