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VIRTUAL MEDZONE

VIRTUAL MEDZONE. Your Resource for HIV Related Innovative Medical Communication. HIV CASE PRESENTATIONS. Phil Sestak MD David Fletcher MD FRCPC. CASE 4 . 42 yo man HIV+ 2003 Sexual acquisition No major or minor opportunism CD4 260 HIV viral load 56,785 Genotype… K103N !!

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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 Phil Sestak MD David Fletcher MD FRCPC

  3. CASE 4 • 42 yo man • HIV+ 2003 • Sexual acquisition • No major or minor opportunism • CD4 260 HIV viral load 56,785 • Genotype… K103N !! • HLAB5701 negative

  4. CASE 4 • ABC/3TC/RTV/ATZ initiated in 2004 • CD4 now 1200 HIV Viral load<39 • Increasingly displeasing lipohypertrophy, weight, blood sugar, HBA1C What would you do?

  5. CASE 4 • Continue as is and add oral hypoglycemic agents? • Switch to ABC/3TC/ATZ? • Switch to ABC/3TC/RGV? • Switch to ABC/3TC/ETR? • Other ideas

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