Background: As of 2016, there are approximately 36.7 million people living with HIV around the world. HIV infection is associated with tremendous psychological burden. Improvements in coping methods would be highly beneficial in this scenario. Crucial to this would be a high Coping Self-Efficacy (CSE). Defined as a “belief about one’s ability to perform specific [...]

Background: The Centers for Disease Control and Prevention (CDC) estimates over 1.2 million Americans are living with HIV (human immunodeficiency virus). Of those, approximately 14% are unaware of their HIV-positive status. In 2014, most hospitals adopted some form of Electronic Health Records (EHR) and one year later, the Centers for Medicare & Medicaid Services extended [...]

Case Presentation: The patient is a 57 year old Hispanic male with history of AIDS who presented with two weeks of left flank pain, fatigue and fevers. Physical exam showed mild tenderness of the left flank. Labs showed a chronic anemia and an absolute CD4 count of 111. Kidney function was normal, and urinalysis was [...]

Case Presentation:  A 41 year-old male with HIV/AIDS (diagnosed three years ago), cutaneous Kaposi Sarcoma (KS), started on combination antiretroviral treatment (cART) three months ago (CD4 270, Viral load (VL) >2000 at the time of initiation of cART), recent VL of 39, who presented with worsening shortness of breath, cough, abdominal pain, abdominal distention and [...]

Case Presentation: Mr. L, a 37-year-old Native American man with alcohol abuse disorder presented to the emergency room with sub-acute development over two days of ataxia, bilateral lower extremity paralysis and loss of sensation below the nipple line. Five days prior, the patient began to feel lethargic and confused. His symptoms progressed to include significant [...]

Case Presentation: A 49 year old man with AIDS on anti-retroviral therapy (CD4 count 113) presented to the hospital with dizziness, abdominal pain, and generalized fatigue and malaise. He developed fever as high as 39.9 degree Celsius shortly after admission along with anemia and thrombocytopenia. The patient underwent complete infectious workup including viral and atypical [...]

Case Presentation:  A 32-year-old man with human immunodeficiency virus (HIV) presented with a painful and swollen right ankle. The patient had been well until 6 weeks ago when he developed a sprain followed by worsening pain and swelling of his ankle. His CD4+ T-lymphocyte count was 169 cells/mm3 with a viral load of 3770 copies/mL. [...]

Case Presentation: A 65-year-old black woman with history of longstanding controlled HIV on highly active antiretroviral therapy (HAART) and chronic Hepatitis C co-infection, presented with a 2-day history of worsening lower back pain. She was compliant with her HAART regimen (darunavir, lamivudine, raltegravir and ritonavir) since her diagnosis in 1994, with persistently undetectable viral loads [...]

Case Presentation: A 41 year old African American man history presented with 8 months of diarrhea with tenesmus. He had no past medical history and took no home medications. He also complained of cough and 15 pound unintentional weight loss in the past month, but had no nausea or vomiting. He was febrile to 103.7, [...]

Case Presentation: A 44 year-old man with history of anemia and HIV on antiretroviral therapy (ART) with CD4 359 presented with a 3-month history of progressive bilateral lower extremity swelling, increasing abdominal girth, and scrotal edema. He reported a 20-pound unintentional weight loss over the last year, associated with progressive fatigue and drenching night sweats [...]