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MKSAP Quiz: Routine visit for HIV

A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypertension, and hyperlipidemia. He is a current smoker. Following a physical exam, cardiac exam, and lab tests, what risk factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2019/03/19/3.htm
19 Mar 2019

MKSAP Quiz: 1-month history of malaise, myalgia, weight loss

A 65-year-old man is evaluated for a 1-month history of progressive malaise, myalgia, a 3.6-kg (8.0-lb) weight loss, and numbness and weakness of the right foot; left testicular pain for 1 week; and a painful rash on his legs for 2 days. Following a physical exam, lab studies, and other tests, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/03/12/3.htm
12 Mar 2019

MKSAP Quiz: Routine office visit for patient with HIV

A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypertension, and hyperlipidemia. He is a current smoker. Following a physical exam, lab tests, and electrocardiogram, what factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2018/12/18/3.htm
18 Dec 2018

MKSAP Quiz: 2-month history of headaches, nausea, visual disturbance, difficulty speaking

A 79-year-old man is evaluated for a 2-month history of progressively worsening headaches, nausea, visual disturbance, and difficulty speaking. Following a physical exam and MRI of the brain, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/10/16/3.htm
16 Oct 2018

Large valsartan recall, new warnings for fluoroquinolones

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/09/large-valsartan-recall-new-warnings-for-fluoroquinolones.htm
1 Sep 2018

Updated recommendations issued on ART for HIV infection

Antiretroviral therapy is recommended for almost all patients with HIV infection as soon as possible after diagnosis, and for initial therapy, an integrase strand transfer inhibitor plus two nucleoside reverse transcriptase inhibitors is generally recommended.
https://immattersacp.org/weekly/archives/2018/07/31/1.htm
31 Jul 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

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

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

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

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