KCH Medicine Manual for Clinical Officers


1) Hard work

Taking a history

Presenting case histories (see document at the bottom)
Reviewing and following up patients on the ward (see document at the bottom)
Examinations
  • Chest
  • Cardiovascular
  • Abdomen
  • Neurological (limbs and cranial nerves)


2) Emergency medicine 
Sepsis (inc pneumonia)+
Malaria+
Meningitis+
Diabetic Ketoacidosis+
Hypoglycaemia+
Organophosphate poisoning+
Severe asthma+
Status epileticus and epilepsy+
Heart failure+

3) Clinical guidelines and associated work
Stroke + other common neurology+
Stroke handout
Cryptococcal meningitis
Hypertension  BP
Diabetes mellitus

4) Other problems

5) Interpretation of laboratory results Results interpretation

FBC
LFTs
U+Es
CSF
Pleural fluid
Ascitic fluid

6) Interpretation of Chest X-ray/ECG
Chest X-ray interpretation

7) Approaches to common medical problems
Using ABCDE approach+
Decreased GCS/Coma
Shortness of breath
Ascites/oedema  The oedematous patient
Diarrhea and vomiting+
Assessing fluid status+