June 18.

After an unnecessary and unfortunate delay in Padang we finally arrive.
Upon arrival we unpack our stuff, prepare our room and I go and see some
of the chronic patients to sup-plement their medication (diabetes
medication for the mother of ben hock’s family, neuro-leptica for a
young man living close to the catholic mission). The woman suffering
from an osteomyelitis from the mandibula with a massive abcedation is
doing well. I did an incision just before I left and administered
antibiotics. A diabetic 54 year-old woman with an dia-betic ulcus has
developed a severe osteomyelitis and probably cellulitis so I decided to
start intravenous antibiotic treatment. I go and check the 26-year-old
Ermawati to do a sphinctertest for her upcoming operation. I don’t know
any details, but I presume they are going to deduce her ureters to her
colon. She is suffering from her usual dehydration symptoms when I meet
her, so I decide to first get her painfree. She also suffers from
epi-gastric pain, so I administer some cimetidine. Most of the chronic
patients are in good general condition. Except for a 24-year-old young
men suffering from tbc who passed away during my absence. I will try to
see the rest of the chronic patients the following days, but I presume
they will slowly come and find me.

June 19

I start cleaning up the consultation room, since it looks like some
bombs have exploded here during my absence. Next I go and find some
medication at the warehouse. I continue the day cleaning up the
consultation room and see some patients in between. They all present
with minor health issues though. By the end of the day I’m not through
yet with the cleaning though.
After 2 unlucky attempts I decide to call in the help of the nurses at
the catholic mission to insert the intravenous infusion with the woman
with osteomyelitis. This will be for Monday, cause tomorrow is the day
of our Lord.
I decide to commence statistics from the next day on. For now it will be
a rudimentary da-tabase comprising the following data: age, sex,
preliminary diagnosis and treatment.

June 20
1. m, 29: pyrosis, nausea diagnosis: dyspepsia therapy: cimetidine 400 2
evening and information
2. m, 68: vertigo, no other complaints nor clinical findings diagnosis:
dehydration therapy: info water and Fesulphate for 1 month
3. f 30: pain and itch foot; diagnosis: (allergic/irritative) eczema
therapy: info; hydrocortisonecream 0,1% for 3 days; aspirine 325 mg 3 x 1
4. f 21: short of breath since a couple of years, no other complaints
nor clinical findings diagnosis: hyperventilation syndrome therapy:
diphenhydramine 50 mg 1 x 1/2 and info
5. f, 65: - cough since 3 months, ronchi left basal, no fever
- hypertension 165/90
- intermittent red eye left for years
- tender and swollen knees
diagnosis: pneumonia, hypertension, ectropion, gonarthrosis
therapy:
- ciprofloxacine 500 mg 2 x 1 for 1 week
- quinapril 10 mg 1 x 1 for 1 month
- artificial tears
- aspirine 325 3 x 1
6. m, 6: hypertrophic tonsils for more than a year, rhinorrhea since 1
week; caries
diagnosis: - hypertrophic tonsils
- caries
- flu
therapy: - info and brush teeth
- amoxicilline 125 4 x 1
- nasonex

7. m, 43: unspecified congenital malformation , tender and swollen
knees, fever, stomach ache and diarrhea
diagnosis: - gonarthrosis
- acute gastro-intestinal infection
therapy: - diclofenac 75 2 x 1 and cycling/swimming
- loperamide 2 2 x 1 and drink water
8. 37, m: difficulties reading ( left eye worse since 1 month), tearing eye
diagnosis: - presbyopsia
- ectropion
therapy: - needs glasses
- artificial tears
9. 77, f: pain left hypofossa since 3 days, known with hypertension for
which aldac-ton/spironolacton, now 130/70, bibasal crepitations on lung
auscultation
diagnosis: - lung oedema
- ?
therapy: stop aldacton/spirono and change to amlodipine 1 x 1 and
furosemide 40 1 x 1
10. 16, m: congenital malformation (afstaande ears and flexion
contractures of ankles and hands); cough and itch in throat since 2
months; nausea
diagnosis: - ?
- beginning of helminthiasis syndrome .... phenomenon?

therapy: - metoclopramide 10 3 x 1
- mebendazol 100 2 x 1
- baclofen 10 build up to 4 x 1
11. 62, m: dyspnea, cough, heavy smoker, known with copd
diagnosis: - copd exacerbation
therapy: - seretide for nebulator
- ipatropium bromide 3 x 2
- amoxicillin 500 2 x 1 for 1 week
- aspirin 325 1 x 1
12. 52, f: known with diabetes II + diabetic ulcer right foot +
osteomyelitis till proximal knee
diagnosis: - diabetes II
- osteomyelitis
therapy: -metformine 500 3 x 1
- ceftriaxon 2 x 1 gram/ day IV
- flucloxacillin 3 x 1 gram/ day IV
- ciprofloxacin 500 2 x 1 PO
- paracetamol 500 3 x 2
- piroxicam 10 3 x 1

13. m, 7: cough and rhinorrhea
diagnosis: - flu
therapy: - explanation and rest
14. 27, m: pain in right inguinal canal since 7 months, tender ligament
of Poupart, pain while squatting. gave birth 1 month ago
diagnosis: unspecified ligamentar strain
therapy: - info, don’t squat
- ibuprofen 200 3 x 1
15. 50, f: painful and tender left hypofossa
diagnosis: constipation
therapy: - drink water
- sterculia 2 x 1


June 21
I go and get some more medication at the catholic convent.

