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IMCI
• Steps in the IMCI Case Management Process:
• Assess and Classify • Identify Treatment • Treat • Counsel the Mother • Follow-Up FEVER Ask: Pus in the eye? Measles ---Conjunctivitis Mouth Ulcer ? ASSESSMENT CLASSIFICATION MANAGEMENT -Clouding of the eyes / SEVERE COMPLICATED 1. Antibiotic Cornea MEASLES 2. Urgent referral - Deep mouth Ulcer 3. Tetracycline 4. Paracetamol 5. Vit A
Pus in the eyes MEASLES WITH 1. Tetracylcine
Mouth Ulcers COMPLICATION 2. Vit A 3. Paracetamol 4. Gentian Violet
Tenderness Maistoiditis 1. Antibiotic ( Cotri and Amox) 2. Referral 3. Paracetamol Pain, Pus < 14 days Acute Ear Infection 1. Paracetamol 2. Ear wicking 3. Antibiotic for 5 days 4. ff up 5 days
Pain Pus , > 14 days Chronic Ear Infection 1. Ear wicking.
2. quinolone eardrops for 2 weeks 3. Follow-up in 5 days. No pain, no pus No ear infection 1. No treatment FEVER: Ask: Bleeding? Abdominal Pain?
ASSESSMENT CLASSIFICATION MANAGEMENT
Bleeding Severe Dengue 1. Referal Abdominal Pain 2. ORS 3. Paracetamol Blood in the stool / Dengue 1. ORS gums 2. Paracetamol 3. Follow up 2 days Malnutrition ASSESSMENT CLASSIFICATION MANAGEMENT Palmar Pallor Severe Anemia 1. Refer urgently to hospital
Some Pallor Anemia 1. Mebendazole
2. Iron 3. Ff up in 14 days
No palmar pallor No Anemia 1. Feeding counsel
2. follow-up in 5 days Malnutrition ASSESSMENT CLASSIFICATION MANAGEMENT Visible severe wasting or SEVERE 1.Refer URGENTLY to a • Edema of both feet MALNUTRITION hospital 2. Breast feeding 3. Vit A
Very low weight for age VERY LOW 1. Feeding counsel
WEIGHT 2. Advice mother when to return 3. Ff up 30 days
Not very low weight for NOT VERY 1. Feeding counsel
age and LOW WEIGH 2. Ff up in 5 days no other signs of malnutrition 1 week to 2 months Infection ASSESSMENT CLASSIFICATION MANAGEMENT Convulsion Serious bacteria; 1. Antibiotic Infection 2. Refer immediately Red umbilical Cord
Red umbilical Cord Local Infection 1. Antibiotic
2. Follow up 2 days 3. Paracetamol if indicated
No Signs of infection No infection 1. No treatment
Home Management Umbilical Cord Skin Pustule Oral Thrush Infection 70 % Cleanse / dry Wash with Salt isoprophyl Solution Alcohol Hand Washing Gentian Violet Hand Washing