Gut Feeling

Immune System


Step 1: View Clinicals

{"ops":[{"insert":"A 33 year old HIV positive man presents with lower abdominal discomfort, alternating diarrhea and constipation, rectal bleeding with a mucopurulent discharge, and tenesmus for 2 weeks.\n\nHe engages in regular anal intercourse with his male partner.\n\nHe is currently on highly active antiretroviral therapy (HAART). His CD4 count is 1158 cells\/mm3, while the HIV viral load is \u003C50 copies\/mL.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-210_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Lower GI Endoscopy
2. Stool Microscopy & Culture
3. Rectal Swab + NAAT
4. HSV & Syphilis Screen

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