-- Table structure for table `stock_alert_settings`
--

CREATE TABLE `stock_alert_settings` (
  `stock_alert_settings_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `minimum_stock` text NOT NULL,
  `maximum_stock` text NOT NULL,
  `reorder_level` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `editted_by` text NOT NULL,
  `date_editted` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `stock_alert_settings`
--

INSERT INTO `stock_alert_settings` (`stock_alert_settings_id`, `hospital_id`, `minimum_stock`, `maximum_stock`, `reorder_level`, `added_by`, `date_added`, `editted_by`, `date_editted`, `deleted`, `deleted_by`, `date_deleted`) VALUES
(1, '1', '1', '3', '1', '99999', '2023-01-15 21:49:57', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00');

-- --------------------------------------------------------

--
-- Table structure for table `store_exp_tracker`
--

CREATE TABLE `store_exp_tracker` (
  `store_exp_tracker_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `product_id` text NOT NULL,
  `product_name` text NOT NULL,
  `qty_in` text NOT NULL,
  `lot_no` text NOT NULL,
  `exp_date` date NOT NULL,
  `date_added` datetime NOT NULL,
  `stock_out` text NOT NULL,
  `stock_out_date` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

-- --------------------------------------------------------

--
-- Table structure for table `store_product`
--

CREATE TABLE `store_product` (
  `store_product_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `product_name` text NOT NULL,
  `lot_number` text NOT NULL,
  `product_brand` text NOT NULL,
  `product_category` text NOT NULL,
  `product_sold_as` text NOT NULL,
  `qty_received` text NOT NULL,
  `unit_strength` text NOT NULL,
  `expiry_date` date NOT NULL,
  `buying_price` text NOT NULL,
  `selling_price` text NOT NULL,
  `supplier_name` text NOT NULL,
  `date_delivered` text NOT NULL,
  `added_by_id` text NOT NULL,
  `date_added` datetime NOT NULL,
  `editted_by_id` text NOT NULL,
  `date_editted` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by_id` text NOT NULL,
  `date_deleted` datetime NOT NULL,
  `service` text NOT NULL,
  `route` text NOT NULL,
  `dosage_unit` text NOT NULL,
  `jms_product_code` text NOT NULL,
  `jms_unit_of_measure` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `store_product`
--

INSERT INTO `store_product` (`store_product_id`, `hospital_id`, `product_name`, `lot_number`, `product_brand`, `product_category`, `product_sold_as`, `qty_received`, `unit_strength`, `expiry_date`, `buying_price`, `selling_price`, `supplier_name`, `date_delivered`, `added_by_id`, `date_added`, `editted_by_id`, `date_editted`, `deleted`, `deleted_by_id`, `date_deleted`, `service`, `route`, `dosage_unit`, `jms_product_code`, `jms_unit_of_measure`) VALUES
(2, '1', 'Vacutainers Yellow Top', '', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(3, '1', 'Pipette', '', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(4, '1', 'Water Based Lubricants', '2107L10716', '', '', 'Box', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(5, '1', 'Vacutainer Red Top', '2095103', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(6, '1', 'HBsAg - Determine ', '19545K200R', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(7, '1', 'mRDT', '74K6922825', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(8, '1', 'CrAg', 'F1011149', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(9, '1', 'HIV/Syphilis Duo', '06ADH022A', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(10, '1', 'HIV-1/2 Set Determine', '713074', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(11, '1', 'Syphillis Test Strips', '06CDH009A', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(12, '1', 'HIV 1/2 Stat-Pack', '44040622', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(13, '1', 'Fluconazole caps', '721', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(14, '1', 'Fluconazole', '11H2003', '', '', 'Capsule', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(15, '1', 'Fluconazole Syrup', 'S0643', '', '', 'Tablet', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(16, '1', 'TDF/FTC (Emtricitabine/Tenofovir)', '3164262', '', '', 'Bottle', '', '10', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(17, '1', 'Nevirapine Syrup', 'NR0521048A', '', '', 'Packet', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(18, '1', 'TDF/3TC/DTG', '3155616', '', '', 'Packet', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(19, '1', 'TDS/3TC/EFV', '22065011', '', '', 'Packet', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(20, '1', 'Lamivudine/Zidovudine', '3130257', '', '', 'Packet', '', '400', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(21, '1', 'DTG', '3154758', '', '', 'Packet', '', '150', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(22, '1', 'DTG', 'DUS821033-A', '', '', 'Packet', '', '10', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(23, '1', 'Abacavir/Lamivudine', '3152655', '', '', 'Packet', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(24, '1', 'Cotrimoxazole', 'CTIH0061', '', '', 'Packet', '', '120', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(25, '1', 'Sayana Press ', '11D4522', '', '', 'Packet', '', '120', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(26, '1', 'Revoke 72', '8143209', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(27, '1', 'Microlut', 'KT07SS9', '', '', 'Packet', '', '0.75', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(28, '1', 'Zinnia F', '8154319', '', '', 'Packet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(29, '1', 'Depoplovera', '172C22', '', '', 'Packet', '', '150', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(30, '1', 'Implanon', 'W040449', '', '', 'Vial', '', '150', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(31, '1', 'Levonorgestrel - Jadelle', 'TU03J1H', '', '', 'Packet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(32, '1', 'IUD', '', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(33, '1', 'Artesunate', 'LA220829', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(34, '1', 'P-Alaxin Syrup', 'B1ALQO19', '', '', 'Vial', '', '60', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(35, '1', 'P-Alaxin 9', 'B1AFNO49', '', '', 'Syrup', '', '24', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '11', '', ''),
(36, '1', 'P-Alaxin TS', 'B1AIW007', '', '', 'Tablet', '', '40', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(37, '1', 'Artefan (Artemether+Lumefantrine)-30-6', 'DJ07602', '', '', 'Tablet', '', '120', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(38, '1', 'Artefan (Artemether+Lumefantrine)-30-24', 'PA05063', '', '', 'Tablet', '', '20/120', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(39, '1', 'Artemether', '210532', '', '', 'Tablet', '', '20/120', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(40, '1', 'Fansider', '2HO1', '', '', 'Ampule', '', '80', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(41, '1', 'Piroxcam', 'J201634', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(42, '1', 'Paracetamol', '1982', '', '', 'Capsule', '', '20', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(43, '1', 'Diclofenac', 'PX2006', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(44, '1', 'Zycel', '11202471', '', '', 'Tablet', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(45, '1', 'Lorsatan-H', '11200299', '', '', 'Capsule', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(46, '1', 'Paracetamol - Rectal 125', 'HU2304', '', '', 'Tablet', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(47, '1', 'Paracetamol- rectal 250', 'BIACAO024', '', '', 'Tablet', '', '125', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(48, '1', 'Dynapar ', 'D181515', '', '', 'Tablet', '', '250', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(49, '1', 'GOFEN', '2K30A1', '', '', 'Tablet', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(50, '1', 'Misoprostol', 'MCL2201001', '', '', 'Capsule', '', '400', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(51, '1', 'Ibuprofen', '2975', '', '', 'Tablet', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '14', '', ''),
(52, '1', 'Amlodipine', '11105024', '', 'Medicines', 'Tablet', '', '200', '0000-00-00', '400', '1000', '', '', '99999', '0000-00-00 00:00:00', '1', '2023-10-02 12:51:45', '', '', '0000-00-00 00:00:00', '', 'N/A', '2', '', ''),
(53, '1', 'Nifedipine', 'CD54J014', '', '', 'Tablet', '', '10', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(54, '1', 'Cardiac Aspirin', '4008588', '', '', 'Tablet', '', '20', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(55, '1', 'Diazepam ', '90031', '', '', 'Tablet', '', '75', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(56, '1', 'Calcium Gluconate', '2102', '', '', 'Tablet', '', '5', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(57, '1', 'Diazepam - Rectal', 'K1AEX005', '', '', 'Ampule', '', '1000', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(58, '1', 'Glibenclamide', '11103663', '', '', 'Tablet', '', '2.5', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(59, '1', 'Metformin', 'T2458', '', '', 'Tablet', '', '5', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(60, '1', 'Frusemide', 'FRS202', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(61, '1', 'Montelucast', '16223522', '', '', 'Tablet', '', '40', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(62, '1', 'Loratidine', 'L4E002', '', '', 'Tablet', '', '10', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(63, '1', 'Mebendazole', '1221', '', '', 'Tablet', '', '10', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(64, '1', 'Salbutamol Inhaler', 'M212409', '', '', 'Tablet', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(65, '1', 'Albendazole ', '1F01', '', '', 'Piece', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '14', '', ''),
(66, '1', 'Vitamin C', '223', '', '', 'Tablet', '', '400', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(67, '1', 'Vitamin B complex', '723', '', '', 'Tablet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(68, '1', 'Calcium lactate', '2111T270', '', '', 'Tablet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(69, '1', 'Ferrous sulphate', 'MSFTE001', '', '', 'Tablet', '', '300', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(70, '1', 'Folic acid', '122', '', '', 'Tablet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(71, '1', 'Multi-vitamin', '1222', '', '', 'Tablet', '', '5', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(72, '1', 'Grovit Tabs', '400945', '', '', 'Tablet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(73, '1', 'Nat-B', '21129B1', '', '', 'Tablet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(74, '1', 'Zinc sulphate', '1123', '', '', 'Capsule', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(75, '1', 'Neuroton', '220745', '', '', 'Tablet', '', '20', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(76, '1', 'Cetrizine', '142', '', '', 'Tablet', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(77, '1', 'Predinisolone', '3523', '', '', 'Tablet', '', '10', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(78, '1', 'Febricol', '442311', '', '', 'Tablet', '', '5', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
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(122, '1', 'Cloxacicillin', '223', '', '', 'Ampule', '', '80', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
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(125, '1', 'Levofloxacin', '426MR09', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
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(127, '1', 'Ofloxacin', 'OFTHO177', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
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(129, '1', 'Cefixime', 'OXMT122015A', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(130, '1', 'Azithromycin', '122', '', '', 'Tablet', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(131, '1', 'Erythromycin', '3422', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(132, '1', 'Doxycyclin', '1622', '', '', 'Tablet', '', '250', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(133, '1', 'Amoxyl ', 'HC550', '', '', 'Tablet', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(134, '1', 'Amoxicillin (amoxkid) 125', '1423', '', '', 'Capsule', '', '250', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(135, '1', 'Cotrimoxazole 480', 'HC550', '', '', 'Tablet', '', '125', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(136, '1', 'Phenoxymmethyipenicillin (pen.v)', 'PT806', '', '', 'Tablet', '', '480', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(137, '1', 'Tinidazole', '112300535', '', '', 'Tablet', '', '250', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(138, '1', 'Metronidazole', 'AM522020', '', '', 'Tablet', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(139, '1', 'Ampiclox', '6523', '', '', 'Tablet', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(140, '1', 'Fluxcamox', '822313', '', '', 'Capsule', '', '500', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
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(142, '1', 'Ibumol', 'ck01612', '', '', 'Syrup', '', '125', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '2', '', ''),
(143, '1', 'Ibumex', '221725', '', '', 'Syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(144, '1', 'Alcid', 'D187822003', '', '', 'Syrup', '', '60', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
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(146, '1', 'Panadol Syrup', '13642', '', '', 'Syrup', '', '60', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(147, '1', 'Cefixime', 'CS62', '', '', 'Syrup', '', '60', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
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(149, '1', 'Azithromycin', 'AU22016', '', '', 'syrup', '', '50', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
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(151, '1', 'Apidone ', '232225', '', '', 'Syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(152, '1', 'Flufed', 'kfl23001', '', '', 'syrup', '', '125', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(153, '1', 'Cetrizine', 'CZS042303', '', '', 'syrup', '', '60', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(154, '1', 'Ampiclox syrup', 'SO850', '', '', 'Syrup', '', '60', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(155, '1', 'Erythromycin syrup', 'l23002', '', '', 'syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(156, '1', 'Metronidazole syrup', '2203292', '', '', 'syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(157, '1', 'Amoxyl ', '82527', '', '', 'syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(158, '1', 'Mavcid ', '2222025S', '', '', 'Syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(159, '1', 'Relcer gel', '10221767', '', '', 'Syrup', '', '200', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(160, '1', 'Drip Water', '2202119', '', '', 'syrup', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(161, '1', 'Enemax', '215862', '', '', 'Bottle', '', '100', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(162, '1', 'Nystatin', '220741', '', '', 'bottle', '', '120', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '10', '', ''),
(163, '1', 'Haemoforte', 'm22183', '', '', 'Syrup', '', '100000', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '15', '', ''),
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(227, '1', 'Medical Surgical Mask', 'NOP1011OIA', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', ''),
(228, '1', 'Mosquito Nets', 'BP07WOH2T', '', '', 'Piece', '', '', '0000-00-00', '', '', '', '', '99999', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00', '', '', '', '', '');

-- --------------------------------------------------------

--
-- Table structure for table `store_stock`
--

CREATE TABLE `store_stock` (
  `store_stock_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `product_id` text NOT NULL,
  `product_name` text NOT NULL,
  `quantity_received` text NOT NULL,
  `stock_ppi` text NOT NULL,
  `exp_date` datetime NOT NULL,
  `lot_no` text NOT NULL,
  `buy_price` text NOT NULL,
  `sell_price` text NOT NULL,
  `supplier_name` text NOT NULL,
  `supply_date` datetime NOT NULL,
  `invoice_no` text NOT NULL,
  `received_by` text NOT NULL,
  `received_date` text NOT NULL,
  `quantity_issued` text NOT NULL,
  `issued_by` text NOT NULL,
  `issue_date` datetime NOT NULL,
  `order_id` text NOT NULL,
  `used_so_far` text NOT NULL,
  `counted_by` text NOT NULL,
  `count_date` datetime NOT NULL,
  `stock_in_or_out` text NOT NULL,
  `lot_number` text NOT NULL,
  `store_product_id` text NOT NULL,
  `balance` text NOT NULL,
  `added_date` datetime NOT NULL,
  `issue_department` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `store_stock`
--

INSERT INTO `store_stock` (`store_stock_id`, `hospital_id`, `product_id`, `product_name`, `quantity_received`, `stock_ppi`, `exp_date`, `lot_no`, `buy_price`, `sell_price`, `supplier_name`, `supply_date`, `invoice_no`, `received_by`, `received_date`, `quantity_issued`, `issued_by`, `issue_date`, `order_id`, `used_so_far`, `counted_by`, `count_date`, `stock_in_or_out`, `lot_number`, `store_product_id`, `balance`, `added_date`, `issue_department`) VALUES
(3, '1', '2', 'Vacutainers Yellow Top', '200', '1', '0000-00-00 00:00:00', '2308790', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '200', '0000-00-00 00:00:00', ''),
(4, '1', '3', 'Pipette', '1', '1', '0000-00-00 00:00:00', '', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(5, '1', '4', 'Water Based Lubricants', '250', '1', '0000-00-00 00:00:00', '2107L10716', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '250', '0000-00-00 00:00:00', ''),
(6, '1', '5', 'Vacutainer Red Top', '100', '1', '0000-00-00 00:00:00', '2095103', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '100', '0000-00-00 00:00:00', ''),
(7, '1', '6', 'HBsAg - Determine ', '500', '1', '0000-00-00 00:00:00', '19545K200R', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '500', '0000-00-00 00:00:00', ''),
(8, '1', '7', 'mRDT', '288', '1', '0000-00-00 00:00:00', '74K6922825', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '288', '0000-00-00 00:00:00', ''),
(9, '1', '8', 'CrAg', '5', '1', '0000-00-00 00:00:00', 'F1011149', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '5', '0000-00-00 00:00:00', ''),
(10, '1', '9', 'HIV/Syphilis Duo', '75', '1', '0000-00-00 00:00:00', '06ADH022A', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '75', '0000-00-00 00:00:00', ''),
(11, '1', '10', 'HIV-1/2 Set Determine', '100', '1', '0000-00-00 00:00:00', '713074', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '100', '0000-00-00 00:00:00', ''),
(12, '1', '11', 'Syphillis Test Strips', '110', '1', '0000-00-00 00:00:00', '06CDH009A', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:32', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '110', '0000-00-00 00:00:00', ''),
(13, '1', '12', 'HIV 1/2 Stat-Pack', '20', '1', '0000-00-00 00:00:00', '44040622', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '01/09/2023 11:44', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '20', '0000-00-00 00:00:00', ''),
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(137, '1', '136', 'Phenoxymmethyipenicillin (pen.v)', '66', '1', '0000-00-00 00:00:00', 'PT806', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '66', '0000-00-00 00:00:00', ''),
(138, '1', '137', 'Tinidazole', '35', '1', '0000-00-00 00:00:00', 'G2300535', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '35', '0000-00-00 00:00:00', ''),
(139, '1', '138', 'Metronidazole', '567', '1', '0000-00-00 00:00:00', 'AM522020', '3000', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '567', '0000-00-00 00:00:00', ''),
(140, '1', '139', 'Ampiclox', '152', '1', '0000-00-00 00:00:00', '6523', '12500', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '152', '0000-00-00 00:00:00', ''),
(141, '1', '140', 'Fluxcamox', '5', '1', '0000-00-00 00:00:00', '822313', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '5', '0000-00-00 00:00:00', ''),
(142, '1', '141', 'Cephalexin ', '14', '1', '0000-00-00 00:00:00', 'LE0B0367', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '14', '0000-00-00 00:00:00', ''),
(143, '1', '142', 'Ibumol', '3', '1', '0000-00-00 00:00:00', 'ck01612', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', ''),
(144, '1', '143', 'Ibumex', '3', '1', '0000-00-00 00:00:00', '221725', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', ''),
(145, '1', '144', 'Alcid', '5', '1', '0000-00-00 00:00:00', 'D187822003', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '5', '0000-00-00 00:00:00', ''),
(146, '1', '145', 'Piritex Baby', '3', '1', '0000-00-00 00:00:00', 'PB4222', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', ''),
(147, '1', '146', 'Panadol Syrup', '7', '1', '0000-00-00 00:00:00', '13642', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '7', '0000-00-00 00:00:00', ''),
(148, '1', '147', 'Cefixime', '1', '1', '0000-00-00 00:00:00', 'CS62', '7200', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(149, '1', '148', 'Cotrimoxazole syrup', '2', '1', '0000-00-00 00:00:00', '80796', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(150, '1', '149', 'Azithromycin', '20', '1', '0000-00-00 00:00:00', 'AU22016', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '20', '0000-00-00 00:00:00', ''),
(151, '1', '150', 'Fricks cough syrup', '1', '1', '0000-00-00 00:00:00', 'fch321', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(152, '1', '151', 'Apidone ', '1', '1', '0000-00-00 00:00:00', '232225', '18000', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(153, '1', '152', 'Flufed', '2', '1', '0000-00-00 00:00:00', 'kfl23001', '2700', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:08', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(154, '1', '153', 'Cetrizine', '7', '1', '0000-00-00 00:00:00', 'CZS042303', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '7', '0000-00-00 00:00:00', ''),
(155, '1', '154', 'Ampiclox syrup', '2', '1', '0000-00-00 00:00:00', 'SO850', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(156, '1', '155', 'Erythromycin syrup', '4', '1', '0000-00-00 00:00:00', 'l23002', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '4', '0000-00-00 00:00:00', ''),
(157, '1', '156', 'Metronidazole syrup', '2', '1', '0000-00-00 00:00:00', '2203292', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(158, '1', '157', 'Amoxyl ', '9', '1', '0000-00-00 00:00:00', '82527', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '9', '0000-00-00 00:00:00', ''),
(159, '1', '158', 'Mavcid ', '6', '1', '0000-00-00 00:00:00', '2222025S', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '6', '0000-00-00 00:00:00', ''),
(160, '1', '159', 'Relcer gel', '1', '1', '0000-00-00 00:00:00', '10221767', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(161, '1', '160', 'Drip Water', '2', '1', '0000-00-00 00:00:00', '2202119', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(162, '1', '161', 'Enemax', '1', '1', '0000-00-00 00:00:00', '215862', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(163, '1', '162', 'Nystatin', '12', '1', '0000-00-00 00:00:00', '220741', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '12', '0000-00-00 00:00:00', ''),
(164, '1', '163', 'Haemoforte', '2', '1', '0000-00-00 00:00:00', 'm22183', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(165, '1', '164', 'Grovit syrup', '1', '1', '0000-00-00 00:00:00', '39000178', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', ''),
(166, '1', '165', 'Genta eye/ear', '2', '1', '0000-00-00 00:00:00', '57j0122', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(167, '1', '166', 'Probeta N', '3', '1', '0000-00-00 00:00:00', 'FW107H', '3700', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', ''),
(168, '1', '167', 'Dexona eye/ear', '2', '1', '0000-00-00 00:00:00', 'aby5004', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', ''),
(169, '1', '168', 'Diclo Gel', '6', '1', '0000-00-00 00:00:00', '1077', '1000', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '6', '0000-00-00 00:00:00', ''),
(170, '1', '169', 'Tetracycline eye oitment', '4', '1', '0000-00-00 00:00:00', 'CD22', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '4', '0000-00-00 00:00:00', ''),
(171, '1', '170', 'Clotrimazole pessaries', '14', '1', '0000-00-00 00:00:00', '322', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '14', '0000-00-00 00:00:00', ''),
(172, '1', '171', '(Clotrimazole) Unisten Cream', '8', '1', '0000-00-00 00:00:00', '221535', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '02/09/2023 00:29', '', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '8', '0000-00-00 00:00:00', ''),
(173, '1', '172', 'Podosal Paint', '3', '', '0000-00-00 00:00:00', '822032', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', 'Pharmacy'),
(174, '1', '173', 'Acyclovir ', '1088', '', '0000-00-00 00:00:00', '422', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1088', '0000-00-00 00:00:00', 'Pharmacy'),
(175, '1', '174', 'Burn cure ', '2', '', '0000-00-00 00:00:00', '133', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', 'Pharmacy'),
(176, '1', '175', 'Betaderm Cream', '2', '', '0000-00-00 00:00:00', 'JU013H', '3000', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', 'Pharmacy'),
(177, '1', '176', 'Intermine Cream', '2', '', '0000-00-00 00:00:00', '221210', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', 'Pharmacy'),
(178, '1', '177', 'Miconazole Nitrate Cream (Dermidax)', '23', '', '0000-00-00 00:00:00', '220921', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '23', '0000-00-00 00:00:00', 'Pharmacy');
INSERT INTO `store_stock` (`store_stock_id`, `hospital_id`, `product_id`, `product_name`, `quantity_received`, `stock_ppi`, `exp_date`, `lot_no`, `buy_price`, `sell_price`, `supplier_name`, `supply_date`, `invoice_no`, `received_by`, `received_date`, `quantity_issued`, `issued_by`, `issue_date`, `order_id`, `used_so_far`, `counted_by`, `count_date`, `stock_in_or_out`, `lot_number`, `store_product_id`, `balance`, `added_date`, `issue_department`) VALUES
(179, '1', '178', 'Hydrocortisone cream', '3', '', '0000-00-00 00:00:00', '2203150', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', 'Pharmacy'),
(180, '1', '179', 'Candiderm Cream', '2', '', '0000-00-00 00:00:00', '10231430', '4900', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', 'Pharmacy'),
(181, '1', '180', 'Nitrofurotine', '290', '', '0000-00-00 00:00:00', '923', '4200', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '290', '0000-00-00 00:00:00', 'Pharmacy'),
(182, '1', '181', 'Drez-V Gel (Miconazole + Metronidazole)', '3', '', '0000-00-00 00:00:00', 'XDZV-437', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '3', '0000-00-00 00:00:00', 'Pharmacy'),
(183, '1', '182', 'Acyclovir Cream', '2', '', '0000-00-00 00:00:00', 'AB202', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '2', '0000-00-00 00:00:00', 'Pharmacy'),
(184, '1', '183', 'Griesofulvin', '63', '', '0000-00-00 00:00:00', 't22017', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '63', '0000-00-00 00:00:00', 'Pharmacy'),
(185, '1', '184', 'Ketoconazole', '189', '', '0000-00-00 00:00:00', 'T21473', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '189', '0000-00-00 00:00:00', 'Pharmacy'),
(186, '1', '185', 'Salicylic Acid Oitment', '8', '', '0000-00-00 00:00:00', 'SLA-01', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '8', '0000-00-00 00:00:00', 'Pharmacy'),
(187, '1', '186', 'Lidocaine', '7', '', '0000-00-00 00:00:00', '2322093', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '7', '0000-00-00 00:00:00', 'Pharmacy'),
(188, '1', '187', 'Panadol IV', '11', '', '0000-00-00 00:00:00', 'L28A092202', '3500', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '11', '0000-00-00 00:00:00', 'Pharmacy'),
(189, '1', '188', 'Manittol IV', '1', '', '0000-00-00 00:00:00', 'DC30049', '3500', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '1', '0000-00-00 00:00:00', 'Pharmacy'),
(190, '1', '189', 'Ciprofloxacin IV', '11', '', '0000-00-00 00:00:00', '2g20930', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '11', '0000-00-00 00:00:00', 'Pharmacy'),
(191, '1', '190', 'Metronidazole IV', '10', '', '0000-00-00 00:00:00', '2e30625', '1400', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '10', '0000-00-00 00:00:00', 'Pharmacy'),
(192, '1', '191', 'Levofloxacin IV', '16', '', '0000-00-00 00:00:00', 'CRJIB08', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '16', '0000-00-00 00:00:00', 'Pharmacy'),
(193, '1', '192', 'Frusemide injection', '7', '', '0000-00-00 00:00:00', '2221047', '', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '7', '0000-00-00 00:00:00', 'Pharmacy'),
(194, '1', '193', 'Water for Injection', '0', '', '0000-00-00 00:00:00', '9120222', '160', '', 'Nilkanth pharmacy ltd', '0000-00-00 00:00:00', '', '99999', '', '', '99999', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00', 'in', '', '', '0', '0000-00-00 00:00:00', 'Pharmacy'),
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(335, '1', '141', 'Cephalexin ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:47:22', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '10', '2023-10-02 16:47:22', 'Pharmacy'),
(336, '1', '142', 'Ibumol', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '3', '99999', '2023-10-02 16:47:24', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:24', 'Pharmacy'),
(337, '1', '143', 'Ibumex', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:25', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:47:25', 'Pharmacy'),
(338, '1', '144', 'Alcid', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:27', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '3', '2023-10-02 16:47:27', 'Pharmacy'),
(339, '1', '145', 'Piritex Baby', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:30', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:47:30', 'Pharmacy'),
(340, '1', '146', 'Panadol Syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:47:32', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '3', '2023-10-02 16:47:32', 'Pharmacy'),
(341, '1', '148', 'Cotrimoxazole syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:34', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:34', 'Pharmacy'),
(342, '1', '149', 'Azithromycin', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '3', '99999', '2023-10-02 16:47:36', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '17', '2023-10-02 16:47:36', 'Pharmacy'),
(343, '1', '150', 'Fricks cough syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:47:38', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:38', 'Pharmacy'),
(344, '1', '151', 'Apidone ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:47:40', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:40', 'Pharmacy'),
(345, '1', '152', 'Flufed', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:42', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:42', 'Pharmacy'),
(346, '1', '153', 'Cetrizine', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:47:46', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '-17', '2023-10-02 16:47:46', 'Pharmacy'),
(347, '1', '153', 'Cetrizine', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:47:48', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '-21', '2023-10-02 16:47:48', 'Pharmacy'),
(348, '1', '154', 'Ampiclox syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:51', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:51', 'Pharmacy'),
(349, '1', '155', 'Erythromycin syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:47:52', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:52', 'Pharmacy'),
(350, '1', '156', 'Metronidazole syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:47:54', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:54', 'Pharmacy'),
(351, '1', '157', 'Amoxyl ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '5', '99999', '2023-10-02 16:47:55', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '4', '2023-10-02 16:47:55', 'Pharmacy'),
(352, '1', '158', 'Mavcid ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '3', '99999', '2023-10-02 16:47:57', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '3', '2023-10-02 16:47:57', 'Pharmacy'),
(353, '1', '159', 'Relcer gel', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:47:59', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:47:59', 'Pharmacy'),
(354, '1', '160', 'Drip Water', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:01', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:01', 'Pharmacy'),
(355, '1', '161', 'Enemax', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:03', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:03', 'Pharmacy'),
(356, '1', '162', 'Nystatin', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:48:05', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '8', '2023-10-02 16:48:05', 'Pharmacy'),
(357, '1', '163', 'Haemoforte', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:07', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:07', 'Pharmacy'),
(358, '1', '164', 'Grovit syrup', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:10', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:10', 'Pharmacy'),
(359, '1', '165', 'Genta eye/ear', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:12', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:12', 'Pharmacy'),
(360, '1', '166', 'Probeta N', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:13', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:13', 'Pharmacy'),
(361, '1', '167', 'Dexona eye/ear', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:17', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:17', 'Pharmacy'),
(362, '1', '168', 'Diclo Gel', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:20', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '4', '2023-10-02 16:48:20', 'Pharmacy'),
(363, '1', '169', 'Tetracycline eye oitment', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:22', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '2', '2023-10-02 16:48:22', 'Pharmacy'),
(364, '1', '170', 'Clotrimazole pessaries', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:23', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '12', '2023-10-02 16:48:23', 'Pharmacy'),
(365, '1', '171', '(Clotrimazole) Unisten Cream', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '3', '99999', '2023-10-02 16:48:25', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '5', '2023-10-02 16:48:25', 'Pharmacy'),
(366, '1', '172', 'Podosal Paint', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:27', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:27', 'Pharmacy'),
(367, '1', '173', 'Acyclovir ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '88', '99999', '2023-10-02 16:48:28', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1000', '2023-10-02 16:48:28', 'Pharmacy'),
(368, '1', '174', 'Burn cure ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:30', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:30', 'Pharmacy'),
(369, '1', '175', 'Betaderm Cream', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:32', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:32', 'Pharmacy'),
(370, '1', '176', 'Intermine Cream', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:33', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:33', 'Pharmacy'),
(371, '1', '177', 'Miconazole Nitrate Cream (Dermidax)', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '4', '99999', '2023-10-02 16:48:35', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '19', '2023-10-02 16:48:35', 'Pharmacy'),
(372, '1', '178', 'Hydrocortisone cream', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:37', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:37', 'Pharmacy'),
(373, '1', '179', 'Candiderm Cream', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:39', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:39', 'Pharmacy');
INSERT INTO `store_stock` (`store_stock_id`, `hospital_id`, `product_id`, `product_name`, `quantity_received`, `stock_ppi`, `exp_date`, `lot_no`, `buy_price`, `sell_price`, `supplier_name`, `supply_date`, `invoice_no`, `received_by`, `received_date`, `quantity_issued`, `issued_by`, `issue_date`, `order_id`, `used_so_far`, `counted_by`, `count_date`, `stock_in_or_out`, `lot_number`, `store_product_id`, `balance`, `added_date`, `issue_department`) VALUES
(374, '1', '180', 'Nitrofurotine', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '90', '99999', '2023-10-02 16:48:42', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '200', '2023-10-02 16:48:42', 'Pharmacy'),
(375, '1', '181', 'Drez-V Gel (Miconazole + Metronidazole)', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '2', '99999', '2023-10-02 16:48:44', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:48:44', 'Pharmacy'),
(376, '1', '183', 'Griesofulvin', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '63', '99999', '2023-10-02 16:48:46', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:46', 'Pharmacy'),
(377, '1', '184', 'Ketoconazole', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '89', '99999', '2023-10-02 16:48:47', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '100', '2023-10-02 16:48:47', 'Pharmacy'),
(378, '1', '185', 'Salicylic Acid Oitment', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '3', '99999', '2023-10-02 16:48:49', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '5', '2023-10-02 16:48:49', 'Pharmacy'),
(379, '1', '186', 'Lidocaine', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:48:51', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '6', '2023-10-02 16:48:51', 'Pharmacy'),
(380, '1', '187', 'Panadol IV', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '6', '99999', '2023-10-02 16:48:52', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '5', '2023-10-02 16:48:52', 'Pharmacy'),
(381, '1', '189', 'Ciprofloxacin IV', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '11', '99999', '2023-10-02 16:48:54', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:54', 'Pharmacy'),
(382, '1', '190', 'Metronidazole IV', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '10', '99999', '2023-10-02 16:48:56', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:48:56', 'Pharmacy'),
(383, '1', '125', 'Levofloxacin', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '11', '99999', '2023-10-02 16:48:59', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '19', '2023-10-02 16:48:59', 'Pharmacy'),
(384, '1', '125', 'Levofloxacin', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '11', '99999', '2023-10-02 16:49:01', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '8', '2023-10-02 16:49:01', 'Pharmacy'),
(385, '1', '125', 'Levofloxacin', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '11', '99999', '2023-10-02 16:49:03', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '-3', '2023-10-02 16:49:03', 'Pharmacy'),
(386, '1', '192', 'Frusemide injection', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '7', '99999', '2023-10-02 16:49:06', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:49:06', 'Pharmacy'),
(387, '1', '194', 'Catheter - 18 Gauge', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '50', '99999', '2023-10-02 16:49:08', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '1', '2023-10-02 16:49:08', 'Pharmacy'),
(388, '1', '198', 'Surgical Gloves', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '11', '99999', '2023-10-02 16:49:09', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '30', '2023-10-02 16:49:09', 'Pharmacy'),
(389, '1', '199', 'Syringes - 22 Gauge', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '33', '99999', '2023-10-02 16:49:11', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '20', '2023-10-02 16:49:11', 'Pharmacy'),
(390, '1', '200', 'Butterfly Canula - 21 Gauge', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '5', '99999', '2023-10-02 16:49:14', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '5', '2023-10-02 16:49:14', 'Pharmacy'),
(391, '1', '201', 'Pink Canula - 20 Guage', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '24', '99999', '2023-10-02 16:49:16', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '80', '2023-10-02 16:49:16', 'Pharmacy'),
(392, '1', '204', 'Cotton', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:49:17', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:49:17', 'Pharmacy'),
(393, '1', '205', 'Gauze ', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:49:19', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:49:19', 'Pharmacy'),
(394, '1', '206', 'Yellow Canula - 24 Guage', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '33', '99999', '2023-10-02 16:49:21', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '100', '2023-10-02 16:49:21', 'Pharmacy'),
(395, '1', '209', 'Dextrose 5% IV', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '9', '99999', '2023-10-02 16:49:23', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '14', '2023-10-02 16:49:23', 'Pharmacy'),
(396, '1', '210', 'Calamine lotion', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '3', '99999', '2023-10-02 16:49:25', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:49:25', 'Pharmacy'),
(397, '1', '211', 'Savlon', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '1', '99999', '2023-10-02 16:49:27', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:49:27', 'Pharmacy'),
(398, '1', '213', 'ORS', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '5', '99999', '2023-10-02 16:49:29', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '0', '2023-10-02 16:49:29', 'Pharmacy'),
(399, '1', '214', 'Ringers Lactate', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '7', '99999', '2023-10-02 16:49:31', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '24', '2023-10-02 16:49:31', 'Pharmacy'),
(400, '1', '215', 'Half Strength Darroz', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '8', '99999', '2023-10-02 16:49:33', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '9', '2023-10-02 16:49:33', 'Pharmacy'),
(401, '1', '216', 'Normal SalineIV', '', '', '0000-00-00 00:00:00', '', '', '', '', '0000-00-00 00:00:00', '', '', '', '5', '99999', '2023-10-02 16:49:35', '', '', '', '0000-00-00 00:00:00', 'out', '', '', '22', '2023-10-02 16:49:35', 'Pharmacy');

