Session 1 Flashcards

1
Q

Name the three smaller clinics

A

Batho, Bainsvlei and Langenhovenpark

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2
Q

Who mans a smaller health clinic?

A

Nurses, a doctor visits once a week

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3
Q

Services offered by a smaller clinic

A

Immunisation, Family planning, anti-natal care, treatment of common diseases

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4
Q

Name the two community health centers

A

Pelonomi polyclinic and MUCPP

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5
Q

Who staffs a community health care center?

A

Nurses, doctors and the only specialist is a family physician

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6
Q

Does a community health center have any special sections/units?

A

Possibly maternity, emergency, casualty and shortstay ward

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7
Q

Are any primary health care facilities 24 hours?

A

MUCPP, Community health centers and National District Hospital

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8
Q

Why are there tertiary care facilities at National District Hospital?

A

Space constraints - actually part of universitas

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9
Q

Name the primary health care centers

A

National District Hospital, MUCPP, Polyclinic, Batho, Bainsvlei and Langenhoven Park

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10
Q

Which is a secondary health care facility?

A

Pelonomi Hospital

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11
Q

Does Pelonomi Hospital only offer secondary care?

A

No, also has infectious disease specialists and some components of primary care

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12
Q

What is secondary healthcare?

A

Care by specialists

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13
Q

What is tertiary healthcare?

A

Care by ‘super-specialists’
Nephrologists

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14
Q

Where is tertiary healthcare located?

A

Universitas mostly, but some at pelonomi and ND due to space

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15
Q

Why would a patient be referred up?

A

Treatment, testing and skill requirements

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16
Q

Why would a patient be referred down?

A

Cost, no longer required, palliative care

17
Q

What are the 4 broad causes of death groups?

A

Communicable diseases (excl HIV and TB) Nutritional, maternal diseases

Hiv related conditions

Non-communicable diseases

Injuries

18
Q

What are some examples are communicative disease?

A

Pneumonia, Diarrheal diseases and meningitis

19
Q

NCD examples

A

Strokes, diabetes, Ischemic heart disease and cancer

20
Q

Top 5 leading causes of death in SA in order

A

HIv, Ischemic heart disease, strokes, lower repiratory infections, Diabetes mellitus and TB

21
Q

How do levels of prevention differ from levels of care?

A

Progresses up levels as conditions become worse, always something to be done

22
Q

How is TB spread?

A

Droplets in air from coughing, sneezing and singing

23
Q

How long can a TB droplet remain in the air?

24
Q

What are the factors that determine TB rate of spread? (4)

A

Time exposed
How closely exposed
How many TB bacilli are in the air
How susceptible is the one inhaling it

25
What are the clinical symptoms for TB?
Chronic cough, night sweats, weight loss
26
Standard testing for TB
Sputum sample sent to lab
27
Disagnostics for non-pulmonary TB
Xrays, CTs, Sonars and Biopsies
28
How is HIV diagnosis made?
Fingerprick test
29
What is the issue with HIV treatment?
For life - some compliance is a problem
30
Why is resistance to HIV medication common?
Mutations are common
31
Causes of diabetes
Hereditary or bad eating patterns
32
Biological causes of diabetes
Lack of insulin, or lack of sensitivity to it
33
What are the clinical symptoms for diabetes?
Excessive thirst, tiredness, blurry vision, repeated infections
34
Testing for diabetes
Urine or finger prick test
35
How is hypertension diagnosed?
High arterial blood pressure, over 140
36
Causes of hypertension
Inherited, secondary to other disease or bad diet
37
What are the symptoms of high blood pressure?
Headache or asymptomatic