June 22

16. 54,m : pain and ‘tintelingen’ left hand for years, Tinel negative
diagnosis: carpal tunnel syndrome or more proximal nerve compression
therapy: naproxen 500 2 x 1
17. 24, f: thoracal (ventral and dorsal) pain since 3 months, no other
clinical or anamnestic findings
diagnosis: hyperventilation syndrome
therapy: - info
- diphenhydramine 50 1 x 1/2
18. 60, m: patient known with:
- holosystolic souffle 6/6, regular pulse
- hypertension 180/50
- dyspnea
- right shoulder and thoracal pain since 2 weeks
- right ear pain
- pale conjunctivae
diagnosis: - aortic valve stenosis
- mechanic hemolytic anemia
- hypertension: 180/50
- angina pectoris
- acute otitis media
- cardiac failure
therapy: - diltiazem 120 1 x 1
- enalapril 5 1 x 1
- triamteren/HCT 75/50: 1 x 1
- aspirin 325 1 x 1
- Fe sulphate 325 1 x 1
- naproxen 750 1 x 1
- amoxicillin 250 2 x 2

19. 66, m (OUT): since 5 months loss of weight ++, short of breath,
asthenia, anorexia, former smoker, constipation
diagnosis: - disseminated cancer of unknown primary origin
- constipation
therapy: - morphine 10 mg 1 x 1 - bisacodyl 10 1 x 1 intrarectally
- ipatropiumbromide puff 3 x 2

20. 47, f: known with diabetes and hypertension; cough since 1,5 months,
no other com-plaints
diagnosis: atypical pneumonia
therapy: doxycycline 100 2 x 1 1 week

I have decided to include name and village into the database.

21. 9, m: cough since 1,5 months Yansen Uni
diagnosis: atypical pneumonia
therapy: doxycyline 100 1 x 1 1 week
22. 50, m Ben Hock vague thoracal complaints, dizzy, fatigue since 1
week, aht 150/90, regular pulse
diagnosis: - arterial hypertension
- angina pectoris?
therapy: - aspirin 325 1 x 1
- metoprolol 50 1 x 1
- info
23. injection nr 12 ( OUT)
24. 42, f Yurnia Sarumaha ( Bawödowana), 2 cariës
diagnosis: caries
therapy: aspirin 325 3 x 2
cefditoren 200 2 x 1
toothpaste
will pull next Monday
25. 38,f Monica Lowö ( Bawödowana), 2 cariës
diagnosis: caries
therapy: aspirin 325 3 x 2
cefditoren 200 2 x 1
toothpaste
will pull next Monday

26. Harti Laohö 40, m (Silimaewali): epigastric pain +++, mild cough,
left axillar gland since 1 month
diagnosis: gastritis/stomach ulcer
therapy: metronidazol 500 2 x 1 for 1 week
tetracycline 250 1 x 1 for 1 week
cimetidine 400 1 x 2 for 1 month
paracetamol 500 3 x 2
info
27. 47, m Samohaini Dachi ( Siduwaewali): cough +++, dyspnea+++, heavy
smoker, regu-lar pulse, wheezing, TA 95/60, dizzy headache
diagnosis: copd
dehydration
therapy: water
stop smoking
ipatropium bromide puff 3 x 2
28. 32, f Roslimi Luwahöbowo ( Siduwaewali): tinea pedis
diagnosis: - tinea pedis
therapy: fluconazol 150 1 x 1 per week for 6 weeks

29. 17, m Andi Dachi ( Siduwaewali): headache, stomach ache, cough,
fever, diarrhea
diagnosis: influenza
therapy: info, water
naproxen 500 2 x 1
loperamide 2 3 x 1
30. 31, f Meti Devinas: G4P2, 8 months pregnant stomach ache
diagnosis: ?/ contractions
therapy: rest
paracetamol 500 4 x 2
31. 60, f Maewau Wau (hilinintaya): since 1 month pain and weakness in
both legs, stom-ach ache and tender abdomen, vivid knee tendon
relflexes, right hip and knee hardly flexi-ble, left leg very painful,
TA 240/120, SS 3/6, left mouth hangs a bit down
diagnosis: cva?, pain contralateral because of fall?
constipation
hypertension
unspecified valve dysfunction
therapy: aspirin 325 1 x 1
atenolol 50 1 x 1
enalapril 20 1 x 1
bendrofluazide 2,5 1 x 2
diclofenac 75 2 x 1
budesonide 3 1 x 1
info
32. 30, m (Hilinintaya) pterygion right eye
diagnosis: pterygion
therapy: info

