Uganda Clinical Guidelines 2003 - National Guidelines on Management of Common Conditions: 15. Obstetric and gynaecological conditions

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Uganda Clinical Guidelines 2003 - National Guidelines on Management of Common Conditions (NDA, WHO; 2003; 523 pages)
	Abbreviations
	Units of measurement
	Foreword
	Preface
	Acknowledgements
	Presentation of information
	References
	How to diagnose & treat in primary care
	Communication skills in the consultation
	How to make time for quality care
	Evidence-based guidelines
	Chronic care
	Prescribing guidelines
		1. Ten-point Prescribing Checklist
		2. Prescribing of Placebos
		3. Prescription Writing
		4. In-patient Prescriptions
		5. Guide to Quantities of Medicines to be Supplied
		6. Controlled drug prescriptions
		7. Adverse Drug Reactions (ADRs)
		8. Paediatric Prescribing
		9. Drug interactions
		10. Patient counselling
	1. Infections
		1.1 BRUCELLOSIS
		1.2 CANDIDIASIS
		1.3 CHICKEN POX
		1.4 LEPROSY
		1.5 MEASLES
		1.6 MENINGITIS
		1.7 SYSTEMIC MYCOSES
		1.8 PLAGUE
		1.9 POLIOMYELITIS
		1.10 RHEUMATIC FEVER
		1.11 SEPTICAEMIA (before sensitivity results are known)
		1.12 TETANUS
		1.13 TYPHOID FEVER (Enteric fever)
		1.14 TYPHUS FEVER
	2. Parasitic diseases
		2.1 ASCARIASIS (Roundworm)
		2.2 DRACUNCULIASIS (Guinea worm)
		2.3 ECHINOCOCCOSIS (Hydatid disease)
		2.4 ENTEROBIASIS (Threadworm)
		2.5 HOOKWORM
		2.6 LEISHMANIASIS
		2.7 MALARIA
		2.8 ONCHOCERCIASIS (River blindness)
		2.9 PEDICULOSIS
		2.10 SCHISTOSOMIASIS (Bilharziasis)
		2.11 STRONGYLOIDIASIS
		2.12 TAENIASIS (Tapeworm infestation)
		2.13 TRICHURIASIS (Whipworm infestation)
		2.14 HUMAN AFRICAN TRYPANOSOMIASIS (Sleeping sickness)
	3. Respiratory diseases
		3.1 ASTHMA
		3.2 BRONCHIOLITIS
		3.3 ACUTE BRONCHITIS
		3.4 CORYZA (Common cold)
		3.5 ACUTE EPIGLOTTITIS
		3.6 INFLUENZA (‘Flu’)
		3.7 LARYNGITIS
		3.8 ACUTE LARYNGOTRACHEOBRONCHITIS
		3.9 LUNG ABSCESS/ASPIRATION PNEUMONIA
		3.10 PERTUSSIS (Whooping cough)
		3.11 PNEUMONIA (Pyogenic)
		3.12 TUBERCULOSIS (TB)
	4. Gastrointestinal conditions
		4.1 AMOEBIASIS
		4.2 APPENDICITIS (Acute)
		4.3 BACILLARY DYSENTERY (Shigellosis)
		4.4 CHOLERA
		4.5 CONSTIPATION
		4.6 DIARRHOEA
		4.7 GASTRITIS
		4.8 GIARDIASIS
		4.9 HAEMORRHOIDS (‘Piles’)
		4.10 PEPTIC ULCER
		4.11 PERITONITIS
		4.12 REFLUX OESOPHAGITIS
		4.13 PANCREATITIS
	5. Injuries and trauma
		5.1 BITES
		5.2 FRACTURES
		5.3 BURNS
		5.4 WOUNDS
		5.5 HEAD INJURIES
	6. Endocrine system conditions
		6.1 ADDISON’S DISEASE
		6.2 DIABETES MELLITUS
		6.3 DIABETIC KETOACIDOSIS
		6.4 HYPERTHYROIDISM (Thyrotoxicosis)
		6.5 HYPOTHYROIDISM (Myxoedema)
	7. Nutritional and haematologic conditions
		7.1 BLOOD: GUIDELINES FOR APPROPRIATE USE
		7.2 ANAEMIAS
		7.3 PROTEIN ENERGY MALNUTRITION (PEM)
		7.4 VITAMIN A DEFICIENCY
	8. Cardiovascular diseases
		8.1 DEEP VEIN THROMBOSIS (DVT)
		8.2 INFECTIVE ENDOCARDITIS
		8.3 HEART FAILURE
		8.4 HYPERTENSION
		8.5 ISCHAEMIC HEART DISEASE (Coronary heart disease)
		8.6 PERICARDITIS
		8.7 PULMONARY OEDEMA
		8.8 RHEUMATIC HEART DISEASE
	9. Skin diseases
		9.1 BOILS (Furunculosis)
		9.2 CARBUNCLES
		9.3 CELLULITIS and ERYSIPELAS
		9.4 ECZEMA (Dermatitis)
		9.5 FUNGAL SKIN INFECTIONS
		9.6 HERPES SIMPLEX
		9.7 HERPES ZOSTER (SHINGLES)
		9.8 IMPETIGO
		9.9 PEMPHIGUS
		9.10 PSORIASIS
		9.11 SCABIES
		9.12 SKIN ALLERGY/URTICARIA
		9.13 TROPICAL ULCER (TU)
	10. Central nervous system / Psychiatric conditions
		10.1 DRUG & SUBSTANCE ABUSE DISORDERS
		10.2 ANXIETY
		10.3 DEPRESSION
		10.4 DELIRIUM (Acute confusional state)
