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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

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

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

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

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

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: 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

Insulin cartridge holders recalled, HCV drug approved

This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2017/09/insulin-cartridge-holders-recalled-hcv-drug-approved.htm
1 Sep 2017

MKSAP quiz: 2-week history of rash on face, midchest

This week's quiz asks readers to determine the most likely diagnosis for a 32-year-old man evaluated for a 2-week history of a rash on his face and midchest consisting of small, reddish, intensely itchy “lumps.”
https://immattersacp.org/weekly/archives/2017/08/29/4.htm
29 Aug 2017

Adult immunization schedule released for 2017

The Advisory Committee on Immunization Practices has released its 2017 Recommended Immunization Schedule for adults, with changes to influenza, human papillomavirus, hepatitis B, and meningococcal vaccinations.
https://immattersacp.org/weekly/archives/2017/02/07/4.htm
7 Feb 2017

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