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TABLE 419-1 -INITIAL EVALUATION OF THE HIV-INFECTED PATIENT

  History
How long has the patient been HIV infected?
What complications of HIV have occurred?
What past evaluations has the patient undergone?
What past treatment has the patient received?
Any past history of sexually transmitted diseases?
Past history of positive purified protein derivative (PPD) test or exposure to tuberculosis?
Medications and allergies?
Substance abuse?
Residential history?
Physical Examination
Laboratory Evaluation
Complete blood cell count
Chemistries including liver enzymes and serum creatinine
Plasma HIV RNA level
Absolute CD4+ lymphocyte count and CD4+ lymphocyte percentage
Syphilis and Toxoplasma serologies
PPD Testing
Immunizations
Pneumococcal vaccine
Influenza vaccine
Hepatitis B vaccine if non-immune