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7/28/2019 House Officer's Handbook-nigeria
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KGTVD GEE@FDRV KOMJBGGN
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7/28/2019 House Officer's Handbook-nigeria
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XRDEOFD
Zk`s bggn `s idomt tg rdprdsdmt o gipom`gm !gr md" #gtgrs dmtdr`m$
`mtg tro`m`m$ `m M`$dr`om kgsp`to%s& @t `s gb'`g(s !rgi #o) tg #o) kgsp`to%sd*pdr`dmd tkot `t om bd nmgtt) !gr md" `mtdrms $dtt`m$ (sd# tg tkd`r
pgstd# dm'`rgmidmts #(d tg %o*`t) `m tkd `m#(t`gm s)stdi gr os o rds(%t g!
md$%`$dmd gm tkd tro`mdds port&
Os "d o%% o"ord g! tkd !ot tkot %`tt%d rggi `s o%%g"d# !gr i`stonds `m
kdo%tk ord sdtt`m$s+ tkot !(rtkdr d*p%o`ms tkd rdosgm "k) tk`s p`dd `s
dssdmt`o% !gr k`tk !rdd kgsp`to% tro`m`m$& O%% tro`mdds ord k`$k%) o#'`sd# tg
rdo# d'dr) b`t g! tk`s kom#bggn+ `t "g(%# s(rd%) bd om (m!gr$dttob%d
d*pdr`dmd&
@ "`sk o%% g! )g( o s(dss!(% tro`m`m$ om# $gg# %(n `m )g(r !(t(rddm#do'g(rs&
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7/28/2019 House Officer's Handbook-nigeria
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FGMZDMZV
Bdgi`m$ o #gtgr
-JFM Rd$`strot`gm@mtdr'`d" Z`ps
Kgsp`to% Xgst`m$
Xrdporot`gm !gr kgsp`to% sto)s
Kgsp`to% `m#(t`gm
E`rst #o) gm #(t)
.g(r #(t`ds os om `mtdrm
@m!dt`gms Fgmtrg%
Kdo%tk om# Vo!dt) ot "grn
Fgmt`m(g(s prg!dss`gmo% #d'd%gpidmtOpp%)`m$ !gr !(%% rd$`strot`gm
/(ip`m$ gm orddr %o##dr
K`stgr) ton`m$ sd8(dmd
Xk)s`o% d*oi`mot`gm sd8(dmd
Zkd i`m` idmto% stotd d*oi`mot`gm
Kodiotg%g$`o% om# B`gkdi`o% 'o%(ds
O`#dmt om# didr$dm) gm o%% t`ps
Zkd ?%os$g" gio so%d
Zkd B%omt)rd gio so%d
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7/28/2019 House Officer's Handbook-nigeria
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BDFG-@M? O JGFZGR
O!tdr )g( i`$kt ko'd sot )g(r !`mo% id#`o% d*oi`mot`gms "`tk $gg#
rds(%ts tkd md*t stdp `s %`nd ig'`m$ o"o) !rgi "gr%# g! tkdgr`ds tg o`to#d% g! pot`dmts gr`dmtd# prot`d+ `ip%)`m$ tkot mgt o%% )g( sdd `m tkd
id#`o% rd!drdmds ord d*ot%) tkd "o) tkd) ord $g`m$ tg bd prdsdmtd# tg
)g( `m tkd %`m`o% sdtt`m$s& Zk`s om bd o o(sd !gr o%ori !rgi sdm`gr
g%%do$(ds6 pot`dmts om# tkd`r rdspdt`'d rd%ot`'ds+ tkd $gg# md"s `s tkot `t
#gds mgt tond t`id !gr igst #gtgrs tg $dt (sd# tg tkd s`t(ot`gms gm $rg(m#
gmd )g( ord tkd rd%o*d# om# %`stdm`m$ t)pd "`tk rdosgmob%d ob`%`t) tg
"otk "kot `s $g`m$ gm org(m# )g(&
Mg" )g( ord o #gtgr `m prot`d6 `t s o md" "gr%# dmt`rd%) gipor`m$ tgtkd gmds )g( ko'd bddm $g`m$ tkrg($k bd!grd os rd$or#s tg )g(r pdrsgmo%
%`!d om# tkot g! )g(r `iid#`otd gkgrts+ idom`m$+ %dss t`id !gr igst g!
