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Use this Picmonic to help you learn about HIV diagnosis by the story of the infected HIV Band-aid and diagnostic computer discovering what caused him to turn into a werewolf. In the past, screening involved an ELISA test and a confirmatory Western Blot, but recently new fourth-generation testing is preferred. In a patient with a suspected HIV infection, an HIV-1/2 antigen/antibody immunoassay should first be performed, shown by the HIV Band-AID Ant-gem/Ant-tie-body and Moon-essay. This test looks for the HIV p24 antigen, as well as IgG or IgM antibodies to HIV. A negative HIV-1/2 antigen/antibody test indicates an HIV infection is not present and no further testing is needed. For patients testing positive, an HIV-1/2 antibody differentiation immunoassay should then be done, shown by the HIV Band-AID Ant-tie-body Differentiating the Moon-essays. This test confirms a positive HIV-1/2 antigen/antibody immunoassay and determines if a patient has HIV-1, HIV-2, or both.&nbsp;If the HIV-1/2 antibody/antigen immunoassay is positive and the HIV-1/2 antibody differentiation immunoassay is inconclusive, then nucleic acid testing (NAT) is performed, shown as the Nuclear Acidic-lemon Test-tubes. Nucleic acid testing includes the polymerase chain reaction (PCR) test, which looks for HIV RNA in the blood. A negative NAT in this setting indicates a false positive HIV-1/2 antibody/antigen immunoassay. The amount of viral RNA detected is also known as the viral load, the Virus Load Tested, which helps determine disease progression and efficacy of therapy. An exception to this diagnostic algorithm is for newborns who may have contracted HIV transplacentally from their mother. For these neonates, polymerase chain reaction should be performed first, shown by the polly mirror with chain reacting to the neon natal baby. This is because the presence of maternal HIV antibodies in the newborn make antibody tests unreliable immediately after birth.So to review, HIV is diagnosed by using the combination of the HIV-1/2 antigen/antibody test, as well as the HIV-1/2 antibody differentiation test. If this testing is inconclusive, then nucleic acid testing like the polymerase chain reaction test,&nbsp; is performed to detect viral RNA. The amount of RNA detected is also known as the viral load, which helps determine disease progression and therapy efficacy. This algorithm differs for neonates suspected to have contracted HIV transplacentally, where PCR should be the first diagnostic step. This is because antibody tests are unreliable immediately after birth.

educational

story

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HIV Band-AID with Diagnostic-computer

Human Immunodeficiency Virus (HIV) Diagnosis

HIV (AIDS)

HIV Infection and AIDS

Prenatal Infections

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HIV Band-AID Ant-gem/Ant-body Moon-essay

HIV-1/2 Antigen/Antibody Immunoassay

Regarding HIV diagnosis, which of the following tests detects antibodies?

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HIV Band-AID Ant-body Differentiating Moon-essays

HIV-1/2 Antibody Differentiation Immunoassay

Regarding HIV diagnosis, which of the following tests may be used to confirm the presence of antibodies to HIV?

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Polly-mirror with Chain Reacting to Neon-natal-baby

Polymerase Chain Reaction (PCR) in Neonates

Regarding HIV diagnosis, which of the following tests is best to detect HIV DNA in neonates?

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Virus Load Tested

Viral Load

Regarding HIV management, which of the following tests gauges response to antiretroviral therapy (ART)?

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Nuclear Acidic-lemon Test-tubes

Nucleic Acid Testing (NAT)

In a suspected HIV infection, which of the following diagnostic tests is most appropriate if there is a positive HIV-1/2 antigen/antibody immunoassay and a negative HIV-1/2 antibody differentiation immunoassay?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

Family Nurse Practitioner Certification Intensive Review 2nd Edition, Leik

First Aid for the USMLE Step 1 2017

First Aid for the USMLE Step 1 2018

First Aid for the USMLE Step 2 CK, 9th Ed

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Lilley, Rainforth Collins & Snyder, Pharmacology and the Nursing Process, 8th Ed.

Master The Boards USMLE Step 2 CK, 3E

Maternity and Women's Health Care, 11th Edition (Elsevier)

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

Pharmacology and the Nursing Process 8e, Lilley, Rainforth Collins, Snyder, 2017

STEP-UP to USMLE Step 2 CK, 4th Ed

We updated this Picmonic to add new fourth-generation testing which is now preferred.

This Picmonic was reviewed and updated for academic accuracy and quiz improvements.

So after the assess-man was bitten by a werewolf like band-AID, he was cursed, and became an HIV band-AID himself. &nbsp;Being in the situation he was in, he needed to find out what really caused his affliction. He needed to diagnose himself. It was a full moon that started it all so he turned to research the moon before he turned into a ravishing beast yet again. The townspeople helped him too and together they sent a research team to the moon. The team was comprised of ant-gems and ant-tie-bodies and on the moon they discovered a statue, a HIV Band-aid with a (1) wand and (2) tutu. It was like the statue of liberty. This was indeed the birthplace of the HIV werewolf virus. The ant-tie-body team compiled many essays based off their discoveries but they had to differentiate the right one to send down to earth. They find the right one and drop it down where it is placed in nuclear acidic-lemon test-tubes for more testing. Then the diagnosis results were made and picked up by the virus load tractor. Finally things were looking up for the were-band-aid, that is until the virus got the best of him and he went after a neon-natal-baby! Luckily, a polly-mirror was on site to catch the babe with a chain. What will they do with the were-band-aid now? Find out in the Human Immunodeficiency Virus (HIV) Interventions Picmonic.

HIV diagnosis is confirmed with an ELISA test.

After exposure, a patient may test positive within 6-12 weeks.

Neonates can be screened the same as adults for HIV.

Viral load testing is the best screening test for HIV.

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