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ACP, CDC issue best practice advice on HBV

Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with end-stage renal disease.
https://immattersacp.org/weekly/archives/2017/11/21/1.htm
21 Nov 2017

MKSAP Quiz: 1-week history of headache

A 28-year-old woman is evaluated in the emergency department for a 1-week history of progressive headache associated with nausea and vomiting. Medical history is significant for HIV infection. She is nonadherent to her antiretroviral therapy regimen and takes no other medications. Following a physical exam, lab tests, and a CT scan of the head, what is the most appropriate next step in management?
https://immattersacp.org/archives/2018/01/mksap-quiz-1-week-history-of-headache.htm
1 Jan 2018

MKSAP Quiz: 2-month history of edema

A 28-year-old man is evaluated for a 2-month history of progressive lower-extremity edema, weight loss, and fatigue. Medical history is significant for recreational use of inhaled cocaine; he denies injection drug use. He has no other known medical issues and takes no medications. Following a physical exam, lab studies, and kidney analysis, what test is most likely to establish the cause of this patient's focal segmental glomerulosclerosis?
https://immattersacp.org/weekly/archives/2018/02/06/3.htm
6 Feb 2018

HIV incidence decreases overall, increases among Hispanic/Latino men who have sex with men

CDC researchers used data from the National HIV Surveillance System to model HIV incidence among people ages 13 years and older and to estimate HIV prevalence and percentage of undiagnosed HIV infections.
https://immattersacp.org/weekly/archives/2018/03/20/1.htm
20 Mar 2018

Be proactive about managing hepatitis B

Reports and other guidance on both hepatitis B virus prevention and treatment all have reprised a common theme: Clearly vulnerable individuals are too often missed.
https://immattersacp.org/archives/2018/04/be-proactive-about-managing-hepatitis-b.htm
1 Apr 2018

MKSAP Quiz: Follow-up for HIV infection

A 30-year-old woman is evaluated in follow-up after being recently diagnosed with HIV infection. She is asymptomatic. Medical history is unremarkable, and she takes no medications; she has not yet started antiretroviral therapy. She received all scheduled childhood immunizations. Following a physical exam and lab studies, what immunizations should this patient receive today?
https://immattersacp.org/weekly/archives/2018/05/08/3.htm
8 May 2018

Direct-to-consumer tests can cause headaches

This issue also covers ACP's guidance statements on HbA1c targets, culinary cooking as medicine, and NASA astronaut Serena M. Auñón-Chancellor, MD, FACP, and her journey into space.
https://immattersacp.org/archives/2018/06/direct-to-consumer-tests-can-cause-headaches.htm
1 Jun 2018

Long-term viral suppression may help decrease cancer rates in patients with HIV

The trend toward decreased incidence with increased suppression was strongest for AIDS-defining cancer, weaker for non-AIDS-defining cancer caused by viruses, and not present for non-AIDS-defining cancer not caused by viruses.
https://immattersacp.org/weekly/archives/2018/06/12/4.htm
12 Jun 2018

MKSAP Quiz: Slow-growing genital lesions

A 34-year-old man is evaluated for several slow-growing, wart-like penile lesions that have progressively enlarged over 3 years. Repeated topical cryotherapy and topical imiquimod have yielded no improvement. The patient has HIV infection and is taking tenofovir, emtricitabine, and efavirenz. There are no other skin findings, and vital signs and the remainder of the physical examination are normal. After obtaining laboratory studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/06/26/3.htm
26 Jun 2018

CDC expands recommendations for latent tuberculosis treatment

Expanded recommendations specifically include use in children, in persons co-infected with HIV/AIDS and latent tuberculosis, and by self-administration.
https://immattersacp.org/weekly/archives/2018/07/10/4.htm
10 Jul 2018

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