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?

A

4 Hours

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
Q

What are the clinical symptoms for TB?

A

Chronic cough, night sweats, weight loss

26
Q

Standard testing for TB

A

Sputum sample sent to lab

27
Q

Disagnostics for non-pulmonary TB

A

Xrays, CTs, Sonars and Biopsies

28
Q

How is HIV diagnosis made?

A

Fingerprick test

29
Q

What is the issue with HIV treatment?

A

For life - some compliance is a problem

30
Q

Why is resistance to HIV medication common?

A

Mutations are common

31
Q

Causes of diabetes

A

Hereditary or bad eating patterns

32
Q

Biological causes of diabetes

A

Lack of insulin, or lack of sensitivity to it

33
Q

What are the clinical symptoms for diabetes?

A

Excessive thirst, tiredness, blurry vision, repeated infections

34
Q

Testing for diabetes

A

Urine or finger prick test

35
Q

How is hypertension diagnosed?

A

High arterial blood pressure, over 140

36
Q

Causes of hypertension

A

Inherited, secondary to other disease or bad diet

37
Q

What are the symptoms of high blood pressure?

A

Headache or asymptomatic