Initial Evaluation

Medical History 

• HPI: include date of Dx, date of infection if known, nadir CD4, peak VL, OIs and Sxs (stage HIV)
• PMH: include prior TB or exposure, PPD history, chicken pox, shingles, residence and travel, mental health (e.g. depression screening), weight change.
• Meds: ARV history (if any), OTCs, dietary supplements, methadone
• Vaccinations: dT, Pneumovax, hepatitis B and A, and flu (seasonal)
• Substance use: street, prescribed, recreational, needle-sharing, alcohol use (with CAGE or AUDIT), smoking
• Sexual history: practices, barrier use, HIV status of partners, STDs
• Social: Family/partner violence, HIV status of partner & children (if any) social support, diet, exercise, education
• Allergies: sulfonamides, penicillin, hypersensitivity to prior ARVs and any other relevant medication allergies.
• Family history: early CVD, diabetes, hyperlipidemia
• Women: menstrual history, contraception, infertility, pregnancy history, childbearing plans , osteoporosis Dx and treatment.