Describe it in a word so far - wow.
Moshi is small, and has incredible views of the snow covered Kilimanjaro.
We are based at the Kilimanjaro Christian Medical Centre at present but have lots travel and rural projects.
Today - epidemiology based on real outbreaks. Case study - bloody diarrhoea from six different refugee camps.
Followed by ward bedside teaching and then discussion.
Case 1 - HIV positive, obtunded patient with no other history given.
Just think about how you'd manage her when she has focal neurology but the family can't afford a CT scan, which the hospital can't pay for.
Sadly you just treat for everything (TB, Toxo and Crypto) and just hope it's not Lymphoma. And don't give steroids in case it is Crypto.
Case 2 - Hansen's disease (leprosy).
Not every day we see it anywhere at home, and even less so these days in Tanzania.
Tonight's homework:
Appraise a paper on calcium and TB, and prepare my case presentation from my time on the ID unit at Northwick Park.
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