Clinical Guidelines for Diagnosis and Treatment of Common Conditions in Kenya: 16. NEOPLASMS

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Clinical Guidelines for Diagnosis and Treatment of Common Conditions in Kenya (WHO; 2002; 344 pages)
	FOREWORD
	PREFACE
	ACKNOWLEDGEMENTS
	ABBREVIATIONS
	1. ACUTE INJURIES AND TRAUMA & SELECTED EMERGENCIES
		1.1. Anaphylaxis & Cardiac Arrest
		1.2. Abdominal Trauma
		1.3. Bites & Rabies
		1.4. Burns
		1.5. Disaster Plan
		1.6. Head Injury
		1.7. Multiple Injury Patient
		1.8. Pneumothorax & Haemothorax
		1.9. Shock
		1.10. Tracheostomy
	2. AIDS & SEXUALLY TRANSMITTED INFECTIONS
		2.1. HIV/AIDS in Kenya
		2.2. HIV Transmission & Prevention
		2.3. Stages of Infection & Diagnosis of AIDS
		2.4. HIV Testing & Patient Education
		2.5. Gonorrhoea & Urethral Discharge
		2.6. Genital Discharge in the Female
		2.7. Dysuria in the Female
		2.8. Lower Abdominal Pain in the Female
		2.9. Genital Ulcer Disease
		2.10. Buboes or Swollen Inguinal Glands
		2.11. Genital Warts
	3. CARDIOVASCULAR DISEASES
		3.1. Congenital Heart Disease
		3.2. Deep Vein Thrombosis
		3.3. Heart Failure
		3.4. Hypertension
		3.5. Pulmonary Oedema
		3.6. Acute Myocardial Infarction
		3.7. Acute Rheumatic Fever (ARF)
		3.8. Rheumatic Valvular Heart Disease
	4. CENTRAL NERVOUS SYSTEM
		4.1. Cerebral Palsy
		4.2. Seizure Disorders
	5. DENTAL AND ORAL CONDITIONS
		5.1. Abscess, Periapical
		5.2. Acute Necrotizing Ulcerative Gingivitis (ANUG)
		5.3. Alveolitis (Dry Socket)
		5.4. Cellulitis (Oral)
		5.5. Gingivitis
		5.6. Neoplasms, Salivary Gland & Hereditary/Developmental Disorders
		5.7. Pericoronitis
		5.8. Periodontitis
		5.9. Pulpitis
		5.10. Temporomandibular Joint Disorders
		5.11. Trauma
	6. EAR, NOSE AND THROAT CONDITIONS
		6.1. Acute Otitis Media
		6.2. Otitis Externa
		6.3. Chronic Suppurative Otitis Media (CSOM)
		6.4. Epistaxis
		6.5. Foreign Bodies in the Ears
		6.6. Foreign Bodies in the Nose
		6.7. Mastoiditis
		6.8. Wax in Ear
		6.9. Foreign Body in the Oesophagus
		6.10. Laryngotracheal Trauma
		6.11. Allergic Rhinitis
		6.12. Parotid Masses
		6.13. ENT Manifestations of HIV/AIDS
		6.14. Hearing Impairment
		6.15. Tracheostomy
	7. ENDOCRINE SYSTEM CONDITIONS
		7.1. Diabetes Mellitus
		7.2. Thyroid Diseases
	8. EYE CONDITIONS
		8.1. Common Eye Conditions
		8.2. Eye Injuries
		8.3. Ocular Manifestation of Common Systematic Diseases
		8.4. Orbital Cellulitis
	9. FAMILY PLANNING
		9.1. Hormonal Contraceptives
		9.2. Intrauterine Contraceptive Devices (IUCDS)
		9.3. Barrier Methods
		9.4. Surgical Contraception
		9.5. Periodic Abstinence (Natural Family Planning)
	10. GASTROINTESTINAL CONDITIONS
		10.1. Amoebiasis
		10.2. Diarrhoeal Diseases
