Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Herpes Zoster OphthalmicusStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Herpes Zoster in the HIV-populationHerpes Zoster in the HIV-populationOther→
- Herpes simplex infections of the mouth and lipsICD-10 code: B00.1-2 Description General Measures Medicine Treatment Referral DESCRIPTION Acute, painful vesicular eruptions of the lips or ulcerations of the lips and mouth caused by Herpes simplex virus and characterised by: shallow, painful ulcers on the lips, gingiva, tongue and pharynx. pain exacerbated by eating. It is a self-limiting infection with symptoms subsiding within 10Primary Care→
- Hiatus HerniaICD-1K code: 44.0/K44.1/K44.9 GENERAL MEASURES Manage GORD. See Gastro-Oesophageal Reflux Disease (GORD) and Dyspepsia . Click here for the pdf . Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024 Chapter 1: Alimentary tract; 1.1 Gastrointestinal Disorders; 1.1.4 Hiatus HerniaEML (Adult)→
- HiccupsAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Hidradenitis SuppurativaHidreadenitis SuppurativaPrimary Care→
- Hip DislocationTraumatic hip dislocation is a specific term used to describe complete loss of contact between the articular surface of the femoral head and that of the acetabulum.Other→
- HirsutismThis booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.Other→
- Hirsutism and VirilisationDescription Referral ICD-10 code: L68.0/E25.0/E25.9 DESCRIPTION Hirsutism refers to terminal hair growth in amounts that are socially undesirable, typically following a male pattern of distribution. Virilisation refers to the development of male secondary sexual characteristics in a woman. REFERRAL Refer all cases to a tertiary hospital for investigation and management. Click here for the pdf &nbEML (Adult)→
- History TakingThis booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.Other→
- Home Delivery – ‘Born Before Arrival’The guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.Other→
- Hormone Therapy (HT)General measures Medicine treatment Referral N95.1-2/N95.8-9 Indications: Short-term symptomatic relief for severe menopausal symptoms. For menopausal women, treatment should be ≤ 5 years. Risk-benefit assessment should be individualised in all patients. Contra-indications include: Known or suspected estrogen-dependent malignant tumours (such as endometrial cancer). Coronary heart disease. ActivePrimary Care→
- Hospital Level (Adult) Medicine Reviews 2020 - 2023 (Gynaecology) *New*Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition.EML (Adult)→
- How To Use These GuidelinesStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- How to Site a StomaHow to site a stoma for junior doctorsOther→
- How to Use These GuidelinesHow to Use these GuidelinesPrimary Care→
- Human BitesDescription Medicine Treatment Referral ICD-10 code: S01.0-9/S11.0-2/S11.7-9/S21.0-2/S21.7-9/S31.0-5/S31.7-8/S41.0-1/S41.7-8/S51.0/S51.7-9/S61.0- 1/S61.7-9/S71.0-1/S71.7-8/S81.0/S81.7-9/S91.0-3/S91.7/T01.0-3/T01.6/T01.8- 9/T09.1/T11.1/T13.1/T14.0-1 + External Cause Code (W,X,Y,Z) DESCRIPTION Human bites may be accidental or intentional (form of assault). Human bites may result in:&nbPrimary Care→
- Human Immunodeficiency Virus InfectionsDescription Diagnostic Criteria ICD-10 codes: B20-24 Comprehensive guidelines are available for ART and the care of children with HIV infection in the 2023 ART Clinical Guidelines for the Management of HIV in Adults, Pregnancy and Breastfeeding, Adolescents, Children, Infants and Neonates . 1 DESCRIPTION Human Immunodeficiency Virus (HIV) is a retrovirus infecting immune cells, especiallyPEML (Paeds)→
- Human Papilloma Virus (HPV) and Herpes Simplex Virus (HSV): Sexual Abuse or Not?Rainbow Clinic for Abused Children, April 2020Other→
- Human papillomavirus vaccinesHuman papillomavirus vaccinesOther→
- Hydatid DiseaseDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: B67 DESCRIPTION The development of hydatid ( Echinococcus granulosus ) cysts follows ingestion of worm ova that are usually passed in the stools of dogs in sheep farming areas. Cysts may occur in any organ, but are most commonly found in the liver and lungs. DIAGNOSTIC CRITERIA Typical rPEML (Paeds)→
- Hydatid DiseaseDescription General measures Medicine treatment Referral ICD-10 code: B67.0-9 DESCRIPTION Cysts of E. granulosus , acquired from ingestion of helminth ova passed out in dog faeces, particularly in sheep-farming areas. Cysts may occur in any organ but are most commonly found in the liver and lungs. GENERAL MEASURES Definitive treatment with surgery or PAIR ( P ercutaneous A spiration I njectEML (Adult)→
