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29 Cards in this Set

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  • Back
what % of HIV infections is attributed to heterosexual transmission
75%
HIV is the leading cause of death among Americans in this age group
25-44 y/o
what is the worldwide infected ratio among people between 15 and 49 y/o
1 in every 100
what % of women are infected worldwide
41% or about 30 million
name some phychosocial effects of HIV infection
Anxiety
discouragement
discrimination
change in social status
cognitive dysfunction
what are some phychiatric complications of HIV
depression
anxiety
delirium
mania
phychosis
HIV assoc. dementia
when do you initiate HIV therapy?
1. In acute HIV or <6 months after seroconversion

2. Symptomatic(AIDS, thrush, unexplained fever)

3. Asymptomatic - CD4 + T cells <500/mm3; HIV RNA>10,000
What is the initial drug regimen?
2 NRTIs + protease inhibitor or
2 NRTIs +NNRTI
what is virologic failure?
It's when the current therapy fails to keep the viral burden below 500 copies/ml 4-6 months after starting the therapy
name some HIV drugs
Indinavir
Nelfinavir
Ritonavir
Saquinavir
AZT
what are some drugs you should watch out for: "RED FLAG" list
P450 inhibitors/inducers
drugs with narrow therapeutic indices
Drugs w/specific reqs for absorption
Viagra and drug interactions
What are some conditions assoc. with HIV
Thrush
Hairy Leukoplakia
Pneumocystis carinii
Anal-Penile Condylomata
Multidermatomal herpes Zoster
Vulvo-valginal anal warts
Define domestic violence
assault in the context of an intimate relationship
Why is DV considered a Silent Epidemic?
because it is largely unrecognized despite its magnitude and media coverage
what age group of women are most likely to be abused?
19-29 y/o
what % of professional and working women are victims of DV?
10%
Approx. how many children per year are exposed to violence against their mother
3.3 million
These children are 1500 times more likely to be abused or become abusers
what is the economic cost of DV annually?
more than 2 billion
what is the #1 killer of pregnant and post partum women?
homocide
what are the phases of the Battering Cycle?
Tension building phase
Violent phase
Honeymoom phase
how do you diagnose DV?
Diagnosis is made through a thorough history
What are the S/Sx of DV?
Physical Symptoms
Somatic Stress
Behavioral cues
Verbal
name some physical symptoms of DV
Acute traumatic injury
recurrent urogenital infections from sexual assault
bruises/Fx at various levels of healing
IBS or chronic ab pain
recurrent VDs
T/F DV is less prevalent among homosexuals
False, it's the same
What are 5 screening questions for DV?
use the acronym PEACE

P- ever physically hurt?
E- feel as if "walking on Eggshells" to avoid arguing?
A- Ever suxually Abused?
C- Controlling partner?
E- ever been Emotionally abused?
How do you treat DV?
1. Treat medical condition
2. Document findings
3. Consult expert
4. Don't rescue
what is Kaplan's 3 stage model
It's the stages of sexual response:
Desire
Excitement
Orgasm
Master and Johnson sexual response cycle
Excitement
Plateau
Orgasm
Resolution
what is TURP
transurethral resection of the prostate