Laboratory tests

A. Complete blood count, chemistry profile, and serologic studies for syphilis (rapid plasma reagin or VDRL), Toxoplasma gondii (IgG antibody), and hepatitis B (surface antigen, core antibody) should be obtained.

B. Patients should have a tuberculin skin test unless they have been reactive in the past or have been treated for the disease. In HIV-infected persons, a positive test is 5 mm or more of induration.

C. A baseline chest film is useful because many opportunistic pulmonary infections present with very subtle radiographic findings. A chest radiograph may suggest unrecognized tuberculosis.

D. CD4+ counts assist in determination of the degree of immunologic damage, assess risk of opportunistic complications, and guide the use of prophylaxis against infections.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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