HIV Positive Patient With Fever And Risk Factors

Case scenario 2: A 35-year-old female with PMH of HIV (CD4 count 120), IV drug user who presents with intermittent fever 103F x 3 weeks. He reports he quit taking his Highly Active Antiretroviral Therapy (HAART) medication since a month ago. He admits to injecting heroin daily, last usage 24 hrs ago.

Answer the following questions:

Subjective:
What other relevant questions should you ask regarding HPI?
What are the risks factors of this patient?
Objective:
What body system/organs should you pay attention to in a physical examination?
What tests or procedures (Lab or Diagnostic) would you perform or order for this patient?
Diagnosis
What are the top 3 differential diagnoses you would consider for this patient, and what is your rationale?
The patient VS were as follows: BP124/89HR43RR17O2 sats98% on room airAny concerning values from the patient vital signs? Would it change your differentials?
What is the patient final diagnosis?
Plan:
What is the gold standard treatment for this patient?
What is your disposition? Admit vs. discharge? Discuss your rationale.

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