A @DrsWithoutBorders team is performing a vacuum assisted de | Figure 1

DrsWithoutBorders

International Association

A @DrsWithoutBorders team is performing a vacuum assisted delivery in Jahun General Hospital in Jigawa State, Nigeria.

Jigawa State, a rural state in northwestern Nigeria, is estimated to have one of the highest maternal mortality rates in the country. Since 2008, @DrsWithoutBorders has run a project in Jahun General Hospital to improve the quality of maternal obstetrics and address the high maternal mortality rates.

In 2017, more than 1,000 women were admitted monthly to the maternity ward of the hospital. Most women arrived in critical condition, with medical complications such as eclampsia, pre-eclampsia, anemia and obstetric hemorrhage. Vesico-vaginal fistula is also a common yet neglected medical condition, which @DrsWithoutBorders supports through a fistula repair program.

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Similar cases

@DrsWithoutBorders surgeons intervene to save the life of a pregnant woman with a complicated birth requiring obstetric surgery in Douentza, Mali.

@DrsWithoutBorders supports the Referral Health Centre (CSRef) in Douentza in nutrition, emergency surgery, care and hospitalization for children aged 0-15, mental health and transferring urgent cases to the city of Mopti.

A 23-year-old patient gives birth by c-section at @DrsWithoutBorders' Centre de Référence en Urgency Obstétricale in Haiti. This hospital for complicated obstetrics is seeing an unprecedented increase in patients, due to Haitian healthcare cuts. Over 27,000 babies have been born there, and almost 9,000 babies have been admitted into its neonatology department. This mother was admitted due to her high blood pressure; the c-section was necessary because her baby’s heartbeat was getting weaker. She’s had five pregnancies in the past, but only two children survived. (Photo: © Shiho Fukada/Panos)

A @DrsWithoutBorders surgeon performs a Caesarean section on a patient at the Boost hospital in Lashkar Gah, Helmand province, Afghanistan. Boost hospital is run by MSF in partnership with the Afghan Ministry of Health. It is one of the biggest MSF facilities worldwide, with 300 beds and 725 staff members. “Because this is the only hospital able to provide specialist healthcare free of charge, many patients have to come from far away to access surgical interventions and emergency obstetric and neonatal care,” says Guilhem Molinie, MSF’s country representative in Afghanistan.

Clinical Case Studies

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?