tkd tk`m$s )g( dm:g) #g`m$ tkd igst `m tkd post om# igst t`id gm )g(r gm
o%% stom#`m$s& O%% tkdsd skg(%# mgt bd o rdosgm !gr "grr`ds os igst
tro`mdds ord o"ord g! "kot `t `m'g%'ds tg #`'d `mtg id#`o% prg!dss`gm
bd!grd opp%)`m$ tg id#`o% skgg%s& Kdrd ord !d" t ps tg $dt )g( $g`m$4
5D*p%o`m tg pdgp%d org(m# )g(+ %dt tkdi nmg" tkot )g( ord bgor#`m$ o
prg!dss`gmo% tro`m tkot io) #`strot )g( sgidkg" !rgi "kot tkd)
d*pdtd# g! )g( bd `t `m tkd !oi`%) sdtt`m$s gr oigm$ pddrs&
5X%om )g(rsd%!+ tk`mn obg(t tkgsd tk`m$s tkot ord `ipgrtomt tg )g( `m %`!d
%`nd sdtt`m$ (p )g(r g"m !oi`%)6 igrt$o$d om# gtkdr d*tro(rr`(%or
ot`'`t`ds& -orn tkdi #g"m om# nddp `t sd(rd# `m om dm'd%gpd sg tkot )g(
"g(%# mgt ko'd om) rdosgm tg i`ss om)tk`m$ oigm$ o%% tk`m$s tkot `s
`ipgrtomt tg )g( `m %`!d&
53ggn o!tdr )g(rsd%!+ `t `s `ipdrot`'d tkot )g( r(m gip%dtd #`o$mgst`
tdsts gm )g(rsd%! bd!grd rds(i`m$ "grn6 gm%) `! )g( tk`mn `t `s mddssor)6
)g( io) mgt ko'd t`id !gr `t %otdr om# tk`s io) gm `tsd%! $dmdrotds bo#
gmsd8(dmds&5Nddp o%% )g(r g%# id#`o% rd!drdmds !or o"o)+ tkd) i`$kt #`strot )g( o
b`t& .g( ord bdttdr g!! "`tk tk`s kom#bggn !gr )g(r !`rst !d" "ddns om#
igst `ipgrtomt ord )g(r "otk`m$ om# %`stdm`m$ sn`%%s&
53dorm tg b(`%# o $gg# roppgrt "`tk m(rsds6 tkd) ord o%"o)s gm kom#s tg
kd%p )g( g(t `m tkd "or#s+ md'dr (m#drdst`iotd "kot )g( om $o`m !rgi
tkd`r `mp(ts&
O%% tkdsd ord tg idmt`gm !d"6 `t `s gb'`g(s tkot id#`o% prot`d `s igrd g!