		10.3. Gastritis
		10.4. Gastro-Oesophageal Reflux Disease (GORD)
		10.6. Upper Git Bleeding
		10.7. Lower Git Bleeding
		10.8. Worms
	11. IMMUNIZATION
	12. INFECTIONS (SELECTED) & RELATED CONDITIONS
		12.1. Bacterial Infections
		12.2. Malaria
		12.3. MEASLES
		12.4. MENINGITIS
		12.5. PARALYSIS (ACUTE FLACCID)
		12.6. SCHISTOSOMIASIS
		12.7. TETANUS
		12.8. TUBERCULOSIS
		12.9. SALMONELLA INFECTIONS
	13. MENTAL DISORDERS
		13.1. ACUTE CONFUSION (Acute Psychosis)
		13.2. ALCOHOL WITHDRAWAL (Delirium tremens)
		13.3. SUBSTANCE ABUSE RELATED DISORDERS
		13.4. ANXIETY
		13.5. CHILDHOOD PSYCHIATRIC DISORDER
		13.6. CONVERSION SYNDROMES
		13.7. DEPRESSION
		13.8. BIPOLAR MOOD DISORDER (MANIC EPISODE)
		13.9. SCHIZOPHRENIA
		13.10. SLEEP DISORDERS
		13.11. SUICIDE ATTEMPTS
		13.12. VALUE OF ELECTRO-CONVULSIVE THERAPY (ECT)
	14. MUSCULOSKELETAL CONDITIONS
		14.1. ARTHRALGIA, NON-SPECIFIC
		14.2. GOUT
		14.3. OSTEOARTHRITIS
		14.4. RHEUMATOID ARTHRITIS
	15. NEONATAL CARE & CONDITIONS
		15.1. NEONATAL ASPHYXIA & RESUSCITATION
		15.2. CARE OF THE NORMAL NEWBORN
		15.3. BIRTH INJURIES
		15.4. BORN BEFORE ARRIVAL (BBA)
		15.5. CONGENITAL ANOMALIES
		15.6. INFANTS OF DIABETIC MOTHERS
		15.7. NEONATAL JAUNDICE
		15.8. PRETERM INFANT
		15.9. APNOEIC ATTACKS
		15.10. RESPIRATORY DISTRESS
	16. NEOPLASMS
		16.1. NEOPLASMS IN CHILDHOOD
		16.2. NEOPLASMS IN ADULTS
		16.3. HEAD AND NECK CANCERS
	17. NUTRITIONAL AND HAEMATOLOGIC CONDITIONS
		HAEMATOLOGY
			17.1. ANAEMIA
			17.2. BLOOD TRANSFUSION
		NUTRITION
			17.3. FAILURE TO THRIVE
			17.4. GROWTH MONITORING AND NUTRITION
			17.5. CHILD ABUSE & NEGLECT
			17.6. MALNUTRITION
	18. OBSTETRIC AND GYNAECOLOGICAL CONDITIONS
		18.1. GYNAECOLOGY
			18.1.1 Abortion (Miscarriage)
			18.1.2 Ectopic Pregnancy
			18.1.3 Infertility
			18.1.4 Pelvic Masses
			18.1.5 Menstrual Disturbances
			18.1.6 Neoplasms
			18.1.7 Pelvic Inflammatory Disease (PID)
			18.1.8 Abscesses and Fistulae
			18.1.9 Sexual Assault
		18.2 OBSTETRICS
			ANTE-NATAL CARE & COMPLICATIONS
				18.2.1 ANTE-NATAL CARE
				18.2.2 HIGH RISK PREGNANCY CONCEPT
				18.2.3 ANAEMIA IN PREGNANCY
				18.2.4 ANTEPARTUM HAEMORRHAGE (APH)
				18.2.5 CARDIAC DISEASE IN PREGNANCY
				18.2.6 DIABETES IN PREGNANCY
				18.2.7 DRUGS IN PREGNANCY
				18.2.8 MALARIA IN PREGNANCY
				18.2.9 MULTIPLE PREGNANCY
				18.2.10 PRE-ECLAMPSIA & ECLAMPSIA
				18.2.11. ECLAMPSIA
				18.2.12 RHESUS (Rh) INCOMPATIBILITY
				18.2.13 URINARY TRACT INFECTION (UTI) IN PREGNANCY
		INTRAPARTUM CARE & COMPLICATIONS
			18.2.14. NORMAL LABOUR & DELIVERY
			18.2.15. COMPLICATED LABOUR & DELIVERY
		POSTPARTUM CARE & COMPLICATIONS
			18.2.16. POST NATAL CARE
			18.2.17. COMPLICATIONS OF PUERPERIUM
