VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

Slides:

Advertisements

Similar presentations

Examination & Treatment of the Lower Extremity Amputee

Advertisements

Medical Student Small Group Discussion Topics

Preoperative evaluation of the patient

Atypical Polymyalgia Rheumatica

ICE Survive Phase 2 Integrated Clinical Examination UNSW 2009 Assoc Prof Tony O’Sullivan St. George Clinical School.

Case Presentation Lance C. Brunner M.D. Assistant Clinical Chief Department of Family Medicine.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

Hypoparathyroidism By Katie Miller. Hypoparathyroidism endocrine disorder where parathyroid glands in the neck don’t produce enough parathyroid hormone.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

Migraines Mark Green, MD Clinical Professor Department of Neurology Columbia University New York, NY.

Bilateral Knee Osteoarthritis Case 6 : Ruth-Ann.

Writing an HPI. Mr. Smith is a 48 year old man who presents with chest pain. The pain began 3 weeks ago and has been slowly getting worse. It lasts for.

Case Study 37 By Chris Sanders.

Measuring Signs and Symptoms in Rheumatoid Arthritis David R. Karp, MD, PhD Chief, Rheumatic Diseases UT Southwestern Medical Center David R. Karp, MD,

My migraine ruins my weekends CLINICAL CASE Presented by: Julio Pascual Neuroscience Area, Service of Neurology, University Hospital Central de Asturias.

Mechanical Low Back Pain (PEN) Case 2: Sudha.

Clinical Case Studies Developed by Dr. David Hunt.

CASE 2 49 yo man HIV positive 16 yrs. ago CD4 15 on diagnosis Disseminated cutaneous Kaposi’s Sarcoma.

Dermatology Wound Clinic Jessica Scanlon, MD October 9, 2014.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

VIRTUAL MEDZONE Your Resource for Hepatitis Related Innovative Medical Communication.

Slide 1 of 11 From DA Wohl, MD, at New York, NY: May 03, 2012, IAS-USA. IAS–USA David Alain Wohl, MD Associate Professor of Medicine The University of.

Malignant MCA Infarction and Hemicraniectomy

Approach to Limb Pain in Children/Osteomyelitis

Case Presentation HKC A 78 y/o man obstructive symptoms Flank pain(_) Gross hematuria(-). LUTS(+)

Expert Panel Non Gynaecological Submitted by Bastiaan DeBoer.

Injury Assessment & Evaluation 10/8/20151

2.2 A Ball of a Time!.  Name 3 muscles in your back and correct position.  Name 3 muscles in your leg and correct position.  Name 5 bones and correct.

Orthopedic Assessment Jan Bazner-Chandler CPNP, CNS, MSN, RN.

Evaluation of Non-Life Threatening Injuries Sports Medicine I.

The Injury Examination Process ATHT 305 Fall 2015.

Practical Management of MS in the Primary Care Office Setting Case Study 1.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

Case Presentation. Presentation 58 yo male ED 11/07 Generalised pain R foot – sole, lateral ankle and dorsum Worse at night Afebrile.

NYU Medical Grand Rounds Clinical Vignette Sunnie Kim, MD PGY3 Tuesday, May 29, 2012 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

Developing the Nancy F. Barrett EdD February 5, 2008 SUCCESSFUL Clinical Abstract.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication.

CASE 2 49 yo man HIV+ since 1993 CD4 Nadir 120/7% Smoker of 45 pack years.

CASE 3 52 yo man HIV positive 1999 CD4 nadir 50 Smoker 35 pack yrs…quit 2005 COPD…chronic bronchitis Diabetic, Hypertensive, Hyperlipidemic.

The Research Question What factors characterize the elite successes among HAART recipients in a NYC HIV care clinic?

Case 4: 65-year-old Man Newly Diagnosed, Has Other Health Issues Paul E. Sax, MD Clinical Director, Division of Infectious Diseases Brigham and Women’s.

Pathology of the Urogenital Tract Male Genital Tract March 24, 2014.

CASE 1 54 yo man HIV positive 8 yrs ago Tenofovir/FTC/RTV/Atazanavir x 4 yrs Previously documented NNRTI resistance with Y181C, G190A,and mixed m184v/wt.

Messy Inferior STEMI J. Jeffrey Marshall, MD, FSCAI December 8, 2012.

We analyze the neurological symptoms and provide special neurology treatment. Neurologist, Moeen Din, M.D treats stroke, headache, migraine etc.

Hi I’m Dr. Name and Welcome to our Free Car Injury Medical Massage!

Chiropractic & Pain Case Studies

HIV Care Continuum Ryan White Program - Miami-Dade County

CRT 2012 Venous Disease.

Surgical unit-ii Benazir Bhutto hospital Rawalpindi

Dr P. Chantzidis Orthopaedic surgeon Hippokration General Hospital Thessaloniki Case presentation.

Advice Toe Fractures You have fractured a bone in your toe.

Lab 17 Problem solving.

David Fletcher MD FRCPC Benny Chang MD CCFP Fred Crouzat MD CCFP

CASE 2 53 yo man HIV CD4 340/16% (Nadir) VL 30,100 c/ml.

Meghan Watson Moore Traditional School 3rd period

80-Year-Old Man With Massive Leg Swelling

This is a public service brought to you by the

Ergotism associated with HIV antiviral protease inhibitor therapy

Madhav Goyal, MD Internal Medicine

Atrial Flutter Simulated by a Portable Compact Disk Player

Itcoinitcoin ASAS. 4 I4 I,

Recurrent erythema multiforme: Clinical characteristics, etiologic associations, and treatment in a series of 48 patients at Mayo Clinic, 2000 to 2007

Best Practices for Patients With Chronic Migraine

Postoperative Trouble

Now Buy Best External Door Hardware from Doorhardware

Presentation transcript:

VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication

HIV CASE PRESENTATIONS Stephen Shafran MD FRCPC Anne Marie Zajdlik MD CCFP David Fletcher MD FRCPC

CASE 1 45 yo man HIV CD4 nadir <10 Multiple antiretroviral regimens over 15 yrs

CASE 1 Current regimen: ABC/3TC/RTV/DRV/ETV/RGV/ Rosuvastatin/Nadolol CD4 220 VL<50 x 8 months

CASE 1 March 2011 Awakens one morning with significant bilateral leg pain/erythema lasting 3 days No fevers/blistering or migration of erythema

CASE 1 March 2011 Described as burning/cramping muscle pain +/- bone pain…not skin/joint pain No joint/leg swelling

CASE 1 March 2011 Pain completely gone at clinic visit Noted during pain that feet were cold and pulses were barely palpable ASA 325 mg prn relieved pain within minutes throughout the day

CASE 1 March 2011…In the office Examination unremarkable from a neurological, vascular, MSK, and dermatological standpoint Cause???

CASE 1 On further detailed history: He had a migraine H/A the evening before and took an OTC migraine pill (in Costa Rica) – Ergotamine/caffeine/Dipirone

CASE 1 ERGOTISM!!! – Vascular insufficiency due to spasm – Role of RTV/DRV and Nadolol – Role of ETV