opp%`ot`gm g! giigmsdmsd tkom om) gtkdr tk`m$&;@VK@M? .GT O XRGVXDRGTV FORDDR0
`m:dt`gms&
5?`'`m$ `mtroi(s(%or om# s(b(tomdg(s `m:dt`gms&
5Ortdr`o% b%gg# soip%`m$ 7OB?H&5Xdr!gri`m$ s(t(r`m$&
5 Bos` 3`!d V(ppgrt&
5Forr)`m$ g(t bos` rdsp`rotgr) !(mt`gm tdsts&
5O#i`m`stdr`m$ g*)$dm tkdrop)&
5Ts`m$ mdb(%`sdr grrdt%)&
5Mosg$ostr` t(bd `msdrt`gm&
5Xdr!gri`m$ b%o##dr otkdtdr`sot`gm&
5;r`t`m$ #`skor$d s(iior`ds om# rd!drro% %dttdrs
O%% tkdsd prgd#(rds ord o'o`%ob%d gm #`ss gm rd8(dst&
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7/28/2019 House Officer's Handbook-nigeria
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@MEDFZ@GMV FGMZRG3
Zg prd'dmt sprdo#`m$ g! `m!dt`gms tg )g( om# gtkdrs org(m# )g( tr) tkdsd4
5Rd$(%or kom# "oskds bd!grd om# o!tdr o%% kgsp`to% prgd#(rds&
5Kom# $%g'ds tg bd "grd "kdm mddssor)&
5@#do%%)6 )g(r sk`rt skg(%# bd rg%%d# (p obg'd d%bg"s `! mgt gm skgrts%dd'ds&
5.g(r !ggt "dor skg(%# bd io#d g! kor# !ggt`m$s&
5@! )g(r ko`r `s %gm$6 `t `s bdttdr t`d# t`$kt%) bdk`m# )g(&
5Eod iosn "kdm mddssor)&
5;r`st "otk om# r`m$ skg(%# bd rdig'd# bd!grd prgd#(rds&
5Rdidibdr tg "osk )g(r kom#s bd!grd `msdrt`m$ tkdi `mtg pgndts&
5O%% skorps tg bd #rgppd# `m skorp b`ms&
5Md'dr rd(sd o (sd# s)r`m$d&
5Xrgtdt`'d $g$$%ds om# oprgm tg bd "grm `m d*pgs(rd prgmd prgd#(rds&5O%% k`$k%) `m!dt`'d osds skg(%# bd ndpt `sg%otd# `m o sdporotd m(rs`m$
rggi&
5Vr(bs6 oprgms om# %obgrotgr) gots mgt o%%g"d# `m dot`m$ ordos&
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7/28/2019 House Officer's Handbook-nigeria
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KDO3ZK OMJ VOEDZ. OZ ;GRN
@t `s tkd #(t) g! )g(r dip%g)drs tg dms(rd so!d om# %dom "grn`m$
dm'`rgmidmts6 kg"d'dr6 mgt o%% kgsp`to% "or#s o#kdrd tg kdo%tk om# so!dt)
r(%ds om# rd$(%ot`gms& @ipgrtomt %(ds+
5Eoi`%`or`sd )g(rsd%! "`tk !`rd o%ori prgd#(rds6 dsopd rg(tds om#ossdib%) pg`mt `m osd g! !`rd g(tbrdon&
5Rdpgrt om) g(pot`gmo% kdo%tk koor# tg tkd oss`$md# pdrsgmmd%
`iid#`otd%)& Jd%o)s om bd #om$drg(s&
