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VIRTUAL MEDZONE

VIRTUAL MEDZONE. Your Resource for HIV Related Innovative Medical Communication. HIV CASE PRESENTATIONS. Mike Silverman MD FRCPC Jason Brunetta MD CCFP David Fletcher MD FRCPC. CASE 1. 66 yr old woman / HIV + 1996 /Asymptomatic. CASE 1. CASE 1. CASE 1 . Other Issues

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VIRTUAL MEDZONE

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  1. VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication

  2. HIV CASE PRESENTATIONS Mike Silverman MD FRCPC Jason Brunetta MD CCFP David Fletcher MD FRCPC

  3. CASE 1 66 yr old woman / HIV+ 1996 /Asymptomatic

  4. CASE 1

  5. CASE 1

  6. CASE 1 Other Issues • Hypertension 180/100 x 8 yrs • No Meds as per patient request • 2D echo x2 over 5 yrs • Normal function • Normal LV Mass

  7. CASE 1 Late 2010 • Increased eosinophillic folliculitis of skin • Tongue/oral pain/burning – denies dysphagia or odynophagia • 10 lb weight loss • O/E – severe oral candidiasis

  8. CASE 1 Late 2010 • Hb 140 → 111 (2009-2010) • CD4 60 • %CD4 12 • CD4/CD8 0.2 • HIV VL 295,251 WHAT HAPPENED HERE ???

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