			18.2.18. POSTPARTUM HAEMORRHAGE (PPH)
			18.2.19. PUERPERAL INFECTIONS
			18.2.20. BREAST CONDITIONS
			18.2.21. DEEP VEIN THROMBOSIS (DVT)
			18.2.22. PUERPERAL PSYCHOSIS
	19. ORTHOPAEDICS
		ORTHOPAEDICS & FRACTURES
			19.1. FRACTURES
		JOINT AND TENDON INJURIES
			19.2. JOINT INJURIES
			19.3. OSTEOMYELITIS
			19.4. CHRONIC OSTEOMYELITIS
			19.5. OSTEOSARCOMA
			19.6. SEPTIC ARTHRITIS
	20. POISONING
	21. RESPIRATORY DISEASES
		ACUTE UPPER RESPIRATORY TRACT INFECTIONS
			21.1. COMMON COLD (ACUTE RHINITIS, CORYZA)
			21.2. PHARYNGOTONSILLITIS, TONSILLITIS
			21.3. DISEASES OF THE ADENOIDS
			21.4. SINUSITIS
			21.5. ACUTE EPIGLOTTITIS
			21.6. CROUP (ACUTE LARYNGOTRACHEOBRONCHITIS)
		LOWER RESPIRATORY TRACT INFECTIONS
			21.7. APPROACH TO COUGH OR DIFFICULT BREATHING IN CHILDREN
			21.8. PNEUMONIA - Infant age less than 2 months
			21.9. PNEUMONIA - Child age 2 months to 5 years
			21.10. PNEUMONIA - Adults
			21.11. ACUTEBRONCHITIS-Bronchitis (tracheobronchitis)
			21.12. WHEEZING AND ASTHMA - Children Under 5 yrs
			21.13. BRONCHIAL ASTHMA (Adults)
			21.14. CHRONIC OBSTRUCTIVE PULMONARY DISEASE
	22. SIGNS & SYMPTOMS
		22.1. COMA
		22.2. FEVER
		22.3. FEVER OF UNKNOWN ORIGIN
		22.4. HEPATOSPLENOMEGALY
		22.5. JAUNDICE
		22.6. OBSTRUCTIVE JAUNDICE
		22.7. LYMPHADENOPATHY
	23. SKIN DISEASES
		ECZEMA
			23.1. ATOPIC ECZEMA
			23.2. CONTACT DERMATITIS
		BACTERIAL INFECTIONS
			23.3. IMPETIGO CONTAGIOSUM
			23.4. BULLOUS IMPETIGO
			23.5. STAPHYLOCOCCAL SCALDED SKIN SYNDROME (SSSS) - RITTER'S DISEASE
			23.6. SUPERFICIAL FUNGAL INFECTIONS
		PARASITIC INFESTATIONS
			23.7. SCABIES
			23.8. PELLAGRA (NIACIN DEFICIENCY)
			23.9. SEBORRHOEIC DERMATITIS
		DERMATOLOGICAL EMERGENCIES
			23.10. ERYTHEMA MULTI FORME SYNDROME
			23.11. EXFOLIATIVE DERMATITIS
			23.12. JIGGERS/TUNGA PENETRANS
	24. SURGERY
		24.1. CARE OF THE SURGICAL PATIENT
		24.2. ABDOMINAL CONDITIONS
		24.3. ABSCESSES
		24.4. ANORECTAL CONDITIONS
		24.5. BREAST DISEASES
		24.6. CENTRAL NERVOUS SYSTEM CONDITIONS
		24.7. CHEST
		24.8. FLUID & ELETROLYTE BALANCE
		24.9. GENITOURINARY SYSTEM
		24.10. SKIN ULCERS & TUMOURS OF THE SKIN
	25. Genito-urinary Diseases: Urinary Tract & Renal Conditions
		25.1. Urinary Tract Infections
		25.2. Renal Disease Signs & Symptoms
		25.3. Acute Glomerulonephritis
		25.4. Acute Renal Failure
		25.5. Chronic Renal Failure
		25.6. Hypokalaemia
		25.7. Nephrotic Syndrome
		25.8. Urinary Fistula
	Annexes
		A. Reference Ranges of Common Laboratory Tests
		B. Paediatric Drug Dosages
		C. Kenya Essential Drugs List (October, 2002)

16. NEOPLASMS

Patients with suspected malignancies should be urgently referred to appropriate consultants.

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