Paediatric training log-bookDiploma of Child Health and Master of Medicine
School of Medicine and Health Sciences University of PNG
Name:
Date this log-book commenced:
1
Introduction
This log-book is designed to be used throughout the 5 years of paediatric training, including the DCH year. You should record details your training, procedures done and cases seen.
For most procedures there is space to record 4 examples of each, which at some stage in your training you are likely to be taught and carry out. On at least one of these occasions each procedure should be supervised by a paediatrician or other specialist (surgeon, anaesthetist) who will assess and certify your competence. It is very important that you learn procedures correctly, so you will practice safely. Many adverse events occur because of poorly performed procedures, or the failure to do basic procedures when they are necessary or life-saving. It is your responsibility to be competent in these procedures by the end of your training.
Your log-book will also contain case records. It is not necessary to record all cases you see or manage, but the list of cases is indicative the range of conditions that are seen in PNG and the Pacific. The cases are listed alphabetically in systems or groups, so the order does not represent priorities or the frequency of these conditions. The list is designed to be comprehensive and representative, covering all systems but not all conditions you treat will be included, and their omission does not mean they are low priority. At some stage in your 5 years of paediatric training you are likely to manage at least one of each of these cases. Some of the cases are seen more commonly in outpatients or community clinics than a tertiary paediatric ward, but the list represents the range of acute and chronic paediatric conditions. The record is designed so you can record not only acute treatment, but follow up information on longer term outcomes. Sometimes you will follow patients with chronic conditions for months and years in outpatients, and the outcomes and important milestones can be recorded also.
Most paediatric conditions have implications for nutrition and development, so you should record the effect of the disease on these areas. Many children have more than one condition, and it is essential to recognise these comorbidities, and treat or manage them.
Your log-book should be reviewed regularly by your supervisors, and you should take time to reflect on your progress in learning procedures, the cases you have seen, and the knowledge you are acquiring.
At the end of your DCH year you are expected to have made a start in recording cases you have managed, and examples of basic procedures you have done. The DCH year is designed to be strongly clinically focused, with successful trainees acquiring a good knowledge of common paediatric conditions and how to manage them at a provincial hospital level. You are not expected to have completed many sections of this log-book in your DCH year, but you are expected to have made a good start. As part of your DCH assessment you will be assessed on the start you have made in recording cases and procedures. In the MMed Part II you will be further assessed on the completion of this log-book. Even after 5 years of paediatric training there may be procedures you have not fully completed, or cases you have not seen, but you should make every effort to complete as much as possible, and regularly discuss progress with your supervisors.
2
Table of ContentsIntroduction...........................................................................................................................................2
Procedures log.......................................................................................................................................7
Intravenous / intravascular procedures.............................................................................................7
Diagnostic procedures.......................................................................................................................7
Administration of all vaccines............................................................................................................7
Resuscitation of the critically ill child.................................................................................................8
Oxygen therapy and respiratory care................................................................................................9
Small surgical procedures................................................................................................................11
Neonatal procedures.......................................................................................................................12
Diagnostic imaging...........................................................................................................................13
Electrocardiography........................................................................................................................14
Echocardiography............................................................................................................................15
Tuberculosis.....................................................................................................................................16
Oncology..........................................................................................................................................17
Home visits to children with chronic conditions..............................................................................18
Paediatric Hospital Reporting system and Mortality & Morbidity audit meetings..........................19
Courses to be completed.....................................................................................................................20
Participation in Paediatric CME................................................................................................21
Record of rotations completed during training...................................................................................22
Record of DCH and MMed research projects......................................................................................32
Cases seen and managed.....................................................................................................................33
Adolescent health – Anxiety............................................................................................................33
Adolescent health – Chronic illness.................................................................................................34
Adolescent health – Contraception.................................................................................................35
Adolescent health – Eating disorder................................................................................................36
Adolescent health – Menstrual problems........................................................................................37
Adolescent health – Mental health problems or depression...........................................................38
Adolescent health – Pregnancy.......................................................................................................39
Adolescent health – Substance abuse.............................................................................................40
Cardiology - Congenital heart disease.............................................................................................41
Cardiology - Congenital heart disease.............................................................................................42
Cardiology - Congenital heart disease.............................................................................................43
Cardiology - Other acquired heart disease......................................................................................44
Cardiology - Rheumatic heart disease.............................................................................................45
3
Cardiology - Rheumatic heart disease.............................................................................................46
Child protection – child abuse.........................................................................................................47
Child protection – child abuse.........................................................................................................48
Dermatology – common skin infections..........................................................................................49
Dermatology – eczema....................................................................................................................50
Development – Behavioural problems............................................................................................51
Development – Blindness................................................................................................................52
Development – Deafness.................................................................................................................53
Development – Developmental delay.............................................................................................54
Development – Developmental delay.............................................................................................55
Development – School or learning difficulties.................................................................................56
Down syndrome..............................................................................................................................57
Emergency – Burns..........................................................................................................................58
Emergency – drug overdose............................................................................................................59
Emergency – Multi-trauma..............................................................................................................60
Emergency – septic shock................................................................................................................61
Emergency – snake bite...................................................................................................................62
Emergency – spinal cord injury........................................................................................................63
Emergency – toxin ingestion............................................................................................................64
