ORAL HERPES

Tamara presents with three days of a painful rash on her left lower lip. The rash is on the border of her lip and extends to her chin. She has taken valcyclovir medication before with improvement. She currently has no insurance coverage. Tamara has used over the counter Abreva cream to no improvement.

PRE-EXPOSURE PROPHYLAXIS

PRE-EXPOSURE PROPHYLAXIS (PrEP) Preventing HIV Mario presents for Pre-Exposure Prophylaxis (PrEP) treatment. He has had over 6 partners in the last 9 months and many of them he states he has had sex without a condom. All his partners are males. He states both oral and rectal sex. Mario would like to know more about PrEP as he has heard about this medication from friends. Mario’s last sexual partner was four weeks ago. He states getting HIV tested 4 months ago and was negative.