Guidelines
31 entriesNDoH Primary Healthcare STG
- SandwormParasitic Infestations of the Skin→
- ScabiesParasitic Infestations of the Skin→
- Schistosomiasis (Bilharzia)Description General Measures Medicine Treatment Referral ICD-10 codes: B65.0-3/B65.8-9 Note: Notifiable medical condition. DESCRIPTION A parasitic infestation with: Schistosoma haematobium : primarily involves the bladder and renal tract, or Schistosoma mansoni : primarily involves the intestinal tract. Infestation occurs during washing, bathing or paddling in water harbouring→
- Schizophrenia Spectrum Disorders (Schizophrenia)Description General Measures Medicine Treatment Referral ICD-10 code: F20-F20.9/F21/F22.0-22.9; F25.0-25.9 + (F10.0-F19.9/R45.0-8/Z65.0-5/Z65.8-9/Z81.0-4/ Z81.8) Description Schizophrenia is the most common, chronic psychotic disorder and is characterised by recurrent, severe, psychotic episodes which are accompanied by a marked deterioration in personal, social, and occupational func→
- Scrotal Swelling (SSW)Sexually Transmitted Infections→
- Seizures and Status EpilepticusDescription General Measures Medicine Treatment Referral ICD-10 code: G41.0-2/G41.8-9 For description and general measures of seizures, See: Seizures . DESCRIPTION This is a medical emergency and has the potential for causing high mortality. Status epilepticus is a series of seizures following one another lasting >30 minutes with no intervening periods of recovery of consciousness. The→
- Severe Hyperglycaemia (Diabetic Ketoacidosis (DKA) & Hyperosmolar Hyperglycaemic State (HHS))Diabetic Emergencies→
- Severe PneumoniaPneumonia in Adults→
- Severe acute malnutrition (SAM) *New*Complicated SAM Uncomplicated SAM ICD-10 codes: E40 / E41 / E42 / E43 DESCRIPTION Diagnostic criteria for SAM in children aged 6 - 60 months (any one of the following): Click on table to enlarge Where a suitable measuring device is not available the following less sensitive findings would also indicate the need to manage as severe acute malnutrition: Severe underweight WHZ < -3 (usually→
- Sexually Transmitted InfectionsSexually Transmitted Infections→
- Shingles (Herpes Zoster)Description General Measures Medicine Treatment Referral ICD-10 codes: B02.0-3/B02.7-9 DESCRIPTION Dermatomal eruption of vesicles on an erythematous base due to varicella zoster virus (lies dormant in nerve ganglia following chickenpox). GENERAL MEASURES Isolate patient from immunocompromised or pregnant non-immune individuals (who may develop severe chickenpox). Offer HIV test, especially→
- ShockDescription Emergency Treatment Referral ICD-10 code: R57.0-2/R57.8-9/T79.4/T78.2/Y57.9 DESCRIPTION Shock is a life-threatening condition characterised by any evidence of inadequate organ perfusion. Signs and symptoms of shock in adults Low blood pressure (systolic BP < 80 mmHg) is the key sign of shock Weak and rapid pulse Rapid shallow breathing Low urine output Restlessness and altered ment→
- Side Effects and Complications of ARTPlease click on the link below to access the most up-to-date version of this guideline. The content on this page is currently being updated to align with the latest publication. Always check the version number at the bottom of the screen to confirm which version you are using. Click here to access the Primary Health Care - PHC Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficienc→
- Sinusitis, Acute, BacterialEar, Nose and Throat Conditions→
- SnakebitesDescription General Measures Medical Treatment Referral ICD-10 code: T63.0 + (X20.99/W59.99) DESCRIPTION Of all the snake species found in South Africa less than 10% are potentially harmful to humans. However, all snakebites should be considered dangerous until proven otherwise. In the majority of snakebite incidents, the offending snake is not identified. South African poisonous sn→
- Soft Tissue InjuriesDescription Emergency Management Management of Wounds and Lacerations Medicine Treatment Referral ICD-10 code: T14.0-1/T14.9 DESCRIPTION Injuries may be minor, moderate or major: Major injuries: it is important to recognise potentially life-threatening injuries. Indicators of such injuries are: Mechanism of injury: motor vehicle collision at speed exceeding 60 km/hour, ejec→
