1. What Is New in HIV Infection? Journal of AAFP February 15, 2014 Volume 89, Number 4 Today is 3/26/14, and my name is Isaac Engholm, DO

2. Vignette: 32 year old male 240 lbs 6’ 4” Presents to clinic for his AHM. He is accompanied by his friend.

4. Physical exam:

6. The next day… The Next Day….

8. https://www.youtube.com/watch?v=R O8MP3wMvqg HIV

9. What is PrEP? PrEP is short for Pre-Exposure Prophylaxis

10. Truvada Mechanism of Action Nucleoside and nucleotide reverse transcriptase inhibitor combination; emtricitabine is a cytosine analogue while tenofovir disoproxil fumarate (TDF) is an analog of adenosine 5'- monophosphate. Each drug interferes with HIV viral RNA dependent DNA polymerase resulting in inhibition of viral replication.

12. References: AFP Feb 15, 2014 Vol 89, Number 4 Images from fanpop.coom