Emergency – trauma, multiple injuries............................................................................................65
Endocrine - Hypoglycaemia.............................................................................................................66
Endocrine - Insulin dependent diabetes mellitus............................................................................67
Endocrine – Hypothyroidism...........................................................................................................68
Endocrine – other............................................................................................................................69
Failure to thrive...............................................................................................................................70
Gastrointestinal - Chronic diarrhoea...............................................................................................71
Gastrointestinal - Chronic diarrhoea...............................................................................................72
Gastrointestinal - Congenital or chronic liver disease......................................................................73
Gastrointestinal - Environmental enteropathy................................................................................74
Haematology – Anaemia.................................................................................................................75
Haematology – Anaemia.................................................................................................................76
Haematology - Inherited coagulation disorder................................................................................77
Haematology – Thalassaemia..........................................................................................................78
HIV infection....................................................................................................................................79
HIV infection....................................................................................................................................80
Infection – measles..........................................................................................................................81
4
Infection – septic arthritis or osteomyelitis.....................................................................................82
Infection – septic arthritis or osteomyelitis.....................................................................................83
Infection – varicella.........................................................................................................................84
Malaria - Complicated or severe malaria.........................................................................................85
Malaria - Complicated or severe malaria.........................................................................................86
Malnutrition - Severe malnutrition..................................................................................................87
Malnutrition - Severe malnutrition..................................................................................................88
Mental health – Depression............................................................................................................89
Neonatal – acute respiratory distress syndrome.............................................................................90
Neonatal – birth trauma..................................................................................................................91
Neonatal – congenital anomalies....................................................................................................92
Neonatal – congenital bowel obstruction........................................................................................93
Neonatal – extreme prematurity.....................................................................................................94
Neonatal – extreme prematurity.....................................................................................................95
Neonatal – perinatal asphyxia.........................................................................................................96
Neonatal – poor feeding..................................................................................................................97
Neonatal – prolonged rupture of membranes.................................................................................98
Neonatal – renal failure...................................................................................................................99
Neonatal – sepsis or meningitis.....................................................................................................100
Neonatal – very low birth weight..................................................................................................101
Neonatal – very low birth weight..................................................................................................102
Neurology - Acute flaccid paralysis................................................................................................103
Neurology - Bacterial meningitis....................................................................................................104
Neurology - Cerebral palsy............................................................................................................105
Neurology – congenital or acquired hydrocepahalus....................................................................106
Neurology – Epilepsy.....................................................................................................................107
Oncology - Acute leukaemia..........................................................................................................108
Oncology - Burkitt lymphoma........................................................................................................109
Oncology - Other malignancy........................................................................................................110
Oncology - Palliative care..............................................................................................................111
Oncology - Palliative care..............................................................................................................112
Oncology – Retinoblastoma...........................................................................................................113
Oncology - Wilms tumour..............................................................................................................114
Otolaryngology – chronic suppurative otitis media.......................................................................115
Otolaryngology – mastoiditis.........................................................................................................116
Renal - Acute kidney failure...........................................................................................................117
5
Renal - Chronic renal disease.........................................................................................................118
Renal – Renal tubular acidosis.......................................................................................................119
Respiratory – Bronchiolitis.............................................................................................................120
Respiratory - Chronic lung disease.................................................................................................121
Respiratory - Pneumonia and empyema.......................................................................................122
Tuberculosis – drug sensitive.........................................................................................................123
Tuberculosis – drug sensitive.........................................................................................................124
Tuberculosis - Multi-drug resistant................................................................................................125
6
Procedures log
Procedures Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Intravenous / intravascular procedures
Giving a blood transfusion safely
Safe intravenous fluid administration
Intraosseous needle
Diagnostic procedures
Blood culture
Lumbar puncture and CSF collection
Clean non-invasive collection of urine
Urinary catheterisation
Supra-pubic aspirate of bladder
Administration of all vaccines
7
Procedures Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Resuscitation of the critically ill child
Neonatal resuscitation
Management of the airway of an unconscious or critically ill child
Nasopharyngeal tube insertion
Bag mask ventilation
Endotracheal intubation
Management of hypoglycaemia
8
Procedures Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Oxygen therapy and respiratory care
Administration of oxygen – know standard flow rates, devices used, specific aspects of oxygen therapy in newborns
Use of pulse oximetry, theory and practice
Bubble-CPAP theory and practice
Pleural aspirate for effusion, empyema or pneumothorax
Intercostal catheter insertion
Maintenance of oxygen concentrators, including use of oxygen analysers to check equipment performance
Asthma education, teaching use of spacer for preventative management
Spirometry and interpretation
9
Small surgical procedures Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Ascites tap
Simple wound cleaning, debridement and suturing
Burns dressings
Knowledge of drainage of joint effusions in septic arthritis
Knowledge of and indications for surgical debridement of osteomyelitis
Knowledge of drainage of pericardial effusions
Knowledge of drainage of sub-dural effusions
Venous cut-down (perform and / or observe)
Femoral vein cannulation (perform and / or observe)
Peritoneal dialysis (perform, observe or manage a child with a PD catheter)
11
Neonatal procedures Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Neonatal bag and mask ventilation
Neonatal intubation
Umbilical vein catheterisation (perform and / or observe)
Exchange transfusion for hyperbilirubinemia
12
Diagnostic imaging Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Competently read plain radiographs of chest, bones, abdomen, head
Competently read CT scans to identify CNS pathology – subdural and epidural haematoma, intracerebral haemorrhage, hydrocephalus, space occupying lesions, ring-enhancing lesions, raised intracranial pressure.