- Special ConsiderationsIntellectual Disability Older Patients (≥45 years) Sexual Health and Sexuality Maternal Mental Health Intellectual Disability ICD-10 code: F70.0-1/F70.8-9/F71.0-1/F71.8-9/F72.0-1/F72.8-9/F73.0-1/F73.8-9/F78.0-1/F78.8-9/F79.0-1/F79.8- 9/F84.1/F84.4 + (Z13.3/Z81.0/Z81.8) Difficulty with verbal communication in the patient may result in over diagnosis of psychiatric conditions. More time is nee→
- Spinal Cord InjuriesDescription General measures Medicine treatment Referral DESCRIPTION Multiple symptoms may manifest in these patients, requiring accompanying medications and rehabilitative therapy at different levels of care. Patients with spinal cord injuries may initially be managed at hospital level before referral to primary care level for long-term management. After referral, patients should be assisted wit→
- Sprains and StrainsDescription Emergency Treatment Referral ICD-10 code: S03.4-5/S13.4-6/S23.3-5/S33.5-7/S43.4-7/S53.4/S63.5-7/S73.1/S83.4-6/S93.4-6/T11.2/T13.2/ T14.3 DESCRIPTION Clinical features include: pain, especially on movement tenderness on touch limited movement history of trauma May be caused by: sport injuries slips and twists overuse of muscles abnormal posture Note: In children always bear non-→
- Standard Paediatric Dosing TablesPaediatric Dosing Tables→
- Status EpilepticusSeizures (Convulsions/ Fits)→
- Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN)Description General measures Referral L51.1/ L51.2 DESCRIPTION An acute, systemic condition with vesico-bullous lesions involving the skin and mucous membranes (≥ 2 mucosal surfaces), but occasionally only the mucous membranes The eruption may start as widespread red irregular macules and patches. There may be a vesicle or bulla in the central area of the lesion. The blisters rupture leaving denu→
- StrokeCentral Nervous System→
- Structural Abnormalities of the EyeEye Conditions→
- Subdermal Implant (Contraception, Hormonal)Insertion and removal procedures Referral Z30.0/Z30.4/Z30.8 Dual protection with barrier methods is recommended to reduce the risk of STIs, including HIV. The subdermal implant is an effective, safe, reversible, and convenient long-term contraceptive method that does not require daily adherence or frequent follow-up. Progestin-only subdermal implant contraceptive, e.g.: Etonogestrel, subdermal, 6→
- Substance Use DisordersDescription General Measures Medicine Treatment Referral ICD-10 code: F10.0-F19.9 + (R40-R46/Z65.0-5/Z65.8-9/Z81.0-4/Z81.8) Consult National Policy guidelines on detoxification of psychoactive substances. Description Substance use disorder consists of mental and physical symptoms caused by the use of one or more substances, despite significant substance-related problems (including abu→
- Substance-Induced Mood DisordersSubstance Related Disorders→
- Substance-Induced PsychosisDescription General Measures Medicine Treatment Referral ICD-10 code: F10.0-F19.9 + (R40-R46/Z65.0-5/Z65.8-9/Z81.0-4/Z81.8) Description Psychosis secondary to a substance use or withdrawal such as abuse of alcohol, drugs, e.g. cannabis and methamphetamines. General Measures Most patients with substance-induced psychosis can be managed without medication. Ensure the safety of the patie→
- Suicide Risk AssessmentDescription General Measures Referral ICD-10 code: R45.8/X60-X84/Z91.5 + (Z81.8) Description Suicide is the act of deliberately killing oneself. Self-harm refers to intentionally self-inflicting injury or poisoning, which may or may not have a fatal intent or outcome. Suicide risk assessment is a process of estimating the probability for a person to commit suicide. There are 5 important component→
- Syphilis Serology and TreatmentSexually Transmitted Infections→
- Syphilis in PregnancyDescription Diagnosis General measures Medicine treatment Referral (baby) O98.1 DESCRIPTION A sexually transmitted infection with many manifestations that has a latent phase and may be asymptomatic in pregnant women. It is caused by the spirochaete, T pallidum . Vertical transmission to the foetus occurs in up to 80% of cases in untreated mothers. Untreated maternal syphilis may lead to miscarria→