-- --------------------------------------------------------

--
-- Table structure for table `surgical_procedure`
--

CREATE TABLE `surgical_procedure` (
  `procedure_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `department` text NOT NULL,
  `procedure_name` text NOT NULL,
  `description` text NOT NULL,
  `cost` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `edited_by` text NOT NULL,
  `date_edited` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `surgical_procedure`
--

INSERT INTO `surgical_procedure` (`procedure_id`, `hospital_id`, `department`, `procedure_name`, `description`, `cost`, `added_by`, `date_added`, `edited_by`, `date_edited`, `deleted`, `deleted_by`, `date_deleted`) VALUES
(1, '1', 'Surgical', 'Appendectomy', 'Removal of appendix from a patient that is suffering from Appendicitis', '200000', '99999', '2023-05-15 16:54:49', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(2, '1', 'Surgical', 'extraction', '', '50000', '99999', '2023-09-21 12:48:39', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00');

-- --------------------------------------------------------

--
-- Table structure for table `surgical_request`
--

CREATE TABLE `surgical_request` (
  `surgical_request_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `patient_id` text NOT NULL,
  `patient_name` text NOT NULL,
  `visit_id` text NOT NULL,
  `visit_date` datetime NOT NULL,
  `procedure_id` text NOT NULL,
  `procedure_name` text NOT NULL,
  `anatomic_site` text NOT NULL,
  `theatre_name` text NOT NULL,
  `procedure_date` date NOT NULL,
  `procedure_start_time` time NOT NULL,
  `procedure_end_time` time NOT NULL,
  `urgency` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `edited_by` text NOT NULL,
  `date_edited` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL,
  `booking_confirmed_by` text NOT NULL,
  `date_confirmed` datetime NOT NULL,
  `booked_surgeon_id` text NOT NULL,
  `acknowledged` text NOT NULL,
  `acknowledged_by` text NOT NULL,
  `date_acknowledged` datetime NOT NULL,
  `anaesthetist_informed` text NOT NULL,
  `anaesthetist_ready` text NOT NULL,
  `surgeon_informed` text NOT NULL,
  `surgeon_ready` text NOT NULL,
  `pre_med_complete` text NOT NULL,
  `time_sent_for_patient` datetime NOT NULL,
  `picking_patient_staff_id` text NOT NULL,
  `patient_in_theatre` text NOT NULL,
  `time_patient_in_theatre` datetime NOT NULL,
  `timeout_brief_held` text NOT NULL,
  `timeout_brief_time` datetime NOT NULL,
  `anaesthesia_start_time` datetime NOT NULL,
  `anaesthesia_ready_time` datetime NOT NULL,
  `position_start_time` datetime NOT NULL,
  `position_ready_time` datetime NOT NULL,
  `surgery_start_time` datetime NOT NULL,
  `surgery_end_time` datetime NOT NULL,
  `patient_out_of_theatre` text NOT NULL,
  `confirm_surgeon_id` text NOT NULL,
  `surgeon_id_confirm_time` datetime NOT NULL,
  `time_out_of_theatre` datetime NOT NULL,
  `patient_in_recovery` text NOT NULL,
  `recovery_arrival_time` datetime NOT NULL,
  `assessed_for_discharge` text NOT NULL,
  `aneasthesia_discharge_time` datetime NOT NULL,
  `sent_to_ward` text NOT NULL,
  `sent_to_ward_time` datetime NOT NULL,
  `report` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

-- --------------------------------------------------------

--
-- Table structure for table `symptom`
--

CREATE TABLE `symptom` (
  `symptom_id` int(11) NOT NULL,
  `symptom_name` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `edited_by` text NOT NULL,
  `date_edited` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `symptom`
--

INSERT INTO `symptom` (`symptom_id`, `symptom_name`, `added_by`, `date_added`, `edited_by`, `date_edited`, `deleted`, `deleted_by`, `date_deleted`) VALUES
(1, 'Body itching', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(2, 'hives (urticarial rash)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(3, 'swelling of lips', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(4, 'swelling of eyes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(5, 'swelling of tongue', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(6, 'Difficulty in breathing (stridor, wheezing)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(7, 'Hypotension and sudden collapse', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(8, 'excessive sweating', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(9, 'thin pulse', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(10, 'Abdominal cramps', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(11, 'vomiting', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(12, 'diarrhoea', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(13, 'High heart rate', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(14, 'fast breathing rate', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(15, 'Thin or absent pulse', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(16, 'cold extremities', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(17, 'slow capillary refill', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(18, 'Low blood pressure', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(19, 'Mental agitation', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(20, 'confusion', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(21, 'Apathy', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(22, 'sunken eyes/fontanel', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(23, 'loss of skin turgor (especially in children)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(24, 'Hypotension', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(25, 'tachycardia', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(26, 'deep (acidotic) breathing', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(27, 'dry mucosae', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(28, 'poor or no urine output', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(29, 'Dehydration in mild/moderate fluid (water and electrolytes) deficiency', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(30, 'Hypovolaemic shock in severe fluid deficiency', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(31, 'Oedema (including pulmonary oedema) in fluid ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(32, 'Elevated temperature ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(33, 'Convulsions ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(34, 'No neurological abnormality in the period between convulsions', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(35, 'hunger', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(36, 'dizziness', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(37, 'tremors', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(38, 'sweating', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(39, 'nervousness ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(40, 'confusion', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(41, 'Profuse sweating', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(42, 'palpitations', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(43, 'weakness ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(44, 'Convulsions', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(45, 'Loss of consciousness', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(46, 'pain', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(47, 'Puncture wounds', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(48, 'swelling', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(49, 'discoloration', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(50, 'Swelling', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(51, 'discolouration', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(52, 'burning sensation', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(53, 'pain at the site of the sting', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(54, 'Teeth marks ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(55, 'scratches', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(56, 'lacerations', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(57, 'Puncture wounds (especially cats)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(58, 'Pain', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(59, 'tenderness', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(60, 'swelling', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(61, 'deformity ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(62, 'Inability to use/move the affected part', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(63, 'Pain', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(64, 'swelling', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(65, 'hyperaemia', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(66, 'blisters', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(67, 'singed hairs', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(68, 'Skin loss ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(69, 'shock', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(70, 'low urine output', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(71, 'generalised swelling', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(72, 'respiratory insufficiency', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(73, 'deteriorated mental state', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(74, 'Breathing difficulty', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(75, 'hoarse voice', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(76, 'cough', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(77, 'broken skin or mucous membrane', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(78, 'Pain', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(79, 'swelling', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(80, 'bleeding', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(81, 'discharge', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(82, 'Cuts', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(83, 'Lacerations', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(84, 'Abrasions', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(85, 'Bruises', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(86, 'closed cut', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(87, 'open cut', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(88, 'Swelling on the head (scalp hematoma)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(89, 'Fracture of the skull', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(90, 'Racoon eyes (haematoma around the eyes)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(91, 'bleeding and/ or leaking of CSF through nose, ears', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(92, 'Extragenital injury', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(93, 'Genital injury', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(94, 'fear', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(95, 'nightmares', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(96, 'sleep problems', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(97, 'anger', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(98, 'embarrassment', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(99, 'Post traumatic Stress Disorder', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(100, 'flashbacks', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(101, 'avoidance ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(102, 'hyperarousal ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(103, 'Shame', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(104, 'guilt ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(105, 'Sexually transmitted infections ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(106, 'Pregnancy ', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(107, 'smell of the chemicals', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(108, 'Constricted pupils', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(109, 'Cold sweat', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(110, 'anxiety', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(111, 'restlessness', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(112, 'Abdominal pain', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(113, 'diarrhoea', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(114, 'vomiting', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(115, 'Twitching', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(116, 'convulsions', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(117, 'Bradycardia', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(118, 'Excessive salivation', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(119, 'difficulty in breathing', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(120, 'abundant respiratory secretions', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(121, 'Headache', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(122, 'hypotension', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(123, 'urine incontinence', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(124, 'Coma', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(125, 'smell of paraffin/other petroleum product', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(126, 'Burning sensation in mouth and throat', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(127, 'Patient looks pale (transient cyanosis)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(128, 'Vomiting', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(129, 'diarrhoea', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(130, 'bloody stools', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(131, 'Cough', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(132, 'dyspnoea', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(133, 'wheezing', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(134, 'tachypnoea', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(135, 'nasal flaring (due to chemical pneumonitis)', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(136, 'Lethargy', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(137, 'convulsions', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(138, 'difficulty in breathing', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(139, 'Fever', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(140, 'Amnesia', '99999', '2023-07-31 20:42:42', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(141, 'Neck pain', '99999', '2023-08-03 07:33:57', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(142, 'Lower Abdominal Pain', '99999', '2023-08-29 20:33:41', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(143, 'LAP', '13', '2023-09-04 13:37:46', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00'),
(144, 'tooth sensitivity', '99999', '2023-09-21 12:44:28', '', '0000-00-00 00:00:00', '', '', '0000-00-00 00:00:00');

-- --------------------------------------------------------

--
-- Table structure for table `tax`
--

CREATE TABLE `tax` (
  `tax_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `tax_name` text NOT NULL,
  `percentage` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `tax`
--

INSERT INTO `tax` (`tax_id`, `hospital_id`, `tax_name`, `percentage`, `added_by`, `date_added`, `deleted`, `deleted_by`, `date_deleted`) VALUES
(1, '1', 'PAYEE', '15', '99999', '2023-01-02 12:12:59', '', '', '0000-00-00 00:00:00'),
(2, '1', 'NSSF', '5', '99999', '2023-01-02 12:12:59', '', '', '2023-01-02 12:56:47');

-- --------------------------------------------------------

--
-- Table structure for table `test_menu`
--

CREATE TABLE `test_menu` (
  `test_menu_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `test_name` text NOT NULL,
  `test_category` text NOT NULL,
  `cost` text NOT NULL,
  `tat` text NOT NULL,
  `report_type` text NOT NULL,
  `sample_type` text NOT NULL,
  `sample_volume` text NOT NULL,
  `available` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `edited_by` text NOT NULL,
  `date_edited` datetime NOT NULL,
  `qualitative_or_quantitative` text NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `test_menu`
--

INSERT INTO `test_menu` (`test_menu_id`, `hospital_id`, `test_name`, `test_category`, `cost`, `tat`, `report_type`, `sample_type`, `sample_volume`, `available`, `added_by`, `date_added`, `edited_by`, `date_edited`, `qualitative_or_quantitative`, `deleted`, `deleted_by`, `date_deleted`) VALUES
(1, '1', 'CBC', 'Hematology', '15000', '0.5', 'Quantitative', 'Whole Blood', '4ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(2, '1', 'B/S (malaria)', 'Parasitology', '5000', '0.5', '', 'Whole Blood', '1ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(4, '1', 'Gram Stain', 'Microbiology', '10000', '0.5', '', 'Whole Blood', '3ML', 'no', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(5, '1', 'LFT', 'Chemistry', '40000', '0.5', '', 'serum', '4ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(6, '1', 'RFT', 'Chemistry', '30000', '0.5', '', 'Serum', '4ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(7, '1', 'Blood Grouping', 'Hematology', '5000', '0.5', '', 'Whole Blood', '2ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(8, '1', 'RPR', 'SEROLOGY', '5000', '0.5', 'Reactive/Non Reactive', 'WHOLE BLOOD/PASMA/SERUM', '1ML', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(9, '1', 'Sickel cells screening Test', 'Haematology', '30000', '24', '', 'WholeBlood', '4ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(10, '1', 'HEPATITIS B (HBsAG', 'SEROLOGY', '15000', '0.5', 'Reactive/Non Reactive', 'SERUM/WHOLE BLOOD', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(11, '1', 'WIDAL TEST', 'SEROLOGY', '6000', '0.5', 'Positive/Negative', '', '', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(12, '1', 'MRDT (malaria rapid test)', 'parasitology', '0', '0.5', 'Positive/Negative', 'WHOLE BLOOD', '3 drops', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(13, '1', 'SYPHILIS ANTIBODY TEST', 'SEROLOGY', '7000', '0.5', '', 'SERUM/WHOLE BLOOD', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(14, '1', 'H/PYLORI STOOL ANTIGEN', 'Microbiology', '20000', '0.5', '', 'stool sample', 'n.a', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(15, '1', 'H.pylori Antibody Rapid Test', 'SEROLOGY', '10000', '0.5', '', 'SERUM/WHOLE BLOOD', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(16, '1', 'hCG pregnancy Test', 'Microbiology', '8000', '0.5', '', 'urine', 'n.a', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(17, '1', 'Stool Analysis', 'Microbiology', '10000', '0.5', '', 'stool sample', 'n.a', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(18, '1', 'Urinalysis', 'Microbiology', '7000', '0.5', '', 'urine', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(19, '1', 'Blood Grouping / Typing', 'Haematology', '5000', '0.5', '', 'WHOLE BLOOD', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(20, '1', 'RBS (Random blood sugars)', '', '6000', '0.5', '', 'capilary wholeblood', '1 drops', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(21, '1', 'BAT (Brucella Agglutination Test)', 'microbilogy', '10000', '0.5', '', 'SERUM/WHOLE BLOOD', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(22, '1', 'HIV-1 PCR', 'Immunology', '60000', '2', '', 'WHOLE BLOOD', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(23, '1', 'HIV - Viral Load Testing', 'immunology', '0', '0.5', 'Positive/Negative', 'WHOLE BLOOD', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(24, '1', 'Haemoglobin  Electrophoresis', 'Haematology', '70000', '72', '', 'WHOLE BLOOD', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(25, '1', 'HIV (HCT)', 'SEROLOGY', '0', '0.5', 'Positive/Negative', 'SERUM/WHOLE BLOOD', '3ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(26, '1', 'Serum Electrolytes', 'Clinical chemistry', '25000', '2', '', 'SERUM', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(27, '1', 'HBsAG Viral load Testing', 'Immunology', '150000', '72', '', 'plasma / whole blood', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(28, '1', 'Rheumatoid Factor', 'Microbiology', '10000', '0.5', '', 'SERUM/WHOLE BLOOD', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(29, '1', 'CD4 count', 'Immunology', '0', '0.5', 'Positive/Negative', 'WHOLE BLOOD', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(30, '1', 'Covid 19 RT-PCR Test', 'Immunology', '80000', '3', '', 'NS/O-SWAB', 'n.a', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(31, '1', 'Covid 19 Rapid Test', 'Immunology', '40000', '0.5', '', 'NS/O-SWAB', 'n.a', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(32, '1', 'LIPID PROFILE', 'Clinical chemistry', '40000', '3', '', 'SERUM', '4 mls', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(33, '1', 'Typhoid Test', 'Serology', '5000', '0.5', '', 'Serum', '1ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(34, '1', 'FASTING BLOOD SUGAR (FBS)', 'Clinical Chemistry', '6000', '0.5', '', 'Whole Blood', '1ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(35, '1', 'CBC 1', 'Hematology', '15000', '0.5', '', 'Whole Blood', '4ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(36, '1', 'Brucella', 'Serology', '5000', '0.5', '', 'Whole Blood', '4ml', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00'),
(37, '1', 'PSA', 'Serology', '120000', '0.5', 'Quantitative', 'Whole Blood', '2ML', 'yes', '', '0000-00-00 00:00:00', '', '0000-00-00 00:00:00', '', '', '', '0000-00-00 00:00:00');

-- --------------------------------------------------------

--
-- Table structure for table `test_parameters`
--

CREATE TABLE `test_parameters` (
  `test_parameter_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `test_menu_id` int(11) NOT NULL,
  `test_name` text NOT NULL,
  `category_name` text NOT NULL,
  `test_parameter_name` text NOT NULL,
  `normal_ll` float NOT NULL,
  `normal_ul` float NOT NULL,
  `critical_ll` text NOT NULL,
  `critical_ul` text NOT NULL,
  `gender` text NOT NULL,
  `age_group_name` text NOT NULL,
  `lower_age_limit` int(11) NOT NULL,
  `upper_age_limit` int(11) NOT NULL,
  `added_date` datetime NOT NULL,
  `added_id` int(11) NOT NULL,
  `edit_date` datetime NOT NULL,
  `edit_id` int(11) NOT NULL,
  `si_units` text NOT NULL,
  `multiplier` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `test_parameters`
--

