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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 - 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


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


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

Principles of mechanical ventilation

10

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




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




22

Year 2

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




23

Year 2

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




24

Year 2

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




25

Year 3

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




26

Year 3

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




27

Year 4

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




28

Year 4

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




29

Year 5

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




30

Year 5

Dates

Hospital and Ward

Main clinical role

Other roles




Dates

Hospital and Ward

Main clinical role

Other roles




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


Treatment commenced



Outcome

Complications


34

Adolescent health – Contraception DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


35

Adolescent health – Eating disorder DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


36

Adolescent health – Menstrual problems DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


37

Adolescent health – Mental health problems or depression DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


38

Adolescent health – Pregnancy DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


39

Adolescent health – Substance abuse DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


40

Cardiology - Congenital heart disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


41


Relevant history


Treatment commenced



Outcome

Complications


42


Relevant history


Treatment commenced



Outcome

Complications


43

Cardiology - Other acquired heart disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


44

Cardiology - Rheumatic heart disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


45

Cardiology - Rheumatic heart disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


46

Child protection – child abuse DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


47

Child protection – child abuse DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


48

Dermatology – common skin infections DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


49

Dermatology – eczema DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


50

Development – Behavioural problems DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


51

Development – Blindness DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


52

Development – Deafness DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


53

Development – Developmental delay DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


54

Development – Developmental delay DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


55

Development – School or learning difficulties DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


56

Down syndrome DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


57

Emergency – Burns DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


58

Emergency – drug overdose DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


59

Emergency – Multi-trauma DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


60

Emergency – septic shock DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


61

Emergency – snake bite DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


62

Emergency – spinal cord injury DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


63

Emergency – toxin ingestion DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


64

Emergency – trauma, multiple injuries DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


65

Endocrine - Hypoglycaemia DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


66

Endocrine - Insulin dependent diabetes mellitus DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


67

Endocrine – Hypothyroidism DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


68

Endocrine – other DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


69

Failure to thrive DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


70

Gastrointestinal - Chronic diarrhoea DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


71

Gastrointestinal - Chronic diarrhoea DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


72

Gastrointestinal - Congenital or chronic liver disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


73

Gastrointestinal - Environmental enteropathy DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


74

Haematology – Anaemia DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


75

Haematology – Anaemia DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


76

Haematology - Inherited coagulation disorder DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


77

Haematology – Thalassaemia DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


78

HIV infection DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


79

HIV infection DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


80

Infection – measles DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


81

Infection – septic arthritis or osteomyelitis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


82

Infection – septic arthritis or osteomyelitis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


83

Infection – varicella DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


84

Malaria - Complicated or severe malaria DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


85

Malaria - Complicated or severe malaria DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


86

Malnutrition - Severe malnutrition DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


87

Malnutrition - Severe malnutrition DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


88

Mental health – Depression DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


89

Neonatal – acute respiratory distress syndrome DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


90

Neonatal – birth trauma DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


91

Neonatal – congenital anomalies DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


92

Neonatal – congenital bowel obstruction DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


93

Neonatal – extreme prematurity DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


94

Neonatal – extreme prematurity DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


95

Neonatal – perinatal asphyxia DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


96

Neonatal – poor feeding DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


97

Neonatal – prolonged rupture of membranes DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


98

Neonatal – renal failure DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


99

Neonatal – sepsis or meningitis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


100

Neonatal – very low birth weight DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


101

Neonatal – very low birth weight DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


102

Neurology - Acute flaccid paralysis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


103

Neurology - Bacterial meningitis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


104

Neurology - Cerebral palsy DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


105

Neurology – congenital or acquired hydrocepahalus DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


106

Neurology – Epilepsy DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


107

Oncology - Acute leukaemia DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


108

Oncology - Burkitt lymphoma DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


109

Oncology - Other malignancy DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


110

Oncology - Palliative care DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


111

Oncology - Palliative care DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


112

Oncology – Retinoblastoma DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


113

Oncology - Wilms tumour DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


114

Otolaryngology – chronic suppurative otitis media DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


115

Otolaryngology – mastoiditis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


116

Renal - Acute kidney failure DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


117

Renal - Chronic renal disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


118

Renal – Renal tubular acidosis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


119

Respiratory – Bronchiolitis DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


120

Respiratory - Chronic lung disease DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


121

Respiratory - Pneumonia and empyema DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


122

Tuberculosis – drug sensitive DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


123

Tuberculosis – drug sensitive DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


124

Tuberculosis - Multi-drug resistant DateKey clinical features and specific diagnosis

Relevant history


Treatment commenced



Outcome

Complications


125

introduction · web viewneurology - acute flaccid paralysis date key clinical features and specific...

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