Clinical Manual for Management of the HIV-Infected ... - myCME.com

1–8 | Clinical Manual for Management of the HIV-Infected Adult/2006
Genitourinary
Genital Do you have any lesions or sores on your genital
area now, or have you in the past?
Have you ever had genital herpes? If yes, how
often do you have outbreaks?
When was the most recent outbreak?
Women Have you had any lower abdominal pain?
Have you noticed a vaginal discharge or odor?
Do you have any burning or pain on urination?
Frequent urination?
Do you lose control of your urine or have
problems getting to the bathroom before you
start to urinate?
Men Have you noticed any swelling or testicular pain?
Musculoskeletal
Skin
Do you have difficulty starting your stream of
urine?
Are you getting up at night to urinate?
Have you had burning or pain on urination?
Do you lose control of your urine or have
problems getting to the bathroom before you
start to urinate?
Have you ever had kidney stones?
Do you have any difficulty developing an
erection or maintaining one?
Any discharge from your penis?
Do you have any muscle aches or pains?
Back pain, joint pain, and/or swelling?
Have you ever broken any bones?
Do you have chronic pain?
Describe the pain—location, duration, rating
(scale of 1-10), alleviation factors.
Herpes Zoster Have you ever had chickenpox (varicella)?
Have you ever had “shingles” (zoster)?
Where were the lesions?
Tinea Do you have fungal infections on your skin,
especially groin, fingernails, toenails, or feet?
Folliculitis Do you have any itchy bumps on your face, back,
or chest?
Seborrhea Do you have flaking or itching on your skin or
scalp?
Skin Lesions Have you noticed any rash or skin problems? If
so, where?
Neurologic
Have you noticed any new moles, bruises, or
bumps on your skin?
Do you have any moles that changed shape,
size, or color?
Headache How often do you get headaches?
Describe the headaches—location, timing,
duration, alleviating or aggravating factors.
Do they cause nausea or vomiting?
Does sensitivity to light lead to headaches?
Memory Do you have difficulty with your memory or
ability to concentrate? If so, describe.
Gait Have you noticed any changes in the way you
walk?
Neuropathy Do you have any numbness, tingling, burning, or
pain in your hands or feet?
Seizures Have you ever had a seizure or “fit”?
If so, describe the seizure—When? How long
did it last? Loss of consciousness? Was medical
care sought?
Weakness Do you have or have you had any weakness in
your arms or legs?
Endocrine
Diabetes Have you had any increase in thirst, hunger, or
urination?
Thyroid Have you noticed changes in your energy level?
Do you have intolerance to heat or cold?
Have you noticed changes in your hair (thinning,
coarse texture)?
Sex Steroids Have you noticed any changes in your libido?
Hematologic/Lymphatic
Adenopathy Do you have swollen glands?
If so, describe—location, painful, size if
measurable.
Bruising or Bleeding Have you noticed easy bruising or prolonged
bleeding after injury?
Nosebleeds or bleeding gums?