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The HIV Manual: A Guide to Diagnosis and Treatment / Edition 1

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Overview

The rapidly proliferating research on the human immunodeficiency virus (HIV), now well in its second decade, continues to generate new information at a rate heretofore unparalleled in medicine. As a direct result, the increasing variety of methods for the prevention, diagnosis, and treatment of HIV and AIDS has made it difficult for physicians to keep abreast of the optimal management approaches in the field. The HIV Manual is an immensely practical, accessible, and up-to-date summary of the wide range of clinically relevant information on HIV-infected adults. It deals with the key issues and frequently encountered problems in HIV clinical care, and includes a special section on the symptom-based approach to diagnosis. In addition, this concise reference contains several chapters discussing topics rarely covered in similar books on the subject, such as HIV testing, initial evaluation, future anti-HIV therapies, alternative therapies, and nutrition.
The format is specifically designed for the busy practitioner's convenience. Subheadings clearly outline the principal elements of each chapter and treatment regimens are encapsulated in boxes so that needed material can be located with ease. The diagnostic and treatment guidelines are easy to follow and even where a concensus on treatment is lacking, the authors have made recommendations based on the existing data. This manual is intended to serve the information needs of health professionals involved in the care and treatment of HIV-infected patients in the clinical setting. It will also provide an easy-to-read guide for the general reader interested in finding out more about the diagnosis and prevention of HIV and AIDS.

The book contains no figures.

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Editorial Reviews

Doody's Review Service
Reviewer: John A. Robinson, MD (Loyola University Stritch School of Medicine)
Description: This book is Seattle's contribution to the continuing blizzard of HIV/AIDS treatises in formats ranging from manuals or handbooks to epic encyclopedias — how many more are needed?
Purpose: It is intended as a guide for the treatment of AIDS, a worthy but well-worn objective.
Audience: The audience would include medical students, residents, general internists, and family practice physicians.
Features: As a starting point, a purist might interpret a misspelling in the preface of this manual as a bad omen. At a deeper level, while the editors have attempted to maintain its currency, the timing of this publication is unfortunate in the face of the extraordinary new revelations in the areas of multiple drug therapy and clinical efficacy and the requisite need for no more than only CD4 receptors to establish infection. Neither milestone could be discussed. One could look at the bright side and debate whether or not the chemokine co-factor, no matter how exciting, is important for the physician on the front-line diagnosing and treating HIV/AIDS, but the technical impossibility of actually making such a guide, manual, or handbook "current" might prompt future authors attempting to do so to think twice and forego the challenge. In our case at least a third of this manual could have been deleted to make it more workable as a pocket companion for the treating physician — for indeed it does provide good source material for drugs available, drug side-effects, drug interactions, and schema of conventional modes of treatment. It also has a helpful tabulation of drug companies providing medications for indigent HIV-infected patients. The manual suffers from serious clutter and fragmentation. More than a few chapters are 2 to 4 pages long and strict editorial enforcement of consolidation into regional organ systems or any other grouping would have made this book more reader efficient. Like many other AIDS manuals or guides, the book descends inevitably into an infectious disease/dermatology format.
Assessment: Overall, the book is an adequate source for the physician who occasionally encounters AIDS patients; it provides little help to ones deeply immersed in the care of these complex patients. It is unfortunate that, as a hardcover book, it will not be readily accessible in the outpatient and inpatient setting but instead may languish on a hospital library shelf.
John A. Robinson
This book is Seattle's contribution to the continuing blizzard of HIV/AIDS treatises in formats ranging from manuals or handbooks to epic encyclopedias -- how many more are needed? It is intended as a guide for the treatment of AIDS, a worthy but well-worn objective. The audience would include medical students, residents, general internists, and family practice physicians. As a starting point, a purist might interpret a misspelling in the preface of this manual as a bad omen. At a deeper level, while the editors have attempted to maintain its currency, the timing of this publication is unfortunate in the face of the extraordinary new revelations in the areas of multiple drug therapy and clinical efficacy and the requisite need for no more than only CD4 receptors to establish infection. Neither milestone could be discussed. One could look at the bright side and debate whether or not the chemokine co-factor, no matter how exciting, is important for the physician on the front-line diagnosing and treating HIV/AIDS, but the technical impossibility of actually making such a guide, manual, or handbook ""current"" might prompt future authors attempting to do so to think twice and forego the challenge. In our case at least a third of this manual could have been deleted to make it more workable as a pocket companion for the treating physician -- for indeed it does provide good source material for drugs available, drug side-effects, drug interactions, and schema of conventional modes of treatment. It also has a helpful tabulation of drug companies providing medications for indigent HIV-infected patients. The manual suffers from serious clutter and fragmentation. More than a few chapters are2 to 4 pages long and strict editorial enforcement of consolidation into regional organ systems or any other grouping would have made this book more reader efficient. Like many other AIDS manuals or guides, the book descends inevitably into an infectious disease/dermatology format. Overall, the book is an adequate source for the physician who occasionally encounters AIDS patients; it provides little help to ones deeply immersed in the care of these complex patients. It is unfortunate that, as a hardcover book, it will not be readily accessible in the outpatient and inpatient setting but instead may languish on a hospital library shelf.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780195100365
  • Publisher: Oxford University Press, USA
  • Publication date: 9/28/1996
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 480
  • Product dimensions: 6.88 (w) x 9.50 (h) x 1.12 (d)