Competently perform ultrasound scans to identify pericardial effusions, hydrocephalus and sub-dural effusions in infants, and liver, renal and splenic masses.
13
Electrocardiography Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Be able to read an ECG, rate, rhythm, PR interval, QRS axis, QRS duration, QT interval, voltage criteria for ventricular hypertrophy.
Be able to identify atrial and ventricular hypertrophy
Understand changes in the ECG with age
Understand and identify common arrhythmias in children
14
Echocardiography
Participate in hands-on Echocardiograph training sessions: attendance at a minimum of 10 sessions required, at least 2 for certification.
Identification of common congenital cardiac defects (VSD, ASD), acquired valvular heart defects (rheumatic aortic and mitral valve lesions), and assessment of pulmonary artery pressure.
Date Patients scanned, lesions identified Signed by echo trainer
Session 1.
Session 2.
Session 3.
Session 4.
Session 5.
Session 6.
Session 7.
Session 8.
Session 9.
Session 10.
15
Tuberculosis Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Competently manage children with drug-sensitive TB, including comorbidities
Know the indications for considering drug-resistant TB
Have knowledge of and experience in diagnosis and management of MDR TB
Fine needle aspirate and biopsy (FNAB) of a possible TB lymph node
Gastric aspirate for AFB staining and GeneXpert testing
Zeihl-Neelsen stain for acid fast bacilli
16
Oncology Date Date Date Date Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Safely learn to mix and administer intravenous chemotherapy
Safely give intrathecal chemotherapy
Competently perform bone marrow aspirate +/- trephine (observe and perform)
Communicating the news of a diagnosis of cancer to parents (observe someone experienced do this, and when senior take on this responsibility yourself)
17
Home visits to children with chronic conditions
Date and observations
Date and observations
Date and observations
Date and observations
Comments Signed by supervisor if completed
Follow-up children with chronic conditions in their home, review their treatment, pay attention to their environment and how healthy this is for the child.
Document these observations in the case notes below, including under “social, community and environmental dimensions”
18
Paediatric Hospital Reporting system and Mortality & Morbidity audit meetings
1st Year (dates)
2nd Year (dates)
3rd Year (dates)
4th Year (dates)
5th Year (dates)
Comments by supervisor or trainee on further things to learn / where to improve
Signed if competent
Learn the functions of the PHR program, how to enter patient data, and create summary data.
