Summary: Focus on health issues that are more common in LMICs or diseases that may be managed differently in LMICs. The talk will also include issues surrounding reproductive health with discussion focused on how social and environmental factors intersect with the provision of appropriate health care in resource-limited settings.
Suggested Readings: List of Recommendations from the Task Force on Research Specific to Pregnant Women and Lactating Women (PRGLAC) The Sustainable Development Goals and the Global Strategy for Women's, Children’s and Adolescents’ Health Mendenhall, E., & Weaver, L. J. (2014). Reorienting women’s health in low- and middle-income countries: the case of depression and Type 2 diabetes. Global Health Action, 7(1), 22803. https://doi.org/10.3402/gha.v7.22803
Case Study: Women’s Health in LMIC’s Case Study: A sick postpartum woman in India Cc: dizzy and weak HPI: 24 yo female in India presents with dizziness and weight loss for two weeks. The patient recently delivered a baby boy 8 weeks ago. Her pregnancy was uneventful except that she has a history of HIV and was only intermittently adherent to her antiretroviral therapy. At the time of delivery her HIV viral load was in the low thousands. Two weeks ago, she was seen for her 6-wk postpartum visit and was noted to have cough, fevers, and weight loss. At that time she submitted a sputum sample that was acid fast bacilli (AFB) stain negative. However her chest Xray was notable for a left upper lobe lesion and her sputum was Gene Xpert positive. She was started on anti tuberculosis therapy that day and was encouraged to stay adherent to her antiretroviral therapy as well. Today she presents with continued weight loss and cough and was found to be hypotensive (78/42) in the clinic. Of note, she has not been adherent with her HIV medications or her TB medications.
Discussion Questions: · What is your differential diagnosis? · How would you manage this patient?
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