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HIV in the ED: The 3 AM Questions You Actually Care About
HIV shows up in the ED in more ways than we realize — from needle sticks to acute retroviral syndrome to the patient who quietly screens positive on routine labs. And at 3 am, the questions that matter aren’t abstract pathophysiology but the practical ones: When do I start PEP? How do I not miss acute HIV? Should I really be starting treatment from the ED? Join Dr. Hoeflinger as she breaks down what every emergency physician needs to know to diagnose, treat, and counsel patients with confidence through 10 FAQs about HIV.
Grand Rounds Recap 4.29.20
Another fantastic week of video conferencing started with Dr. Ham’s Morbidity and Mortality presentation through an array of zebras seen in our ED, Dr Ramsey discussed ED use of ocular ultrasound, Drs Adan and Connelly faced off in CPC case of retroviral syndrome and Dr Harty’s capstone detailed cases of pediatric patients which will prep any new parent.
Enter the Centor
Strep pharyngitis, commonly known as “strep throat” is a bacterial infection of the oropharynx caused by group A beta hemolytic streptococci (GAS), specifically S. pyogenes. This infection affects more than 500,000,000 people annually worldwide per year, ultimately resulting in a significant number of doctor’s visits, including to the ED (1). The classic clinical presentation of GAS pharyngitis includes sudden onset of sore throat, fever, and odynophagia. If untreated, complications of GAS pharyngitis include scarlet fever, rheumatic heart disease, post-streptococcal glomerulonephritis and peri-tonsillar abscess. In this post, we explore the diagnostic evaluation of pharyngitis with special attention to the use of the Centor criteria and rapid antigen testing.