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Doctor insights on: Hiv 1 Gp41 Envelope Genotype

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Dr. Tanya Russo
16 doctors shared insights

Hiv (Definition)

Hiv infection is caused by a retrovirus....This retrovirus binds to CD4 cells (for the most part). You may detect the virus by several different methods. An elisa test (enzyme linked immunosorbent assay). You may also detect it by doing a test referred to as a western blot (a gel protein electrophoresis). Thirdly by pcr (polymerase chain reaction) which ...Read more


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Oral sex with unknown, continuous 5month low grade fever, lymph nodes, sore throat, 107 da HIV eia negative HIV PCR RNA not detected, what other std?

Oral sex with unknown, continuous 5month low grade fever, lymph nodes, sore throat, 107 da HIV eia negative HIV PCR RNA not detected, what other std?

NOT STD: As you have been told this is not an STD. But, it could be an infectious disease. That list is hundreds of possibilities long and will include testing for lymphoma, leukemia, other blood cell cancers, and all of the possible non-STD infectious diseases. It is time to sign off of the internet and to see your doctor for the appropriate testing or infectious disease consultation. ...Read more

Dr. Jessica Allan Dr. Allan
<b>2</b> doctors agreed:
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Living with HIV (Checklist)

Find a doctor specializing in HIV treatment
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Lifestyel modification, less stress, eat healthy, exercise, condoms
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I'm hebs ag negative with a high anti hbs antibody from vaccination. This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

I'm hebs ag negative with a high anti hbs antibody from vaccination.  This week's test was reported as hebs ag detected with anti hbs antibody of 513 miu/ml. Lft normal....Scared....Lab error?

Yes: That sounds like lab error. Your hbsab would provide immunity; i'm assuming yoru hbcab (core) is negative; i wouldn't worry, talk to your doctor about a retest if you are concerned, but even if you were infected, there is no reason for treatment at this time. ...Read more

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05/05/2016 Siemens Advia Centaur hep C antibody result positive.08/10/2016 Abbott Architect (cmia) hep C antibody result negative.Who is telling truth?

05/05/2016 Siemens Advia Centaur hep C antibody result positive.08/10/2016 Abbott Architect (cmia) hep C antibody result negative.Who is telling truth?

It's not really: a question of truth telling. No test is perfect: the proteins and reactants used in each test will respond to an individual's blood/biologic material, potentially, in a different way. Falsely positive or falsely negative results are not very unusual. You need to decide on a confirmatory strategy with your doctor. Retesting is necessary and an expert can help you weigh the evidence to decide result ...Read more

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Caring for an Elderly Loved One (Checklist)

Check your loved one's balance
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Remove obstructions that could cause falls
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Organize medications
monthly
Add railings for support
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Results: Hep C quant. : 2,802,680 HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Results: Hep C quant. : 2,802,680 
HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Hepatitis C virus: Sometimes it's not possible to determine the genotype of this virus, which thus makes the expected response to treatment more uncertain. This is a 'slippery virus' -there are 11 major genotypes (designated 1-11), and many subtypes (a, b, c, etc.) A hepatologist (GI subspecialist) or an ID doctor who works with Hep C patients can help you. You'll need an established relationship for treatment... ...Read more

Dr. Jeffrey Unger Dr. Unger
<b>2</b> doctors agreed:
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Living with Type 1 Diabetes (Checklist)

Hypoglycemia is common with type 1 diabetes
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Check your blood glucose before and after 2 hours after eating
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Hypoglycemia is likely if the post meal glucose is lower than premeal
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If you do not feel hypo symptoms, consider use of a continuous sensor
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I'm a hept b carrier. Recent blood test shows hbe ag reactive. What does it mean?

I'm a hept b carrier. 
Recent blood test shows hbe ag reactive. 
What does it mean?

You are infecitous: Having the "e" antigen on board in your blood is a marker that your blood is especially dangerous to others. This is true of some other body fluids as well. Make your decisions accordingly, be responsible, take medicines if your physician suggests it, and perhaps someday we will have a way to cure this. ...Read more

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HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

Two possibilities...: Lab tests aren't perfect and sometimes can be wrong. Or maybe the negative result was from the wrong kind of test. Vaccination makes hepatitis B surface antibody (HBsAb) positive. Tests for surface antigen (HBsAg) or core antibody (HBcAb) remain negative. Most important, you can be sure you are immune and protected by the vaccine -- so no worries. ...Read more

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What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?

What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?

Regular follow-up: Smoldering myeloma is a pre-malignant condition with about 10% people developing myeloma/year. You correctly defined your condition as smoldering myeloma. There is need to do repeated blood tests every 6-12 months. Please follow you doctor's advice. ...Read more

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For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

Mild anemia: Assuming you've had no recent bleeding episodes, these findings could be seen in mild/early anemia of chronic disease. Hgb and Hct are only boarder line low, and iron panel appears within the reference range. Even something as simple as a particularly heavy period could cause mild anemia of this type, though. If you have a chronic medical illness, it could cause this type of anemia. ...Read more

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Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read more

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Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?

Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?

Plan: It's not clear what you want to know. To explain your abnormalities we need to know your primary condition. Your doctor who know your clinical symptoms and your previous results should explain it to you. ...Read more

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Blood: creatinine 1.80; GFR 41. Follow-up labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Blood: creatinine 1.80; GFR 41. Follow-up  labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Kidney down briefly?: Both are a bit high for a man in his mid-40s especially if your bodybuilding days are over. Might you have been recovering from a subclinical bout of Ibuprofen nephropathy? It's very common and causes partial renal shutdown. Drink plenty of water if you use nsaids nad consider a follow at your next regular appointment. ...Read more

Dr. Ed Friedlander
1,461 doctors shared insights

Human Immunodeficiency Virus (Definition)

Human immunodeficiency virus (HIV) is a lentivirus (a member of the retrovirus family) that causes acquired immunodeficiency syndrome (aids), [1][2] a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections ...Read more