Global Health Case Series: “Global Worming”

Global Health Case Series: “Global Worming”

The Global Health case series highlights interesting cases that residents experienced while practicing abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Although Dr. Owens did not participate in the care of the patients described in these cases, she expertly tackles a disease that has received a lot of media attention.

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Global Health: Case Series

Global Health: Case Series

The Global Health case series highlights interesting cases residents experienced while practicing abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Dr. Jarrell continues this year's case series with a case of a child who presents with a complication of a formerly common rash!

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Global Health: Case Series

Global Health: Case Series

The Global Health case series highlights interesting cases residents experienced while practicing abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Dr. Owens takes us to Guatemala where she discusses an endemic rash that may start to become more common in the United States.

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Global Health: Case Series

Global Health: Case Series

The Global Health case series highlights interesting cases residents experienced while practicing abroad and takes a dive into how to identify the pathology that is crucial know to care for patients both abroad and returning. Dr. Colmer continues this year's case series with a case of an adult patient with a "textbook" rash he saw while in Tanzania.

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Global Health: Reemerging Infectious Diseases

Global Health: Reemerging Infectious Diseases

Global is local. It is important as health care providers that we think about infectious diseases in terms of a global context. Reemerging infectious diseases represent a constant moving target for physicians and scientists. Understanding some of the factors behind disease reemergence as well as examples of current reemerging infectious diseases helps to illustrate how local changes can have a global effect. 

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Global Health Videos

Global Health Videos

Care of the acutely ill patient in the austere setting is a hallmark of Global Health Medicine. These videos highlight three different examples of how to apply core concepts of Emergency Medicine to a resource limited environment. Dr. Lagasse describes how to make a homemade tourniquet to control life-threatening hemorrhage, Dr. Teuber shows us alternatives to intravascular volume resuscitation, and Dr. Roche outlines how to manage pneumothorax, hemothorax, and hemopneumothorax with and without vacuum assistance

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Global Health Case Files #3

Global Health Case Files #3

Imagine:  you are the single provider manning a rural clinic in Northern Tanzania along the shore of Lake Victoria.  You are one of only a handful of physicians in the entire region and you have minimal access to diagnostics or therapeutics.  Your clinic does not have any power.   Your diagnostics include:  urinalysis, urine pregnancy, CBC and rapid tests for HIV, syphilis, and malaria.  You have 2 nurses, one of whom acts as a translator (from Swahili to English).  You are armed primarily with your intellect, knowledge of local disease processes, and your keen sense of intuition.

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Global Health Case Files #2

Global Health Case Files #2

Imagine:  you are the single provider manning a rural clinic in Northern Tanzania along the shore of Lake Victoria.  You are one of only a handful of physicians in the entire region and you have minimal access to diagnostics or therapeutics.  Your clinic does not have any power.   Your diagnostics include:  urinalysis, urine pregnancy, CBC and rapid tests for HIV, syphilis, and malaria.  You have 2 nurses, one of whom acts as a translator (from Swahili to English).  You are armed primarily with your intellect, knowledge of local disease processes, and your keen sense of intuition.

Case #5

32 yo M PMH HIV p/w LLE >RLE swelling & pain x 1 year.  Recent HIV+ and recently started ARVs.  CD4=40.  Pt denies trauma.  No history of DM or CHF.  No fevers, chills, N/V, abd pain, diarrhea.

PE:  37CHR-86BP-124/82RR-12

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Trouble Abroad - Recap and Commentary

Trouble Abroad - Recap and Commentary

The responses provided so far have been phenomenal, both insightful and provocative.  I am truly impressed.  As mentioned by several of my colleagues, many of these cases are deeply personal, not only because they involve highly vulnerable populations, but also because they may put clinical providers in harm’s way.  When we begin to discuss ethics, especially global health ethics, there is often no single correct answer to a given scenario.   We often deal with hard science and hard facts but sometimes you just have to go with your gut and do what you think is right.  If you missed the first case and initial discussion, check it out here.

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Global Health Case Files

Global Health Case Files

Imagine:  you are the single provider manning a rural clinic in Northern Tanzania along the shore of Lake Victoria.  You are one of only a handful of physicians in the entire region and you have minimal access to diagnostics or therapeutics.  Your clinic does not have any power.   Your diagnostics include:  urinalysis, urine pregnancy, CBC and rapid tests for HIV, syphilis, and malaria.  You have 2 nurses, one of whom acts as a translator (from Swahili to English).  You are armed primarily with your intellect, knowledge of local disease processes, and your keen sense of intuition.  

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Disaster and Emergency Medicine: An Overview

Disaster and Emergency Medicine: An Overview

Disaster. It’s trending right now. In the last few years we have seen epidemic outbreaks of hemorrhagic fever, earthquake induced nuclear meltdowns, and large-scale civil war. It is no secret: both the scale and frequency of disasters are increasing. This appears to be due to a complex interplay of interconnected, global factors that show no signs of slowing. More people means harvesting more food, tapping more clean water, clearing more land, crowding more cities, and releasing more harmful products into the environment. The consequences to this include rising water levels, widening temperature extremes, increasing erosion, and a growing number of vulnerable people. With inevitably more disaster on the horizon, preparedness and experienced leadership are critical for the world’s future.

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