This page provides an index of our primary care protocols, which we are in the process of posting online (this page is under construction).

Typically, the protocols are one page in flow chart format, symptoms-focused, and implementable by the skills of a mid-level practitioner and feasible within the context of a resource-poor remote rural health clinic.

A major aim of these protocols is to screen for "acute, treatable, measurable" conditions that a nascent health system needs to focus on (and subsidize medicines for). Additionally, we will identify chronic conditions that are feasible to treat and measure outcomes for in our setting. More discussion of the justification for this approach is available at our Triage page.

For protocols that we have uploaded, click on the blue link to download the pdf of our protocol. Together, the long-term vision of these protocols, together with our triage system, is to provide an efficacious, cost-effective, and scalable model for achieving the largest public health impact during the rollout of horizontally-integrated essential medical services in remote, impoverished, or conflict affected ares with minimal existing health infrastructure.

1. Neurological

   1. one sided weakness

   2. altered mental status

   3. shaking

   4. Headache

   5. dizziness

2. HEENT

   1. upper respiratory tract infection

   2. vision loss

   3. ear discharge

   4. ear pain

   5. hearing loss

   6. red eye

   7. tooth pain

   8. tongue blister

3. Pulmonary

   1. acute cough

   2. chronic cough

   3. dyspnea

   4. asthma exacerbation

   5. asthma maintenance

   6. COPD exacerbation

   7. COPD maintenance

   8. pneumonia

   9. Upper Respiratory Tract Infection

4. Cardiac

   1. palpitations

   2. chest pain

   3. hypertension

   4. CHF exacerbation

   5. CHF maintenance

5. Gastrointestinal

   1. GERD and dyspepsia

   2. acute stomach pain

   3. abdominal swelling

   4. epigastric pain

   5. acute diarrhea

   6. chronic diarrhea

   7. vomiting

   8. anal pruritus

6. Genitourinary

   1. flank pain

   2. dysuria

   3. oliguria

   4. polyuria

   5. hematuria

   6. chronic incontinence

7. Gynecological

   1. dysmenorrhea

   2. menorrhagia

   3. Vaginal discharge

   4. amenorrhea

   5. breast pain

   6. pregnant vaginal bleeding

8. Trauma/surgery

   1. fractures

   2. burns

   3. head injury

   4. acute abdomen

   5. abscess

   6. lacerations

   7. dog bite

   8. Snake Bites

9. Dermatological

   1. general pruritus

   2. boils

   3. rash

   4. Soft Tissue Infections

10. Musculoskeletal

    1. Lower Back Pain

    2. "whole body pain"

    3. osteoarthritis

    4. shoulder pain

    5. knee pain

    6. joint swelling

11. Endocrine

    1. polydipsia

    2. chronic fatigue

    3. heat intolerance

    4. cold intolerance

    5. hyperglycemia - acute management

    6. diabetes - chronic management

12. Pediatrics

    1. fever

    2. cough

    3. diarrhea

    4. constipation

    5. abdominal swelling

    6. rash

13. Obstetric

    1. abdominal pain in pregnancy

    2. back pain in pregnancy

    3. vaginal bleeding

    4. dysuria

    5. sexual assault/domestic violence