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Showing posts with the label Ulcers

Assessment of an HIV positive patient, Initial assessment, Lymph glands, visual acuity, visual fields, pupil size, pupil reactivity, and extra-ocular movements, anal/rectal discharge, condylomata, ulcers, prostate assessment, and tests for STIs as appropriate, seborrhoeic dermatitis, fungal nail infection, warts, Kaposi's sarcoma, molluscum contagiosum, and abnormal pigmentation,

Assessment of an HIV positive patient Initial assessment Objectives Reinforce the patient's understanding of HIV infection and how to avoid further transmission. Identify medical, socio-economic, and legal problems. Establish stage of disease. Establish a rapport with patient (essential to ensure efficient follow up). Full history, medical examination, and baseline investigations to plan future management and drug therapy. Further tests depend on the circumstances and stage of disease. History Sexual history including, sexual partners/practices, condom use, and contraception. Current and previous medical (especially, tuberculosis, STIs, or hepatitis), surgical, gynaecological, and obstetric history. Current medication and allergies. Drug, substance, and alcohol use. Clinical examination General: weight, temperature, pulse, BP, respiratory rate, pallor, and jaundice. Lymph glands: lymphadenopathy site, size, symmetry, tenderness, and consistency. Mouth and throat:

Reconstruction, Skin Grafts, Other Grafts, Flaps, Soft Tissue Infections, Erysipilas, Cellulitis, Necrotising Fasciitis, Ulcers, Lower Limb Ulcers, Pressure Ulcers