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MKSAP Quiz: Difficulty swallowing for 6 months

A 54-year-old man is evaluated for difficulty swallowing of 6 months' duration. He initially had occasional choking with liquids, which has progressed to dysphagia with both liquids and solids. Following a physical exam, lab tests, and MRI of the brain, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/15/3.htm
15 Mar 2022

Lessons from an outbreak

This issue also covers preexposure prophylaxis for HIV, adult survivors of congenital heart disease, and age-friendly geriatric care.
https://immattersacp.org/archives/2020/03/lessons-from-an-outbreak.htm
1 Mar 2020

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

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

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

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: 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

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: 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

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