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Clinical Manual

Clinical Manual for Management of the HIV-Infected Adult

The following chapters are from the AIDS Education and Training Centers (AETC). They offer practical advice for working with patients, including teaching tips. For print copies, see the AETC's ordering instructions.

About This Manual

Section 1: Testing and Assessment

Initial History
Initial Physical Examination
Initial and Interim Laboratory and Other Tests
Interim History and Physical Examination
HIV Classification: CDC and WHO Staging Systems
Determining Risk of HIV Progression
CD4 Monitoring and Viral Load Testing
Primary HIV Infection
Rapid HIV Testing

Section 2: Health Maintenance and Disease Prevention

Health Maintenance

Immunizations for HIV-Infected Adults and Adolescents
Nutrition
Nonoccupational Postexposure Prophylaxis
Occupational Postexposure Prophylaxis
Preventing HIV Transmission / Prevention with Positives

Disease Prevention

Preventing Exposure to Opportunistic and Other Infections
Opportunistic Infection Prophylaxis
Latent Tuberculosis
Treatment of Latent Tuberculosis in Resource-Limited Settings

Section 3: Antiretroviral Therapy

Antiretroviral Therapy
Adherence
Resistance Testing
Reducing Maternal-Infant HIV Transmission
Care of HIV-Infected Pregnant Women
Antiretroviral Medications and Oral Contraceptive Agents

Section 4: Complications of Antiretroviral Therapy

Abnormalities of Body-Fat Distribution
Dyslipidemia
Insulin Resistance and Hyperglycemia on Antiretroviral Therapy
Drug-Drug Interactions with HIV-Related Medications
Adverse Reactions to HIV Medications
Recreational Drugs and Antiretroviral Therapy
Immune Reconstitution Syndrome

Section 5: Complaint-Specific Workups

Anemia
Diarrhea
Ear, Nose, Sinus, Mouth
Esophageal Problems
Eye Problems
Fatigue
Fever
Headache
Lymphadenopathy
Nausea and Vomiting
Neurologic Symptoms
Pulmonary Symptoms
Vaginitis/Vaginosis

Section 6: Disease-Specific Treatment

Anal Dysplasia
Candidiasis, Oral and Esophageal
Candidiasis, Vulvovaginal
Cervical Dysplasia
Cryptococcal Disease
Cryptosporidiosis
Cytomegalovirus Disease
Dermatologic Staphylococcal Infections
Gonorrhea and Chlamydia
Hepatitis B Infection
Hepatitis C Infection
Herpes Simplex, Mucocutaneous
Herpes Zoster/Shingles
Histoplasmosis
Kaposi Sarcoma
Molluscum Contagiosum
Mycobacterium avium Complex
Mycobacterium tuberculosis: Treatment in the United States and Other High-Income Nations
Tuberculosis Treatment in Resource-Limited Settings
Non-Hodgkin Lymphoma
Pelvic Inflammatory Disease
Pneumocystis Pneumonia
Progressive Multifocal Leukoencephalopathy
Seborrheic Dermatitis
Sinusitis
Syphilis
Toxoplasmosis

Oral Manifestations of HIV

Linear Gingival Erythema
Necrotizing Ulcerative Periodontitis and Gingivitis
Oral Health
Oral Hairy Leukoplakia
Oral Ulceration
Oral Warts

Section 7: Pain and Palliative Care

Pain Syndrome and Peripheral Neuropathy
Palliative Care and HIV

Section 8: Neuropsychiatric Disorders

Anxiety Disorders
Depression
Panic Disorder
Insomnia
Suicidal Ideation
HIV-Associated Dementia and Minor Cognitive Motor Disorder

Section 9: Populations

Correctional Settings

Section 10: Resources for Clinicians and Patients

Karnofsky Performance Scale
Sulfa Desensitization
Patient Education
Web-Based Resources
Antiretroviral Reference Tables
Antiretrovirals Available in the U.S. and Mexico
Abbreviations
Glossary of HIV/AIDS Terms
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Contents

Table of Contents
1: Tests / Assess
2: Health Maintenance
3: ARV Therapy
4: ART Complications
5: Complaints
6: Diseases
7: Pain and Palliative
8: Neuropsychiatric
9: Populations
10: Resources
About This Manual

HIV/AIDS is a part of the Office of Public Health and Environmental Hazards.

OPHEH | Environmental Agents | Emergency Management | Public Health
Occupational Health | Women's Health | Environmental Epidemiology