What is NOT part of the work-up for a patient who tests positive for HIV?

The work-up for a patient who tests positive for HIV typically involves several key assessments that are essential for managing the patient's health and determining the appropriate treatment strategy. One of these assessments includes measuring the CD4 count, as it gives insight into the immune system's status and helps guide therapy. Additionally, monitoring the HIV RNA viral load is crucial as it shows how effectively the virus is replicating in the body, informing treatment efficacy and adherence.

The hepatorenal profile is also significant as it assesses liver and kidney function, both of which can be affected by HIV and its associated medications. Regular monitoring of these functions is a component of comprehensive HIV care.

In contrast, thyroid function tests are not routinely included in the immediate work-up following a positive HIV test unless there are specific clinical indications that suggest thyroid dysfunction. While thyroid issues can occur in patients with HIV, they are not a standard part of the initial work-up and management specifically related to HIV treatment. Thus, the focus remains on the tests that directly relate to the implications of HIV infection and its management.