- Medical
Setting: A thirty-five
year-old gay male patient with a history of
high-risk sexual activity and recreational drug
use (IV) is seen in an internal medicine clinic.
- Chief Complaint/History:
- sore throat
- intermittent fevers and
occasional night sweats
- Physical
Exam:
- Thin male, no
acute distress
- Temperature: 37
- BP: 90/60 mm Hg
- Pulse: 85
- Pharynx-white
exudate consistent with candidiasis
- Lungs-clear
- Laboratory values:
- HIV antibody:
positive
- CD4: 350 cells/ul
- Viral load-10,000
copies/ml
- Amylase-normal
- Creatinine-1.1 mg/dL
- HCT: 27%
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