Managing the HIV-Infected Adult Patient in the Emergency Department (Infectious Disease CME, Pharmacology CME and HIV CME) | Podcast
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Managing the HIV-Infected Adult Patient in the Emergency Department (Infectious Disease CME, Pharmacology CME and HIV CME)

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Episode 59

Date: 07/01/2021 | Length: 55:39

 

Show Notes

Announcement

Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month!

In This Episode

  • Why HIV?
    • 2018 , 1,2 million people living with HIV, almost 40k new infections
    • People living with HIV visit the ED 3x per year on average
    • HIV-infected patients accounted for 6 in 1000 ED visits in 2017
  • What does acute infection look like?
  • What about chronic infection? The chronic phase can last 10 years or more and be asymptomatic.
  • Are people with HIV more likely to develop: CAD, COPD, DVT, and why?
    • What if they are on medication for HIV?
  • Screening in the ED -- everyone? Do they have to have symptoms or risks?
    • What does universal screening mean?
    • What does risk-based screening mean?
  • What are the risk factors? What if you see someone on PrEP who is in the ED for an unrelated complaint?
  • History
    • Ask about cd4, viral load, and last test
    • Ask about history of opportunistic infections
    • Ask about medication side effects
  • Exam
  • Labs: rapid testing, 4th gen, viral load and cd4, etc
  • Imaging
  • Treatment
    • Table 1
    • Highly effective and reduces transmission
  • Medication side effects
  • Hepatitis B virus deactivation
  • System-Based Disease
    • Heart failure and CAD
    • PCP (role of LDH)
    • TB
    • COPD
    • Renal Disease - stones , radiolucent
    • Neurologic- CVA, cryptococcal meningitis, toxo, progressive multi focal leukoencephalopathy, HAND
    • GI - diarrhea causes, c diff, hep C
    • Heme- cytopenia
    • Endocrine - metabolic syndrome
    • Musculoskeletal
    • Psychiatric
    • Derm
  • Special Circumstances
    • PEP
    • PrEP

Have questions or comments on the podcast? Write us at emplify@ebmedicine.net

 

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he takes you through the July 2021 issue of Emergency Medicine Practice: Managing the HIV-Infected Adult Patient in the Emergency Department (Infectious Disease CME, Pharmacology CME and HIV CME)


About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.

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Publication Information
Authors

Fereshteh Sani, MD; John J. Faragon, PharmD; Daniel J. Egan, MD

Peer Reviewed By

Andy Jagoda, MD, FACEP; Roland C. Merchant, MD, MPH, ScD

Publication Date

July 1, 2021

CME Expiration Date

July 1, 2024

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME, 4 Pharmacology CME and 4 HIV CME credits

Pub Med ID: 34196515

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CME Information

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