Guidelines

14 entries

NDoH Primary Healthcare STG

Vaccines for Routine AdministrationThe contents of this chapter are based on the current recommendations from the National Advisory Group on Immunisation (NAGI). BCG ( Bacillus calmette-guerin ) Hexavalent (DTaP-IPV-HB-Hib) vaccine Tdap (Tetanus, reduced diphtheria and acellular pertussis vaccine) bOPV (Oral polio vaccine) RV (Rotavirus vaccine) PCV (Pneumococcal conjugated vaccine) Measles/Rubella Vaccine and Form→
Vaginal BleedingAbnormal vaginal bleeding during reproductive years Post-menopausal bleeding Note: Women should receive regular screening for cervical cancer after the age of 30 years. Any opportunity to perform screening should be taken; this includes taking pap smears during pregnancy. ABNORMAL VAGINAL BLEEDING DURING REPRODUCTIVE YEARS N92.0-2/3-6 DESCRIPTION Increased vaginal blood flow in either volume, dur→
Vaginal Discharge Syndrome (VDS)Vaginal Discharge Syndrome (VDS)→
Vaginal Ulcers *New*See Genital ulcer syndrome (GUS) . Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 Edition→
Vaginal discharge/lower abdominal pain in women *New*See: Vaginal discharge syndrome (VDS) and Lower abdominal pain (LAP) Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 Edition→
Valvular Heart Disease and Congenital Structural Heart DiseaseValvular Heart Disease and Congenital Structural Heart Disease→
Viral Haemorrhagic Fever (VHF)Description General Measures Management Referral ICD-10 codes: A98.0-5/ A98.8/A99/A91 Note: notifiable medical conditions. Consult the most recent Viral Haemorrhagic Fever Guidelines from the National Department of Health. DESCRIPTION Viral haemorrhagic fevers (VHF) are uncommon conditions in South Africa. They may present with non-specific signs or with signs strongly suggestive of VH→
Visual ProblemsEye Conditions→
Vitamin A deficiency *New*ICD-10 codes: E50.0 , E50.1 , E50.2 , E50.3 , E50.4 , E50.5 , E50.6 , E50.7 , E50.8 , E50.9 Description General measures Medicine treatment Referral DESCRIPTION A condition predominantly affecting the skin, mucous membranes and the eyes. It is most common in children of 1 - 5 years of age. If associated with measles and diarrhoea there is an increased risk of illness and death. If not ident→
Vitamin B1/thiamine deficiency (Wernicke encephalopathy and beriberi) *New*ICD-10 codes: E51.1 , E51.2 / E51.8 , E51.9 Description General measures Medicine treatment Referral DESCRIPTION Clinical features include: confusion. short-term memory loss. paralysis of one or more of the ocular muscles or ophthalmoplegia. nystagmus. ataxia. peripheral neuropathy. cardiac failure. Alcoholics may present with Wernicke encephalopathy, neuropathies or cardiac failure associated wi→
Vitamin B3/nicotinic acid deficiency (pellagra) *New*ICD-10 code: E52 Description General measures Medicine treatment Referral DESCRIPTION Pellagra is a condition associated with nicotinic acid deficiency. It is usually accompanied by other vitamin deficiencies. Clinical features include: diarrhoea. dementia. dermatitis with darkening of sun-exposed skin. GENERAL MEASURES Lifestyle adjustment including discouraging of alcohol abuse. Dietary advice.→
Vitamin B6/pyridoxine deficiency *New*ICD-10 code: E53.1 Description General measures Medicine treatment Referral DESCRIPTION Commonly presents as signs of peripheral neuropathy including: tingling sensation. burning pain or numbness of the feet. Pyridoxine deficiency is related to: malnutrition. alcoholism. isoniazid or combination TB therapy. GENERAL MEASURES Dietary advice: Increase intake of pyridoxine rich foods such as: Liver,→
VitiligoVitiligo→
Voluntary Sterilisation, Male and FemaleZ30.2 Female sterilisation Also known as tubal occlusion or tubal ligation. This is a permanent, surgical contraceptive method for women who do not intend to have more children. Women who opt for sterilisation should be adequately counselled and referred. Male sterilisation Also known as vasectomy. This is a permanent surgical contraceptive method for men who do not intend to have more children.→