Jeremy Wittens (pronouns: he/him/his) tested positive for HIV 2

Jeremy Wittens (pronouns: he/him/his) tested positive for HIV 2.5 years ago. He receives routine follow-up care at the HIV clinic every 2–3-months, most recently 6 weeks ago. He has been on antiretroviral treatment since his initial diagnosis. Today, he presents to his primary care provider’s office complaining of moderate dyspnea, a persistent and non-productive cough, and fatigue. Review all tabs of the electronic health record below. Based on the information provided, select all clinical manifestations that are potentially related to Jeremy’s HIV status. Patient Identification Orders Progress Notes Vital Signs Date/TimeHealth Care Provider Progress Notes11/6/XX 1030Client complains of moderate dyspnea, cough (non-productive and persistent) and fatigue x 1 week. Denies nausea/vomiting but does state he also has had decreased appetite with unintentional weight loss of 4-5 lbs in the last week. Denies night sweats, chills, or headache. Client is compliant with antiretroviral medications. Client is AAOx4, neurologic status within normal limits. Slight cervical lymphadenopathy noted with neck and lymph nodes otherwise within normal limits. Bibasilar crackles on respiratory auscultation with mild axillary lymphadenopathy and slight tachypnea. Cardiac auscultation demonstrates normal sinus rhythm with no rubs, murmurs, or gallops. Abdomen soft, nontender, nondistended with rbowel sounds auscultated in all four quadrants. No visible genital or anal lesions noted, stool guaiac negative. Neuromuscular system intact in all four extremities, no edema, full ROM.