Medical Handbook for Limited Resource Settings
Daniel Griffin, MD, PhD

medical-handbook-for-limited-resource-settings (39 files)
Chapter38 Cholera.mp4 393.66MB
Chapter37 Hepatitis.mp4 222.75MB
Chapter36 Dengue.mp4 345.10MB
Chapter35 Tb.mp4 418.27MB
Chapter34 Hiv.mp4 455.27MB
Chapter33 Malaria.mp4 449.04MB
Chapter32 Palpitations.mp4 276.04MB
Chapter31 Heartattack.mp4 467.34MB
Chapter30 Stroke.mp4 446.05MB
Chapter29 Chf.mp4 348.85MB
Chapter28 Hypertension.mp4 362.11MB
Chapter27 Diabetes.mp4 330.62MB
Chapter26 Parasites.mp4 354.97MB
Chapter25 Familyplan.mp4 374.77MB
Chapter24 Female.mp4 277.17MB
Chapter23 Sti.mp4 297.33MB
Chapter22 Sepsis.mp4 356.48MB
Chapter21 Lice.mp4 444.44MB
Chapter20 Scabies.mp4 370.10MB
Chapter19 Fsi.mp4 252.57MB
Chapter18 Npd.mp4 367.90MB
Chapter17 Pd.mp4 400.50MB
Chapter16 Cell.mp4 402.05MB
Chapter15 Impetigo.mp4 287.81MB
Chapter14 Seizure.mp4 418.51MB
Chapter13 Headache.mp4 464.08MB
Chapter12 Abpain.mp4 397.51MB
Chapter11 Gas.mp4 389.42MB
Chapter10 Diarrhea-Dehydration.mp4 476.36MB
Chapter09 Copd.mp4 433.35MB
Chapter08 Upperrespiratory.mp4 425.27MB
Chapter07 Pneumonia.mp4 462.51MB
Chapter06 Eyes.mp4 438.64MB
Chapter05 Earpain.mp4 445.33MB
Chapter04 Sorethroat.mp4 437.46MB
Chapter03 Uti.mp4 418.88MB
Chapter00 Intro.mp4 150.55MB
Chapter01 Fever.mp4 481.56MB
Chapter02 Pain.mp4 482.31MB
Type: Course
Tags: , parasite, parasitism, Medical

title= {Medical Handbook for Limited Resource Settings},
journal= {},
author= {Daniel Griffin, MD, PhD},
year= {},
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abstract= {When one practices medicine in their home country there are standards of care and guidelines often established by societies and organizations. Many look to the World Health Organization when practicing abroad and in limited resource countries. Many WHO guidelines can be found online such as the WHO Model Prescribing Information: Drugs used in Bacterial Infections ( It is important and can create for a better dynamic when interacting with local providers to be aware of any country specific guidelines that may be created and published for a particular country. These may be created by societies or organizations in a particular country or even by the country’s Health Ministry (e.g., Uganda Clinical Guidelines content/uganda-clinical-guidelines-2016 ).

Two major features of practicing in limited resource settings are usually a limited number of available diagnostic tests and a limited medication formulary. Included in this handbook are examples of basic tests that might be available as well as a few examples of basic formularies. In many countries there are ‘required’ medications and these may be stocked despite no obvious local need. Selecting medications and management algorithms often involve complex decisions based on finite and often limited pharmacy budgets and the local availability and cost of medications. Deciding to stock, prescribe and dispense the latest name brand antihypertensive for an elderly individual with a slightly elevated blood pressure may result in not having malaria medications for a critically ill child.

The following executive summaries are a starting point for the understanding, diagnosis and treatment of common presentations one is likely to encounter in low resource setting as well as specific diseases. The final decisions regarding how these presentations and diseases are approached and managed should however be based on the judgement of a medical profession familiar with the local epidemiology, customs, and standards of care in a particular region. 

Several aspects of this guide will serve only as the foundation of further judgement on the part of the clinician. As far as dosing recommendations, if the dosing is 3x/day a clinician will need to communicate with the patient or caregiver regarding if this is 3 times per day with meals, every 8 hours or is  maximum per day. Not only does this aspect of care require judgement but it also is greatly improved by understanding the cultural context. In certain cultures, 3 meals are customary while in others a morning and evening meal are the norm with a late morning break for tea. Another area where cultural sensitivity is critical are issues surrounding family planning. If one administers an intramuscular contraceptive in a women’s shoulder below the area covered by the shirt sleeve and then affixes a band aid over the site the patient’s privacy may be compromised with negative consequences. Recommending Co-trimoxazole (trimethoprim-sulfa) to a patient with a urinary tract infection in Sub-Saharan Africa might seem to make perfect sense while a patient might be confused and upset as the widespread use of this as a prophylactic medication in the HIV-infected population has led to this medication being viewed as an ‘HIV medication’.

keywords= {, parasite, parasitism, Medical},
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