INSERT INTO `test_parameters` (`test_parameter_id`, `hospital_id`, `test_menu_id`, `test_name`, `category_name`, `test_parameter_name`, `normal_ll`, `normal_ul`, `critical_ll`, `critical_ul`, `gender`, `age_group_name`, `lower_age_limit`, `upper_age_limit`, `added_date`, `added_id`, `edit_date`, `edit_id`, `si_units`, `multiplier`) VALUES
(6, '1', 5, 'LFT', 'Chemistry', 'ALP', 89, 120, '30', '55', 'male', 'Adult', 18, 45, '2022-09-29 11:28:58', 1, '0000-00-00 00:00:00', 0, 'mmol/L', ''),
(9, '1', 24, 'Haemoglobin  Electrophoresis', 'Haematology', 'HbA', 95, 98, '', '', 'male', '', 0, 0, '2022-12-28 12:38:13', 99999, '0000-00-00 00:00:00', 0, '', ',,'),
(10, '1', 24, 'Haemoglobin  Electrophoresis', 'Haematology', 'HbA2', 2, 3, '', '', 'male', '', 0, 0, '2022-12-28 12:38:13', 99999, '0000-00-00 00:00:00', 0, '%', ',,'),
(11, '1', 24, 'Haemoglobin  Electrophoresis', 'Haematology', 'HbF', 0.8, 2, '', '', 'male', '', 0, 0, '2022-12-28 12:38:13', 99999, '0000-00-00 00:00:00', 0, '%', ',,'),
(12, '1', 32, 'LIPID PROFILE', 'Clinical chemistry', 'Total cholesterol', 0, 0, '', '', 'male', '', 0, 0, '2022-12-28 12:52:24', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ',,,'),
(13, '1', 32, 'LIPID PROFILE', 'Clinical chemistry', 'Triglycerides', 0, 150, '', '', 'male', 'adult', 0, 0, '2022-12-28 12:52:24', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ',,,'),
(14, '1', 32, 'LIPID PROFILE', 'Clinical chemistry', 'High Density Lipo-protein (HDL)', 30, 80, '', '', 'male', '', 0, 0, '2022-12-28 12:52:24', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ',,,'),
(15, '1', 32, 'LIPID PROFILE', 'Clinical chemistry', 'Low Density Lipo protein', 10, 100, '', '', 'male', '', 0, 0, '2022-12-28 12:52:24', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ',,,'),
(16, '1', 5, 'LFT', 'Clinical chemistry', 'ALKALINE PHOSPHATASE  (ALP)', 40, 129, '', '', 'male', 'Adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'u/l', ',,,,,,,'),
(17, '1', 5, 'LFT', 'Clinical chemistry', 'BILIRUBIN TOTAL', 0.1, 0.2, '', '', 'male', 'ADULT', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ',,,,,,,'),
(18, '1', 5, 'LFT', 'Clinical chemistry', 'BILIRUBIN DIRECT', 0, 0.2, '', '', 'male', 'adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ',,,,,,,'),
(19, '1', 5, 'LFT', 'Clinical chemistry', 'ASPERTATE AMINOTRANSFERASE (AST)', 0, 37, '', '', 'male', 'adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'u/l', ',,,,,,,'),
(20, '1', 5, 'LFT', 'Clinical chemistry', 'ALANINE AMINOTRANSFERASE (ALT)', 0, 41, '', '', 'male', 'Adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'u/l', ',,,,,,,'),
(21, '1', 5, 'LFT', 'Clinical chemistry', 'TOTAL PROTEIN', 6.6, 8.7, '', '', 'male', 'adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'g/dl', ',,,,,,,'),
(22, '1', 5, 'LFT', 'Clinical chemistry', 'ALBUMIN', 3.8, 5.1, '', '', 'male', 'adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'g/dl', ',,,,,,,'),
(23, '1', 5, 'LFT', 'Clinical chemistry', 'GAMMA GLUTAMYLY TRANSFERASE (GGT)', 11, 61, '', '', 'male', 'adult', 0, 0, '2022-12-28 13:01:46', 99999, '0000-00-00 00:00:00', 0, 'u/l', ',,,,,,,'),
(24, '1', 6, 'RFT', 'Clinical chemistry', 'CREATININE', 0.6, 1.1, '', '', 'male', 'Adult', 0, 0, '2022-12-28 13:04:35', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ','),
(25, '1', 6, 'RFT', 'Clinical chemistry', 'SERUM UREA', 10, 50, '', '', 'male', 'Adult', 0, 0, '2022-12-28 13:04:35', 99999, '0000-00-00 00:00:00', 0, 'mg/dl', ','),
(26, '1', 1, 'CBC', 'Hematology', 'Lymph#', 0.8, 4, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(27, '1', 1, 'CBC', 'Hematology', 'Mid#', 0.1, 0.9, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(28, '1', 1, 'CBC', 'Hematology', 'Gran#', 2, 7, '', '', 'male', 'adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(29, '1', 1, 'CBC', 'Hematology', 'Lymp%', 20, 40, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(30, '1', 1, 'CBC', 'Hematology', 'Mid%', 3, 9, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(31, '1', 1, 'CBC', 'Hematology', 'Gran%', 50, 70, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(32, '1', 1, 'CBC', 'Hematology', 'HGB', 11, 15, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'g/dl', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(33, '1', 1, 'CBC', 'Hematology', 'RBC', 3.5, 5, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(34, '1', 1, 'CBC', 'Hematology', 'HCT', 37, 48, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(35, '1', 1, 'CBC', 'Hematology', 'MCV', 82, 95, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'fl', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(36, '1', 1, 'CBC', 'Hematology', 'MCH', 27, 31, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'pg', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(37, '1', 1, 'CBC', 'Hematology', 'MCHC', 32, 36, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'g/dl', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(38, '1', 1, 'CBC', 'Hematology', 'RDW-CV', 115, 145, '', '', 'male', 'Adult', 5, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(39, '1', 1, 'CBC', 'Hematology', 'RDW-SD', 35, 56, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'fl', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(40, '1', 1, 'CBC', 'Hematology', 'PLT', 100, 300, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(41, '1', 1, 'CBC', 'Hematology', 'MPV', 7, 11, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, 'fl', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(42, '1', 1, 'CBC', 'Hematology', 'PDW', 15, 17, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(43, '1', 1, 'CBC', 'Hematology', 'PCT', 0.108, 0.282, '', '', 'male', 'Adult', 8, 100, '2022-12-28 13:58:53', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(44, '1', 1, 'CBC', 'Hematology', 'WBC', 4, 10, '', '', 'male', 'Adult', 8, 100, '2022-12-28 14:01:43', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9'),
(49, '1', 33, 'Typhoid Test', 'Serology', 'IgG', 0, 0, '', '', 'male', '', 0, 0, '2022-12-29 13:47:53', 99999, '0000-00-00 00:00:00', 0, '', ','),
(50, '1', 33, 'Typhoid Test', 'Serology', 'IgM', 0, 0, '', '', 'male', '', 0, 0, '2022-12-29 13:47:53', 99999, '0000-00-00 00:00:00', 0, '', ','),
(51, '1', 1, 'CBC', 'Hematology', 'WBC', 5, 12, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(52, '1', 1, 'CBC', 'Hematology', 'Lymph#', 0.8, 4, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(53, '1', 1, 'CBC', 'Hematology', 'Mid#', 0.1, 0.9, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(54, '1', 1, 'CBC', 'Hematology', 'Gran#', 2, 7, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(55, '1', 1, 'CBC', 'Hematology', 'Lymp%', 20, 40, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(56, '1', 1, 'CBC', 'Hematology', 'Mid%', 3, 9, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(57, '1', 1, 'CBC', 'Hematology', 'Gran%', 50, 70, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(58, '1', 1, 'CBC', 'Hematology', 'HGB', 12, 15.5, '', '', 'male', 'child', 1, 7, '2022-12-31 12:33:06', 99999, '0000-00-00 00:00:00', 0, 'g/dl', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(59, '1', 1, 'CBC', 'Hematology', 'RBC', 4, 5.2, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(60, '1', 1, 'CBC', 'Hematology', 'HCT', 35, 49, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(61, '1', 1, 'CBC', 'Hematology', 'MCV', 82, 95, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'fl', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(62, '1', 1, 'CBC', 'Hematology', 'MCH', 27, 31, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'pg', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(63, '1', 1, 'CBC', 'Hematology', 'MCHC', 32, 36, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'g/dl', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(64, '1', 1, 'CBC', 'Hematology', 'RDW-CV', 11.5, 14.5, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(65, '1', 1, 'CBC', 'Hematology', 'RDW-SD', 35, 56, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'fl', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(66, '1', 1, 'CBC', 'Hematology', 'PLT', 100, 300, '', '', 'male', 'child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'cells/l', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(67, '1', 1, 'CBC', 'Hematology', 'MPV', 7, 11, '', '', 'male', 'CHILD', 0, 0, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, 'fl', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(68, '1', 1, 'CBC', 'Hematology', 'PDW', 15, 17, '', '', 'male', 'Child', 0, 7, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, '', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(69, '1', 1, 'CBC', 'Hematology', 'PCT', 0.108, 0.282, '', '', 'male', 'child', 0, 8, '2022-12-31 12:33:07', 99999, '0000-00-00 00:00:00', 0, '%', 'x10^9,x10^9,x10^9,x10^9,,,,,x10^12,,,,,,,x10^9,,,'),
(70, '1', 18, 'Urinalysis', 'Microbiology', 'LEUKOCYTES', 0, 0, '', '', 'male', 'adult', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'cacells/ul', ',,,,,,,,,,,'),
(71, '1', 18, 'Urinalysis', 'Microbiology', 'NITRITES', 0, 0, '', '', 'male', 'child', 0, 0, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, '', ',,,,,,,,,,,'),
(72, '1', 18, 'Urinalysis', 'Microbiology', 'UROBILINOGEN', 0, 0, '', '', 'male', 'adult', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'umol/l', ',,,,,,,,,,,'),
(73, '1', 18, 'Urinalysis', 'Microbiology', 'PROTEINS', 0, 0, '', '', 'male', 'child', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'g/l', ',,,,,,,,,,,'),
(74, '1', 18, 'Urinalysis', 'Microbiology', 'PH', 0, 0, '', '', 'male', 'adult', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, '', ',,,,,,,,,,,'),
(75, '1', 18, 'Urinalysis', 'Microbiology', 'BLOOD', 0, 0, '', '', 'male', 'child', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'cacells/l', ',,,,,,,,,,,'),
(76, '1', 18, 'Urinalysis', 'Microbiology', 'SPECIFIC GRAVITY', 0, 0, '', '', 'male', 'adult', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, '', ',,,,,,,,,,,'),
(77, '1', 18, 'Urinalysis', 'Microbiology', 'KETONES', 0, 0, '', '', 'male', 'child', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'mmol/l', ',,,,,,,,,,,'),
(78, '1', 18, 'Urinalysis', 'Microbiology', 'BILIRUBIN', 0, 0, '', '', 'male', 'adult', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'umol/l', ',,,,,,,,,,,'),
(79, '1', 18, 'Urinalysis', 'Microbiology', 'Glucose', 0, 0, '', '', 'male', 'child', 0, 100, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, 'mmol/l', ',,,,,,,,,,,'),
(80, '1', 18, 'Urinalysis', 'Microbiology', 'MICROSCOPY', 0, 0, '', '', 'male', 'Adult', 0, 0, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, '', ',,,,,,,,,,,'),
(81, '1', 18, 'Urinalysis', 'Microbiology', 'MACROSCOPY', 0, 0, '', '', 'male', 'child', 0, 0, '2023-01-01 20:31:12', 99999, '0000-00-00 00:00:00', 0, '', ',,,,,,,,,,,'),
(82, '1', 11, 'WIDAL TEST', 'SEROLOGY', 'IgG', 0, 0, '', '', 'male', '', 0, 0, '2023-01-01 20:31:50', 99999, '0000-00-00 00:00:00', 0, '', ','),
(83, '1', 11, 'WIDAL TEST', 'SEROLOGY', 'IgM', 0, 0, '', '', 'male', '', 0, 0, '2023-01-01 20:31:50', 99999, '0000-00-00 00:00:00', 0, '', ','),
(84, '1', 34, 'FASTING BLOOD SUGAR (FBS)', 'Clinical Chemistry', 'FBS', 3.9, 5.6, '', '', 'female', '', 0, 100, '2023-01-03 12:12:41', 99999, '0000-00-00 00:00:00', 0, 'mmol/L', ''),
(85, '1', 35, 'CBC 1', 'Hematology', 'HgB', 9, 18, '', '', 'male', 'Infant', 0, 3, '2023-02-16 18:58:53', 99999, '0000-00-00 00:00:00', 0, 'g/dL', '10^9'),
(86, '1', 35, 'CBC 1', 'Hematology', 'PLT', 400, 600, '', '', 'male', 'Infant', 0, 3, '2023-02-16 18:58:53', 99999, '0000-00-00 00:00:00', 0, 'f/L', '0');

-- --------------------------------------------------------

--
-- Table structure for table `text_prediction`
--

CREATE TABLE `text_prediction` (
  `text_prediction_id` int(11) NOT NULL,
  `texts` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `text_prediction`
--

INSERT INTO `text_prediction` (`text_prediction_id`, `texts`) VALUES
(1, 'Anaphylactic'),
(2, 'Shock'),
(3, 'Allergy'),
(4, 'Reaction'),
(5, 'Body'),
(6, 'Body itching'),
(7, 'Body pain'),
(8, 'swelling'),
(9, 'lips'),
(10, 'eyes'),
(11, 'tongue'),
(12, 'breathing'),
(13, 'difficulty'),
(14, 'wheezing'),
(15, 'Hypotension'),
(16, 'sudden'),
(17, 'collapse'),
(18, 'excessive'),
(19, 'sweating'),
(20, 'pulse'),
(21, 'fever'),
(22, 'vomiting'),
(23, 'Abdominal'),
(24, 'cramps'),
(25, 'diarrhoea'),
(26, 'haemorrhage'),
(27, 'hypovolemic'),
(28, 'bleeding'),
(29, 'severe'),
(30, 'mild'),
(31, 'dehydration'),
(32, 'septic'),
(33, 'Asthma'),
(34, 'airways'),
(35, 'heart rate'),
(36, 'pulse'),
(37, 'pressure'),
(38, 'agitation'),
(39, 'confusion'),
(40, 'Mental'),
(41, 'polyuria'),
(42, 'burns'),
(43, 'Back pain'),
(44, 'Lower back');

-- --------------------------------------------------------

--
-- Table structure for table `theatre`
--

CREATE TABLE `theatre` (
  `theatre_id` int(11) NOT NULL,
  `hospital_id` text NOT NULL,
  `department` text NOT NULL,
  `theatre_name` text NOT NULL,
  `description` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` datetime NOT NULL,
  `edited_by` text NOT NULL,
  `date_edited` datetime NOT NULL,
  `deleted` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` datetime NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

-- --------------------------------------------------------

--
-- Table structure for table `treatment`
--

CREATE TABLE `treatment` (
  `treatment_id` int(11) NOT NULL,
  `category_id` text NOT NULL,
  `plan_name` text NOT NULL,
  `plan_details` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

-- --------------------------------------------------------

--
-- Table structure for table `ucg`
--

CREATE TABLE `ucg` (
  `ucg_id` int(11) NOT NULL,
  `condition_name` text NOT NULL,
  `description` text NOT NULL,
  `causes` text NOT NULL,
  `clinical_features` text NOT NULL,
  `differential_diagnosis` text NOT NULL,
  `investigations` text NOT NULL,
  `management` text NOT NULL,
  `treatment_id` text NOT NULL,
  `prevention` text NOT NULL,
  `added_by` text NOT NULL,
  `date_added` text NOT NULL,
  `deleted_by` text NOT NULL,
  `date_deleted` text NOT NULL,
  `ucg_category_name` text NOT NULL,
  `ucg_sub_category_name` text NOT NULL
) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci;

