Rejected at 4:03 a.m. Nov, 01, 2023 ] by Cameron
Author: madelineyuan
Related Note: 1504720349150
Rationale for change

This does not make sense to me. An adult that is not sexually active, why screen them for HIV? There is no good rationale in the Extra Notes either.

Rejection reason

Make relevant/desired change and resubmit

Text Text
Extra
- Plasma HIV RNA testing is recommended for individuals with negative serologic tests and high clinical suspicion of acute HIV; testing for HSV, gonorrhea, syphilis, etc. is not needed in this sexually inactive, asymptomatic patient

- The recommended algorithm involves using a 4th generation assay to detect HIV-1/2 antigen/antibody combination along with checking for p24 antigen (from HIV-1).

- If all are negative, you're done. If any are positive, then proceed to antibody differentiation (to determine HIV-1 vs. 2) which can determine if HIV-1 or 2 antibodies are present. If indeterminate/negative, this is followed by PCR RNA for HIV-1 and 2


Lecture Notes
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Pathoma
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First Aid
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Sketchy
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Sketchy 2
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OME

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#AK_Step2_v12::!Shelf::IM::no_dupes::only_step2 #AK_Step2_v12::#AMBOSS::o7a05N #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::6im #AK_Step2_v12::#Resources_by_rotation::IM::uw::infectious_disease::infectious_disease_dorian #AK_Step2_v12::Original_decks::Zanki_Step_2::IM::ID #AK_Step2_v12::!Shelf::IM::no_dupes #AK_Step2_v12::#AMBOSS::BCaz85 !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Internal-Medicine::5-UWorld::4 #AK_Step2_v12::#Subjects::Microbiology::02_Viruses::HIV_Redo !AK_UpdateTags::AnKing_Image::Mujeeb::Screening_recs #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#SketchyIM::09_Infectious_Diseases::Retired_Lessons::04_HIV_&_AIDS::03_AIDS_SOAP_[OLD_VERSION] #AK_Step3_v12::#UWorld::10321 !AK_UpdateTags::^temporary::ImageFix::Table #AK_Step2_v12::Original_decks::Dorian::im::uw::infectious_dz #AK_Step1_v12::#OME::Clinical::Internal_Medicine::Infectious_Disease #AK_Step2_v12::#Resources_by_rotation::IM::uw::infectious_disease::infectious_disease_zanki