Meet the Author

David H. Spach, M.D., is Director, AIDS Medical Education, and Assistant Professor of Medicine in the Division of Infectious Diseases at the University of Washington School of Medicine. Thomas M. Hooton, M.D., is Medical Director at the Madison HIV/AIDS Clinic, Harborview Medical Center, and Associate Professor of Medicine in the Division of Infectious Diseases at the University of Washington School of Medicine.

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Table of Contents

Contributors
1 Pathogenesis 3
2 Epidemiology 14
3 Counseling, Testing, and Risk Reduction 20
4 Laboratory Diagnosis of HIV 28
5 Primary HIV Infection 31
6 Natural History 34
7 Initial Evaluation and Follow-Up 42
8 Laboratory Markers of HIV Infection 53
9 Antiretroviral Therapy 60
10 Future Anti-HIV Therapy 89
11 Alternative Therapy 105
12 HIV and Women 120
13 Occupational Risk 128
14 Altered Mental Status 135
15 Diarrhea 140
16 Esophageal Symptoms 146
17 Fever 150
18 Headache 155
19 Lower Respiratory Tract Symptoms 159
20 Bartonella-Associated Infections 169
21 Mycobacterium avium Complex 175
22 Syphilis 182
23 Tuberculosis 188
24 Aspergillosis 195
25 Blastomycosis 199
26 Candidiasis 202
27 Coccidioidomycosis 209
28 Cryptococcosis 215
29 Histoplasmosis 221
30 Pneumocystis Carinii 226
31 Cryptosporidiosis 237
32 Isosporiasis 242
33 Microsporidiosis 246
34 Toxoplasmosis 251
35 Cytomegalovirus 257
36 Hepatitis B 267
37 Hepatitis C 274
38 Herpes Simplex Virus 279
39 Varicella-Zoster Virus 285
40 Myocarditis and Cardiomyopathy 293
41 Dermatophytosis 296
42 Folliculitis 300
43 Molluscum Contagiosum 304
44 Psoriasis and Reiter's Syndrome 307
45 Scabies 311
46 Seborrheic Dermatitis 315
47 Warts 319
48 Xerosis and Xerotic Dermatitis 323
49 Adrenal Function 326
50 Nutrition 330
51 Wasting Syndrome 343
52 Anemia 350
53 Immune Thrombocytopenia 354
54 Leukopenia 358
55 Nephropathy 361
56 HIV-Associated Dementia 365
57 Peripheral Neuropathy 369
58 Progressive Multifocal Leukoencephalopathy 376
59 Anal Neoplasia 380
60 Hodgkin's Disease 385
61 Kaposi's Sarcoma 389
62 Non-Hodgkin's Lymphoma 395
63 Aphthae 401
64 Oral Hairy Leukoplakia 405
65 Periodontal Disease 407
66 Drug Therapy 413
Index 439
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