Problem:
Barbara is a 28-year-old African American client who reports to the office with complaints of extreme fatigue, a loss of 15 lb in the past month, frequent low-grade fevers, and recurrent vaginal yeast infections. Her temperature in the office is 101°F, and her body mass index is 17. As you review Barbara's health history, you note that she identifies as cisgender and heterosexual and is sexually active. She has a history of gonorrhea infection and pelvic inflammatory disease. On examination, you note thrush in her throat and fine, dry rales on auscultation of her lungs. On performing a pelvic exam, you palpate uterine and adnexal tenderness and cervical motion tenderness. On questioning Barbara regarding her sexual history, she tells you that her last sexual contact was about 3 weeks ago. Based on Barbara's health history and symptoms, you suspect HIV. If you are correct, what stage of HIV is Barbara in? Your plan is to refer her to an Infectious disease specialist. What labs can you order at this time? Which medications do you anticipate that the Infectious disease specialist will start her on if she does indeed have HIV? Need Assignment Help?