PM is a 22 year-old with complaints of fever, chills, malais…
PM is a 22 year-old with complaints of fever, chills, malaise, weight loss, and persistent vaginitis. She admits to inconsistent condom use with partners and had a sexual relationship with an IV drug user 3 years ago. She is in a new relationship and does not use protection every time. She denies IV drug use. She admits to herpes genitalis that has increased in frequency this year. A physical exam was performed noting stable vital signs, bilateral axillary lymphadenopathy, and confirmation for candidiasis vaginitis by microscopic exam. Cervicitis was noted and appropriate STD tests were obtained. Her HIV tests returned positive. The NP understands that an HIV infection results in a reduction of:
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