--
-- Dumping data for table `ucg`
--

INSERT INTO `ucg` (`ucg_id`, `condition_name`, `description`, `causes`, `clinical_features`, `differential_diagnosis`, `investigations`, `management`, `treatment_id`, `prevention`, `added_by`, `date_added`, `deleted_by`, `date_deleted`, `ucg_category_name`, `ucg_sub_category_name`) VALUES
(1, 'Anaphylactic Shock', 'Severe allergic reaction that occurs rapidly (seconds or\r\nminutes) after administration, or exposure, and may be life\r\nthreatening. It generally affects the whole body.', 'Allergy to pollens, some medicines (e.g. penicillins, vaccines, acetylsalicylic acid), or certain foods (e.g. eggs, fish, cow’s milk, nuts, some food additives)}Reaction to insect bites, e.g. wasps and bees', 'Body itching, hives (urticarial rash), swelling of lips, eyes, tongue}Difficulty in breathing (stridor, wheezing)}Hypotension and sudden collapse, excessive sweating, thin pulse}Abdominal cramps, vomiting and diarrhoea', 'Other causes of shock, e.g. haemorrhagic (due to bleeding), hypovolemic (severe dehydration), septic', 'Asthma, foreign body in airways}', '', '<b>General measures<b><br>-Determine and remove the cause -Secure the airways -Restore BP: lay the patient flat and raise feet -Keep patient warm -<b>Sodium chloride</b> 0.9% infusion 20 ml/kg by IV infusion over 60 minutes –– Start rapidly then adjust rate according to BP -Administer oxygen. <br><b>Adrenaline (epinephrine)</b><br>injection 1 in 1000 (1 mg/ml) 0.5 mg (0.5 ml) IM immediately, into anterolateral thigh –– Repeat every 5-10 minutes according to BP, pulse rate, and respiratory function until better Child <6 years: 150 micrograms (0.15 ml) Child 6-12 years: 300 micrograms (0.3 ml)<br><b>In severely affected patients</b><br><b>Hydrocortisone</b> 200 mg IM or slow IV stat Child <1 year: 25 mg Child 1-5 years: 50 mg Child 6-12 years: 100 mg<br><b>If urticaria/itching</b><br>ffGive an antihistamine as useful adjunctive treatment e.g. chlorpheniramine 4 mg ever 6 hours Child 1-2 years: 1mg every 12 hours Child 2-5 years: 1 mg every 6 hours Child 5-12 years: 2 mg every 6 hours –– or promethazine 25-50 mg by deep IM or very slow IV (or oral) Child 1-5 years: 5 mg by deep IM Child 5-10 years: 6.25-12.5 mg by deep IM –– Repeat dose every 8 hours for 24-48 hours to prevent relapse ffRepeat adrenaline and hydrocortisone every 2-6 hours prn depending on the patient’s progress', 'Always ask about allergies before giving patients new medicine}Keep emergency drugs at hand at health facilities and in situatiuons where risk of anaphlaxis is high, e.g. visiting bee hives or places that usually harbour snakes}Counsel allergic patients to wear alert bracelet or tag', '99999', '2022-10-22 19:00:27', '', '', 'Emergencies and Trauma', 'COMMON EMERGENCIES'),
(2, 'Hypovolaemic Shock', 'Condition caused by severe acute loss of intravascular fluids\r\nleading to inadequate circulating volume and inadequate\r\nperfusion.', 'Loss of blood due to internal or external haemorrhage (e.g. post partum haemorrhage, splenic rupture etc.)}Acute loss of fluids, e.g. in gastroenteritis, or extensive burns', 'High heart rate, fast breathing rate}Thin or absent pulse, cold extremities, slow capillary refill}Low blood pressure}Mental agitation, confusion', 'Other types of shock', '', '', '-Control obvious bleeding with pressure -Keep patient laying down with raised legs}<b>If established hypovolaemia class 2 and above</b><br> -Set 2 large bore IV lines -IV fluids Normal Saline 0.9% (or Ringer’s lactate) 20-30 ml/kg over 60 minutes according to response –– If possible, warm the fluid –– Start rapidly, monitor BP –– Assess response to fluid resuscitation: BP, HR, RR, capillary refill, consciousness and urinary output -If internal or external haemorrhage, consider blood transfusion}<b>If rapid improvement and stable (blood loss <20% and not progressing)</b><br> -Slow IV fluids to maintenance levels -No immediate transfusion but do cross-matching -Regular reassessment -Detailed examination and definitive treatment according to the cause}<b>If transient improvement (blood loss 20-40% or ongoing bleeding)</b><br> -Rapid administration of fluids -Initiate blood transfusion (see section 11. 2) -Regular reassessment -Detailed examination and early surgery}<b>If no improvement</b><br> -Vigorous fluid administration -Urgent blood transfusion -Immediate surgery', '', '99999', '2022-10-22 19:09:22', '', '', 'Emergencies and Trauma', 'COMMON EMERGENCIES'),
(3, 'Dehydration', 'A condition brought about by the loss of significant\r\nquantities of fluids and salts from the body.', 'Vomiting and/or diarrhoea}Decreased fluid intake}Excessive loss of fluids, e.g. due to polyuria in diabetes, excessive sweating as in high fever, burns', 'Apathy, sunken eyes/fontanel, loss of skin turgor (especially in children)}Hypotension, tachycardia, deep (acidotic) breathing, dry mucosae, poor or no urine output', '', '', '', '<b>Plan A (No dehydration and for prevention)</b><br>ffCounsel the mother on the 4 rules of home treatment: extra fluids (ORS), continue feeding, zinc supplementation, when to return ffGive extra fluids: as much as the child will take –– If child exclusively breastfed, give ORS or safe clean water in addition to breast milk –– If child not exclusively breastfed, give one or more of: ORS, soup, rice-water, yoghurt, clean water –– In addition to the usual fluid intake, give ORS after each loose stool or episode of vomiting Child <2 years: 50-100 ml Child 2-5 years: 100-200 ml –– Give the mother 2 packets to use at home –– Giving ORS is especially important if the child has been treated with Plan B or Plan C during current visit –– Give frequent small sips from a cup -Advice the mother to continue or increase breastfeeding}<b>If child vomits, wait 10 minutes, then give more slowly</b><br> –– In a child with high fever or respiratory distress, give plenty of fluids to counter the increased fluid losses in these conditions –– Continue giving extra fluid as well as ORS until the diarrhoea or other cause of dehydration stops -If diarrhoea, give Zinc supplementation Child <6 months: 10 mg once a day for 10 days Child >6 months: 20 mg once a day for 10 days}<b>Plan B (Some dehydration)</b><br>ff-Give ORS in the following approximate amounts during the first 4 hours}Only use child’s age if weight is not known –– You can also calculate the approximate amount of ORS to give a child in the first 4 hours as weight (kg) x 75 ml ffShow the mother how to give the ORS –– Give frequent small sips from a cup –– If the child wants more than is shown in the table, give more as required –– If the child vomits, wait 10 minutes, then continue more slowly ffFor infants <6 months who are not breastfed, also give 100-200 ml of clean water during the first 4 hours ffReassess patient frequently (every 30-60 minutes) for classification of dehydration and selection of Treatment Plan}<b>After 4 hours</b><br> ffReassess the patient ffReclassify the degree of dehydration ffSelect the appropriate Treatment Plan A, B or C ffBegin feeding the child in the clinic}<b>If mother must leave before completing the child’s treatment</b><br> ffShow her how to prepare ORS at home and how much ORS to give to finish the 4-hour treatment –– Give her enough packets to complete this and 2 more to complete Plan A at home ffCounsel mother on the 4 rules of home treatment: extra fluids, continue feeding, zinc, when to return}<b>Plan C (Severe dehydration)</b><br>If you are unable to give IV fluids and this therapy is not available nearby (within 30 minutes) but a nasogastric tube (NGT) is available or the child can drink ffStart rehydration with ORS by NGT or by mouth: Give 20 ml/kg/hour for 6 hours (total = 120 ml/ kg) ffReassess the child every 1-2 hours –– If there is repeated vomiting or increasing abdominal distension, give more slowly –– If hydration status is not improving within 3 hours, refer the child urgently for IV therapy ffAfter 6 hours, reassess the child ffClassify the degree of dehydration ffSelect appropriate Plan A, B, or C to continue treatment}<b>If you are able to give IV fluids</b><br> ffSet up an IV line immediately –– If child can drink, give ORS while the drip is set up ffGive 100 ml/kg of Ringer’s Lactate –– Or half-strength Darrow’s solution in glucose 2.5% or sodium chloride 0.9% - ffReassess patient frequently (every 30-60 minutes) to re-classify dehydration and treatment plan If the patient is not improving ffGive the IV fluids more rapidly', '', '99999', '2022-10-22 20:28:37', '', '', 'Emergencies and Trauma', 'COMMON EMERGENCIES 	'),
(4, 'Febrile Convulsions', 'A generalized tonic-clonic seizure associated with a rapid\r\nrise in temperature due to an extracranial illness. It is a\r\ndiagnosis of exclusion: specific conditions (cerebral malaria,\r\nmeningitis, epilepsy) should be excluded. It commonly\r\naffects children from age 3 months to 6 years.', 'Malaria}Respiratory tract infections}Urinary tract infections}Other febrile conditions', 'Elevated temperature (>38°C)}Convulsions usually brief and self limiting (usually <5 minutes, always <15 minutes) but may recur if temperature remains high}No neurological abnormality in the period between convulsions}Generally benign and with good prognosis', 'Epilepsy, brain lesions, meningitis, encephalitis', 'Trauma (head injury)}Hypoglycaemia}If intracranial pathology cannot be clinically excluded (especially in children <2 years) consider lumbar puncture or treat children empirically for meningitis}Blood: Slide/RDT for malaria parasites}Random blood glucose}Full blood count}LP and CSF examination}Urinalysis, culture and sensitivity}Chest X-ray', '', 'ffUse tepid sponging to help lower temperature ffGive an antipyretic: paracetamol 15 mg/kg every 6 hours until fever subsides}<b>If convulsing</b><br> ffGive diazepam 500 micrograms/kg rectally (using suppositories/rectal tube or diluted parenteral solution) –– Maximum dose is 10 mg –– Repeat prn after 10 minutes}<b>If unconscious</b><br> ffPosition the patient on the side (recovery position) and ensure airways, breathing and circulation (ABC)', 'Educate caregivers on how to control fever (tepid sponging and paracetamol)', '99999', '2022-10-22 20:34:27', '', '', 'Emergencies and Trauma', 'COMMON EMERGENCIES 	'),
(5, 'Hypoglycaemia', 'A clinical condition due to reduced levels of blood sugar\r\n(glucose). Symptoms generally occur with a blood glucose\r\n<3.0 mmol/L (55 mg/dl).', 'Overdose of insulin or anti-diabetic medicines}Excessive alcohol intake}Sepsis, critical illnesses}Hepatic disease}Prematurity}Starvation}Operations to reduce the size of the stomach (gastrectomy)}Tumours of the pancreas (insulinomas)}Certain drugs e.g. quinine}Hormone deficiencies (cortisol, growth hormone)', 'Early symptoms: hunger, dizziness, tremors, sweating, nervousness and confusion}Profuse sweating, palpitations, weakness}Convulsions}Loss of consciousness', 'Other causes of loss of consciousness (poisoning, head injury etc.)', 'Blood sugar (generally <3.0 mmol/L)}Specific investigations: to exclude other causes of hypoglycaemia', '', '<b>If patient is able to swallow</b><br> ffOral glucose or sugar 10-20 g in 100-200 ml water (2-4 teaspoons) is usually taken initially and repeated after 15 minutes if necessary}<b>If patient is unconscious</b><br> ffAdults: glucose 50% 20-50 ml IV slowly (3 ml/ minute) or diluted with normal saline, followed by 10 % glucose solution by drip at 5-10 mg /kg/minute until patient regains consciousness, then encourage oral snacks Child: Dextrose 10% IV 2-5 ml/kg ffIf patient does not regain consciousness after 30 minutes, consider other causes of coma ffMonitor blood sugar for several hours (at least 12 if hypoglycaemia caused by oral antidiabetics) and investigate the cause – manage accordingly', 'Educate patients at risk of hypoglycaemia on recognition of early symptoms e.g. diabetics, patients who have had a gastrectomy}Advise patients at risk to have regular meals and to always have glucose or sugar with them for emergency treatment of hypoglycaemia}Advise diabetic patients to carry an identification tag', '99999', '2022-10-22 21:37:23', '', '', 'Emergencies and Trauma', 'COMMON EMERGENCIES'),
(6, 'Bites and Stings', 'Wounds caused by teeth, fangs or stings.', 'Animals (e.g. dogs, snakes), humans or insects', 'Depend on the cause', '', '', '', '<b>First aid</b><br> ffImmediately clean the wound thoroughly with plenty of clean water and soap to remove any dirt or foreign bodies ffStop excessive bleeding by applying pressure where necessary ffRinse the wound and allow to dry ffApply an antiseptic: Chlorhexidine solution 0.05% or Povidone iodine solution 10%}<b>Supportive therapy</b><br> ffTreat anaphylactic shock (see section 1.1.1) ffTreat swelling if significant as necessary, using ice packs or cold compresses ffGive analgesics prn ffReassure and immobilise the patient}<b>Antibiotics</b><br> ffGive only for infected or high-risk wounds including: –– Moderate to severe wounds with extensive tissue damage –– Very contaminated wounds –– Deep puncture wounds (especially by cats) --Wounds on hands, feet, genitalia or face –– Wounds with underlying structures involved –– Wounds in immunocompromised patients ffSee next sections on wound management, human and animal bites for more details}<b>Tetanus prophylaxis</b><br> ffGive TT immunisation (tetanus toxoid, TT 0.5 ml) if not previously immunised within the last 10 years}<b>Snakebites</b><br>Snakebites can cause local effects (swelling, redness, laceration) and in case of poisonous snakes, local and systemic effects caused by envenomation. More than 50% of bites are “dry” i.e. no envenomation occurs, and most bites are from non-venomous snakes. In the event that poison is injected, the effect depends on the type of venom, quantity, location of the bite and size and general condition of the victim. <b>Cause</b><br>Common poisonous snakes in Uganda: puff adder, Gabon viper, black and green mambas, boomslang and several cobras <br><b>Clinical features</b><br>Puncture wounds, pain, swelling, discoloration.<b>Treatment</b><br>ffWash site with a lot of clean water ffWipe away excess venom ffAssess skin for fang penetration ffIf there is a wound, clean it with a lot of clean water<br><b>If signs of fang penetration</b>ffApply firm crepe bandage to entire limb to ensure constant pressure (except if cytotoxic) ffImmobilise limb with a splint ffAnalgesic e.g. paracetamol (avoid aspirin) ffIf no signs and symptoms for 6-8 hours: most likely bite without envenomation ffObservation for 12-24 hours recommended ffTetanus toxoid (TT) IM 0.5 ml if not previously immunised in the last 10 years<br><b>If local necrosis develops</b><br>ffRemove blisters, clean and dress daily, debride after lesions stabilise (minimum 15 days)<br><b>Venom in eyes</b>ffIrrigate eyes with plenty of water ffCover with eye pads<br><b>Criteria for referral for administration of antivenom</b> Signs of systemic poisoning (paralysis, respiratory difficulty, bleeding) yy Spreading local damage: –– Swelling of hand or foot (site of most bites) within 1 hour of bite –– Swelling of elbow or knee within 3 hours of bite –– Swelling of groin or chest at any time –– Significant swelling of head or neck ffAntivenom sera polyvalent (E & C Africa) –– Check package insert for IV dosage details. Ensure the solution is clear and check that patient has no history of allergy Antibiotics ffIndicated only if wound is infected}<b>Insect Bites & Stings</b><br><b>Bees, wasps, hornets and ants: venom is usually mild and causes only local reaction but may cause anaphylactic shock in previously sensitized persons yy Spiders and scorpions: Most are non-venomous or only mildly venomous yy Other stinging insects</b><br><b>Clinical features</b><br>Swelling, discolouration, burning sensation, pain at the site of the sting yy There may be signs of anaphylactic shock<b> Differential diagnosis</b><br>Allergic reaction<b>Management</b><br>ffIf the sting remains implanted in the skin, carefully remove with a needle or knife blade ffApply cold water/ice<b>If severe local reaction</b><brffGive chlorpheniramine 4 mg every 6 hours (max: 24 mg daily) until swelling subsides Child 1-2 years: 1 mg every 12 hours Child 2-5 years: 1 mg every 6 hours (max: 6 mg daily) Child 6-12 years: 2 mg every 6 hours (max: 12 mg daily) ffApply calamine lotion prn every 6 hours>', 'Clear overgrown vegetation/bushes around the home yy Prevent children from playing in the bush yy Cover exposed skin while moving in the bush yy Use pest control methods to clear insect colonies}<b>Rabies Post Exposure Prophylaxis</b><br>Post exposure prophylaxis effectively prevents the development of rabies after the contact with saliva of infected animals, through bites, scratches, licks on broken skin or mucous membranes. For further details refer to Rabies Post-Exposure Treatment Guidelines, Veterinary Public Health Unit, Community Health Dept, Ministry of Health, September 2001<br><b>Dealing with the patient</b><br>The combination of local wound treatment plus passive immunisation with rabies immunoglobulin (RIG) plus vaccination with rabies vaccine (RV) is recommended for all suspected exposures to rabies yy Since prolonged rabies incubation periods are possible, persons who present for evaluation and treatment even months after having been bitten should be treated in the same way as if the contact occurred recently yy Administration of Rabies IG and vaccine depends on the type of exposure and the animal’s condition<br><b>Treatment</b><br>ffLOCAL WOUND TREATMENT: Prompt and thorough local treatment is an effective method to reduce risk of infection ffFor mucous mebranes contact, rinse throroughly with water or normal saline<br><b>Administration of Rabies Vaccine (RV)</b><br>The following schedules use Purified VERO Cell Culture Rabies Vaccine (PVRV), which contains one intramuscular immunising dose (at least 2.5 IU) in 0.5 ml of reconstituted vaccine.', '99999', '2022-10-22 21:55:14', '', '', 'Emergencies and Trauma', 'TRAUMA AND INJURIES'),
(7, 'Fractures', 'A fracture is a complete or incomplete break in a bone.', 'Trauma e.g. road traffic accident, assault, falls, sports}Bone weakening by disease, e.g., cancer, TB, osteomyelitis, osteoporosis', 'Pain, tenderness, swelling, deformity}Inability to use/move the affected part}May be open (with a wound) or closed', 'Sprain, dislocations', 'Infection (bone, joints and muscles)}Bone cancer}X-ray: 2 views (AP and lateral) including the joints above and below', 'Suspected fractures should be referred to HC4 or Hospital after initial care.', '<b>If polytrauma</b><br>ffAssess and manage airways ffAssess and treat shock (see section 1.1.2)}<b>Closed fractures</b><br>ffAssess nerve and blood supply distal to the injury: if no sensation/pulse, refer as an emergency ffImmobilise the affected part with a splint ffApply ice or cold compresses ffElevate any involved limb - ffGive an analgesic e.g. paracetamol 1 g every 6-8 hours to relieve pain Child: 10 mg/kg every 6-8 hours ffFor severe pain, use opioids stat –– Morphine 5-10 mg IV or Pethidine 50-100 mg IM ffRefer to hospital for further management}<b>Open fractures</b><br>ffStop any bleeding by applying pressure ffClean open wound and cover with sterile dressing ffGive Tetanus Toxoid if not fully vaccinated ffStart antibiotic –– Amoxicillin 500 mg every 8 hours Child: 25 mg/kg every 8 hours (or 40 mg/kg every 12 hours)}<b>If severe soft tissue damage</b><br>ffAdd gentamicin 2.5 mg/kg every 8 hours ffRefer URGENTLY to hospital for further management', '', '99999', '2022-10-22 22:00:42', '', '', 'Emergencies and Trauma', 'TRAUMA AND INJURIES'),
(8, 'Burns', 'Tissue injury caused by thermal, chemical, electrical, or\r\nradiation energy.', 'Thermal, e.g., hot fluids, flame, steam, hot solids, sun}Chemical, e.g., acids, alkalis, and other caustic chemicals}Electrical, e.g., domestic (low voltage) transmission lines (high voltage), lightening}Radiation, e.g., exposure to excess radiotherapy or radioactive materials', '', 'Pain, swelling', 'Skin changes (hyperaemia, blisters, singed hairs)}Skin loss (eschar formation, charring)}Reduced ability to use the affected part}Systemic effects in severe/extensive burns include shock, low urine output, generalised swelling, respiratory insufficiency, deteriorated mental state}Breathing difficulty, hoarse voice and cough in smoke inhalation injury – medical emergency}', '', '<b>Mild/moderate burns – First aid</b><br>ffStop the burning process and move the patient to safety ffRoll on the ground if clothing is on fire ffSwitch off electricity ffCool the burn by pouring or showering or soaking the affected area with cold water for 30 minutes, especially in the first hour after the burn (this may reduce the depth of injury if started immediately), ffRemove soaked clothes, wash off chemicals, remove any constrictive clothing/rings ffClean the wound with clean water ffCover the wound with a clean dry cloth and keep the patient warm}<b>At health facility</b><br>ffGive oral or IV analgesics as required ffIf TBSA <10% and patient able to drink, give oral fluids otherwise consider IV ffGive TT if not fully immunised ffLeave small blisters alone, drain large blisters and dress if closed dressing method is being used ffDress with silver sulphadiazine cream 1%, add saline moistened gauze or paraffin gauze and dry gauze on top to prevent seepage ffSmall superficial 2nd degree burns can be dressed directly with paraffin gauze dressing ffChange after 1-3 days then prn ffPatient may be exposed in a bed cradle if there are extensive burns ffSaline bath should be done before wound dressing ffIf wound infected dress more frequenly with silver sulphadiazine cream until infection is controlled}<b>Severe burns</b><br>ffFirst aid and wound management as above PLUS ffGive IV fluid replacement in a total volume per 24 hours according to the calculation in the box below (use crystalloids, i.e., Ringer’s lactate, or normal saline) ffIf patient in shock, run the IV fluids fast until BP improves (see section 1.1.2) ffManage pain as necessary ffRefer for admission ffMonitor vital signs and urine output ffUse antibiotics if there are systemic signs of infection: benzylpenicillin 3 MU every 6 hours +/- gentamicin 5-7 mg/kg IV or IM once a day ffBlood transfusion may be necessary ffIf signs/symptoms of inhalation injury, give oxygen and refer for advanced life support (refer to regional level)}<b>Surgery</b><br>ffEscharotomy and fasciotomy for circumferential finger, hand, limb or torso burns ffEscharectomy to excise dead skin ffSkin grafting to cover clean deep burn wounds}<b>Eye injury</b><br>ffIrrigate with abundant sterile saline ffPlace eye pad over eye ointment and refer}<b>Additional care</b><br>ffNutritional support ffPhysiotherapy of affected limb ffCounselling and psychosocial support ffHealth education on prevention (e.g. epilepsy control)', 'yy Public awareness of burn risks and first aid water use in cooling burnt skin yy Construction of raised cooking fire places as safety measure yy Ensure safe handling of hot water and food, keep well out of the reach of children yy Particular care of high risk persons near fires e.g. children, epileptic patients, alcohol or drug abusers yy Encourage people to use closed flames e.g. hurricane lamps. Avoid candles. yy Be ware of possible cases of child abuse', '99999', '2022-10-22 22:08:28', '', '', 'Emergencies and Trauma', 'TRAUMA AND INJURIES'),
(9, 'Wounds', 'Any break in the continuity of the skin or mucosa or\r\ndisruption in the integrity of tissue due to injury.', 'Sharp objects, e.g. knife, causing cuts, punctures}Blunt objects causing bruises, abrasions, lacerations}Infections, e.g. abscess}Bites, e.g. insect, animal, human}Missile and blast injury, e.g. gunshot, mines, exlosives, landmines}Crush injury, e.g. RTA, building collapse', 'Raw area of broken skin or mucous membrane}Pain, swelling, bleeding, discharge}Reduced use of affected part}Cuts: sharp edges}Lacerations: Irregular edges}Abrasions: loss of surface skin}Bruises: subcutaneous bleeding e.g. black eye', '', '', '', '<b>Minor cuts and bruises</b><br> ffFirst aid, tetanus prophylaxis, dressing and pain management ffAntibiotics are not usually required but if the wound is grossly contaminated, give –– Cloxacillin or amoxicillin 500 mg every 6 hours as empiric treatment Child: 125-250 mg every 6 hours}<b>Deep and/or extensive</b><br>ffIdentify the cause of the wound or injury if possible ffWash affected part and wound with plenty of water or saline solution –– (you can also clean with chlorhexidine 0.05% or hydrogen peroxide 6% diluted with equal amount of saline to 3% if wound is contaminated) ffExplore the wound under local anesthesia to ascertain the extent of the damage and remove foreign bodies ffSurgical toilet: carry out debridement to freshen the wound ffTetanus prophylaxis, pain management, immobilization}<b>If wound is clean and fresh (<8 hours)</b><br>ffCarry out primary closure by suturing under local anaesthetic –– Use lignocaine hydrochloride 2% (dilute to 1% with equal volume of water for injection)}<b>If wound is >8 hours old or dirty</b><br>ffClean thoroughly and dress daily ffCheck the state of the wound for 2-3 days ffCarry out delayed primary closure if clean –– Use this for wounds up to 2-4 days old}<b>If wound >4 days old or deep pucture wound, contaminated wounds, bite/gunshot wounds, abscess cavity</b><br>ffLet it heal by secondary closure (granulation tissue) ffDress daily if contaminated/dirty, every other day if clean ffPack cavities (e.g. abscesses) with saline-soaked gauzes In case of extensive/deep wound ffConsider closure with skin graft/flap', '', '99999', '2022-10-22 22:14:52', '', '', 'Emergencies and Trauma', 'TRAUMA AND INJURIES'),
