Episode 59 - HIV - An Interview With Dr. Daniel Egan

<p><b>EMplify - July 2021</b></p> <p><b>Announcements: Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this month !!</b></p> <p><b></b></p> <p><b>HIV- An Interview With Dr. Daniel Egan</b></p> <p><ol></ol></p> <p>See the EB Medicine Article @ https://www.ebmedicine.net/topics/infectious-disease/HIV</p> <ol data-en-clipboard="true" data-pm-slice="3 4 []"> <li>Why HIV?  <ul> <li>2018 , 1,2 million people living with HIV, almost 40k new infections</li> <li>People living with HIV visit the ED 3 x per year on average</li> <li>HIV infected patients accounted for 6 in 1000 ED visits in 2017</li> <li>New Transmission of HIV, Figure 1</li> </ul> </li> <li>What does acute infection look like ?</li> <li>What about chronic infection ?The chronic phase can last 10 years or more and be asymptomatic.</li> <li>Are people with HIV more likely to develop: CAD, COPD, DVT and why? <ul> <li>What if they are on medication for HIV?</li> </ul> </li> <li>Screening in the ED, everyone? Do they have to have symptoms or risks? <ul> <li>What does universal screening mean?</li> <li>What does risk based screening mean?</li> </ul> </li> <li>What are the risk factors? What if I see someone on PrEP who is in the ED for an unrelated complaint?</li> <li>History <ul> <li>Ask about cd4 and viral load and last test</li> <li>Ask about he of opportunistic infections </li> <li>Ask about medication side effects </li> <li>What else?</li> </ul> </li> <li>Exam</li> <li>Labs - rapid testing, 4th gen, viral load and cd4, etc</li> <li>Imaging</li> <li>Treatment <ul> <li>Table 1</li> <li>Highly effective and reduces transmission </li> </ul> </li> <li>Medication side effects (we don’t have to dwell on each Med and side effect and just reference the charts)</li> <li>hep B virus deactivation</li> <li>System Based Disease <ul> <li>Heart Failure and CAD</li> <li>PCP (role of LDH)</li> <li>TB</li> <li>COPD</li> <li>Renal Disease - stones , radiolucent </l