TY - CHAP M1 - Book, Section TI - Approach to the Patient with AIDS/HIV Infection - Case 1 A1 - Benoit, Jean Luc A2 - Stern, Scott D.C. A2 - Cifu, Adam S. A2 - Altkorn, Diane PY - 2020 T2 - Symptom to Diagnosis: An Evidence-Based Guide, 4e AB - PATIENT Mr. A asks his new primary care clinician whether he should get an HIV test. He states that he has “absolutely no risk factors for HIV,” and is a very healthy 21-year-old black man in a monogamous relationship with his girlfriend for 2 years. The girlfriend was tested for HIV 6 months ago when a Board of Health nurse notified her that she might have been exposed to HIV, and retested 3 months ago. Both HIV tests were negative, effectively ruling out HIV infection.Mr. A first became sexually active at age 15. Over the last 6 years, he has had 4 female partners, with a bit of overlap between the relationships (he had 2 simultaneous partners for about 1 year). He has never had sex with a male. He uses condoms “pretty consistently.” He had Chlamydia trachomatis urethritis 3 years ago, but no other sexually transmitted infections. He has never used injecting drugs, although he smokes marijuana once or twice a week. He stopped drinking excessively when he met his current girlfriend. He does not recall an episode of mononucleosis-like illness with fever and lymph node enlargement. His past medical history, review of systems, and physical exam are otherwise unremarkable.Is the clinical information sufficient to make a diagnosis? If not, what other information do you need? SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/14 UR - accessmedicine.mhmedical.com/content.aspx?aid=1185662279 ER -