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Family Practice Notebook Updates 2016

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101. Strongyloides

and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) stool testing negative (and then one more treatment) Continuous dosing daily for hyperinfection (e.g. , ) continued until stool and negative for 2 weeks Other agents Albendazole 400 mg orally twice daily for 7 days (for asymptomatic of intestinal infection) Thiabendazole (not available, poorly tolerated, less effective) X. Complications: Hyperinfection XI. Prognosis Hyperinfection mortality rate in immunosuppressed: 87% XII. References Gilbert (2016) Sanford Guide, IOS version, accessed 9/12/2016

2018 FP Notebook

102. HIV Exposure

revised on 3/1/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) -occupational exposed patients XVI. Resources .GOV National HIV Clinicians Center Phone (PepLine): 1-888-HIV-4911 or 888-448-4911 (health care providers only) XVII. Reference Orman and Moran in Herbert (2016) EM:Rap 16(4):16-7 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "HIV Exposure." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: HIV post

2018 FP Notebook

103. Ritonavir

, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 10/8/2011 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) (not typically used at full dose due to adverse effects) Boosting dose varies from 100 mg daily up to 400 mg bid VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Ritonavir." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Cost: Medications norvir (on 9/21/2016 at ) NORVIR 100 MG TABLET $8.28 each FPNotebook does not benefit financially from

2018 FP Notebook

104. Abacavir

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/12/2015 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Generic $20.22 each ABACAVIR-LAMIVUDINE-ZIDOV TAB Generic $23.45 each ziagen (on 5/18/2016 at ) ZIAGEN 300 MG TABLET Generic $2.13 each FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See for financial assistance information

2018 FP Notebook

105. Nucleoside Reverse Transcriptase Inhibitor

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/3/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

106. Anti-Retroviral Therapy

specific medical concerns with their physicians. This page was written by , last revised on 6/2/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Guidelines for use of Antiretroviral agents in HIV-1 Infected Adults and Adolescents Updated 1/10/11 and accessed 10/8/2011 HIV- Treatment Information Service Website Stanford HIV Drug Resistance Database UCSF National HIV/ Clinicians Center Phone (warmline): 800-933-3413 NIH Info Site Perinatal HIV/ XV. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Anti-Retroviral Therapy." Click on the image (or right click) to open

2018 FP Notebook

107. HIV in Pregnancy

found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 8/5/2013 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) is contraindicated (risk of ) Update s as needed VII. Management: Anti-Retroviral Therapy Treat HIV-infected pregnant women and infants! Mother on drugs after 14 weeks NIH recommends same treatment as non-pregnant Consider multiple al drugs Includes the use of s Intravenous during labor Infants treated in first 6 weeks of life Decreases likelihood of maternal-infant transmission reduces overall transmission 25% to 8% Peripartum AZT reduces transmission by 30% (AZT) Protocol for HIV positive Mothers appears more

2018 FP Notebook

108. Genotypic Antiretroviral Resistance Testing

was written by , last revised on 11/1/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

109. CD4 Cell Count

and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 11/1/2016

2018 FP Notebook

110. HIV Test

is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 11/1/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

111. Sexually Transmitted Disease in HIV

with their physicians. This page was written by , last revised on 12/3/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

112. Isospora belli

, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/12/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) mg orally daily 500 mg twice daily for 7 days (limited evidence) VII. Course Relapse in 50% of patients Chronic suppressive therapy may be necessary Example: DS 1 tab orally three times weekly or once orally daily VIII. References Gilbert (2016) Sanford Guide, on IOS, accessed 9/12/2016 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Isospora belli." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

113. Cryptococcal Meningitis

concerns with their physicians. This page was written by , last revised on 8/6/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

114. Leptospirosis

by , last revised on 5/4/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) human frequented areas Other measures Consider of dog (covers 4 most common Leptospira species) Keep dogs away from standing water X. References (2016) Sanford Guide to Antibiotics, IOS App accessed 4/14/2016 Anderson (2014) Crit Dec Emerg Med 28(7): 11-9 Tappero in Mandell (2000) Infectious Disease p. 2495 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Leptospirosis." Click on the image (or right click) to open the source

2018 FP Notebook

115. Spirochete

is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/14/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) Ontology: Borrelia (C0006033) Definition (NCI) A genus of aerobic, Gram-negative, spiral shaped bacteria assigned to the phylum Spirochaetes and the family Spirochaetaceae. Definition (NCI_CDISC) Any bacteria that is not assigned to the species level but can be assigned to the Borrelia genus level. Definition (MSH) A genus of gram-negative, anaerobic, helical bacteria, various species of which produce RELAPSING FEVER in humans and other animals. Definition (CSP) causes borreliosis in man; helical rod

2018 FP Notebook

116. Clostridium

/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) in the Firmicutes phylum capable of producing endospores. Definition (NCI_CDISC) Any bacteria that is not assigned to the species level but can be assigned to the Clostridium genus level. Definition (MSH) A genus of motile or nonmotile gram-positive bacteria of the family Clostridiaceae. Many species have been identified with some being pathogenic. They occur in water, soil, and in the intestinal tract of humans and lower animals. Definition (CSP) genus of motile or nonmotile gram positive bacteria

2018 FP Notebook

117. Infectious Disease Links

to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 3/15/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

118. Upper Gastrointestinal Bleeding

. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/6/2016 and last published on 3/3/2019 . Contact 2019 Family Practice (...) characteristic predictors of poor outcome See or nasogastric aspirate contains red blood Low initial ( or high INR) Comorbid condition predictors of poor outcome Active Active lung disease Metastatic cancer Advanced liver disease Advanced age XXII. References Spangler, Swadron, Mason and Herbert (2016) EM:Rap C3, p. 1-11 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Upper Gastrointestinal Bleeding." Click on the image (or right click

2018 FP Notebook

119. Gastrointestinal Bleeding

is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/6/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) % compared with XI. Complications Cardiac ischemia ( ) XII. References Spangler, Swadron, Mason and Herbert (2016) EM:Rap C3, p. 1-11 Henneman in Marx (2002) Rosen's Emergency, p 194-200 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gastrointestinal Bleeding." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Gastrointestinal Hemorrhage (C0017181

2018 FP Notebook

120. Bezoar

. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/15/2016 and last published on 3/3/2019 . Contact 2019 Family Practice (...) Notebook, LLC. | | | |

2018 FP Notebook

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