- Hydrocarbon PoisoningDescription General measures Medicine treatment T52.0 + (X46.99/X66.99/Y16.99) Note: This section does not include information on aromatic hydrocarbons (e.g. benzene, toluene, xylene) often used by glue sniffers to get high. DESCRIPTION Poisoning due to petroleum products, including paraffin, turpentine, petrol, and mineral spirits. Clinical signs include: chemical pneumonitis nausea and vomitingEML (Adult)→
- Hyper-cyanotic SpellsGuideline to the approach to hyper-cyanotic spellsOther→
- Hyperbaric Oxygen TherapyHyperbaric Oxygen TherapyOther→
- Hyperbilirubinaemia, ConjugatedGeneral and supportive measures Medicine treatment Surgical treatment Referral Hepatocellular disease Bile duct obstruction - hepatitis* - total parenteral nutrition* - syphilis - other congenital infections - galactosaemia* - bile duct hypoplasia/atresia* - choledochal cyst - cystic fibrosis * May cause prolonged neonatal jaundice. Conjugated hyperbilirubinaemia is due to intra/extPEML (Paeds)→
- Hyperbilirubinaemia, UnconjugatedGeneral and supportive measures Phototherapy Medicine treatment Excessive haemolysis Defective conjugation - ABO incompatibility - rhesus disease - enclosed haemorrhages - polycythaemia - infections* - spherocytosis - G6PD deficiency - prematurity - infection - hypoxia - hypoglycaemia - hypothyroidism* - breast milk jaundice* * may cause prolonged neonatal jaundice. GENERAL AND SUPPORTIVEPEML (Paeds)→
- HypercalcaemiaHypercalcaemiaOther→
- HypercalcaemiaAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Hypercalcaemia, including Primary HyperparathyroidismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Hyperemesis GravidarumThis booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.Other→
- Hyperemesis GravidarumStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 EditionEML (Adult)→
- Hyperemesis GravidarumHyperemesis GravidarumOther→
- HyperglycaemiaICD-10 code: R73.9 DESCRIPTION Critical illness is a state of metabolic stress associated with elevated serum catecholamines and is often associated with the use of continuous feeding. Hence the target blood glucose is 4–10 mmol/L. Serum glucose > 10 mmol/L is common, occurring in up to 20% of critically ill children. Clinical significance Increased morbidity and mortality. Osmotic diurePEML (Paeds)→
- Hyperglycaemic EmergenciesHyperglycaemic EmergenciesOther→
- HyperkalaemiaHyperkalaemiaPEML (Paeds)→
- HyperkalaemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- HyperkalaemiaHyperkalaemiaOther→
- Hyperkalaemia - Emergency Management in ChildrenManagement of HyperkalaemiaOther→
- HypernatraemiaHypernatraemiaOther→
- HypernatraemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- HypertensionStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- HypertensionHypertension in type 2 Diabetes MellitusOther→
- Hypertension in AdultsHypertensionPrimary Care→
- Hypertension in ChildrenHypertensionPrimary Care→
- Hypertension in ChildrenDescription Diagnostic criteria General and supportive measures ICD-10 code: I10 DESCRIPTION Hypertension is defined as systolic and/or diastolic blood pressure ≥ the 95th percentile for gender, age and height percentile on at least three consecutive occasions. A sustained blood pressure of > 130/90 mmHg in a child older than 13 years is defined as hypertension. Measure blood pressPEML (Paeds)→
- Hypertension in DiabetesCardiovascular Risk in DiabetesPrimary Care→
- Hypertension, Acute SevereGeneral and supportive measures Medicine treatment Urgent referral ICD-10 code: I10 For acute or chronic hypertension, blood pressure needs to be lowered cautiously. Initiate medicines for sustained control as soon as possible to maintain the effect when the emergency measures are discontinued. Rate of BP reduction depends upon starting BP and age of the child. In the absence of central nerPEML (Paeds)→
- Hypertension, ChronicDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: I10 DESCRIPTION Primary/Essential hypertension Occurs most commonly in adolescents. The patient is often asymptomatic and well. It is diagnosed by excluding underlying causes of hypertension. Hypertension is confirmed by sustained high blood pressure measured on 3 follow-up occasions. ChPEML (Paeds)→
- Hypertension: Postpartum CareThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.Other→