This refers to ulceration of gastric or duodenal mucosa that tends to be chronic and/or recurrent. Clinical Features of Duodenal Ulcer Duodenal ulcer has the following features: Presents with epigastric pain that is typically nocturnal and also when the patient…
Health services providers should sensitize community members on symptoms of gynaecological cancer and advise them to seek help from health facilities. Women should also be encouraged to have routine annual gynaecological check ups by qualified health personnel. Health services providers…
This is an artificial opening into the trachea through the neck in order to bypass an obstruction of the airway and/or to provide access to the lower airway to facilitate ventilatory support. This procedure should only be performed at level…
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…
