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Guidelines for a new HIV preexposure prophylaxis (PrEP) regimen offer a new way to combat the disease, but internists will have to gently explore this option with their patients. Learn who's at risk and how to have sometimes delicate conversations.
https://immattersacp.org/archives/2014/09/HIV.htm
1 Sep 2014
New guidelines on HIV prevention, treatment released
The International AIDS Society-USA released clinical guidelines on preventing and treating HIV, noting that the 2 approaches should complement each other on reducing the spread of the disease.
https://immattersacp.org/weekly/archives/2014/07/29/2.htm
29 Jul 2014
Efavirenz as part of initial HIV therapy associated with increased suicidality
Initial HIV therapy that contained the antiretroviral efavirenz was associated with increased risk for suicidal ideation, attempted suicide, and completed suicide in a recent study.
https://immattersacp.org/weekly/archives/2014/07/01/4.htm
1 Jul 2014
It's all about the history in diagnosing fever of unknown origin
There are 4 types of fever of unknown origin, and distinguishing among them starts with the first step: Look for clues from the history and other presenting symptoms.
https://immattersacp.org/archives/2014/06/fever.htm
1 Jun 2014
CDC issues guideline on prescribing HIV prophylaxis medication
A new clinical practice guideline on how to prescribe oral antiretroviral preexposure prophylaxis (PrEP) for HIV infection was issued by the CDC last week.
https://immattersacp.org/weekly/archives/2014/05/20/2.htm
20 May 2014
MKSAP Quiz: 2-week history of nonproductive cough and fever
A 35-year-old man is evaluated for a 2-week history of nonproductive cough and fever. He has a 20-year history of asthma. Three weeks ago, he visited friends in Indiana. He has no dyspnea, hemoptysis, or worsening of his baseline asthma symptoms. His only medication is an albuterol inhaler as needed. Following a physical exam, lab results and a chest radiograph, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2014/03/04/3.htm
4 Mar 2014
ACIP adult vaccine schedule updated for 2014
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) just announced its recommended 2014 adult immunization schedule.
https://immattersacp.org/weekly/archives/2014/02/04/1.htm
4 Feb 2014
MKSAP Quiz: 3- to 4-month history of diffuse, intractable itching
A 72-year-old man is evaluated for a 3- to 4-month history of diffuse, intractable itching involving most of the body. He uses emollients regularly. He cannot identify any precipitating causes. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2014/01/14/3.htm
14 Jan 2014
MKSAP Quiz: 5-week history of spots in the mouth and throat
A 33-year-old woman is evaluated for a 5-week history of whitish spots in the mouth and the back of the throat and discomfort with swallowing solid foods. This is her first episode of these symptoms. She has had no mouth pain, trouble ingesting liquids or pills, nausea, vomiting, diarrhea, fever, chills, sweats, or skin problems. She has a 3-year history of HIV infection and also has moderately severe asthma, which is now well controlled with inhaled medications that were recently prescribed. Whitish plaques are seen on the palate and posterior pharynx. What is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2013/11/19/3.htm
19 Nov 2013
Updated guidelines released for management of HIV in primary care
The HIV Medicine Association of the Infectious Diseases Society of America (IDSA) released updated guidelines last week on management of HIV in primary care.
https://immattersacp.org/weekly/archives/2013/11/19/7.htm
19 Nov 2013