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. 2023 Nov-Dec;19(10):104783.
doi: 10.1016/j.nurpra.2023.104783. Epub 2023 Sep 26.

Nausea, Vomiting, and Nonbloody Diarrhea in the Emergency Department

Nate Albright  1 , Stephen McGhee  1 , Dianne Morrison-Beedy  1
Affiliations

Nausea, Vomiting, and Nonbloody Diarrhea in the Emergency Department

Nate Albright et al. J Nurse Pract. 2023 Nov-Dec.

Abstract

Nausea, vomiting and diarrhea are frequent co-occurring symptoms that can mask or mimic commonly occurring conditions, or rarely, more serious concerns. The Ending the HIV Epidemic's focus on increased widespread use of PrEP, a biomedical HIV prevention strategy, highlights the importance of discussing common clinical management scenarios. The use of oral PrEP formulations has demonstrated a "startup syndrome" which involves GI upset. This case challenge of a 32year old client admitted to the ED with GI symptoms highlights key PrEP considerations including a sexual health history. Clinicians should understand common complaints associated with oral PrEP start to improve differential diagnosis and appropriate intervention.

Keywords: HIV; PrEP; STI; preexposure prophylaxis; sexual health; sexually transmitted infection; side effect.

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