(10, 'Head Injuries', 'Trauma to the head resulting in brain injuries due to:\r\n–– Direct damage to the brain (contusion, concussion,\r\npenetrating injury, diffuse axonal damage)\r\n–– Haemorrhage from rupture of blood vessels around and in\r\nthe brain\r\n–– Severe swelling of the cerebral tissue (cerebral oedema)', 'Road traffic accident}Assault, fall or a blow to the head', 'May be closed (without a cut) or open (with a cut)}Swelling on the head (scalp hematoma)}Fracture of the skull, e.g., depressed area of the skull, open fracture (brain matter may be exposed)}Racoon eyes (haematoma around the eyes), bleeding and/ or leaking of CSF through nose, ears – signs of possible skull base fracture', 'Alcoholic coma - may occur together with a head injury', 'Hypoglycaemia}Meningitis}Poisoning}Other cause of coma}Skull X ray useful only to detect fracture}CT scan is the gold standard for detection of head injury', '<b>Management depends on:</b><br>yy GCS and clinical features at first assessment yy Risk factors (mechanism of trauma, age, baseline conditions) yy GCS and clinical features at follow up', 'ffAssess mechanism of injury to assess risks of severe injury (which may not be apparent at the beginning) ffAssess medical history to assess risk of complication (e.g., elderly, anticoagulant treatment etc.) ffAssess level of consciousness using GCS or AVPU ffPerform general (including ears) and neurological examination (pupils, motor and sensory examination, reflexes) –– Assess other possible trauma especially if road traffic accident, e.g., abdominal or chest trauma ffDO NOT SEDATE. Do NOT give opioids ffDo NOT give NSAIDs (risk of bleeding)}<b>Management of mild traumatic head injury</b><br>ffFirst aid if necessary ffMild analgesia if necessary e.g. paracetamol ffObserve for at least 4-6 hours, monitor GCS and neurological symptoms If low risk (see above) ffDischarge on paracetamol ffAdvise home observation and return to the facility in case of any change If high risk ffMonitor for 24 hours ffRefer immediately if GCS worsens or other clinical signs appear/persist ffIf patient is fine at the end of observation period, send home with instructions to come back in case of any problem (severe headache, seizures, alteration of consciousness, lethargy, change in behaviour etc.)}<b>Management of moderate traumatic head injury</b>ffRefer to hospital for appropriate management ffCareful positioning (head 300 up) ffUse fluids with caution ffKeep oxygen saturation >90% and systolic BP >90 mmHg ffMonitor GCS, pupils and neurological signs ffEarly CT if available, otherwise observe and refer immediately if not improving in the following hours}<b>Management of severe traumatic head injury</b><br>ffRefer immediately for specialist management ffSupportive care as per moderate head injury ffIf open head injury, give first dose of antibiotic prereferral –– Ceftriaxone 2 g IV Child: 100 mg/kg', 'Careful (defensive) driving to avoid accidents}Use of safety belts by motorists}Wearing of helmets by cyclists, motor-cyclists and people working in hazardous environments}Avoid dangerous activities (e.g., climbing trees)', '99999', '2022-10-22 22:22:03', '', '', 'Emergencies and Trauma', 'TRAUMA AND INJURIES'),
(11, 'Sexual Assault/Rape', 'Rape is typically defined as oral, anal or vaginal penetration\r\nthat involves threats or force against an unwilling person.\r\nSuch penetration, whether wanted or not, is considered\r\nstatutory rape if victims are younger than the age of consent\r\n(18 years).\r\nSexual assault or any other sexual contact that results from\r\ncoercion is rape, including seduction of a child through offers\r\nof affection or bribes; it also includes being touched, grabbed,\r\nkissed or shown genitals.', '', 'Rape may result in the following: yy Extragenital injury yy Genital injury (usually minor, but some vaginal lacerations can be severe) yy Psychologic symptoms: often the most prominent –– Short term: fear, nightmares, sleep problems, anger, embarrassment –– Long term: Post traumatic Stress Disorder, an anxiety disorder; symptoms include re-experiencing (e.g., flashbacks, intrusive upsetting thoughts or images), avoidance (e.g., of trauma-related situations, thoughts, and feelings) and hyperarousal (e.g., sleep difficulties, irritability, concentration problems). –– Symptoms last for >1 month and significantly impair social and occupational functioning. –– Shame, guilt or a combination of both yy Sexually transmitted infections (STIs, e.g., hepatitis, syphilis, gonorrhea, chlamydial infection, trichomoniasis, HIV infection) yy Pregnancy (may occur)', '', 'Pregnancy test}HIV, hepatitis B and RPR tests', 'Whenever possible, assessment of a rape case should be done by a specially trained provider. Victims are traumatized so should be approached with empathy and respect. Explain and ask consent for every step undertaken. The goals are: yy Medical assessment and treatment of injuries yy Assessment, treatment and prevention of pregnancy and STIs yy Collection of forensic evidence yy Psychologic evaluation and support', 'ffAdvise not to throw out or change clothing, wash, shower, douche, brush their teeth or use mouthwash; doing so may destroy evidence}<b>ffInitial assessment (history and examination) – use standard forms if available</b><br>–– Type of injuries sustained (particularly to the mouth, breasts, vagina and rectum) –– Any bleeding from or abrasions on the patient or assailant (to help assess the risk of transmission of HIV and hepatitis) –– Description of the attack (e.g., the orifices which were penetrated, whether ejaculation occurred, or whether a condom was used) –– Assailant’s use of aggression, threats, weapons and violent behavior –– Description of the assailant –– Use of contraceptives (to assess risk of pregnancy), previous coitus (to assess validity of sperm testing) –– Clearly describe size, extent, nature of any injury. If possible take photos of the lesions (with patient’s consent)}<b>ffTest for HIV, RPR, hepatitis B and pregnancy, to assess baseline status of the patient</b><br>If possible test for flunitrazepam and gamma hydroxybutyrate (”rape drugs”)}<b>ffCollect forensic evidence (with standard kits if available)</b><br>–– Condition of clothing (e.g., damaged, stained, adhering foreign material) –– Small samples of clothing including an unstained sample, given to the police or laboratory –– Hair samples, including loose hairs adhering to the patient or clothing, semen-encrusted pubic hair, and clipped scalp and pubic hairs of the patient (at least 10 of each for comparison) –– Semen taken from the cervix, vagina, rectum, mouth and thighs –– Blood taken from the patient –– Dried samples of the assailant’s blood taken from the patient’s body and clothing –– Urine, saliva –– Smears of buccal mucosa –– Fingernail clippings and scrapings –– Other specimen as indicated by the history or physical examination}<b>ffProphylaxis for STD including:</b><br>–– Ceftriaxone 125 mg IM or cefixime 400 mg orally stat –– Azithromycin 1 g stat or doxycycline 100 mg twice a day for 1 week –– Metronidazole 2 g stat –– HIV Post Exposure Prophylaxis if within 72 hours: Adults : TDF+3TC+ATV/r for 28 days Children: ABC+3TC+LPV/r}ffHepatitis B vaccine if not already immunised}ffEmergency contraception if within 72 hours (but may be useful up to 5 days after)}Levonorgestrel 1.5 mg (double the dose if patient is HIV positive on ARVs)}<b>ffCounselling:</b><br>use common sense measures (e.g., reassurance, general support, non-judgmental attitude) to relieve strong emotions of guilt or anxiety ffProvide links and referral to: –– Long term psycho-social support –– Legal counseling –– Police- investigations, restraining orders –– Child protection services –– Economic empowerment, emergency shelters –– Long-term case management', '', '99999', '2022-10-22 22:31:02', '', '', 'Emergencies and Trauma', 'TRAUMA AND INJURIES'),
(12, 'General Management of Poisoning', 'Bodily entry of toxic substances in amounts that cause\r\ndysfunction of body systems.', 'Microorganisms (food poisoning)}Fluids and gases (organic), e.g., agricultural chemicals, petrol, paraffin, carbon monoxide}Metal poisoning (inorganic), e.g., lead, mercury, copper}Alcohol, drugs of abuse, medicines (in excessive amounts)}Acute poisoning can occur by ingestion, inhalation, injection or cutaneous/mucosal absorption. Exposure can be intentional (e.g., suicide or homicide attempt), unintentional (e.g., medication error) or environmental/ occupational.', '', '', '', 'ffIf possible, refer patients showing signs of poisoning to hospital for admission. Send a note of what is known about the poison and what treatment has been given ffAlso refer/admit patients who have taken slow-acting poisons even if they appear well. These include: acetylsalicylic acid, iron, paracetamol, tricyclic antidepressants (e.g., amitriptyline, imipramine), paraquat, modified-release products ffOptimal management of the poisoned patient depends upon the specific poison(s) involved, the presenting and predicted severity of illness and time that has elapsed between exposure and presentation ffTreatment includes supportive care, decontamination, antidotal therapy and enhanced elimination techniques ffIt may not always be possible to identify the poison and the amount taken. Anyway, –– Only a few poisons have specific antidotes –– Few patients need active removal of the poison –– Most patients must be treated symptomatically However, knowledge of the poison will help you anticipate the likely effects on the patient.', '<b>Supportive Treatment in Poisoning</b><br>ffEnsure safety of the patient and minimize/stop exposure e.g. wash off/clean skin with water and soap ffMonitor and stabilize all vitals (blood pressure, heart rate, respiratory rate, oxygen saturation AND temperature)<b>Airway and breathing (often impaired in unconscious patient)</b><br>ffEnsure the airway is cleared and maintained –– Insert an airway cannula if necessary ffPosition patient semiprone to minimise risk of inhalation of vomit ffAssist ventilation if necessary ffAdminister oxygen if necessary<br><b>Blood pressure</b><br>–– Hypotension is common in severe poisoning with CNS depressants. A systolic BP <70 mmHg may cause irreversible brain or renal damage ffCarry the patient’s head down on the stretcher and nurse in this position in the ambulance -ffSet up an IV normal saline line –– Fluid depletion without hypotension is common after prolonged coma and after aspirin poisoning due to vomiting, sweating and hyperpnoea ffHypertension is less common but may be associated with sympathomimetic poisoning e.g. amphetamines, cocaine, pseudoephedrine}<b>Heart</b><br>–– Cardiac conduction defects and arrhythmias may occur in acute poisoning especially with tricyclic antidepressants, but the defects usually respond to correction of any hypoxia or acidosis}<b>Body temperature</b><br>–– Hypothermia may develop in patients with prolonged unconciousness especially after overdose of barbiturates or phenothiazines e.g., chlorpromazine, trifluoperazine –– Hypothermia may be missed unless temperature is monitored –– Treat by covering the patient with a blanket ffHyperthermia may occur with anticholinergics and sympathomimetics –– Treat by tepid sponging and antipyretics if appropriate}<b>Convulsions</b><br>ffDiazepam 10 mg rectally repeated if necessary Child: 0.5 mg/kg per dose (1.5-2.5 mg if <1 month, 5 mg if 1 month-2 years, 5-10 mg if 2-12 years) Or diazepam 5- 10 mg slow IV repeated if necessary max 30 mg Child: 200 micrograms (0.2 mg)/kg max 10 mg}<b>Other considerations</b><br>ffCounsel patient and families concerning poisoning ffA psychiatric evaluation is necessary if poisoning was intentional ffIf environmental or ccupational exposure, follow up to assess if other people have been affected and take appropriate measures', '', '99999', '2022-10-22 22:38:04', '', '', 'Emergencies and Trauma', 'POISONING'),
(13, 'Acute Organophosphate Poisoning', 'Organophosphates are ingredients of some pesticides and\r\ninsecticides intended for agricultural and household use.\r\nPoisoning occurs by ingestion, inhalation or absorption\r\nthrough the skin.', 'May be accidental, e.g., contamination of food}Intended poisoning, i.e., suicidal or homicidal}Occupational hazard, e.g., agricultural workers', 'Patient may smell of the chemicals}Constricted pupils}Cold sweat, anxiety, restlessness}Abdominal pain, diarrhoea and vomiting}Twitching, convulsions}Bradycardia}Excessive salivation, difficulty in breathing, abundant respiratory secretions}Headache, hypotension, urine incontinence}Coma', 'Other causes of poisoning', 'Other causes of convulsions}', '', 'ffRemove contaminated clothing (use gloves) ffWash contaminated skin with lots of water ffEstablish and maintain the airway ffAtropine 2-4 mg IM or IV (according to the severity of the poisoning) Child: 0.05 mg/kg per dose –– Double dose every 3-5 minutes until signs of atropinisation occur (stopping of bronchial secretions and broncoconstrictions) –– Continuous infusion of atropine 0.05 mg/kg/ hour may be necessary –– Reduce dose of atropine slowly over 24 hours but monitor for patient’s status ffAssisted respiration with air or oxygen may be required during the first 24 hours after poisoning ffGive IV fluids, e.g., normal saline prn for dehydration, hypovolaemia, and shock ffPrevent and treat convulsions with diazepam 10 mg IV Child: 0.2 mg/kg IV or 0.5 mg/kg rectal ffSalbutamol 5 mg (2.5 mg for children <5 years) nebulisation if bronchospasm: ffPerform gastric lavage if the poison was ingested (up to 6 hours after ingestion) but consider risk of aspiration ffGive standard dose of activated charcoal if patient presents within 2 (up to 4) hours ffMonitor patient for a few days (worsening can occur a few days after ingestion)}<b>In moderate to severe poisoning (only if not responding to adequate doses of atropine)</b><br>ffAdd pralidoxime mesylate 30 mg/kg IV over 30 minutes Child: 25-50 mg/kg IV –– Continue with infusion 8 mg/kg/hour Child: 10-20 mg/kg/hour', 'Label agricultural and domestic pesticides properly – do not use unlabelled bottles for pesticides}Store such products away from children}Wear protective clothing when using the products', '99999', '2022-10-22 22:43:50', '', '', 'Emergencies and Trauma', 'POISONING'),
(14, 'Paraffin and Other Petroleum Products Poisoning', 'Includes paraffin, petrol, paint thinners, organic solvents,\r\nand turpentine.', '', 'Patient may smell of paraffin/other petroleum product}Burning sensation in mouth and throat}Patient looks pale (transient cyanosis)}Vomiting, diarrhoea, bloody stools}Cough, dyspnoea, wheezing, tachypnoea, nasal flaring (due to chemical pneumonitis)}Lethargy, convulsions, difficulty in breathing', 'Other causes of poisoning', 'Acute infections}', '', 'Treatment is supportive and symptomatic ffRemove clothes and wash skin if contaminated ffAvoid gastric lavage or use of an emetic ffCharcoal is NOT useful ffGive oxygen if patient has hypoxia', 'Store paraffin and other petroleum products safely (e.g. in a locked cupboard, out of reach of children)}Do not store paraffin and other petroleum products in common beverage bottles', '99999', '2022-10-22 22:48:38', '', '', 'Emergencies and Trauma', 'POISONING'),
(15, ' Acetylsalicylic Acid (Aspirin) Poisoning', 'Overdose of ASA, due to consumption of >10 g of ASA in\r\nadults and 3 g in children.', '', 'Mild to moderate toxicity (after 1-2 hours): hyperventilation, tinnitus, deafness, nausea, vomiting, dizziness, vasodilation}Severe toxicity: hyperpyrexia, convulsions, altered mental status, non cardiac pulmonary oedema, coma}Complex acid-base disturbances (acidosis)', '', '', '', '<b>Stabilise vital signs</b><br>ffOxygen and IV fluids as necessary ffGastric lavage: worthwhile up to 4 hours after poisoning as stomach emptying is delayed -ffActivated charcoal 50 g repeated as needed every 4 hours or 25 g repeated prn every 2 hours –– It delays absorption of any remaining salicylate ffTreat/prevent hypoglycaemia with Dextrose 50% 50-100 ml (Dextrose 10% 2-5 ml/kg in children) ffTepid sponging for hyperpyrexia ffTreat convulsions with IV diazepam 10 mg prn}<b>Refer to higher level of care if coma, pulmonary oedema, renal insufficiency, clinical deterioration in spite of above measures</b><br>ffTreat acidosis and enhance renal excretion in symptomatic patients with Sodium bicarbonate –– Bolus 1-2 mEq/kg (max 100 mEq) in 3-5 minutes –– Followed by an infusion of 50-75 mEq in 500 ml of Dextrose 5 %; run at 250 ml/hour in adults (run at 1.5-2 times maintenance in children) –– Mantain urine pH 7.5-8}', '', '99999', '2022-10-23 09:18:24', '', '', 'Emergencies and Trauma', 'POISONING'),
(16, 'Paracetamol Poisoning', 'Accidental or intentional assumption of excessive amount\r\nof paracetamol. Toxic dose: >150 mg/kg or >7.5 g (200 mg/kg\r\nfor children <6 years)', '', 'First 24 hours: asymptomatic or aspecific symptoms such as nausea and vomiting, malaise, anorexia, abdominal pain}In patients with mild poisoning, symptoms will resolve and patient will recover. In patients with severe poisoning, symptoms will progress to the next phase}In 24-72 hours: progressive signs of hepatic toxicity (e.g. right upper quadrant abdominal pain, enlarged tender liver, increased transaminases)}After 72 hours: signs and symptoms peak at 72-96 hours and this may be followed by full recovery in 5-7 days or progression into irreversible hepatic failure (less frequently renal failure) and death', '', 'Monitor liver function, renal funtion, INR}Rule out pregnancy (it crosses the placental barrier)', '', 'ffGive repeated doses of activated charcoal (25-50 g every 4 hours)}ffIf ingestion was <2 hours, empty the stomach to remove any remaining medicine using gastric lavage}ffGive acetylcysteine IV preferrably within 8 hours from ingestion; if patient presents later, give it anyway}150 mg/kg (max 15 g) in 200 ml of Dextrose 5% in 60 minutes followed by –– 50 mg/kg (max 5 g) in Dextrose 5% 500 ml in 4 hours followed by –– 100 mg/kg (max 10 g) in Dextrose 5% 1000 ml in 16 hours}ffSupportive treatment', '', '99999', '2022-10-23 09:26:58', '', '', 'Emergencies and Trauma', 'POISONING'),
(17, 'Iron Poisoning', 'Common in children, due to the candy-like aspect of iron\r\ntablets. Ingestion of a quantity <40 mg/kg of elemental iron\r\nis unlikely to cause problems. Doses >60 mg/kg can cause\r\nserious toxicity.\r\nNote: the common tablet of 200 mg of an iron salt contains\r\n60-65 mg of elemental iron.', '', 'Clinical symptoms vary according to the time from ingestion', '', '', '', 'ffGastric lavage if ingestion within 1 hour from arrival or pills visible in the stomach at X-ray ffNB: charcoal is NOT EFFECTIVE}ffPatients who are asymptomatic after 6 hours from ingestion most likely do not need specific treatment. Monitor for at least 12 hours}ffIV fluids to manage shock and hypovolaemia}<b>Indication for use of antidote:</b><br>–– Severe symptoms –– Metabolic acidosis<br><b>ffDesferroxamine</b>continuous infusion 15 mg/kg/ hour in normal saline or glucose 5% –– Do not use for more than 24 hours –– Increase IV fluids if BP drops –– Continue until metabolic acidosis clears or clinical condition improves –– Contraindication: renal failure/anuria', '', '99999', '2022-10-23 09:30:16', '', '', 'Emergencies and Trauma', 'POISONING'),
(18, 'Carbon Monoxide Poisoning', 'Usually due to inhalation in confined spaces of smoke, car\r\nexhaust or fumes caused by incomplete combustion of fuel\r\ngases e.g. use of charcoal stoves in unventilated rooms.', 'Carbon monoxide, a colourless and odourless nonirritating gas', '<b> Due to hypoxia</b><br>yy Headache, nausea, vomiting, dizziness, confusion, weakness yy Collapse, seizures, coma, death', '', '', '', 'ffMove person to fresh air ffClear the airway ffGive oxygen 100% (use non-rebreather masks) as soon as possible ffIV fluids for hypotension ffDiazepam for seizures', '', '99999', '2022-10-23 09:32:13', '', '', 'Emergencies and Trauma', 'POISONING'),
(19, 'Barbiturate Poisoning', 'Barbiturates are used in the treatment of epilepsy and\r\nconvulsions (e.g. phenobarbital).', '', 'Confusion, irritability, combativeness}Drowsiness, lethargy}Hypotension, bradycardia or tachycardia, until shock}Respiratory depression, until coma', '', '', '', '<b>Supportive care</b><br>ffOxygen therapy ffIV fluids for hypotension ffCharcoal may be useful but only if given within 1 hour from ingestion and if the patient is not drowsy (risk of inhalation) ffRefer for ventilatory support if necessary ffAlkalinisation to increase renal excretion –– Sodium bicarbonate 1 mEq/kg bolus followed by infusion (specialist only)', '', '99999', '2022-10-23 09:34:23', '', '', 'Emergencies and Trauma', 'POISONING'),
(20, 'Opioid Poisoning', 'Voluntary or accidental overdose of opioid drugs like\r\ncodeine, morphine, heroin used for therapeutic or\r\nrecreational purposes.', '', 'Respiratory depression}Hypotension, hypothermia}Pinpoint pupils}Decreased mental status until coma', '', '', '', '<b>Antidote:</b><br>ffNaloxone 0.4-2 mg IV or IM, repeat every 2-3 minutes if not improving until max 10 mg Child: 0.01 mg/kg, increase to 0.1 mg/kg if necessary ffAim at restoring ventilation not consciousness ffRepeated doses or infusion may be necessary ffManage complications accordingly', '', '99999', '2022-10-23 09:36:35', '', '', 'Emergencies and Trauma', 'POISONING'),
(21, 'Warfarin Poisoning', 'Overdose may result from accidental ingestion of rat poison\r\n(containing a warfarin-like substance) or overdose of\r\nwarfarin used for therapeutic purposes.\r\nWarfarin inhibits the production of coagulation factors in\r\nthe liver.', '', 'Bleeding (can be life threatening) internal or from mucosae}Usually evident 24 hours after ingestion', '', '', '', 'ffEmpty the stomach ffGive activated charcoal 50 g if presenting early Child: 25 g (50 g if severe) ffPhytomenadione (vitamin K1) 5 mg IV slowly ffSupportive treatment (IV fluids, blood transfusion, fresh frozen plasma if active bleeding)}Note ww Intoxication with rat poison may require prolonged treatment with vitamin K', '', '99999', '2022-10-23 09:40:40', '', '', 'Emergencies and Trauma', 'POISONING'),
(22, 'Methyl Alcohol (Methanol) Poisoning', 'Methanol is used as an industrial solvent and is an ingredient\r\nof methylated spirits. It is often ingested for self-harm or as\r\na substitute for alcohol. It can form in home-distilled crude\r\nalcohol due to incomplete conversion to ethanol.\r\nA dose >1 g/kg is potentially lethal: it is transformed into\r\ntoxic metabolites and causes profound acidosis.', '', 'Initial inebriation (as in alcohol assumption)}Latent asymptomatic period of 12-24 hours}Headache, dizziness, nausea, vomiting, visual disturbances, CNS depression and respiratory failure}Toxic metabolites may cause severe acidosis and retinal/ optic nerve damage', '', '', '', 'ffGastric aspiration and lavage –– Only use if done within 2 hours of ingestion (it has a very rapid absorption) ffCharcoal is NOT USEFUL ffGive 1.5-2 ml/kg of oral alcohol 40% (e.g. waragi, whisky, brandy) in 180 ml of water as loading dose, oral or via NGT –– Maintenance dose: 0.3 ml/kg/hour ffSodium bicarbonate 50-100 ml IV over 30-45 minutes ffCheck for and correct hypoglycaemia', '', '99999', '2022-10-23 09:42:36', '', '', 'Emergencies and Trauma', 'POISONING');
INSERT INTO `ucg` (`ucg_id`, `condition_name`, `description`, `causes`, `clinical_features`, `differential_diagnosis`, `investigations`, `management`, `treatment_id`, `prevention`, `added_by`, `date_added`, `deleted_by`, `date_deleted`, `ucg_category_name`, `ucg_sub_category_name`) VALUES
(23, 'Alcohol (Ethanol) Poisoning', 'Symptoms of alcoholic poisoning following ingestion of a\r\nlarge amount of alcohol over a short period.', 'Deliberate consumption of excessive alcohol in a short period of time}Accidental ingestion (may occur in children)', 'Smell of alcohol in the breath}Slurred speech, uninhibited behaviour,}Altered cognition and perception}Nausea and vomiting}Excessive sweating, dilated pupils}Hypoglycaemia}In later stages, stupor and coma develop', 'Other causes of coma:<br>yy Malaria and other intracranial infections yy Diabetes mellitus yy Head injury yy Stroke (cerebrovascular accidents)', 'Blood: alcohol content, glucose level}Urine: for glucose and protein}Lumbar puncture', '', 'ffManage airways (ventilation may be needed) ffCorrect hypothermia and hypovolaemia if present ffCheck and correct hypoglycaemia with Dextrose 50% 20-50 ml IV –– Give it via NGT or rectal if IV not available –– Maintain infusion of Dextrose 5-10% until patient wakes up and can eat ffThiamine IV 100 mg in 1 L of Dextrose 5%', '', '99999', '2022-10-23 09:47:54', '', '', 'Emergencies and Trauma', 'POISONING'),
(24, 'Food Poisoning', 'Illness caused by consumption of food or water\r\ncontaminated by certain pathogenic microorganisms. It\r\nusually affects large numbers of people after ingestion of\r\ncommunal food in homes, hospitals, hotels and parties.', 'Can be infective or toxic}Infective: by bacteria e.g. Salmonella typhimurium, Campylobacter jejuni, Bacillus cereus}Toxic: by toxins from Staphylococcus aureus and Clostridium botulinum', 'Nausea, vomiting}Intermittent abdominal pain (colic) with associated diarrhoea}Fever (especially if poisoning is the infective type)}Often self-limiting}<b>Botulism</b> yy Paralysis of skeletal, ocular, pharyngeal and respiratory muscles', 'Cholera, dysentery', 'Other causes of stomach and intestinal infections}Good history and examination is important for diagnosis}Stool microscopy, C&S', '', 'ffEstablish the cause and treat accordingly ffGive oral (ORS) or IV fluids (Normal saline) for rehydration as required ffFor pain, give paracetamol 1 g every 4-6 hours Child: 10 mg/kg per dose}<b>If diarrhoea severe and persisting or bloody, high fever</b><br>ffGive an antibiotic for 3-7 days, depending on response: –– Ciprofloxacin 500 mg every 12 hours Child: 10 mg/kg per dose –– Or erythromycin 500 mg every 6 hours Child: 10 mg/kg per dose', 'Heat cooked foods thoroughly before eating and avoid eating cold left-over cooked foods}Ensure adequate personal and domestic hygiene', '99999', '2022-10-23 09:53:16', '', '', 'Emergencies and Trauma', 'POISONING'),
(25, 'Anthrax', 'Anthrax is an acute zoonotic infectious disease caused by\r\nthe bacterium Bacillus anthracis. It most commonly occurs\r\nin wild and domestic animals, such as cattle, sheep, goats,\r\ncamels, antelopes, and other herbivores. B. anthracis spores\r\ncan live in the soil for many years.\r\nIt occurs in humans when they are exposed to infected\r\nanimals or tissue from infected animals. The incubation\r\nperiod is usually 1-3 days. Anthrax is a notifiable disease.', 'Exposure to B. anthracis spores by handling products from infected animals or by inhaling anthrax spores from contaminated animal products}Anthrax can also be spread by eating undercooked meat from infected animals', 'Symptoms vary depending on how the disease was contracted, and usually occur within 7 days}<b>Cutaneous</b><br>yy 95% of anthrax infections occur through skin cut or abrasion yy Starts as raised itchy bump that resembles an insect bite yy Within 1-2 days, it develops into a vesicle and then a painless ulcer, usually 1-3 cm in diameter, with a characteristic black necrotic (dying) area in the centre (eschar) yy Lymph glands in adjacent area may swell yy About 20% of untreated cutaneous anthrax results in death}<b>Inhalation</b><hr>yy Initial symptoms resemble a cold yy After several days, symptoms may progress to severe breathing problems and shock yy Inhalation anthrax is usually fatal}<b>Gastrointestinal</b>yy Acute inflammation of the intestinal tract yy Initial signs of nausea, loss of appetite, vomiting and fever yy Then abdominal pain, vomiting blood, and severe diarrhoea yy Intestinal anthrax results in death in 25% to 60% of the cases', '', 'Isolation of Bacillus anthracis from blood, skin lesions, or respiratory secretions}Or measure specific antibodies in the blood of persons with suspected infection', '', '<b>Cutaneous anthrax</b>ffTreat for 7–10 days ffFirst line is ciprofloxacin 500 mg every 12 hours ffAlternatives: doxycycline 100 mg every 12 hours ffOr amoxicillin 1 g every 8 hours}<b>If suspected systemic disease</b><br>ffRefer for treatment with IV antibiotics', 'The following public measures are key for quick prevention and control of anthrax infection: yy Health education and information yy Proper disposal by burying of carcasses, hides and skins; (no burning as it can spread spores) yy No skinning of dead animals; this allows spore formation, which can stay in soil for decades yy No eating of meat from dead animals yy Restrict movement of animals and animal by-products from infected to non-infected areas yy Mass vaccination of animals in endemic areas yy Vaccination using human anthrax vaccine for: –– Persons who work directly with the organism in the laboratory –– Persons who handle potentially infected animal products in high-incidence areas ', '99999', '2022-10-23 10:00:05', '', '', 'Infectious Diseases', 'BACTERIAL INFECTIONS'),
