Transcription of Clinical Guidelines for Diagnosis and Treatment of …
1 Clinical Guidelines for Diagnosis and Treatment of CommonConditions in KenyaTable of ContentsClinical Guidelines for Diagnosis and Treatment of Common Conditions in ACUTE INJURIES AND TRAUMA & SELECTED Anaphylaxis & Cardiac Abdominal Bites & Disaster Head Multiple Injury Pneumothorax & AIDS & SEXUALLY TRANSMITTED HIV/AIDS in HIV Transmission & Stages of Infection & Diagnosis of HIV Testing & Patient Gonorrhoea & Urethral Genital Discharge in the Dysuria in the Lower Abdominal Pain in the Genital Ulcer Buboes or Swollen Inguinal Genital CARDIOVASCULAR Congenital Heart Deep Vein Heart Pulmonary Acute Myocardial Acute Rheumatic Fever (ARF).
2 Rheumatic Valvular Heart CENTRAL NERVOUS Cerebral Seizure DENTAL AND ORAL Abscess, Acute Necrotizing Ulcerative Gingivitis (ANUG).. Alveolitis (Dry Socket).. Cellulitis (Oral).. Neoplasms, Salivary Gland & Hereditary/Developmental Temporomandibular Joint EAR, NOSE AND THROAT Acute Otitis Otitis Chronic Suppurative Otitis Media (CSOM).. Foreign Bodies in the Foreign Bodies in the of ContentsClinical Guidelines for Diagnosis and Treatment of Common Conditions in Wax in Foreign Body in the Laryngotracheal Allergic Parotid ENT Manifestations of Hearing ENDOCRINE SYSTEM Diabetes Thyroid EYE Common Eye Eye Ocular Manifestation of Common Systematic Orbital FAMILY Hormonal Intrauterine Contraceptive Devices (IUCDS).
3 Barrier Surgical Periodic Abstinence (Natural Family Planning)..10810. GASTROINTESTINAL Diarrhoeal Gastro Oesophageal Reflux Disease (GORD).. Upper Git Lower Git INFECTIONS (SELECTED) & RELATED Bacterial PARALYSIS (ACUTE FLACCID).. SALMONELLA MENTAL ACUTE CONFUSION (Acute Psychosis).. ALCOHOL WITHDRAWAL (Delirium tremens).. SUBSTANCE ABUSE RELATED CHILDHOOD PSYCHIATRIC CONVERSION BIPOLAR MOOD DISORDER (MANIC EPISODE).. SLEEP SUICIDE VALUE OF ELECTRO CONVULSIVE THERAPY (ECT).
4 16014. MUSCULOSKELETAL ARTHRALGIA, NON RHEUMATOID of ContentsClinical Guidelines for Diagnosis and Treatment of Common Conditions in Kenya15. NEONATAL CARE & NEONATAL ASPHYXIA & CARE OF THE NORMAL BIRTH BORN BEFORE ARRIVAL (BBA).. CONGENITAL INFANTS OF DIABETIC NEONATAL PRETERM APNOEIC RESPIRATORY NEOPLASMS IN NEOPLASMS IN HEAD AND NECK NUTRITIONAL AND HAEMATOLOGIC OBSTETRIC AND GYNAECOLOGICAL CARE & CARE & & AND TENDON RESPIRATORY UPPER RESPIRATORY TRACT RESPIRATORY TRACT SIGNS & FEVER OF UNKNOWN OBSTRUCTIVE SKIN CARE OF THE SURGICAL ABDOMINAL ANORECTAL BREAST CENTRAL NERVOUS SYSTEM FLUID & ELETROLYTE GENITOURINARY SKIN ULCERS & TUMOURS OF
5 THE Genito urinary Diseases: Urinary Tract & Renal Urinary Tract Renal Disease Signs & Acute Acute Renal of ContentsClinical Guidelines for Diagnosis and Treatment of Common Conditions in Chronic Renal Nephrotic Urinary Reference Ranges of Common Laboratory Paediatric Drug Kenya Essential Drugs List (October, 2002)..336ivClinical Guidelines for Diagnosis and Treatment of CommonConditions in KenyaGovernment of KenyaMinistry of , 2002 Nairobi, KenyaInquires regarding these Clinical Guidelines should be addressed to:Director of Medical ServicesMinistry of HealthAfya Box 30016 NAIROBI KENYAT elephone (254 2) 717077 Ext.
