Continuing maintenance consultations

Provide appropriate support, encouragement and counselling. Frequency depends on CD4 cell count (e.g. 3 to 6 monthly).

Examination:

o Check general condition, temperature and weight.

o Look for unusual lung infection, diarrhoea, skin lesions, tongue and oropharynx, fevers, wasting and neurological signs. o Examine for signs of cytomegalovirus retinitis. o Look for early signs of AIDS-related dementia. Tests o CD4 cell count and syphilis serology o viral load test o chest X-ray and induced sputum (if cough, SOB), faeces microculture if diarrhoea persists, Candida mouth swabs and herpes swabs appropriately Treat intercurrent illness (Table 24.6).

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