		10.5 DEMENTIA
		10.6 EPILEPSY
		10.7 MANIA
		10.8 MIGRAINE
		10.9 PARKINSONISM (Parkinson’s disease)
		10.10 POSTNATAL PSYCHOSIS
		10.11 SCHIZOPHRENIA
		10.12 SUICIDAL BEHAVIOUR
	11. Eye conditions
		11.1 CATARACT
		11.2 CONJUNCTIVITIS
		11.3 FOREIGN BODY (FB) in the EYE
		11.4 KERATITIS
		11.5 OPHTHALMIA OF THE NEWBORN
		11.6 STYE (Hordeolum)
		11.7 TRACHOMA
		11.8 UVEITIS
		11.9 XEROPHTHALMIA
	12. Ear, nose and throat conditions
		12.1 EAR CONDITIONS
		12.2 NASAL CONDITIONS
		12.3 THROAT CONDITIONS
	13. Genito-urinary diseases
		13.1 ACUTE CYSTITIS
		13.2 ACUTE GLOMERULONEPHRITIS
		13.3 NEPHROTIC SYNDROME
		13.4 ACUTE PYELONEPHRITIS
		13.5 RENAL COLIC
		13.6 RENAL FAILURE
	14. HIV/AIDS and sexually transmitted infections
		14.1 HIV INFECTION / ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS)
		14.2 SEXUALLY TRANSMITTED INFECTIONS
	15. Obstetric and gynaecological conditions
		15.1 ANTENATAL CARE (ANC)
		15.2 PREGNANCY AND HIV INFECTION
		15.3 ANAEMIA IN PREGNANCY
		15.4 MALARIA IN PREGNANCY
		15.5 POSTPARTUM CARE
		15.6 NEWBORN RESUSCITATION
		15.7 ANTENATAL & POSTNATAL MEDICATION
		15.8 HIGH RISK PREGNANCY (HRP)
		15.9 VAGINAL BLEEDING IN EARLY PREGNANCY
		15.10 PREMATURE RUPTURE OF MEMBRANES (PROM)
		15.11 AMNIONITIS
		15.12 MASTITIS
		15.13 BREAST ABSCESS
		15.14 DYSMENORRHOEA
		15.15 HYPEREMESIS GRAVIDARUM
		15.16 ECTOPIC PREGNANCY
		15.17 PELVIC INFLAMMATORY DISEASE (PID)
		15.18 PUERPERAL SEPSIS
		15.19 ANTEPARTUM HAEMORRHAGE (APH)
		15.20 POSTPARTUM HAEMORRHAGE (PPH)
		15.21 RETAINED PLACENTA
		15.22 RUPTURED UTERUS
		15.23 ECLAMPSIA
		15.24 SEVERE PRE-ECLAMPSIA
		15.25 OBSTRUCTED LABOUR
	16. Musculoskeletal conditions and joint diseases
		16.1 PYOGENIC ARTHRITIS (Septic arthritis)
		16.2 RHEUMATOID ARTHRITIS
		16.3 GOUT
		16.4 OSTEOARTHRITIS
		16.5 OSTEOMYELITIS
		16.6 PYOMYOSITIS
		16.7 TUBERCULOSIS of the SPINE
	17. Miscellaneous conditions
		17.1 ANAPHYLACTIC SHOCK
		17.2 DEHYDRATION
		17.3 FEBRILE CONVULSIONS
		17.4 HYPOGLYCAEMIA
		17.5 PAIN
		17.6 VACCINATION SCHEDULE for CHILDREN
		17.7 FLUID & ELECTROLYTE IMBALANCE
	18. Poisoning
		18.1 Acute organophosphate poisoning
		18.2 Paraffin & petroleum products poisoning
		18.3 Aspirin poisoning
		18.4 Paracetamol poisoning
		18.5 Iron poisoning
		18.6 Carbon monoxide poisoning
		18.7 Barbiturate poisoning
		18.8 Narcotic analgesic poisoning
		18.9 Warfarin poisoning
		18.10 Methyl alcohol (methanol) poisoning
		18.11 Alcohol poisoning
		18.12 Other chemical/drug poisoning
		18.13 Food poisoning
	19. Dental and oral conditions
		19.1 DENTAL ABSCESS
		19.2 DENTAL CARIES
		19.3 GINGIVAL INFECTIONS and PERIODONTITIS
		19.4 STOMATITIS
	20. Hepatic and biliary diseases
		20.1 ACUTE CHOLECYSTITIS
		20.2 CIRRHOSIS
		20.3 VIRAL HEPATITIS
	21. Childhood illness
		21.1 Sick Child (Age 2 months to 5 years)
		21.2 Sick young infant (Age 1 week -<2 months)
	22. Family planning (FP)
		1. Provide information about FP to different groups
		2. Counsel clients at high-risk of pregnancy complications to accept/use FP services
		3. Counsel clients to make informed choice of FP method
		4. Obtain and record client history
		5. Perform physical assessment
		6. Perform pelvic examination
		7. Manage client for chosen FP method
	Appendix 1: Anti-TB drug intolerance guidelines
	Appendix 2: HIV/AIDS health worker safety & universal hygiene precautions
	Amendment form
	Glossary
	Notes

15. Obstetric and gynaecological conditions

See Chapter 22, p424 for information on Family Planning

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