Window on Kisiizi

Window on Kisiizi

Saturday 1 September 2012

Clinical pot-pourri...

Kisiizi sees the whole spectrum of medical, surgical, obstetric, psychiatric and, of course, paediatric problems....

I concentrate on the babies and children but occasionally end up having to see adults as when involved in screening patients picked up on our triage for ebola [which thankfully seems to have died out now] and when our medical officers need a second opinion.  The key specialist area we are missing here is an adult physician [would suit a GP who wants a change as well as any physicians out there!] and I had to review a man with renal failure and low blood pressure so had to blow away a few cobwebs to remember the right fluid regimes for adults - a bit different from our premature infants!





This child came in to the ward and has obvious Down's syndrome but this had not been identified in the community. 








 Because the child has motor delay and could not sit properly the local traditional healer had cut the child's back in the misguided belief that it would help...

















One significant step forward is that Kisiizi now has a CD4 counter in our lab.  This instrument counts CD4 cells that are a key part of the immune system and fall in patients with HIV.  Knowing the count is important in deciding on optimal management and treatment.  Previously we had to send samples to Kabale, a couple of hours drive from here.



Some of you may recall us mentioning a young boy who had been in a serious road accident and came in unconscious.
He required emergency surgery to remove blood clots from around his brain.

Here is an update photo taken in our rehabilitation department as he has physio...


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