5@#dmt`!) s(bstomds tkot ord koor#g(s tg kdo%tk `m )g(r "grn`m$ p%od&
5Md'dr pg(r "otdr gm kdi`o%s b(t tkd gtkdr "o) rg(m#&
5O%% skorp gmto`mdrs skg(%# bd prgpdr%) `m`mdrotd#&
5Rdidibdr )g(r prgtdt`'d %gtk`m$ "k`%d pdr!gri`m$ DXXs 7D*pgs(rd
Xrgmd prgd#(rdsH&
5E`rd br`$o#ds om# oib(%omd tdois gmtots skg(%# bd ndpt ot kom#s o%%tkd t`id&
5O'g`# "grn`m$ gm s%`ppdr) !%ggrs&
5;gidm ord bdttdr g!! "`tk s`ip%d dor st(#s rotkdr tkom %gm$ gmds&
5Nddp o%% gmtrg% #r($s `m o so!d om# sd(rd# ob`mdt&
5Md'dr o#i`m`stdr gp`otds `m om didr$dm) s`t(ot`gm&
5@t `s `#do% tg s"`tk )g(r d%% pkgmds "k`%d `m @FT 7@mtdms`'d Ford Tm`tsH
(m%dss gtkdr"`sd stotd#&
5O'g`# sign`m$ `m %gsd# giportidmts&
5Rdpgrt pdrsgmo% kdo%tk `ss(ds tg )g(r g%%do$(ds&
5O%% d%dtr`o% opp%`omds i(st bd s"`tk g!! om# (mp%($$d# bd!grd
%gs`m$ g!!`d&
Os idmt`gmd# dor%`dr6 giigm sdmsd $gds o %gm$ "o)&
KO>D X3DOVOMZ VZO.V0
FGMZ@MTGTV XRGEDVV@GMO3 JD>D3GX-DMZV
@t `s rdgiidm#d# tkot )g( o8(`rd i`m`i(i g! , FXJ pg`mts pdr
omm(i tg sot`s!) -JFMs rd8(`rdidmts !gr rd$`strot`gm rdmd"o%& Ottdm#os i(k g! %`m`o% prdsdmtot`gms os pgss`b%d `m om# g(t g! )g(r kgsp`to% tg
iddt (p& @t `s `ipgrtomt tkot )g( prdsdmt )g(r g"m "grns tgg&
RD-D-BDR6 ZKD -GRD .GT ?@>D ZKD -GRD .GT ?DZ0
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7/28/2019 House Officer's Handbook-nigeria
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OXX3.@M? EGR ET33 RD?@VZROZ@GM
O%% )g( mdd#s+
5Fgip%dtd# dm# g! pgst`m$ !gris #(%) s`$md# b) )g(r KGJs
5D'`#dmd g! FXJ pg`mts
5Frd#dmt`o%s5Xosspgrt pkgtg$ropks
5Rd$`strot`gm !dds&
O%% s(bi`ttd# tg tkd -JFM6 )g(r prgdss`m$ t`id !roid g(%# bd os
skgrt os !d" #o)s gr os %gm$ os !d" "ddns& Gmd )g( $dt )g(r
Rd$`strot`gm om# 3`dmsd tg prot`sd )g( ord d%`$`b%d tg "grn `m o%% %`m`s6
bd tkd) p(b%`s gr pr`'otds (m%`nd prg'`s`gmo% rd$`strot`gm tkot #gds mgt
%d$o%%) pdri`t )g( tg "grn `m pr`'otd kgsp`to%s&
/T-X@M? GM FORDDR 3OJJDRV
Mg" tkot )g( ord o !(%%) rd$`stdrd# id#`o% prot`t`gmdr "`tk %`dmd tg
prot`sd om# !d" )dors g! d*pdr`dmd6 tkd md*t tk`m$ `s tg bd tk`mn`m$ g!