(26, 'Brucellosis', 'A zoonotic bacterial infection of acute onset. Common\r\nas an occupational disease among people working with\r\ninfected livestock or associated fresh animal products, for\r\nexample butchers, farmers, abattoir workers, and vendors of\r\ncontaminated roasted meat (muchomo). Incubation is 2-4\r\nweeks on average, but it can be from 1 to 8 weeks.', 'Brucella abortus (cattle)}Brucella canis (dog)}Brucella melitensis (goats and sheep)}Brucella suis (pigs)', 'Intermittent (fluctuating) fever}Aches and pains}Orchitis (inflammation of the testes)}Vertebrae osteomyelitis (uncommon but characteristic)', 'Typhoid fever, malaria, tuberculosis', 'Trypanosomiasis (sleeping sickness)}Other causes of prolonged fever}Blood: complement fixation test or agglutination test (where possible)}Isolation of the infectious agent from blood, bone marrow, or other tissues by culture', '', '<b>Adult and child > 8 years:</b><br>ffDoxycycline 100 mg every 12 hours for 6 weeks Child > 8 years: 2 mg/kg per dose - ffPlus gentamicin 5-7 mg/kg IV daily for 2 weeks Child < 8 years: 7.5 mg/kg daily in 1-3 divided doses –– Or ciprofloxacin 500 mg twice daily for 2 weeks Child < 12 years: do not use}<b>Children below 8 years</b><br>ffCotrimoxazole 24 mg/kg every 12 hours for 6 weeks ffPlus gentamicin 5-7 mg/kg IV in single or divided doses for 2 weeks', 'yy Provide public health education on –– Drinking only pasteurised or boiled milk –– Careful handling of pigs, goats, dogs, and cattle if a person has wounds or cuts –– Provide veterinary services for domestic animals', '99999', '2022-10-23 10:05:30', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(27, 'Diphtheria', 'An acute bacterial infection caused by Corynebacterium\r\ndiphtheriae, which is spread through droplet infection and\r\nmainly occurs in the nasopharynx. The bacteria produce\r\na toxin which is responsible for the systemic effects.\r\nIncubation period is 2-7 days.', 'Toxin of Corynebacterium diphtheriae}', 'Pseudomembranous tonsillitis (grey, tough and very stickly membranes) with dysphagia, cervical adenitis, at times progressing to massive swelling of the neck}Airway obstruction and possible suffocation when infection extends to the nasal passages, larynx, trachea and bronchi}Low grade fever}Effects of the toxin: cardiac dysfunction (myocarditis with heart failure), neuropathies 1-3 months after the onset affecting swallowing, vision, breathing and ambulation}Renal failure', '', 'Culture from throat swab', '', 'ffRefer urgently to hospital ffIsolate (contact and droplet precautions) until 3 throat swabs (nose, throat, or skin) are negative ffGive procaine benzylpenicillin 1.2 MIU daily IM until patients can switch to oral Child: procaine benzylpenicillin 50,000 IU/kg per day IM once daily until patient can swallow}<b>When patient is able to swallow</b><br>ffGive Penicillin V 250 mg every 6 hours per day to complete 14 days. Child 1-6 years: 125 mg 6 hourly Child< 1 years: 12.5 mg/kg every 6 hours}<b>In case of penicillin allergy</b><br>ffErythromycin 500 mg every 6 hours for 14 days Child: 50 mg/kg every 6 hours', 'yy Isolation of patient and proper management of close contacts –– Monitor close contacts for 7 days and give prophylactic antibiotics: single dose benzathine penicillin IM (child <10 years: 600,000 IU, child >10 yrs and adults: 1.2 MIU) –– Verify immunisation status, complete if needed, give a booster if the last dose was more than a year before yy Immunise all children during routine childhood immunisation', '99999', '2022-10-23 10:09:44', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(28, 'Leprosy', 'A chronic infectious disease caused by Mycobacterium\r\nleprae - an acid-fast bacillus. It mainly affects the skin,\r\nperipheral nerves and mucous membranes. It is transmitted\r\nfrom one person to another via the respiratory tract\r\n(possibly, very rarely, through broken skin). It is classified\r\ninto paucibacillary (PB) or Multibacillary (MB) Leprosy.', '', 'One or more hypopigmented (pale) skin patches with definite loss of sensation}There may be skin nodules or smooth, shiny diffuse thickening of the skin without loss of sensation}Damage to peripheral nerves: thickened nerve, loss of function and weakness of muscles supplied by affected nerves}Tuberculoid or Paucibacillary (PB) leprosy yy 1-5 patches}Lepromatous or Multibacillary (MB) Leprosy yy More than 5 patches', 'Hypopigmentation e.g. birthmark, early vitiligo', 'Fungal infections of the skin}Other nodular conditions, e.g. Kaposi’s sarcoma, neurofibromatosis, secondary syphilis}Other causes of peripheral nerve damage, e.g. diabetes mellitus}Psoriasis, molluscum contagiosum}In most cases, a definite diagnosis of leprosy can be made using clinical signs alone}At referral centre: stain slit skin smears for Acid Fast Bacilli (AFB)}Skin biopsies NOT recommended as a routine procedure', 'Multi-drug therapy (MDT) for leprosy is presented in the form of various monthly dose blister packs for PB leprosy and MB leprosy, with special packs for children.', '<b>Paucibacillary leprosy (Treat for 6 months)</b><br>ffThe standard adult PB treatment regimen is: –– Rifampicin 600 mg once a month –– Dapsone 100 mg tab once daily ffThe standard child (10-14 years) PB treatment regimen is: –– Rifampicin 450 mg once a month –– Dapsone 50 mg once daily}<b>Multibacillary leprosy (Treat for 12 months)</b><br>ffThe standard adult MB treatment regimen is: –– Rifampicin 600 mg once a month –– Clofazimine 300 mg once a month and 50 mg daily –– Dapsone 100 mg once daily ffThe standard child (10-14 years) PB treatment regimen is: –– Rifampicin 450 mg once monthly -–– Clofazimine 150 mg once a month and 50 mg every other day –– Dapsone 50 mg daily ffEnsure that patients take their medicines regularly and complete the dose}<b>MDT for children <10 years of age</b><br>ffAppropriate dose is determined based on body weight –– Rifampicin 10 mg/kg once monthly –– Clofazimine 6 mg/kg once a month and 1 mg/kg daily –– Dapsone 2 mg/kg daily ffThe standard child blister pack may be broken up so that the appropriate dose is given}<b>Steroids for treatment of severe leprae reactions</b><br>ffPrednisolone 40 mg once daily in morning –– Treat for 12 weeks in PB and 24 weeks in MB –– Reduce dose gradually by 10–5 mg once every 2 weeks (PB) or 3 weeks (MB)', 'Early diagnosis of cases and effective treatment}Screening of contacts of known patients}BCG vaccination may be helpful', '99999', '2022-10-23 10:19:49', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(29, 'Meningitis', 'Meningitis is acute inflammation of the meninges (the\r\nmembranes covering the brain). Bacterial meningitis is a\r\nnotifiable disease.', 'Most commonly bacterial: Streptococcus pneumoniae, Haemophilus influenzae type b (mainly in young children), Neisseria meningitidis, Enteric bacilli}Viral (HSV, enteroviruses, HIV, VZV etc)}Cryptococcus neoformans (in the immune-suppressed)}Mycobacterium tuberculosis', 'Rapid onset of fever}Severe headache and neck stiffness or pain}Photophobia}Haemorrhagic rash (N.meningitidis infection)}Convulsions, altered mental state, confusion, coma}In mycobacterial and cryptococcal meningitis, the clinical presentation can be sub-acute , over a period of several days or 1-2 weeks', 'Brain abscess', 'Space-occupying lesions in the brain}Drug reactions or intoxications}CSF: usually cloudy if bacterial, clear if viral. Analyse for white cell count and type, protein, sugar, Indian-ink staining (for Cryptococcus), gram stain, culture and sensitivity}Blood: For serological studies and full blood count}Chest X-ray and ultrasound to look for possible primary site', 'Treatment depends on whether the causative organisms are already identified or not.', '<b>General measures</b><br>ffIV fluids ffControl of temperature ffNutrition support (NGT if necessary)}<b>Causative organisms not yet identified</b><br>ffStart initial appropriate empirical broad spectrum therapy –– Ceftriaxone 2 g IV or IM every 12 hours for 10-14 days Child: 100 mg/kg daily dose given as above –– Change to cheaper effective antibiotic if and when C&S results become available}<b>If ceftriaxone not available/not improving</b><br>ffUse chloramphenicol 1 g IV every 6 hours for up to 14 days (use IM if IV not possible) Child: 25 mg/kg per dose<br><b>Once clinical improvement occurs</b>–– Change to 500-750 mg orally every 6 hours to complete the course; Child: 25 mg/kg per dose}<b>Causative organisms identified Streptococcus pneumoniae (10-14 day course; up to 21 days in severe case)</b><br>ffBenzylpenicillin 3-4 MU IV or IM every 4 hours Child: 100,000 IU/kg per dose ffOr ceftriaxone 2 g IV or IM every 12 hours Child: 100 mg/kg daily dose}<b>Haemophilus influenzae (10 day course)</b><br>ffCeftriaxone 2 g IV or IM every 12 hours Child: 100 mg/kg per dose Only if the isolate is reported to be susceptible to the particular drug ffChange to chloramphenicol 1 g IV every 6 hours Child: 25 mg/kg per dose ffOr ampicillin 2-3 g IV every 4-6 hours Child: 50 mg/kg per dose}<b>Neisseria meningitidis (up to 14 day course)</b><br>ffBenzylpenicillin IV 5-6 MU every 6 hours Child: 100,000-150,000 IU/kg every 6 hours ffOr Ceftriaxone 2 g IV or IM every 12 hours Child: 100 mg/kg daily dose ffOr Chloramphenicol 1 g IV every 6 hours (IM if IV not possible) Child: 25 mg/kg IV per dose<br><b>Once clinical improvement occurs</b><br>–– Change to chloramphenical 500-750 mg orally every 6 hours to complete the course Child: 25 mg/kg per dose Note: Consider prophylaxis of close contacts (especially children < 5 years): ffAdults and children >12 years: Ciprofloxacin 500 mg single dose Child <12 yrs: 10 mg/kg single dose ffAlternative (e.g. in pregnancy): ceftriaxone 250 mg IM single dose Child < 12 yrs: 150 mg IM single dose}<b>Listeria monocytogenes (at least 3 weeks course)</b><br>Common cause of meningitis in neonates and immunosuppressed adults ffBenzylpenicillin 3 MU IV or IM every 4 hours ffOr ampicillin 3 g IV every 6 hours Notes ww Both medicines are equally effective ww Therapy may need to be prolonged for up to 6 weeks in some patients', 'yy Avoid overcrowding yy Improve sanitation and nutrition yy Prompt treatment of primary infection (e.g. in respiratory tract) yy Immunisation as per national schedules yy Mass immunisation if N. Meningitis epidemic', '99999', '2022-10-23 10:31:25', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(30, 'Neonatal Meningitis', 'Bacterial infection of the meninges in the first month of life.\r\nyy Organisms causing neonatal meningitis are similar to\r\nthose causing neonatal septicaemia and pneumonia, i.e.\r\nS.pneumoniae, group A & B streptococci, and enteric\r\nGram-negative bacilli.\r\n–– Meningitis due to group B streptococci: These organisms\r\noften colonise the vagina and rectum of pregnant women,\r\ncan be transmitted to babies during labour, and cause\r\ninfection. Meningitis and septicaemia during the 1st week\r\nafter birth may be particularly severe.\r\nyy Clinical presentation is aspecific with temperature\r\ndisturbances, lethargy, irritability, vomiting, feeding\r\nproblems, convulsions, apnoea, bulging fontanel', '', '', '', '', '', '<b>Refer to hospital after initial dose of antibiotics Supportive care</b><br>ffKeep baby warm ffFor high temperature control environment (undress), avoid paracetamol ffPrevent hypoglycaemia (breastfeeding if tolerated/possible, NGT or IV glucose) ffEnsure hydration/nutrition ffGive oxygen if needed (SpO2 <92%)}<b>Empirical regimen (for 21 days)</b><br>ffAmpicillin IV Neonate < 7 days: 50-100 mg/kg every 12 hours Neonate > 7 days: 50-100 mg/kg every 8 hours ffPlus Gentamicin 2.5 mg/kg IV every 12 hours}<b>If group B streptococci</b><br>ffBenzylpenicillin 100,000-150,000 IU/kg IV every 4-6 hours Neonates <7 days: 50,000-100,000 IU/kg IV every 8 hours ffPlus gentamicin 2.5 mg/kg IV every 12 hours ffContinue treatment for a total of 3 weeks}<b>Cryptococcal Meningitis: Fungal meningitis caused by Crypotococcus neoformans and usually occurs in severely immunosuppressed patients (e.g. advanced HIV, usually CD4 < 100). yy It commonly presents with headache, fever, malaise developing over 1 or 2 weeks, progressing into confusion, photophobia, stiff neck ¾¾Diagnosis is through identification of the microorganism in the CSF with Indian Ink stain, antigen in CSF or culture</b><br>ffRefer to hospital}<b>TB Meningitis</b><br>Meningitis caused by M. tuberculosis. Onset may be gradual with fatigue, fever, vomiting, weight loss, irritability, headache, progressing to confusion, focal neurological deficits, meningeal irritation, till coma. ¾¾For diagnosis: check CSF (raised protein, lymphocytosis), look for possible primary TB site<br>ffRefer to hospital ffTreat as per pulmonary TB but continuation phase is 10 months instead of 4 (2RHZE/10RH)', '', '99999', '2022-10-23 10:36:35', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(31, 'Plague', 'Severe acute bacterial infection with high fatality rate\r\ntransmitted by infected rodent fleas. It is a notifiable\r\ndisease.', 'Yersinia pestis (a coccobacillus) transmitted from ground rodents to man by bites from infected fleas}It may also be spread from person to person by droplet infection and may occur in epidemics', '<b>Bubonic</b><br>yy Involves lymph nodes (usually femoral and inguinal) yy Rapidly rising temperature with rigors yy Headache}<b>Pneumonic</b><br>yy Very infectious and highly fatal: PATIENT MUST BE ISOLATED –– Death occurs within 2 days if not treated early yy Infection is localised in the lungs with fever, general malaise, headache, and frothy blood stained sputum yy May be complicated by respiratory and cardiac distress}<b>Septicaemia</b><br>yy Complication of the primary infection due to toxins yy There is high fever, nose bleeding, diarrhoea, heart failure, disseminated intravascular coagulation, skin necrosis, and shock', 'Malaria, typhoid', 'Lymphogranuloma venereum}Pneumonia}Bubo aspirate: for microscopy, C&S}¾Blood and sputum: check for presence of the bacilli', '', 'ffDoxycycline 100 mg every 12 hours for 14 days Child > 8 years: 2 mg/kg per dose}<b>Alternatives:</b><br>ffChloramphenicol 500 mg orally or IV every 6 hours for 10 days Child: 25 mg/kg per dose ffOr gentamicin 1.7 mg/kg (adult and child) IV or IM every 8 hours for 7-10 days', 'yy Health education yy Improved housing yy Destruction of rats (rodents) and fleas yy Early detection and treatment to reduce further spread', '99999', '2022-10-23 10:41:17', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(32, 'Septicaemia', 'Blood infection due to various bacteria which may be\r\nassociated with infection in specific sites (e.g. lungs, urinary\r\ntract, gastrointestinal tract) or there may be no specific\r\nfocus. It is life threatening because it can progress into\r\nmulti-organ dysfunction and septic shock.', 'Organisms commonly involved are Staphylococcus aureus, Klebsiella, Pseudomonas, Staphylococcus epidermidis, fungal (Candida spp), Coliforms and Salmonella spp, Pneumococci, Proteus spp', 'Fever, prostration (extreme tiredness)}Hypotension, anaemia}Toxic shock is a complication}Signs and symptoms of the primary site of infection (e.g. pneumonia)', 'Severe cerebral malaria', 'Meningitis}Typhoid fever (enteric fever)}Infective endocarditis}Look for possible primary source of infection}Blood: WBC count, culture and sensitivity', 'Septicaemia is a life threating condition, refer to hospital after pre-referral dose of antibiotics.', '<b>General measures</b><br>ffIV fluids ffControl of temperature ffNutrition support (NGT if necessary) ffMonitoring of vitals and urinary output}<b>If known focus of infection, treat immediately with IV antibiotics as per guidelines. If unknown focus, give:</b><br><b>Adult</b>ffGentamicin 7 mg/kg IV every 24 hours or 1.5-2 mg/kg IV or IM every 8 hours ffPlus either cloxacillin 2 g IV every 4-6 hours ffOr chloramphenicol 750 mg IV every 6 hours<br><b>Child</b><br>ffGentamicin 3.5-4 mg/kg IV every 8 hours (neonate: every 8-12 hours) ffPlus either: Ceftriaxone 50 mg/kg every 8 hours (< 7 days old: every 12 hours) ffOr cloxacillin 50 mg/kg IV every 4-6 hours ffOr benzylpenicillin 50,000 IU/kg IV every 4-6 hours', 'Protect groups at risk, for example immunosuppressed and post-surgical patients}Follow strictly aseptic surgical procedures', '99999', '2022-10-23 10:47:13', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(33, 'Neonatal Septicaemia', 'Organism causing neonatal septicemia are similar to the\r\nones causing neonatal pneumonia and meningitis. Refer to\r\nhospital after pre-referral dose of antibiotics', '', '', '', '', '', '<b>Supportive care</b><br>ffKeep baby warm ffFor high temperature, control environment i.e. (undress), avoid paracetamol ffPrevent hypoglycaemia (breastfeeding if tolerated/possible, NGT or IV glucose) ffEnsure hydration/nutrition ffGive oxygen if needed (SpO2 < 90%)}<b>First line treatment</b><br>ffGive ampicillin 50 mg/kg IV every 6 hours plus gentamicin 5 mg/kg every 24 hours for 10 days<br><b>If risk of staphylococcus infection (infected umbilicus or multiple skin pustules,</b><br>ffGive cloxacillin 50 mg/Kg IV/IM every 6 hours and gentamicin 5-7 mg/Kg every 24 hours –– Clean infected umbilicus and pustules and apply gentian violet<br><b>If no improvement after 48-72 hours change from ampicillin to:</b><br>ffCeftriaxone 100 mg/kg daily', '', '99999', '2022-10-23 10:50:03', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(34, 'Tetanus', 'Bacterial disease characterised by intermittent spasms\r\n(twitching) of voluntary muscles. Incubation period is from\r\nfew days to few weeks (average7-10 days).', 'Exotoxin of Clostridium tetani}Common sources of infection: tetanus spores enter the body through deep penetrating skin wounds, the umbilical cord of the newborn, ear infection, or wounds produced during delivery and septic abortions', 'Stiff jaw, difficulty in opening mouth (trismus)}Generalised spasms induced by sounds and/or strong light, characterised by grimace (risus sardonicus)}Arching of back (opisthotonus) with the patient remaining clearly conscious}Fever}Glottal spasms and difficulty in breathing}Absence of a visible wound does not exclude tetanus', 'Meningoencephalitis, meningitis', 'Phenothiazine side-effects}Febrile convulsions}', '', '<b>General measures</b><br>ffIf at HC2 or 3, refer to hospital ffNurse patient intensively in a quiet isolated area ffMaintain close observation and attention to airway, temperature, and spasms ffInsert nasogastric tube (NGT) for nutrition, hydration, and medicine administration ffOxygen therapy if needed ffPrevent aspiration of fluid into the lungs ffAvoid IM injections as much as possible; use alternative routes (e.g. NGT, rectal) where possible ffMaintain adequate nutrition as spasms result in hugh metabolic demands ffTreat respiratory failure in ICU with ventilation}<b>Neutralise toxin</b><br>ffGive tetanus immunoglobulin human (TIG) –– 150 IU/kg (adults and children). Give the dose in at least 2 different sites IM, different from the tetanus toxoid site ffIn addition, administer full course of ageappropriate TT vaccine (TT or DPT) – starting immediately}<b>Treatment to eliminate source of toxin</b><br>ffClean wounds and remove necrotic tissue.<br><b>First line antibiotics</b><br>ffMetronidazole 500 mg every 8 hours IV or by mouth for 7 days Child: 7.5 mg/kg every 8 hours<br><b>Second line antibiotics</b><br>ffBenzylpenicillin 2.5 MU every 6 hours for 10 days Child: 50,000-100,000 IU/kg per dose}<b>Control muscle spasms</b><br><b> First line</b><br>ffDiazepam 10 mg (IV or rectal) every 1 to 4 hours ffChild: 0.2 mg/kg IV or 0.5 mg/kg rectal (maximum of 10 mg) every 1 to 4 hours}<b>Other agents</b><br>ffMagnesium sulphate (alone or with diazepam): 5 g (or 75 mg/kg) IV loading dose then 2 g/hour till spasm control is achieved –– Monitor knee-jerk reflex, stop infusion if absent ffOr chlorpromazine (alone or alternate with diazepam) 50-100 mg IM every 4-8 hours Child: 4-12 mg IM every 4-8 hours or ff12.5 mg-25 mg by NGT every 4-6 hours –– Continue for as long as spasms/rigidity lasts}<b>Control pain</b><br>ffMorphine 2.5-10 mg IV every 4-6 hours (monitor for respiratory depression) Child: 0.1 mg/kg per dose<br>ffParacetamol 1 g every 8 hours Child: 10 mg/kg every 6 hours', 'yy Immunise all children against tetanus during routine childhood immunisation yy Proper wound care and immunisation (see chapter 18): –– Full course if patient not immunised or not fully immunised –– Booster if fully immunised but last dose >10 years ago –– Fully immunised who had a booster <10 years ago do not need any specific treatment yy Prophylaxis in patients at risk as a result of contaminated wounds: give Tetanus immunoglobulin human (TIG) IM Child < 5 years: 75 IU Child 5-10 years: 125 IU Child > 10 years and adults: 250 IU Double the dose if heavy contamination or wound obtained > 24 hours.', '99999', '2022-10-23 10:58:27', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(35, 'Neonatal Tetanus', 'Neonatal tetanus is a notifiable disease\r\nyy Caused by infection of the umbilicus through cutting of the\r\ncord with unsterile instruments or from putting cow dung\r\nor other unsuitable materials on the stump\r\nyy Usually presents 3-14 days after birth with irritability and\r\ndifficulty in feeding due to masseter (jaw muscle) spasm,\r\nrigidity, generalised muscle spasms. The neonate behaves\r\nnormally for the first few days before the symptoms\r\nappear.', '', '', '', '', '', 'ffRefer to hospital immediately}<b>General measures</b><br>ffNurse in quite, dark and cool environment ffSuction the mouth and turn the infant 30 min after sedative. A mucous extractor or other suction should be available for use prn ffEnsure hydration/feeding –– Start with IV fluids (half saline and dextrose 5%) –– Put NGT and start feeding with expressed breast milk 24 hours after admission– in small frequent feeds –– Monitor and manitain body tempeature –– Monitor cardiorespiratory function closely. Refer for ICU management if possible}<b>Neutralise toxin</b><br>ffGive tetanus immunoglobulin human (TIG) –– 500 IU IM. Give the dose in at least 2 different sites IM, different from the tetanus toxoid site ffIn additon give 1st dose of DPT}<b>Treatment to eliminate source of toxin</b><br>ffClean and debride the infected umbilicus<br><b>First line antibiotics</b>ffMetronidazole loading dose 15 mg/kg over 60 min then –– Infant <4 weeks : 7.5 mg/kg every 12 hours for 14 days –– Infant >4 weeks: 7.5 mg/kg every 8 hours for 14 days<br><b>Second line antibiotics</b><br>ffBenzylpenicillin 100,000 IU/kg every 12 hours for 10-14 days<br><b>Control muscle spasm</b>: ffDiazepam 0.2 mg/kg IV or 0.5 mg/kg rectal every 1 to 4 hours<br><b>Other medicines</b> ffChlorpromazine oral 1 mg/kg 8 hourly via NGT', 'yy Immunise all pregnant women during routine ANC visits yy Proper cord care', '99999', '2022-10-23 11:04:38', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(36, 'Typhoid Fever (Enteric Fever)', 'Bacterial infection characterised by fever and abdominal\r\nsymptoms. It is spread through contaminated food and\r\nwater.', 'yy Salmonella typhi and S. paratyphi A & B', 'Gradual onset of chills and malaise, headache, anorexia, epistaxis, backache, and constipation}yy Usually occurring 10-15 days after infection}yy Abdominal pain and tenderness are prominent features}High fever > 38°C}Delirium and stupor in advanced stages}Tender splenomegaly, relative bradycardia, cough}Complications may include perforation of the gut with peritonitis, gastrointestinal hemorrhage', 'Severe malaria, other severe febrile illnesses', 'Blood culture (most reliable)}Stool culture}Rapid antibody test (e.g. Tubex, Typhidot) – not very sensitive or specific, possibly useful in epidemics', '', 'ffCiprofloxacin 500 mg every 12 hours for 10–14 days Child: 10-15 mg/kg per dose}<b>Other antibiotics</b><br>ffChloramphenicol 500 mg 6 hourly for 10 days Child: 25 mg/kg IV, IM or oral for 10-14 days<br><b>In severe, resistant forms or pregnancy</b>ffCeftriaxone 1 g IV every 12 hours for 10-14 days Child: 50 mg/kg per dose<br><b>Alternative in pregnancy</b><br>ffAmoxicillin 1 g every 8 hours for 10 days Child: 10-15 mg/kg per dose<br><b>Chronic carriers (treat for 4-6 weeks)</b>ffCiprofloxacin 500-750 mg every 12 hours ffChild: 10-15 mg/kg per dose ffRefer complications (e.g. perforation) to a higher level of care', 'yy Early detection, isolation, treatment, and reporting yy Proper faecal disposal yy Use of safe clean water for drinking yy Personal hygiene especially hand washing yy Good food hygiene', '99999', '2022-10-25 11:20:17', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(37, 'Typhus Fever', 'Febrile infection caused by Rickettsia species', 'Epidemic louse-borne typhus fever: caused by Rickettsia prowazeki; the common type in Uganda, which is transmitted to man (the reservoir) by lice}Murine (endemic) typhus fever: caused by Rickettsia typhi (mooseri) and transmitted by rat fleas. Rats and mice are the reservoir}Scrub typhus fever (mite-borne typhus): caused by R. tsutsugamushi and transmitted by rodent mites', 'Headaches, fever, chills, severe weakness, muscle pains}Macular rash that appears on the 5th day on the rest of the body except the face, palms, and soles}Jaundice, confusion, drowsiness}Murine typhus has a similar picture but is less severe', 'yy Any cause of fever such as malaria, HIV, UTI, or typhoid', 'Blood: For Weil-Felix reaction', '', '<b>Doxycycline</b> 100 mg every 12 hours for 5-7 days Child > 8 years: 2 mg/kg per dose<br><b>ffOr chloramphenicol</b>500 mg orally or IV every 6 hours for 5 days Child: 15 mg/kg per dose', 'yy Personal hygiene yy Destruction of lice and rodents', '99999', '2022-10-25 11:23:20', '', '', 'Emergencies and Trauma', 'BACTERIAL INFECTIONS'),
