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A 24-year-old man who is sexually active presents with reports of the “flu” for the past 3 weeks. Specifically, he reports generalized weakness, malaise, myalgias, a low-grade fever, and anorexia. He reports no upper respiratory infection symptoms or a cough. He has intercourse with men and does not always use condoms. He is concerned that he may have contracted HIV. His vital signs are significant for a blood pressure of 128/62 mm Hg, a heart rate of 82 beats per minute, an oxygen saturation of 99% on room air, and a temperature of 101.3°F (38.5°C). The physical exam reveals a well-appearing man who is in no acute distress with no thrush or abnormal findings. Laboratory values reveal WBC of 6.2 × 109/L with 3% bands, hemoglobin of 15.6 g/dL, and platelets of 120/microL. Chest radiograph and urinalysis are normal. You suspect acute HIV syndrome and obtain a rapid antigen/antibody combination assay. Which of the following statements best describes the next step in management?AAdmit the patient for confirmatory studies if positiveBDischarge and reassure the patient if negativeCDischarge with confirmatory blood tests if positiveDMake the diagnosis of HIV if positive
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