Be able to explain the meaning of case fatality rates, and the reasons these are different for different diseases, why they can vary over time, and differ between institutions
Be familiar with the Annual Child Morbidity and Mortality reports, and understand the most recent recommendations
Prepare Paediatric Department Morbidity and Mortality audit meetings and present to departments, including perinatal mortality meetings – attend and participate in at least 6 M&M meetings per year
List dates of M&M meetings attended
19
Courses to be completed
Dates Comments on what trainee learnt Signed by supervisor / course coordinator
DCH revision week
WHO Hospital Care for Children course
IMCI course
Management of severe malnutrition
Ante-retroviral therapy (ART) prescribing
APLS
Ultrasound and echocardiography
Research methods and biostatistics course
MMed II Paediatrics revision week
Other courses I have completed (specify)
20
Participation in Paediatric CME
Month Month Month Month Month CPD answers viewed and signed by supervisor
1st year
2nd year
3rd year
4th year
5th year
Evidence of completion of at least 2 Paediatric CME Q&A for each year of training beyond DCH
21
Record of rotations completed during trainingYear 1 DCH
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
22
Year 2
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
23
Year 2
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
24
Year 2
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
25
Year 3
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
26
Year 3
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
27
Year 4
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
28
Year 4
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
29
Year 5
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
30
Year 5
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
Dates
Hospital and Ward
Main clinical role
Other roles
Experience gained / trainees comments
Signed by supervisor as satisfactory completion
Comments by supervisor
31
Record of DCH and MMed research projects
DCH project
Year
Title
Supervisor
Master of Medicine project
Year commenced
Title
Supervisor
32
Cases seen and managedAdolescent health – Anxiety DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
33
Adolescent health – Chronic illness DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
34
Adolescent health – Contraception DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
35
Adolescent health – Eating disorder DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
36
Adolescent health – Menstrual problems DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
37
Adolescent health – Mental health problems or depression DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
38
Adolescent health – Pregnancy DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
39
Adolescent health – Substance abuse DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
40
Cardiology - Congenital heart disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
41
Cardiology - Congenital heart disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
42
Cardiology - Congenital heart disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
43
Cardiology - Other acquired heart disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
44
Cardiology - Rheumatic heart disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
45
Cardiology - Rheumatic heart disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
46
Child protection – child abuse DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
47
Child protection – child abuse DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
48
Dermatology – common skin infections DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
49
Dermatology – eczema DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
50
Development – Behavioural problems DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
51
Development – Blindness DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
52
Development – Deafness DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
53
Development – Developmental delay DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
54
Development – Developmental delay DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
55
Development – School or learning difficulties DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
56
Down syndrome DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
57
Emergency – Burns DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
58
Emergency – drug overdose DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
59
Emergency – Multi-trauma DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
60
Emergency – septic shock DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
61
Emergency – snake bite DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
62
Emergency – spinal cord injury DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
63
Emergency – toxin ingestion DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
64
Emergency – trauma, multiple injuries DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
65
Endocrine - Hypoglycaemia DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
66
Endocrine - Insulin dependent diabetes mellitus DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
67
Endocrine – Hypothyroidism DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
68
Endocrine – other DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
69
Failure to thrive DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
70
Gastrointestinal - Chronic diarrhoea DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
71
Gastrointestinal - Chronic diarrhoea DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
72
Gastrointestinal - Congenital or chronic liver disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
73
Gastrointestinal - Environmental enteropathy DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
74
Haematology – Anaemia DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
75
Haematology – Anaemia DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
76
Haematology - Inherited coagulation disorder DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
77
Haematology – Thalassaemia DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
78
HIV infection DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
79
HIV infection DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
80
Infection – measles DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
81
Infection – septic arthritis or osteomyelitis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
82
Infection – septic arthritis or osteomyelitis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
83
Infection – varicella DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
84
Malaria - Complicated or severe malaria DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
85
Malaria - Complicated or severe malaria DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
86
Malnutrition - Severe malnutrition DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
87
Malnutrition - Severe malnutrition DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
88
Mental health – Depression DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
89
Neonatal – acute respiratory distress syndrome DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
90
Neonatal – birth trauma DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
91
Neonatal – congenital anomalies DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
92
Neonatal – congenital bowel obstruction DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
93
Neonatal – extreme prematurity DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
94
Neonatal – extreme prematurity DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
95
Neonatal – perinatal asphyxia DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
96
Neonatal – poor feeding DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
97
Neonatal – prolonged rupture of membranes DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
98
Neonatal – renal failure DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
99
Neonatal – sepsis or meningitis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
100
Neonatal – very low birth weight DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
101
Neonatal – very low birth weight DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
102
Neurology - Acute flaccid paralysis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
103
Neurology - Bacterial meningitis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
104
Neurology - Cerebral palsy DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
105
Neurology – congenital or acquired hydrocepahalus DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
106
Neurology – Epilepsy DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
107
Oncology - Acute leukaemia DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
108
Oncology - Burkitt lymphoma DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
109
Oncology - Other malignancy DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
110
Oncology - Palliative care DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
111
Oncology - Palliative care DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
112
Oncology – Retinoblastoma DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
113
Oncology - Wilms tumour DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
114
Otolaryngology – chronic suppurative otitis media DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
115
Otolaryngology – mastoiditis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
116
Renal - Acute kidney failure DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
117
Renal - Chronic renal disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
118
Renal – Renal tubular acidosis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
119
Respiratory – Bronchiolitis DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
120
Respiratory - Chronic lung disease DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
121
Respiratory - Pneumonia and empyema DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
122
Tuberculosis – drug sensitive DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
123
Tuberculosis – drug sensitive DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
124
Tuberculosis - Multi-drug resistant DateKey clinical features and specific diagnosis
Relevant history
Clinical features on examination
Treatment commenced
Follow-up during treatment course
Social, community and environmental dimensions
Outcome
Complications
Signed by (supervisor)
125
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