Previous conditions

1. Prior medical conditions related to HIV infection should be assessed.

Mucocutaneous candidiasis, oral hairy leukoplakia, hepatitis, pneumonia, sexually transmitted diseases, and tuberculosis should be sought. Past episodes of varicella-zoster, herpes simplex virus lesions, and opportunistic infections should be assessed. 2. Dates and results of earlier tuberculin skin tests should be obtained. Women should be are asked about dates and results of Pap smears. Previous immunizations and antiretroviral therapy should be documented.

C. Current conditions and symptoms. Fever, night sweats, unexplained weight loss, lymphadenopathy, oral discomfort, visual changes, unusual headaches, swallowing difficulties, diarrhea, dermatologic conditions, and respiratory and neurologic symptoms are suggestive of opportunistic infections or a malignant process.

D. Social history includes information on past and present drug use, sexual behavior, dietary habits, household pets, employment, and current living situation. Residence and travel history should be assessed because coccidioidomycosis and histoplasmosis are more common in certain geographic regions.

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