6 45020 FAX (254 2) 715239 NOTE ON DRUG DOSAGESE very effort has been made to ensure that drug dosages and Treatment schedules are correct and inaccordance with current accepted medical practice. However, no responsibility can be taken for errors oromissions. When using an unfamiliar drug, clinicians are urged to confirm dosages before prescribing oradministering the by The Regal Press Kenya Ltd., NairobiThe Ministry of Health gratefully acknowledges the financial assistance of the World Health Organisation andthe Pharmacy and Poisons Board for the preparation of the second edition and for the printing andimplementation of the edition, November 1994 Second edition, October 2002 Copyright October 2002, Ministry of Health, Government of KenyaCopies of these Clinical Guidelines may be obtained from the office of the Registrar, Pharmacy and PoisonsBoard, Ministry of Health.
7 Headquarters. Box 30016, of this manual may be freely copied and adapted for teaching, private study, research or otherpurposes provided that such activities are not for profit and provided that the source is clearly KimathiDr. MicheniDr. A. MuriithiCONTRIBUTORSU nless otherwise noted contributors are within Ministry of Health Programmes. Affiliations listed were those atthe time contributions were J. Aswani, ENT Surgeon, KNHDr. C. Halloway, Medical Officer, WHO GenevaDr. F. Kanibuni. Paediatric Surgeon, KNHDr.
8 J. Karanja, Obstetrics Gynaecology, UONDr. N. A. Kimathi, Paediatrics, KNDPIP/WHO, NairobiDr. Kitili, Dermatologist, KNHMr. J. Ole Kiu, Chief Clinical Officer, MOHMr. H. Masengo, CO Paediatrics, MTC NakuruDr. J. N. Micheni, General Surgeon, KNHDr. Kinoti Mugambi, General Surgeon, KNHDr. A. Muriithi, Paediatrician/Lecturer, UONDr. Muyodi, Physician, PGH CoastDr. Muia Ndavi, Obstetrics Gynaecology, UONDr. Ochola, Head, Malaria Control ProgrammeDr. Odede, General Surgeon, PGH CoastDr. M. Onguti, Senior Maxillofacial Surgeon, MOHDr.
9 Othero, Ophthalmologist, MOH KisumuDr. Othigo, Obstetrics Gynaecology, PGH CoastDr. Owino, Psychiatrist, Mathari Mental HospitalDr. Chris Oyoo, Obstetrics Gynaecology, PGH KisumuDr. Sharif, Chief physician/PMO Coast ProvinceMrs. Waweru, Reproductive Health Trainer, MOHLIST OF CONTRIBUTORS TO THE REVISED EDLDr. S. Chuchu, Deputy Chief pharmacist. MOHDr. A. Indalo, UONDr. T. Kahiga,Dr. E. Kamami, EmbuDr. C. Kandie, Pharmacist i/c MSCUDr. B. Kiama, Chief Pharmacist, KNHDr. W. Kiarie,Prof. G. Kokwaro, UONDr.
10 Koskei, Chief Pharmacist, MOHDr. J. Masiga, Pharmacist. MEDSProf. G. Muriuki, UONDr. O. Naikuni, Pharmacist, PPBDr. B. Njue, Deputy Chief Pharmacist, MOHDr. J. Ombogo, Beta HealthcareProf. C. Ondari, KNDPIP WHODr. N. Rangara, Pharmacist PPBDr. H. M. Thuo, KNDPIP WHOPRODUCTION Chiuri, Production Manager. PMO's Office. NyeriJ. Kimani Kanyi. MOH, HQREVIEWERSThe Editors gratefully acknowledge the expertise and useful suggestions of the following health professionals,who reviewed the Clinical Guidelines manual at various stages in its development.