(38, 'Candidiasis', 'Fungal infection usually confined to the mucous membranes\r\nand external layers of skin. Severe forms are usually\r\nassociated with immunosuppressive conditions, such as\r\nHIV/AIDS, diabetes, pregnancy, cancer, prolonged antibiotic\r\nuse, and steroids.', 'Candida albicans, transmitted by direct contact', 'Oral thrush}Intertrigo (between skin folds)}Vulvo vaginitis and abnormal vaginal discharge (vaginal candida is not a sexually transmitted disease)}Chronic paronychia (inflammation involving the proximal and lateral fingernail folds)}Gastrointestinal candidiasis may present with pain on swallowing, vomiting, diarrhoea, epigastric and retrosternal pain', '', 'Diagnosis is mainly clinical}Smear examination with potassium hydroxide (KOH)', '', '<b>Oral candidiasis</b><br>ffNystatin tablets 500,000-1,000,000 IU every 6 hours for 10 days (chewed then swallowed) Child < 5 years: Nystatin oral suspension 100,000 IU every 6 hours for 10 days Child 5-12 years: 200,000 IU per dose every 6 hours for 10 days}<b>Oropharyngeal candidiasis</b><br>ffFluconazole loading dose 400 mg, then 150-200 mg daily for 14-21 days Child: loading dose 6 mg/kg, then 3 mg/kg daily}<b>Vaginal</b>ffInsert clotrimazole pessary 100 mg high into the vagina with an applicator each night for 6 days or twice a day for 3 days<br>ffOr insert one nystatin pessary 100,000 IU each night for 10 days<br>ffFor recurrent vaginal candidiasis, give fluconazole 150-200 mg once daily for 5 days}<b>Chronic paronychia</b><br>ffKeep hand dry and wear gloves for wet work ffHydrocortisone cream twice daily<br><b>If not responding</b> ffBetametasone cream twice daily ffFluconazole 150-200 mg once a day for 5-7 days}<b>Intertrigo</b><br>ffClotrimazole cream twice a day for 2-4 weeks ffIn severe forms use fluconazole 150-200 mg once a day for 14-21 days', 'yy Early detection and treatment yy Improve personal hygiene yy Avoid unnecessary antibiotics', '99999', '2022-10-25 11:29:26', '', '', 'Emergencies and Trauma', 'FUNGAL INFECTIONS'),
(39, 'Avian Influenza', 'Influenza caused by avian (bird) influenza Type A viruses\r\n(mainly H5N1 strain). It is endemic in the poultry population\r\nin Eurasia and can occasionally be transmitted to humans\r\nthrough direct contact with sick birds (inhalation of\r\ninfectious droplets). Disease can be mild or severe and has\r\nlimited potential to spread from person to person but there is\r\nrisk of mutations giving rise to a very infectious virus which\r\ncould cause widespread epidemics. Avian flu is a notifiable\r\ndisease.', 'Avian (bird) influenza Type A viruses', 'Conjuctivitis}Flu symptoms: fever, cough, sore throat, muscle aches}Gastrointestinal (diarrhoea) and neurological symptoms}In some cases, severe acute respiratory syndrome (SARS)', '', 'Blood and respiratory specimens, nose swab: lab test for influenza and rule out bacterial infection}Testing must be in a special laboratory', '', '<b>If patient requires hospitalisation</b><br>ffHospitalise patient under appropriate infection control precautions ffAdminister oxygen as required. Avoid nebulisers and high air flow oxygen masks ffGive paracetamol or ibuprofen for fever prn ffGive oseltamivir phosphate in patients ≥ 1 year who have been symptomatic for no more than two days. Treat for 5 days as below: Adults and children ≥ 13 years: 75 mg twice daily Child > 1 year and < 15 kg: 30 mg twice daily Child 15– 23 kg: 45 mg twice daily Child 23–40 kg body weight: 60 mg twice daily Child > 40 kg body weight: 75 mg twice daily}<b>If a case does not require hospitalisation</b><br>ffEducate the patient and his/her family on: –– Personal hygiene and infection control measures –– Hand-washing, use of a paper or surgical mask by the ill person INFECTIOUS DISEASES –– Restriction of social contacts}<b>Prophylactic use of oseltamivir</b><br>ffIndicated in persons 13 years and above who have come into contact with affected birds/patients ffClose contact: 75 mg once daily for at least 7 days ffCommunity contacts: 75 mg once daily up to 6 weeks ffProtection lasts only during the period of chemoprophylaxis}<b>Discharge policy</b><br>yy Infection control precautions for adult patients should remain in place for 7 days after resolution of fever and for 21 days in children younger than 12 years yy Children should not attend school during this period', '<b>Control and Prevention of Nosocomial Spread of Influenza A (H5N1)</b>Health workers should observe the following to prevent the spread of avian influenza in the health care facilities: yy Observe droplet and contact precautions. In addition, get negative pressure room if available yy Isolate the patient to a single room yy Place beds more than 1 metre apart and preferably separated by a physical barrier (e.g. curtain, partition) yy Appropriate personal protective equipment (APPE) in all those entering patients’ rooms. APPE includes high efficiency mask, gown, face shield or goggles, and gloves yy Limit the number of health care workers (HCWs) and other hospital employees who have direct contact with the patient(s). These HCWs should: –– Be properly trained in infection control precautions –– Monitor their own temperature twice daily and report any febrile event to hospital authorities yy A HCW who has a fever (>380C) and who has had direct patient contact should be treated immediately yy Restrict the number of visitors, provide them with APPE, and instruct them in its use', '99999', '2022-10-25 11:34:52', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS'),
(40, 'Chickenpox', 'A highly contagious viral infection. Patients are contagious\r\nfrom 2 days before onset of the rash until all lesions have\r\ncrusted. An attack of chicken pox usually confers lifelong\r\nimmunity. Disease is more severe and complicated in adults.', 'Varicella Zoster virus (VZV) by droplet infection', 'Incubation period is 14 days, but shorter in immunocompromised host}Mild fevers occur 10-20 days after exposure}Prodromal symptoms consisting of low fever, headache, and malaise occurring 2 to 3 days before the eruption}Eruptive phase: they appear as macules, papules, vesicles, pustules and crusts. The most characteristic lesion is a vesicle looking like a drop of water on the skin. Vesicles rupture easily and may become infected}The rash begins on the trunk and spreads to the face and extremities}Lesions of different stages (crops) exist together at the same time in any given body area}Complications may include septicaemia, pneumonia, fulminating haemorrhagic varicella, and meningoencephalitis', 'Drug-induced eruption}Scabies}Insect bites}Erythema multiforme, impetigo}Other viral infections with fever and skin rash', 'Virus isolation possible but not necessary}Diagnosis is practically clinical', '', '<b>Symptomatic and supportive treatment</b><br>ffApply calamine lotion every 12 hours ffCool, wet compresses to provide relief ffChlorpheniramine: Adult 4 mg every 12 hours Child <5 years: 1-2 mg every 12 hours for 3 days ffPain relief: paracetamol 10 mg/kg every 6 hours}<b>In adults and children >12 years consider antivirals:</b><br>ffOral aciclovir 800 mg every 6 hours for 7 days ffKeep child at home/remove from school till healed to avoid spread', 'yy Isolation of infected patient yy Avoid contact between infected persons and immunosuppressed persons', '99999', '2022-10-25 11:46:44', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS'),
(41, 'Measles', 'An acute, highly communicable viral infection characterized by a generalised skin rash, fever, and inflammation of mucous membranes. Measles is a notifiable disease.', 'Measles virus spreads by droplet infection and direct contact', 'Catarrhal stage: high fever, Koplik’s spots (diagnostic) runny nose, barking cough, conjunctivitis}Misery, anorexia, vomiting, diarrhoea}Later: generalised maculopapular skin rash followed by desquamation after few days}<b>Complications</b><br>yy Secondary bacterial respiratory tract infection, e.g. bronchopneumonia, otitis media yy Severe acute malnutrition especially following diarrhoea yy Cancrum oris (from mouth sepsis) yy Corneal ulceration and panophthalmitis – can lead to blindness yy Demyelinating encephalitis yy Thrombocytopaenic purpura', 'German measles (Rubella)}Other viral diseases causing skin rash', 'Clinical diagnosis is sufficient though virus isolation is possible', '', 'ffIsolate patients (at home or health centre) ffParacetamol prn for fever ffApply tetracycline eye ointment 1% every 12 hours for 5 days ffIncrease fluid and nutritional intake (high risk of malnutrition and dehydration)}ffGive 3 doses of vitamin A: first dose at diagnosis, 2nd dose the next day and 3rd dose on day 14 Child <6 months: 50,000 IU Child 6-12 months: 100,000 IU Child >12 months: 200,000 IU ffMonitor for and treat secondary bacterial infections with appropriate antibiotics immediately ffRefer to hospital in case of complications', 'Measles vaccination}void contact between infected and uninfected persons}Educate the public against the common local myths e.g. stopping to feed meat and fish to measles patients', '99999', '2022-10-25 11:50:20', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS'),
(42, 'Poliomyelitis', 'An acute viral infection characterised by acute onset of flaccid paralysis of skeletal muscles. It is transmitted from person to person through the faecal-oral route. Poliomyelitis is a notifiable disease.', 'Polio virus (enterovirus) types I, II, and III', 'Majority of cases are asymptomatic, only 1% result in flaccid paralysis}Non paralytic form: minor illness of fever, malaise, headache, and vomiting, muscle pains, spontaneous recovery in 10 days}Paralytic form: after the aspecific symptoms, rapid onset (from morning to evening) of asymmetric flaccid paralysis, predominantly of the lower limbs, with ascending progression}Paralysis of respiratory muscles is life threatening (bulbar polio)}Aseptic meningitis may occur as a complication', 'Guillain-Barré syndrome}Traumatic neuritis}Transverse myelitis}Pesticides and food poisoning', 'Isolation of the virus from stool samples}Viral culture', '', '<b>Acute stage</b><br>Poliomyelitis in this stage without paralysis is difficult to diagnose}<b>Paralytic form</b><br>ffIf paralysis is recent, rest the patient completely Note: Do not give IM injections as they make the paralysis worse ffRefer the patient to a hospital for supportive care ffAfter recovery (if partially/not immunised), complete recommended immunisation schedule}<b>Chronic stage</b><br>ffEncourage active use of the limb to restore muscle function/physiotherapy ffIn event of severe contractures, refer for corrective surgery', 'yy Isolate patient for nursing and treatment, applying contact and droplets precautions yy Immunise all children below 5 years from the area of the suspected case yy If case is confirmed, organize mass immunisation campaign yy Proper disposal of children’s faeces yy Immunisation (see chapter 18) yy Proper hygiene and sanitation', '99999', '2022-10-25 11:54:35', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS'),
(43, 'Rabies', 'Rabies is a viral infection of wild and domestic animals, transmitted to human by saliva of infected animals through bites, scratch or licks on broken skin or mucuos embranes.\r\nOnce symptoms develop, rabies presents itself as a fatal encephalitis: there is no cure and treatment is palliative. Before symptomatic disease has developed, rabies can\r\neffectively be prevented by post-exposure prophylaxis. ', 'Rabies virus. Incubation is average 20-90 days but can be shorter in severe exposure (multiple bites, bites on face/ neck) of even longer (> a year) in a few cases', 'Itching or paraesthesiae (abnormal sensation) around site of exposure, malaise, fever}<b>Neurologic phase</b><br>–– Furious form: psychomotor agitation or hydrophobia (throat spasm and panic, triggered by attempt to drink or sight/sound/touch of water) and aerophobia (similar response to a draft of air)<br>–– Paralytic form (rarer): progressive ascending paralysis', '', '', '', 'ffThere is no cure. In case of suspected exposure, take all the appropriate steps to prevent the infection (see section 1.2.1.3 on animal bites) ffStart as soon as the exposure happens or as soon as the patient comes for medical attention, regardless of whatever time has passed from the exposure ffAdmit case ffPalliative and supportive care ffObserve strict hygienic precautions –– Avoid contact with patient’s body fluids or secretions –– PPE (personal protective equipment) rrCaution: the patient may bite ffCounsel caregivers on rabies and consequences', '', '99999', '2022-10-25 11:57:47', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS'),
(44, 'Viral Haemorrhagic Fevers <b>Ebola and Marburg</b>', 'Ebola and Marburg are severe zoonotic multisystem febrile diseases caused by RNA viruses. They are notifiable diseases.', 'Ebola and Marburg viruses. Transmission to humans happens through contact with meat or body fluids of an infected animal. The disease can then be transmitted from human to human through body fluids (including semen for months after recovery) and it is highly contagious.}<b>Risk factors</b>yy Communities around game parks yy Communities in endemic area yy Cultural practices like burial rituals yy Poor infection control policies yy History of exposure to infected people in the last 2 to 21 days i.e sexual partner, breastfeeding mothers yy Recent contact with infected animals e.g monkeys, bats, infected game meat', 'yy Early signs (non specific): sudden fever, weakness, headache, muscle pains, loss of appetite, conjunctivitis}<b>Late signs:</b><br>–– Diarrhoea (watery or bloody), vomiting –– Mucosal and gastrointestinal bleeding: chest pain, respiratory distress, circulatory shock –– CNS dysfunction, confusion, seizures –– Miscarriage in pregnancy –– Elevated AST and ALT, kidney injury, electrolyte abnormalities', 'Malaria, rickettsiosis, meningitis}Shigellosis, typhoid}Anthrax, sepsis, viral hepatitis, dengue, leptospirosis', 'Send blood sample to referral laboratory for specific testing}Notify district epidemic focal person', '', 'ffRefer all patients to regional referral hospital for management in an appropriate setting ffNotify the district health team}<b>Safety of health workers: maximum level of infection control procedures</b><br>ffStrict isolation of suspect cases ffUse of adequate protective gear ffMinimize invasive intervention ffSafe handling of linen ffAppropriate use of chlorine mixtures ffProper disposal of health care waste}<b>Patient care</b><br>ffSupportive treatment of signs and symptoms –– Replace and monitor fluids and electrolytes for patients with diarrhoea or vomiting}<b>Triage and contact tracing</b><br>ffTriage patient (those who had contact with a patient or not) ffContact identification, contact listing and contact follow up}<b>Dead Body handling</b>ffAvoid washing or touching the dead ffThere should be no gathering at funerals ffThe dead should be buried promptly by a designated burial team', 'yy Health education of the population (e.g. avoid eating wild animals) yy Effective outbreak communication and having haemorrhagic viral fever protocols in place yy Appropriate safety gear for patients/health workers in suspect cases yy Modification of burial practices yy Use of condoms', '99999', '2022-10-25 12:58:21', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS'),
(45, 'Yellow Fever', 'An acute viral haemorrhagic fever transmitted through the bite of infected female Aedes aegypti mosquito. Incubation period is 3 to 6 days. It is a notifiable disease.', 'Yellow fever RNA virus}<b>Risk factors</b><br>yy Residents in endemic area yy Hunters and settlers around game parks', '<b>First stage:</b><br>yy Fever, chills, headache, backache, muscle pain, prostration, nausea, vomiting, fatigue. Usually resolves within 3-4 days.}<b>Second stage:</b><br>yy About 15% of cases enter into a second or toxic stage after 1-2 day of remission: high fever, prostration, signs and symptoms of hepatic failure, renal failure and bleeding (jaundice, nose bleeding, gingival bleeding, vomiting blood, blood in stool) yy About half of these patients die within 7-10 days', 'Hepatitis E, liver failure}Malaria, Ebola', 'PCR in early phases}ELISA in the late stage', '', 'ffRefer all cases to regional referral hospital ffNotify the district health team ffThere is no specific antiviral drug treatment ffSupportive treatment is recommended: –– Rehydration –– Management of liver and kidney failure –– Antipyretics for fever –– Blood transfusion ffTreat associated bacterial infections with antibiotics', 'yy Vaccination (see chapter 18) yy Elimination of mosquito breeding sites yy Epidemic preparedness i.e prompt detection and treatment', '99999', '2022-10-25 13:07:30', '', '', 'Emergencies and Trauma', 'VIRAL INFECTIONS');
INSERT INTO `ucg` (`ucg_id`, `condition_name`, `description`, `causes`, `clinical_features`, `differential_diagnosis`, `investigations`, `management`, `treatment_id`, `prevention`, `added_by`, `date_added`, `deleted_by`, `date_deleted`, `ucg_category_name`, `ucg_sub_category_name`) VALUES
(46, 'Intestinal Worms', 'Intestinal worms enter the human body through ingestion of the worm eggs in food or water via dirty hands or through injured skin when walking barefoot. Examples include: \r\n<b>Ascariasis Ascaris lumbricoides (round worm). Infests small intestines</b><br>yy Oro-faecal transmission yy Usually few or no symptoms yy Persistent dry irritating cough\r\nyy Patient may pass out live worms through the anus, nose, or mouth yy Pneumonitis- Loeffler’s syndrome yy Heavy infestations may cause nutritional deficiencies yy Worms may also cause obstruction to bowel, bile duct, pancreatic duct, or appendix <br><b>Enterobiasis (threadworm) Enterobias vermicularis</b><br>yy Transmitted by faecal-oral route yy Mainly affects children yy Intense itching at the anal orifice <br><b>Hook worm Caused by Necator americanus and Ancylostoma duodenale</b><br>yy Chronic parasitic infestation of the intestines yy Transmitted by penetration of the\r\nskin by larvae from the soil yy Dermatitis (ground itch) yy Cough and inflammation of the\r\ntrachea (tracheitis) common during larvae migration phase yy Iron-deficiency anaemia yy Reduced blood proteins in heavy infestations <br>Strongyloidiasis Strongyloides stercoralis</b><br> yy Skin symptoms: Itchy eruption at the site of larval penetration\r\nyy Intestinal symptoms e.g. abdominal pain, diarrhoea, and weight loss yy Lung symptoms due to larvae in the lungs, e.g. cough and wheezing yy Specific organ involvement, e.g. meningoencephalitis yy Hyperinfection syndrome: Occurs when immunity against auto-infection fails, e.g. in immunosuppressed cases<br><b>Trichuriasis Whip worm Infests human caecum and upper colon </b><br>yy May be symptomless yy Heavy infestation may cause bloody, mucoid stools, and diarrhoea\r\nyy Complications include anaemia and prolapse of the rectum ', '', '', 'Other causes of cough, diarrhea}Other causes of intestinal obstruction and nutritional deficiency}Loeffler’s Syndrome}Other causes of iron-deficiency anaemia', 'Stool examination for ova, live worms or segments}Full blood count', '', '<b>Roundworm, threadworm, hookworm, whipworm</b><br>ffAlbendazole 400 mg single dose Child <2 years: 200 mg ffMebendazole 500 mg single dose Child <2 years: 250 mg}<b>Strongyloides</b><br>ffAlbendazole 400 mg every 12 hours for 3 days ffOr Ivermectin 150 micrograms/kg single dose Child: see dose table in the section 1.4.5', 'yy Proper faecal disposal yy Personal and food hygiene yy Regular deworming of children every 3-6 months yy Avoid walking barefoot', '99999', '2022-10-25 13:28:56', '', '', 'Emergencies and Trauma', 'HELMINTHES PARASITES'),
(47, 'Taeniasis (Tapeworm)', 'An infestation caused by Taenia (Taenia saginata (from undercooked beef), Taenia solium (from undercooked pork),\r\nDiphyllobothrium latum (from undercooked fish). ', 'Adult Tapeworms: intestinal infestation, by ingestion of undercooked meat containing cysticerci (larval form of the worm)}Larvae forms (cysticercosis): by ingestion of food/water contaminated by eggs of T.solium. The eggs hatch in the intestine, the embryos invade the intestinal walls and disseminate in the brain, muscles or other organs', '<b>T. saginata, T.solium (adult tapeworm)</b><br>yy Usually asymptomatic, but live segments may be passed yy Epigastric pain, diarrhoea, sometimes weight loss}<b>Cysticercosis</b><br>yy Muscular: muscle pains, weakness, fever, subcutaneous nodules yy Neurocysticercosis: headache, convulsions, coma, meningo-encephalitis, epilepsy yy Ocular: exophthalmia, strabismus, iritis}<b>D. latum</b><br>yy Usually asymptomatic, but mild symptoms may occur yy Megaloblastic anaemia may occur as a rare complication', 'Other intestinal worm infestations', 'Laboratory: eggs, worm segments in stool or collected from perianal skin (scotch tape method)}Cysticercosis: hypereosinophilia in blood and CSF}<b>Cysticercosis</b><br>ffRefer to specialised facilties ffAntiparasitic treatment without diagnosis of location by CT or MRI scan can worsen symptoms, and even threaten the life of the patient. ffNeurosurgical treatment required', '', '<b>Tapeworm</b><br>ffPraziquantel 5-10 mg/kg single dose Alternative ffNiclosamide Adult and child > 6 years: 2 g single dose Child < 2 years: 500 mg Child 2-6 years: 1 g –– Give Bisacodyl 2 hours after the dose', 'yy Cook all fish and meat thorougly yy Proper hygiene: handwashing, nail cutting, proper disposal of faeces', '99999', '2022-10-25 13:33:44', '', '', 'Emergencies and Trauma', 'HELMINTHES PARASITES'),
(48, 'Echinococcosis (Hydatid Disease)', 'Tissue infestation by larvae of Echinococcus granulosus. It is\r\ntransmitted through direct contact with dogs or by ingesting water and food contaminated by dog faeces. ', '', 'Cough, chest pain}Liver cysts may be asymptomatic but may also give abdominal pain, palpable mass and jaundice (if the bile duct is obstructed)}Rupture of cysts may cause fever, urticaria, or anaphylactic reaction}Pulmonary cysts can be seen on chest X-ray and may rupture to cause cough, chest pain and haemoptysis', 'Amoebiasis, hepatoma}Other causes of liver mass and obstructive jaundice}Tuberculosis (TB)', 'Skin test}Ultrasound}Chest X-ray: for pulmonary cysts}Serological tests}Needle aspiration under Ultrasound Sonography (US) or CT-scan guidance', '', '<b>Refer for specialist management</b>ffSurgical excision<br><b>Prior to surgery or in cases not amenable to surgery</b>ffAlbendazole –– Child >2 years and adults: 7.5 mg/kg every 12 hours for 3-6 months', 'yy Food hygiene yy Health education yy Proper disposal of faeces', '99999', '2022-10-25 13:38:15', '', '', 'Emergencies and Trauma', 'HELMINTHES PARASITES'),
(49, 'Dracunculiasis (Guinea Worm)', 'An infestation of the subcutaneous and deeper tissue with the guinea worm. It is a notifiable disease.', 'Dracunculus medinensis, transmitted to man by drinking water containing cyclops (waterflea or small crustacean) infected with larvae of the guinea worm', 'Adult worm may be felt beneath the skin}Local redness, tenderness, and blister (usually on the foot) at the point where the worm comes out of the skin to discharge larvae into the water }There may be fever, nausea, vomiting, diarrhoea, dyspnoea, generalised urticaria, and eosinophilia before vesicle formation}Complications may include cellulitis, septicaemia, and aseptic or pyogenic arthritis; tetanus may also occur', 'Cellulitis from any other causes}Myositis', 'Recognition of the adult worm under the skin}X-ray may show calcified worms', '', 'There is no known drug treatment for guinea worm}<b>All patients:</b><br>ffTo facilitate removal of the worm, slowly and carefully roll it onto a small stick over a period of days ffDress the wound occlusively to prevent the worm passing ova into the water ffGive analgesics for as long as necessary}<b>If there is ulceration and secondary infection give:</b><br>ffAmoxicillin 500 mg every 8 hours for 5 days Child: 250 mg every 8 hours for 5 days ffOr cloxacillin 500 mg every 6 hours for 5 days', 'yy Filter or boil drinking water yy Infected persons should avoid all contact with sources of drinking water', '99999', '2022-10-25 13:43:31', '', '', 'Infectious Diseases', 'HELMINTHES PARASITES'),
(50, 'Lymphatic Filariasis', 'Lymphatic filariasis is a disease caused by tissue dwelling\r\nnematode, transmitted by the Aedes aegypti mosquito bite', 'Wuchereria bancrofti', '<b>Acute</b><br>yy Adenolymphangitis- inflammation of lymph nodes and lymphatic vessels (lower limbs, external genitalia, testis, epididymis or breast) yy With or without general signs like fever, nausea, vomiting yy Attacks resolve spontaneously in one week and recur regularly in patients with chronic disease}<b>Chronic</b><br>Lymphoedema (chronic hard swelling) of limbs or external genitalia, hydrocele, chronic epididymo orchitis, initially reversible but progressively chronic and severe (elephantiasis)', 'DVT}Cellulitis', 'Blood slide for Microfilaria (collect specimen between 9 pm and 3 am)', '', '<b>Case treatment</b><br>ffSupportive treatment during an attack (bed rest, limb elevation, analgesics, cooling, hydration) ffDoxycycline 100 mg twice a day for 4-6 weeks (do not administer antiparasitic treatment during an acute attack)}<b>Chronic case</b><br>ffSupportive treatment: bandage during the day, elevation of affected limb at rest, analgesics and surgery (hydrocelectomy)}<b>Large scale treatment/preventive chemotherapy</b><br>Give annually to all population at risk, for 4-6 years ffIvermectin 150-200 mcg/kg plus albendazole 400 mg single dose –– Not effective against adult worms –– Ivermectin is not recommended in children < 5 years, pregnancy, or breast-feeding mothers –– No food or alcohol to be taken within 2 hours of a dose', 'yy Use of treated mosquito nets yy Patient Education', '99999', '2022-10-25 13:53:53', '', '', 'Infectious Diseases', 'HELMINTHES PARASITES'),
(51, 'Onchocerciasis (River Blindness)', 'Chronic filarial disease present in areas around rivers', 'Onchocerca volvulus, transmitted by a bite from a female black fly (Simulium damnosum, S. naevi and S. oodi, etc), which breeds in rapidly flowing and well-aerated water', '<b>Skin</b><br>Onchocercoma: painless smooth subcutaneous nodules containing adult worms, adherent to underlying tissues,usually on body prominences like iliac crests, pelvic girdle, ribs, skull}Acute papular onchodermatitis: Intense pruritic rash, oedema (due to microfilariae)}Late chronic skin lesions: dry thickened peeling skin (lizard skin), atrophy, patchy depigmentation}<b>Eye</b><br>Inflammation of the eye (of the cornea, uvea, retina) leading to visual disturbances and blindness', 'Other causes of skin depigmentation (e.g. yaws, burns, vitiligo)}Other causes of fibrous nodules in the skin (e.g. neurofibromatosis)', 'Skin snip after sunshine to show microfilariae in fresh preparations}High eosinophils at the blood slide/CBC}Excision of nodules for adult worms}Slit-lamp eye examination for microfilariae in the anterior chamber of eye', '', '<b>Case treatment (adult worms)</b><br>ffDoxycycline 100 mg twice a day for 6 weeks followed by ffIvermectin 150 micrograms/kg single dose}<b>Mass treatment</b><br>ffIvermectin 150 micrograms/kg once yearly for 10-14 years (see also dose table below) –– Not recommended in children <5 years, pregnancy, or breast-feeding mothers –– No food or alcohol should be taken within 2 hours of a dose', 'yy Vector control yy Mass chemoprophylaxis', '99999', '2022-10-25 13:58:40', '', '', 'Emergencies and Trauma', 'HELMINTHES PARASITES'),
