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Sort by: Relevance | Newest | OldestMKSAP Quiz: 12-hour history of fever
A 51-year-old man is evaluated in the emergency department for a 12-hour history of fever, chills, headache, and weakness. He works on his farm in Maine and spends a considerable part of most days outside, but he is not aware of any tick or mosquito bites. Following a physical exam and lab studies, a blood smear from this patient is most likely to show which of the following abnormalities?
https://immattersacp.org/archives/2020/11/mksap-quiz-12-hour-history-of-fever.htm
1 Nov 2020
Scientific statement reviews cardiovascular risks, prevention, and treatment in patients with HIV
Even when adequately controlled, HIV is associated with increased cardiovascular risk, said a recent scientific statement from the American Heart Association, which offered advice on risk assessment and preventive treatment.
https://immattersacp.org/weekly/archives/2019/06/11/2.htm
11 Jun 2019
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
Integrating routine HIV screening into practice
Routine screening has 2 main benefits: diagnosing HIV infection before patients become symptomatic and have lost the bulk of their immune system and preventing HIV transmission.
https://immattersacp.org/archives/2016/09/hiv.htm
1 Sep 2016
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
Major shift in thinking about cognitive impairment
Because neurocognitive decline can have a variety of etiologies, a new definition by the DSM-5 defined mild cognitive impairment as a syndrome, and then drilled down to its etiology.
https://immattersacp.org/archives/2019/07/major-shift-in-thinking-about-cognitive-impairment.htm
1 Jul 2019
MKSAP Quiz: 10-day history of abdominal cramping, diarrhea
A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He recently returned from a trip to Lima, Peru. Following a physical exam and stool assay, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2020/02/25/3.htm
25 Feb 2020
HIV prophylaxis means discussing sex, drugs with patients
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
MKSAP Quiz: Follow-up after HIV testing
A 25-year-old man is evaluated in follow-up after HIV testing. He states he has sex with other men and usually uses condoms. He had a negative HIV test result 1 year ago. He feels well today but reports having a flulike illness last week with mild fever, headache, myalgias, and fatigue; these symptoms have resolved. Following a physical exam and immunoassays, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/10/17/3.htm
17 Oct 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