Virtual Patient Reference Library
Clinical Aspects of HIV Infection
page 10
Primary HIV Syndrome
Epidemiologic Overview and Classification
  Table 1: Indicator Conditions for Case Definitions of AIDS
HIV Testing
  Introduction
  Pretest Counseling
  Methods
  Post-test Counseling
  Risk Reduction
Initial Evaluation
  History
  ROS & PE
  Laboratory
  CD4 & Viral Load
Spectrum of HIV Disease
Stratified Management
Follow-up
Routine Health Care Maintenance
  Immunizations
  Table 1: Immunizations
  Gynecologic Care
  Tuberculosis Prevention

   last update February 2003
 Initial Evaluation - Review of Systems and Physical Examination
On review of systems and physical examination, attention should focus on the following:
  1. Constitutional symptoms: fever, chills, night sweats, weight loss
  2. Integument: seborrhea, psoriasis, onychomycosis, herpes simplex virus, varicella-zoster virus, Kaposi's sarcoma, generalized adenopathy
  3. HEENT: altered vision, dysphagia, cytomegalovirus retinitis, thrush, oral hairy leukoplakia, periodontal disease
  4. Pulmonary: cough, dyspnea, pneumocystis pneumonia
  5. Gastrointestinal: odynophagia, diarrhea, organomegaly
  6. Genitourinary: vaginitis, pelvic inflammatory disease, human papillomavirus, cervical dysplasia, anal carcinoma
  7. Neurological: headache, problems with memory, change in behavior or personality, focal findings