(52, 'Schistosomiasis (Bilharziasis)', 'Disease of the large intestine and the urinary tract due to infestation by a Schistosoma blood fluke.', 'The larvae form (cercariae) of Schistosoma penetrate the skin from contaminated water and they migrate to different parts of the body, usually the urinary tract (Schistosoma haematobium) and the gut (S. mansoni)', '<b>S. haematobium (urinary tract)</b><br>yy Painless blood stained urine at the end of urination - terminal haematuria yy Frequent and painful micturition yy In females: low abdominal pain and abnormal vaginal discharge -Late complications: fibrosis of bladder and ureters with increased UTI risks, hydronephrosis, infertility}<b>S. mansoni (gastrointestinal tract)</b>yy Abdominal pain, frequent stool with blood-stained mucus, hepatomegaly yy Chronic cases: hepatic fibrosis with cirrhosis and portal hypertension, haematemesis/melena are frequent', 'Cancer of the bladder (S. haematobium)}Dysentery (S. mansoni)', 'History of staying in an endemic area (exposure to water bodies)}Urine examination (for S. haematobium ova)}Stool examination (for S. mansoni ova)}Rectal snip (for S. mansoni)', '', 'ffPraziquantel 40 mg/kg single dose ffRefer patient if they develop obstruction or bleeding', 'yy Avoid urinating or defecating in or near water yy Avoid washing or stepping in contaminated water yy Effective treatment of cases yy Clear bushes around landing sites', '99999', '2022-10-25 14:03:22', '', '', 'Emergencies and Trauma', 'HELMINTHES PARASITES'),
(53, 'Leishmaniasis', 'A chronic systemic infectious disease transmitted by the bite\r\nof a sand fly.', 'Flagellated protozoa Leishmania species', '<b>Visceral Leishmaniasis (Kala-azar)</b><br>yy Chronic disease characterized by fever, hepatosplenomegaly, lymphadenopathy, anaemia, leucopenia, progressive emaciation and weakness yy Fever of gradual onset, irregular, with 2 daily peaks and alternating periods of apyrexia yy The disease progresses over several months and is fatal if not treated yy After recovery from Kala-azar, skin (cutaneous) leishmaniasis may develop}<b>Cutaneous and Mucosal Leishmaniasis (Oriental sore)</b><br>yy Starts as papule, enlarges to become an indolent ulcer yy Secondary bacterial infection is common', 'Other causes of chronic fever, e.g. brucellosis}(For dermal leishmaniasis) Other causes of cutaneous lesions, e.g. leprosy', 'Stained smears from bone marrow, spleen, liver, lymph nodes, or blood to demonstrate Leishman Donovan bodies}Culture of the above materials to isolate the parasites}Serological tests, e.g. indirect fluorescent antibodies}Leishmanin skin test (negative in Kala-azar)', 'Refer all cases to regional referral hospital', '<b>Cutaneous Leishmaniasis (all patients)</b><br>ffFrequently heals spontaneously but if severe or persistent, treat as for Visceral Leishmaniasis below}<b>Visceral Leishmaniasis (Kala-azar): All patients</b><br>ffCombination: Sodium stibogluconate 20 mg /kg per day IM or IV for 17 days ffPlus paromomycin 15 mg/kg [11 mg base] per day IM for 17 days}<b>Alternative first line treatment is:</b><br>ffSodium Stibogluconate 20 mg/kg per day for 30 days (in case paromomycin is contraindicated)}<b>In relapse or pregnancy</b><br>ffLiposomal amphotericin B (e.g. AmBisome) 3 mg/kg per day for 10 days}<b>In HIV+ patients</b><br>ffLiposomal amphotericin B 5 mg/kg per day for 8 days}<b>Post Kala-Azar Dermal Leishmaniasis (PKDL)</b><br>ffRare in Uganda ffSodium Stibogluconate injection 20 mg/kg/day until clinical cure. Several weeks or even months of treatment are necessary', 'yy Case detection and prompt treatment yy Residual insecticide spraying yy Elimination of breeding places', '99999', '2022-10-25 14:37:28', '', '', 'Emergencies and Trauma', 'PROTOZOAL PARASITES'),
(54, 'Malaria', 'Malaria is an acute febrile illness caused by infection with Plasmodium parasites and is transmitted from person to person by an infected female anopheles mosquito.', 'yy There are five Plasmodium species of malaria parasites which infect humans namely: P. falciparum, P. vivax, P. ovale, P. malariae and P. knowlesi. –– P. falciparum is the most virulent and also the most common malaria parasite in Uganda.', 'It may be asymptomatic, mild illness (uncomplicated malaria) or severe illness (severe malaria)}Intermittent fever is the most characteristic symptom of malaria. Three classical stages can be distinguished in a typical attack of malaria: –– The cold stage: the patient feels cold and shivers –– The hot stage: the patient feels hot –– The sweating stage: associated with sweating and relief of symptoms}A complete physical examination has to be performed in any patient presenting with fever or history of feve}When people are frequently exposed to malaria, they develop partial immunity. In such people, the classical stages of a malaria attack above may not be observed}Also, in people who have had partial treatment with antimalarial medicines, these classical stages may not be pronounced}<b>Uncomplicated Malaria</b><br> Common symptoms/signs of uncomplicated malaria yy Fever: above 37.5°C (taken from the axilla ) or history of fever yy Loss of appetite, mild vomiting, diarrhoea yy Weakness, headache, joint and muscle pain yy Mild anaemia (mild pallor of palms and mucous membranes); occurs commonly in children yy Mild dehydration (dry mouth, coated tongue, and sunken eyes). In adults, sunken eyes are usually a sign of severe dehydration yy Enlarged spleen (in acute malaria it may be minimally enlarged, soft and mildly tender)}<b>Complicated/Severe Malaria</b><br>It is an immediate threat to life and is therefore a medical emergency. Malaria is regarded as severe if there are asexual forms of P. falciparum in blood plus one or more of the following complications below.<br><b>Cerebral malaria</b>Deep coma (unable to localise a painful stimulus), Normal CSF, parasitaemia<br><b>Severe anaemia: </b>Hb <5g/dl with parasitaemia (<7 g/dl in pregnancy)<br><b>Respiratory distress</b> Tachypnoea, nasal flaring and intercostal recession in a patient with parasitaemia<br><b>Hypoglycaemia</b>Blood glucose <40 mg/dl (2.2 mmol/L) with parasitaemia<br><b>Circulatory collapse</b>Clinical shock (systolic pressure <50 mmHg for children and <80mmHg for adults, with cold peripheries, clammy skin) with parasitaemia<br><b>Renal failure</b>Urine output < 12 ml/kg in 24 hours and plasma creatinine > 3.0 mg/dl, with parasitaemia<br><b>Spontaneous bleeding</b>Parasitaemia with unexplained spontaneous bleeding (haematemesis, melaena, or prolonged bleeding from nose, gum or venipuncture site<br><b>Repeated convulsions</b>2 or more convulsions in 24 hours, with parasitaemia<br><b>Acidosis</b>Deep (acidotic) breathing and plasma bicarbonate <15 mmol/L, with parasitaemia<br><b>Haemoglobinuria</b><br>Parasitaemia, haemoglobin in urine (dark coloured urine but no RBC’s)<br><b>Pulmonary Oedema</b>Deep breathing, fast breathing, laboured breathing (nasal flaring, intercostal recession and chest indrawing), Cheyne stokes breathing<br><b>Impaired consciousness</b>Parasitaemia with depressed level of consciousness but can localize a painful stimulus, or change of behavior, confusion, drowsiness<b>Jaundice</b>Parasitaemia with unexplained jaundice<br><b>Prostration</b>Unable to sit, in a child normally able to do so or unable to drink in one too young to sit<br><b>Severe vomiting</b>Vomiting everything, not able to drink or breastfeed<br><b>Severe dehydration: </b>Sunken eyes, coated tongue, lethargy, inability to drink<br><b>Hyperpyrexia</b>: Temperature >39.50 C, with parasitaemia<br><b>Hyperparasitaemia</b>: Parasite count > 250,000 /μl, > 10%<br><b>Threatening abortion</b>Uterine contractions and vaginal bleeding', 'Respiratory tract infection}Urinary tract infection}Meningitis, otitis media, tonsillitis}Abscess, skin sepsis}Measles or other infections with rashes (before rash comes)', 'RDT or thick blood slide for diagnosis of malaria}Random blood sugar and Hb level if clinically indicated}Lumbar puncture: in case of convulsion/coma and negative malaria tests}Thin film for parasite identification}<b>Note on RDTs</b><br>: ww RDTs (Rapid Diagnostic tests) detect malaria antigen (not whole parasites like the blood slide) and remain positive for 2 weeks after effective treatment ww RDT do not become negative if the patient has already taken antimalarials ww RDTs are reliable, quick and easily accessible tools for malaria diagnosis.}<b>A blood slide for microscopy is specifically recommended over RDT in the following situations: </b><br>¾¾Patients who have taken antimalarial treatment for 2 days and symptoms persist ¾¾Patients who completed treatment but come back within 2 weeks ¾¾RDT negative patients without any other evident cause of fever (current RDTs detect only P.falciparum)', '<b>Uncomplicated Malaria</b><br><b>All patients: including children <4 months of age and pregnant women in 2nd and 3rd trimesters</b>:<br>First line medicine ffArtemether/Lumefantrine<br>First line alternative ffArtesunate/Amodiaquine<br>Second line medicine ffDihydroartemisin/ Piperaquine ffIf not available: quinine tablets }<b>Pregnant women 1st trimester</b><br>ffQuinine tablets ffACT may be used if quinine not available<br><b>All age groups or patient categories</b><br>First line ffIV Artesunate<br>First line alternative ffIV Quinine ffOr Artemether injection<br>Pre-referral treatment ffRectal artesunate}<b>Intermittent preventive treatment in pregnancy</b><br>ffSulfadoxine/Pyrimethamine (SP) for IPT. Start at 13 weeks and give monthly till delivery}<b>Management of severe malaria</b><br><b>General principles</b>ffManage complications as recommended in the section below ffManage fluids very carefully. Adults with severe malaria are very vunerable to fluid overload, while children are more likely to be dehydrated ffMonitor vitals signs carefully including urine output ffIntravenous artesunate is the medicine of choice –– At a health unit without admission and IV drug administration facilities, give a pre-referral dose of rectal artesunate ( see dosing tables below) as soon as possible and refer for further management –– At a health unit with admission and IV drug administration facilities, treat with IV artesunate as in the table below –– If IV route is not possible, use IM route --ffIf artesunate not available, use IM artemether (into the thigh, never in the buttock) or IV quinine}<b>Management of Complications of Severe Malaria</b><br><b>Hyperpyrexia</b>ffGive paracetamol 1 g every 6 hours Child: 10 mg/kg + tepid sponging + fanning}<b>Convulsions</b>ffGive diazepam 0.2 mg/kg (max 10 mg) slow IV or (in adults) IM or 0.5 mg/kg rectally If convulsions still persist: ffGive phenobarbital 200 mg IM/IV Child: 10-15 mg/kg loading dose then 2.5 mg/kg once or twice daily if still necessary or ffOr phenytoin 15 mg/kg loading dose}<b>Hypoglycaemia</b>ffAdult: dextrose 25% 2 ml/kg by slow IV bolus over 3-5 min (to prepare, take dextrose 50% 1 ml/kg and dilute with an equal volume of water for injections) ffChild: dextrose 10% 5 ml/kg by slow IV bolus over 5-7 min (to prepare, take 1 ml/kg of dextrose 50% and dilute with 4 ml/kg water for injection) ffDO NOT GIVE UNDILUTED 50% dextrose ffMonitor blood glucose frequently ffEnsure patient is feeding}<b>Acidosis</b> ffCorrect fluid & electrolyte balance ffIf there is severe acidosis without sodium depletion: –– Give sodium bicarbonate 8.4% infusion 50 ml IV –– Monitor plasma pH}<b>Severe anaemia</b>ffDo blood grouping and crossmatching ffTransfuse patient with packed cells 10-15 ml/kg or whole blood 20 ml/ kg especially if the anaemia is also causing heart failure ffRepeat Hb before discharge and preferably 28 days after discharge}<b>Pulmonary Oedema</b>ffRegulate the IV infusion (do not overload with IV fluids) ffProp up the patient ffGive oxygen ffGive furosemide 1-2 mg/kg}<b>Acute Renal Failure</b>ffUrine output: <17 ml/hour for adult or <0.3 ml/kg/hour for a child ffCheck to ensure that the cause of oliguria is not dehydration or shock ffIf due to acute renal failure: Give a challenge dose of furosemide 40 mg IM or slow IV (child: 1 mg/kg) If this fails: ffRefer for peritoneal dialysis or haemodialysis}<b>Shock</b>ffIf systolic BP <80 mmHg (adult) or <50 mmHg (child) or if peripheral pulse absent and capillary refill is slow (>2 seconds) –– Raise the foot of the bed –– Give sodium chloride 0.9% by fast IV infusion bolus 20 ml/kg in 15 min –– Review fluid balance and urinary outputs –– Look for evidence of haemorrhage or septicaemia and treat accordingly}<b>Haemoglobinuria (intravascular haemolysis)</b>ffRehydrate the patient ffAssess for anaemia and transfuse if necessary}<b>Dehydration</b> ffRehydrate using ORS or IV RL or NS (see rehydration, section 1.1.3) ffOver-enthusiasitc IV infusion may harm the patient and lead to fluid overlaod and pulmonary oedema}<b>Bleeding</b> ffTransfuse patient with whole fresh blood to provide lacking clotting factors}<b>Coma</b>ffCheck and treat for hypoglycaemia: if not responding within 20 min, consider another cause ffProvide intensive nursing care with: –– IV drip (for rehydration and IV medication) –– NGT (for feeding and oral medication) –– Urethral catheter (to monitor urine output) –– Turning of patient frequently to avoid bed sores}<b>Criteria for referral to regional/tertiary hospital</b> yy Persistent renal failure needing dialysis yy Any complication that cannot be managed locally}<b>Management of RDT/Blood Smear Negative Patients</b><br>Patients who have a negative malaria test (most likely, if RDT is used) do not have malaria so other causes of fever have to be investigated for appropriate treatment. yy Re-assess patient history, clinical signs and laboratory results. Consider other frequent causes of fever such as: –– If running nose, sore throat and cough: viral upper respiratory infection –– If swollen tonsils with exudate on it: tonsilitis –– If ear pain and discharge: otitis –– If cough, rapid breathing and difficulty in breathing: pneumonia –– If urinary symptoms: urinary tract infection –– If vomiting, diarrhoea and abdominal pain: gastroenteritis –– If skin rash: measles or other viral rash yy If malaria is still suspected, investigate according to the flowchart below –– If signs/symptoms of severe malaria, RDT and blood slide negative but no other diagnosis is found, consider treating for malaria anyway but repeat RDTs after 24 hours to confirm –– If RDT and blood slide negative, no signs of other illness and no signs of severe sickness (patient has no danger signs) treat symptomatically with antipyretics, advise patient to return immediately if condition worsens or in 2 days if fever persists.}<b>Possible reasons for false negative tests (test is negative but patient has malaria):</b><br>yy Low peripheral parasitaemia yy Technical error in performing the test or test reagents that are out of date yy Sequestration of parasites in the internal organs yy Having already taken antimalarial drugs, inadequate or incomplete dose: this affects only microscopy, while RDT remains positive even if the patient has already taken an antimalarial yy Using prophylactic treatment for malaria}<b>Malaria Prophylaxis</b><br> Not recommended for all those living in a highly endemic area like Uganda. However, it is recommended for certain high-risk groups but is not 100% effective.<br><b>Pregnancy In endemic areas, pregnant women carry malaria parasites in their blood or placenta, which is harmful to the health of both mother and foetus</b>ffGive intermittent preventive treatment (IPT) to ensure the well-being of mother and foetus ffSP single dose (3 tabs) given at 13 weeks and continued monthly until delivery ffEnsure doses are taken under supervision by the health provider as directly observed therapy (DOT) ffRecord doses on the patient’s card and treatment register and summarise further in the delivery book and monthly returns ffDo not give SP in HIV patients on cotrimoxazole<br><b>Sicke cell disease</b>ffChloroquine Adult: 300 mg base weekly Child: 5 mg (base)/kg weekly ffor Sulphadoxinepyrimethamine (SP)<br><b>People living with HIV</b>ffCotrimoxazole daily as per national guidelines<br><b>Non-immune visitors/tourists</b>ffMefloquine Adult: 250 mg once weekly Child: 5 mg/kg once weekly', '<b>Treatment of uncomplicated malaria</b><br><b>Dosage of artemether/lumefantrine 20/120 mg</b><br><b>WEIGHT (KG) 5–14</b> 4 months– 3 years, DAY 1-1 tab twice daily, DAY 2-1 tab twice daily, DAY 3-1 tab twice daily<br><b>WEIGHT (KG) 15–24</b> 3–7 years: DAY 1- 2 tab twice daily, DAY 2- 2 tab twice daily,, DAY 3- 2 tab twice daily<br><b>WEIGHT (KG) 15–24</b> 3–7 years: DAY 1- 2 tab twice daily, DAY 2- 2 tab twice daily,, DAY 3- 2 tab twice daily<br><b>WEIGHT (KG) 15–24</b> 3–7 years: DAY 1- 2 tab twice daily, DAY 2- 2 tab twice daily, DAY 3- 2 tab twice daily<br><b>WEIGHT (KG) 25–34</b> 7–12 years: DAY 1- 3 tab twice daily, DAY 2- 3 tab twice daily, DAY 3- 3 tab twice daily<br><b>WEIGHT (KG) >35</b> > 12 years: DAY 1- 4 tab twice daily, DAY 2- 4 tab twice daily, DAY 3- 4 tab twice daily <br><b><i>Note: Give doses every 12 hours</i></b>}<b>Treatment of uncomplicated malaria</b><br><b>Dosage of artesunate (AS) tablets 50 mg once a day</b><br><b> 5 - 11 months</b>, DAY 1- 25 mg (½ tab), DAY 2- 25 mg (½ tab), DAY 3-  25 mg (½ tab)<br><b> 1–6 years</b>, DAY 1- 50mg (1 tab), DAY 2- 50mg (1 tab), DAY 3-  50mg (1 tab)<br><b> 7–13 years:</b> DAY 1- 100mg (2 tab), DAY 2- 100mg (2 tab), DAY 3- 100mg (2 tab)<br><b> >13 years:</b> DAY 1- 200 mg (4 tabs), DAY 2- 200 mg (4 tabs), DAY 3- 200 mg (4 tabs)<br><b><i>Note: Do not use artesunate alone, give with amodiaquine tabs</i></b>}<b>Treatment of uncomplicated malaria</b><br><b>Dosage of amodiaquine (AQ) 153 mg tablets</b><br><b> 5 - 11 months</b>, DAY 1- 76mg (½ tab), DAY 2- 76mg (½ tab), DAY 3-  76mg (½ tab)<br><b> 1–6 years</b>, DAY 1- 153mg (1 tab), DAY 2- 153mg (1 tab), DAY 3-  153mg (1 tab)<br><b> 7–13 years:</b> DAY 1- 306mg (2 tab), DAY 2- 306mg (2 tab), DAY 3- 306mg (2 tab)<br><b> >13 years:</b> DAY 1- 612 mg (4 tabs), DAY 2- 612 mg (4 tabs), DAY 3- 612 mg (4 tabs)<br><b><i>Note: Do not use amodiaquine alone, use with artesunate tabs</i></b>}<b>Treatment of uncomplicated malaria</b><br><b>Dosage of dihydroartemisinin (DHA)/Piperaquine tablets (PPQ) (40/320 mg) tablets</b><br><b>WEIGHT (KG) 5–9.9</b> 6 months– 1 year, DAY 1- 0.5, DAY 2- 0.5, DAY 3- 0.5<br><b>WEIGHT (KG) 10–20</b> 2–7 years: DAY 1- 1, DAY 2- 1, DAY 3- 1<br><b>WEIGHT (KG) 20–40</b> 8–13 years: DAY 1- 2, DAY 2- 2, DAY 3- 2<br><b>WEIGHT (KG) >40</b> >14 years: DAY 1- 3, DAY 2- 3, DAY 3- 3<br>}<b>Treatment of uncomplicated malaria</b><br><b>Dosage of quinine tablets (1 quinine tab = 300 mg salt)</b><br><b>WEIGHT (KG) 5–10</b> 3 months– 1 year, 75 mg (¼ tab) DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br><b>WEIGHT (KG) 10–18</b> 1–5 years: 150 mg (½ tab) DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br><b>WEIGHT (KG) 18–24</b> 5–7 years: 225 mg (¾ tab)DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br><b>WEIGHT (KG) 24–30</b>7–10 years: 300 mg (1 tab)DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br><b>WEIGHT (KG) 30–40</b> 10–13 years: 375 mg (1¼ tab)DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br><b>WEIGHT (KG) 40–50</b> 13–15 years: 450 mg (1½ tab) DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br><b>WEIGHT (KG) >50</b> >15 years: 600 (2 tabs) DOSE (TO BE GIVEN EVERY 8 HOURS FOR 7 DAYS)<br>}<b>Treatment of severe malaria</b><br><b>Dosage of rectal artesunate in children</b><br><b>WEIGHT (KG) <6</b> 2 - 4months, 50 mg, 1 supp (50 mg) REGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) 6–11.9 </b> 4 months- 2 years, 100 mg, 2 supp (50 mg) REGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) 12–19 </b> 2–5 years, 150 mg, 3 supp (50 mg) REGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) 20–29 </b> 6–10 years, 200 mg, 1 supp (200 mg) REGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) 30–39 </b> 10–13 years, 300 mg, 1 supp (200 mg) + 2 supp (50 mg) REGIMEN (SINGLE DOSE)<br>}<b>Treatment of uncomplicated malaria</b><br><b>Dosage of rectal artesunate in adults</b><br><b>WEIGHT (KG) < 40 </b> 10 mg/kg bodyweight Use appropriate number of rectal supp<br><b>WEIGHT (KG) 40–59 </b> 400 mg,  2 supp of 200 mgREGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) < 40 </b> 10 mg/kg bodyweight Use appropriate number of rectal supp<br><b>WEIGHT (KG) 40–59 </b> 400 mg,  2 supp of 200 mg, REGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) 60–80 </b> 800 mg, 4 supp of 200 mg, REGIMEN (SINGLE DOSE)<br><b>WEIGHT (KG) > 80 </b> 1200 mg, 6 supp of 200 mg, REGIMEN (SINGLE DOSE)}<b>Preparation of IV or IM artesunate</b><br>yy IV artesunate is usually dispensed in powder vial of 60 mg, pre-packed with sodium bicarbonate solution 1 ml yy Calculate the dose in mg according to the weight and the number of vials needed yy Reconstitute each vial separately, and use within 1 hour yy Reconstitution: inject all the content of the bicarbonate ampoule (1 ml) in the artesunate vial. Shake gently till solution become clear (discard if not clear after 2 minutes)}<b>IV use</b><br>yy Dilution: dilute solution by adding 5 ml of sodium chloride 0.9% (normal saline) or Dextrose 5%, obtaining a concentration of 10 mg/ml yy Calculate the required volume and withdraw yy Give by IV injection slowly over 5 minutes}<b>IM use</b><br>yy Dilution: dilute solution by adding 2 ml of sodium chloride 0.9%, obtaining a concentration of 20 mg/ml –– Inject into the upper outer anterior thigh, NEVER in the buttock DO NOT USE WATER FOR INJECTION FOR DILUTION}<b>Dosage of IM artemether</b><br> First dose: on admission Loading dose - At 0 hours - QUANTITY : 3.2 mg/kg<br>Second dose - At 24 hours - QUANTITY : 1.6 mg/kg<br>Third dose - At 48 hours - QUANTITY : 1.6 mg/kg<br>Then once a day until patient is able to tolerate oral medication, then give a full course of oral ACT}<b>Dosage of quinine IV</b>ff10 mg/kg in dextrose 5% every 8 hours till patient is able to tolerate oral medication ffThen complete with a full dose of ACT (3 days) or quinine tablets to complete 7 days', '<b>Give effective treatment and prophylaxis</b><br>yy Eliminate parasites from the human population by early diagnosis and effective treatment yy Protect vulnerable groups with chemoprophylaxis yy Give IPT to all pregnant women}<b>Reduce human-mosquito contact</b><br>yy Use insecticide-treated materials (e.g. bed nets) yy Destroy adult mosquitoes by indoor residual spraying of dwellings with insecticide or use of knock-down sprays yy Screen houses yy Carefully select house sites avoiding mosquito-infested areas yy Wear clothes which cover the arms and legs and use repellent mosquito coils and creams/sprays on the skin when sitting outdoors at night}<b>Control mosquito breeding sites</b><br>yy Eliminate collections of stagnant water where mosquitoes breed, e.g. in empty cans/ containers, potholes, old car tyres, plastic bags, and footprints by disposal, draining, or covering with soil or sand yy Destroy mosquito larvae by dosing stagnant water bodies with larvicides or with biological methods (e.g. larvaeeating fish)}Give public health education on the above measures', '99999', '2022-10-25 16:30:41', '', '', 'Emergencies and Trauma', 'PROTOZOAL PARASITES'),
(55, 'Human African Trypanosomiasis (Sleeping Sickness)', 'A disease caused by trypanosomes (a protozoa) and\r\ntransmitted to humans by several species of tsetse fly', 'Trypanosoma rhodesiense (mostly in the Central and Eastern regions of Uganda)}Trypanosoma gambiense (mostly in West Nile region)', 'May be history of tsetse fly bite and swelling at site of bite after 7-14 days (more often in T. rhodesiense, rarely in T. Gambiense)}<b>T. Rhodesiense</b><br>yy Incubation is 2-3 weeks yy Early stage (haemolymphatic stage): headache not responding to common analgesics, fever, generalised lymphadenopathy, joint pains yy Late stage (meningoencephalitis stage): after some weeks, neurological and psychiatric symptoms like apathy, day sleepiness, paralysis, seizures yy If not treated: cachexia, lethargy, coma and death within 3-6 months}<b>T. gambiense</b><br>yy Similar to the rhodesiense but less acute and with slower progression yy Incubation can last several years', 'Malaria, meningitis}TB, HIV/AIDS', 'Blood: Slides for trypanosomes}CSF: For trypanosomes, lymphocyte count}Aspirate from chancre/lymph node: for trypanosomes', 'This is based on the findings of the CSF analysis, determining the stage of disease. To determine the medicine of choice, the disease is divided into two stages: early and late stage}<b>Early (first) stage</b>: yy CSF is normal yy Lymphocytes <5 cells/mm3 yy Total protein <37 mg/dl (by dye-binding protein assay) or < 25 mg/dl (by Double Standard & Centrifuge Method) yy Absence of trypanosomes (by Double Standard and Centrifuge Method)}<b>Late (second) stage</b>: yy Lymphocytes > 5 cell/ mm3 And/or yy Presence of trypanosomes', '<b>Early (first) stage T. rhodesiense sleeping sickness</b><br> For both children and adults ffSuramin IV –– A test dose of 5 mg/kg of body weight should first be administered to test for anaphylactic reaction –– Followed by five injections of 20 mg/kg every 5 days interval Day 0: 5 mg/kg body weight Day 3: 20 mg/kg body weight Day 8: 20 mg/kg body weight Day 13: 20 mg/kg body weight Day 18: 20 mg/kg body weight Day 23: 20 mg/kg body weight If anaphylaxis: do not administer}<b>T. gambiense sleeping sickness</b><br>For both children and adults ffPentamidine IM 4 mg/kg daily for 7 days –– Give food 1 hour before to prevent hypoglycaemia –– The patient should be in a supine position during administration and 1 hour after to prevent hypotension}<b>Late (second) stage T. rhodesiense sleeping sickness</b><br>For both children and adults ffIV Melarsoprol 2.2 mg/kg body weight daily for 10 days}<b>Late (second) stage T.gambiense sleeping sickness Children ≤ 12 years and <35 kg</b>ffEflornithine IV 150 mg/kg 6 hourly for 14 days (total dose of 600 mg/kg/day. Dilute 150 mg/kg dose of eflornithine into the 100 ml of distilled water. Administer the infusion over at least 2 hours}<b>Late (second) stage Children >12 years up to 15 years</b><br>ffEflornithine IV 100 mg/kg 6 hourly for 14 days (total dose of 400 mg/kg per day). Dilute the eflornithine dose of 100 mg/kg into the 100 ml of distilled water. Administer the infusion over at least 2 hours (rate 20 drops/minute)}<b>Late (second) stage Adults >15 years</b><br>–– Nifurtimox/Elfornithine combination therapy (NECT) –– Nifurtimox: 5 mg/kg every 8 hours orally for 10 days (15 mg/kg/day) –– Plus Eflornithine 200 mg/kg 12 hourly for 7 days (400 mg/kg/day). Dilute Eflornithine dose of 200 mg/kg into 250 ml of distilled water and administer the infusion over at least 2 hours (50 drops/minute) –– Infusions are given slowly to prevent convulsions}<b>Relapses</b><br>ffIV melarsoprol 2.2 mg/kg once daily for 10 days', 'yy Trapping of tsetse flies yy Clearing of bushes around homes and paths yy Early detection and treatment of cases', '99999', '2022-10-25 16:40:22', '', '', 'Infectious Diseases', 'PROTOZOAL PARASITES');

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