Introduction
It’s a Monday morning; the week-end has seen the re-admission of a retired teacher with a dry cough, increasing dyspnoea and no physical signs. His chest X-ray ten days previously didn’t show any abnormalities. The course of amoxicillin given by his GP has not helped. He has an oxygen saturation of 89% at rest. Something doesn’t add up?
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References
- British HIV Association (BHIVA) (2008) UK National Guidelines for HIV Testing 2008 http://www.bhiva.org/HIV-testing-guidelines.aspx
- Public Health England (2015) Annual epidemiological spotlight on sexually transmitted infections in London 2014 data https://www.gov.uk/government/statistics/sexually-transmitted-infections-stisannual-data-tables
- Public Health England (2015) HIV New Diagnoses, Treatment and Care in the UK 2015 report https://www.gov.uk/government/statistics/hiv-in-the-united-kingdom
- Bagnall G, Plant MA. HIV/AIDS risks, alcohol and illicit drug use among young adults in areas of high and low rates of HIV infection. AIDS Care 1991;3:355–61 https://www.rcplondon.ac.uk/news/nhs-missing-key-opportunities-tackle-alcohol-abuse
- ChemSex and hepatitis C: a guide for healthcare providers (2014) http://www.chemsexsupport.com/chemsex-co-infection-booklet
- Rekart, M L. Caring for sex workers BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h4011 (Published 05 August 2015) Cite this as: BMJ 2015;351:h4011
- British Association for Sexual Health and HIV Clinical Effectiveness Group (2013) UK national guideline for consultations requiring sexual history taking http://www.bashh.org/documents/Sexual%20Histor y%20Guidelines%202013%20f inal.pdf [Accessed 20th December 2015]
- General Medical Council(2009) Confidentiality https://www.gmc-uk.org/confidentiality
- Royal College of Physicians Acute care toolkit 13: Acute care for adolescents and young adults London RCP,2015 https://www.rcplondon.ac.uk/guidelines-policy/acute-care-toolkit-13-acutecare-adolescents-and-young-adults [accessed 23rd December2015]