)g(r spd`o%t) prg$roiid& -d#`o% spd`o%`t`ds ord sg #`'drsd tkot `t io)
tond o g(msd%%gr tg $(`#d tkrg($k o spd`o%t) tkot sggtkds )g(&
Zkd md*t d#`t`gm "g(%# d%obgrotd gm spd`o%t) tro`m`m$s kgid om# obrgo#&
3DZ .GTR OFZ@GMV VXDONV ?GGJ GE .GT0
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7/28/2019 House Officer's Handbook-nigeria
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K@VZGR. ZON@M? VDCTDMFD
5Xrdsdmt`m$ gip%o`ms+ "`tk #(rot`gm&5K`stgr) g! prdsdmt`m$ gip%o`ms+ Gmsdt6 ossg`otd# !otgrs6 o$$ro'ot`m$
om# rd%`d'`m$ !otgrs6 om# #r($s (sd#6 `ipot gm ot`'`t`ds g! #o`%) %`'`m$&
5Xost id#`o%6 s(r$`o% om# $)modg%g$`o% k`stgr)&
5Eoi`%) k`stgr)&
5Jr($s k`stgr) "`tk o%%dr$` rdot`gms mgtd#&
5V)stdi` dm8(`r`ds+ F>V6 RVX6 ?@Z6 TRG6 -VN om# FMV&
5Vg`o% k`stgr)&
5Zro'd%%`m$ k`stgr)&
Xod#`otr`s4 Dm8(`rd obg(t `ii(m`sot`gm6 m(tr`t`gm6 #d'd%gpidmto%6 ig#d
g! #d%`'dr) om# pgst port(i gip%`ot`gms&
Gbstdtr`s om# ?)modg%g$)4 Dm8(`rd obg(t idmorkd6 por`t)6 $ro'`#`t)
om# o%% post d'dmts&
V(r$dr)4 Dm8(`rd s`td6 s`d6 skopd6 s(r!od+ d#$ds6 bosd6 gms`stdm)6
tdm#drmdss6 om# Zrom `%%(i`motd stot(s g! om) $`'dm ioss gr (%dr&
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7/28/2019 House Officer's Handbook-nigeria
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XK.V@FO3 DO-@MOZ@GMV VDCTDMFD
5@mspdt`gm+ %ggn !gr sors6 #`skor$ds6 #`stdm#d# b%gg# 'dssd%s6 om# o%%
mgt`dob%d obmgrio%`t`ds&
5Xo%pot`gm+ s(pdr!``o% bd!grd #ddp po%pot`gm tg prd'dmt o`#dmto% iossr(pt(rds&
5Xdr(ss`gm+ rdsgmomt1#(%%mdss&
5O(s(%tot`gm+ kdort sg(m#s6 brdotk`m$ pottdrms6 bg"d% sg(m#s om# br(`ts&
RTM ZKRGT?K XK.V@FO3 DO-@MOZ@GMV EGR
ZROT-OZ@VDJ VTB/DFZ
Vo%p skg(%# bd `mspdtd# !gr gmt(s`gm6 %odrot`gm om# `t `s `#do% )g(
sko'd# tkd kdo#&
D)ds mdd#s tg bd %ggnd# o!tdr !gr pdr grb`to% s"d%%`m$s6 #`skor$ds om# o%%
potkg%g$`ds&
Dors !gr gttgrkdo om# tdors&
Mgsd gpdm`m$s !gr rk`mgrkdo om# !grd`$m bg#`ds&
Gro% Fo'`t) i(st bd `iid#`otd%) `mspdtd# om# !rdd# g! !grd`$m bg#`ds
om# om) #`sp%od# #dmt(rds tg !rdd tkd o`r"o)&
Mdn 'dssd%s om# trokdo pgs`t`gm skg(%# bd %ggnd# o!tdr os sggm os
pgss`b%d&
Fkdst ig'didmts6 s"d%%`m$s6 !rot(rd# r`bs6 !%o`% kdst6
pmd(ig1kodigtkgro* i(st bd gbsdr'd# om# %ggnd# `mtg os rd8(`rd#&Ob#gidm !gr gr$om r(pt(rds+ sp%ddm6 %`'dr om# n`#md)s rd$`gms mdd# tg bd
prgpdr%) d*oi`md#&
?rg`m gipr`sds g! rdprg#(t`'d gr$oms6 `t om bd #`!!`(%t p`n`m$ (p
obmgrio%`t`ds kdrd gm `m`t`o% d*oi`mot`gm6 om# (r`mor) otkdtdr`sot`gm
g(%# $g o %gm$ "o) `! mgt gmtro`m#`otd#&
3`ibs skg(%# bd tdstd# !gr !rot(rds6 b%dd#`m$s om# %odrot`gms& C(`n%)
tdst !gr pg"dr om# tgmd& Ro#`g$ropk` rd8(dsts mdd#s mgt bd #d%o)d#&
Bon prgb%dis ord dos`%) i`ssd#6 %g$ rg%% om# rd8(dst !gr oss`stomd
`iid#`otd%)&
