Infections of the bones and joints are often seen in children. They commonly follow septicaemia although occasionally may result from a penetrating injury. In children with sickle cell disease, more than one bone may be affected. Clinical Features The affected…
Bacterial infections are a leading cause of morbidity and mortality. Accurate diagnosis and appropriate, cost-effective treatment are essential. Incorrect and overuse of antibiotics facilitates the development and growth of drug resistant bacteria, which are in turn difficult to treat. Specific…
These are syndromes arising out of repeated maladaptive use of substance. A substance is defined as any chemical with brain altering properties. Substance abuse disorders are characterized by significant impairment in psychological, social, and occupational functioning as observed over a…
Suicide is an unsuccessful attempt to end one’s own life. It is more common in adolescents following severe social problems or stress. A suicide attempt is used as a desperate attempt at conflict resolution, But it may also be due…
Child Health It is the responsibility of all health care providers to ensure that the children in their catchment area are kept as healthy as possible. Many child health programmes are covered in the care of children in the community.…
Clinical Guidelines For Eye Care In Kenya eye diseases are ranked eight among the top 10 causes of morbidity.Blindness prevalence is estimated at 0.7%. At the current population this translates to about 224,000 people being blind, with close to 672,000…
Epistaxis Bleeding through the nose, due to nose picking, trauma (fall in games, assault, etc.), nasal and paranasal neoplasms, nasal infection, systemic derangements,, e.g., acute fevers, hypertension, renal disease with uraemia, abnormalities of blood clotting, and foreign bodies in the…
The eye is a delicate external organ and it is easy for it to be injured. Eye injuries are generally classified as penetrating and non penetrating and include corneal and conjunctival foreign bodies and abrasions, burns (dry heat and chemical…
Heart failure occurs when the heart is unable to supply output that is sufficient for the metabolic needs of the tissues, in face of acute venous return. Common causes of heart failure are hypertension, valvular heart disease, ischeamic heart disease,…
A high index of suspicion and proper history is important, especially amongst children born prematurely, those born with low birth-weight, those born after difficult delivery, those who develop yellowness of eye (neonatal jaundice), those whose mothers had febrile illness during…