June 23

33. 38, f Yofati Dao (Laurang): right lumbar pain and right hypofossa
pain, right leg pain; clinical: abdomen -, lasègue -
diagnosis: discushernia?
therapy: naproxen 500 2 x 1
34. 50, f Regina Bulöle ( Silimaewali): cough, fever, dyspnea, stomach
ache, diarrhea, malaise
diagnosis: influenza
therapy: info water
loperamid 2 2 x 1
naproxen 500 2 x 1
35. 50, f Sorina Amajihönö (Baluta): fever and chills since 1 month,
headache, TA 170/100 regular S1S2S3
diagnosis: hypertension
malaria? (pt has mosquito net)
therapy: info
aspirin 300 1 x 1 1 month
captopril 50 1 x 1 1 month
felodipine 10 1 x 1 1 month
quininesulphate 300 3 x 2 1 week
tetracycline 250 1 x 1 1 week
diclofenac 75 2 x 1
36. 22, m Genry Maduwau (laurang): known with tbc, dyspnea
diagnosis: tbc (since FEBRUARY)
therapy: isoniazide 150 2 x 1 1 month
rifampicine 150 2 x 1 1 month
albuterol puff 3 x 2
37. 60, m Mahrudin Maduwu (Laurang): recurrent bilateral pretibial
fungal infection, dizzy headache, fatigue TA 240/105
diagnosis: hypertension
tinea corporis
therapy: fluconazol 150 mg / week for 15 weeks
info
felodipin 10 1 x 1
captopril 50 1 x 1
metoprolol succinate 47,5 1 x 1
aspirin 300 1 x 1
38. Mina Kiya 70, f (iligeho): woman known with dementia and agitation
(son asks for medication
diagnosis: dementia and agitation
therapy: chlorpromazin 25 1 x 2

39. Ferami Hondö 45, m ( hilideho): difficulties reading
diagnosis: presbyopsia
therapy: needs glasses
40. 41, f Racheli Gahow (siduewaliwali): since half a year intermittent
right hypofossa pain, pain in both knees, no fever, HT 240/110 regular
SS 1/6, hepatosplenomegalia (obesitas), fear
diagnosis: secondary hypertension?
therapy: aspirin 325 1 x 1
metoprolol 50 2 x 1
buscopan 10 1 x 1
budesonide 3 1 x 3
ibuprofen 200 4 x 1
diphenhydramine 50 1 x 1
41. 60, m Luther Bumawölö (baluta): dizzy, fatigue, head ache TA 160/70,
holosystolic souffle 5/6, hepatomegalia, presbyopsia
diagnosis:- valve dysfunction (? aorta stenosis)
- hypertension 160/70
- cardiac failure
- presbyopsia
therapy: aspirin 325 3 x 1
enalapril 5 1 x 2
info
needs glasses
42. 49, m Sarata Bumawölö (baluta): neck muscle pain, pain at insertion
achilles tendon left calcaneum+swollen; Ht 190/110, headache
diagnosis: achilles tendon inserton tendinitis
hypertension
therapy: naproxen 500 2 x 1
aspirin 300 1 x 1
micardis 80/12,5 1 x 1
info
43. nr 12 nausea
diagnosis: drug induced nausea
therapy: domperidone 10 4 x 1
44. nr 19 status quo

45. 30, m Alex Sarumaha (sibaranun):
diagnosis: eczema palm left hand
therapy: hydrocortison cream 0,1 %
46. 29, m Yusman Doha ( Baoamahilatö): cough, throat ache, fever,
rhinorrhea since 1 week
diagnosis: influenza
therapy: naproxen 500 2 x 1
nasonex 3 x 2

47. 30 f Mefrida Söguto (marit):
since undefined period headache, throat pain and soar eye
diagnosis: ?
therapy: speach hygiene
water
naproxen 500 2 x 1
48. 16, m Batajira Harita ( hiliotalua): vertigo,head ache, fever, malaise
diagnosis: influenza?
therapy: domperidon 10 3 x 1
ibuprofen 200 4 x 1
49. 35, m (mata air): head ache, vertigo, dyspnea, smoker
diagnosis: dehydration
copd
therapy: ipatropium bromide 3 x 1
water info
naproxen 500 2 x 1

June 24

50. 36, f Esther Finoaä (Sibaranu)
d: tinea corporis
t: fluconazol 150/week 6 weeks
51. 41, m tohölö sarumaha (Sibaranu)
d: recurrent tinea corporis
supraspinatus inflamation
t: fluconazol 200/ week 10 weeks
diclofenac 50 2 x 1
52. 28 f, fofati dao (laurang)
comes back for continuous pain in right hypofossa, right leg pain, right
lbp (for-mer diagnosis: discushernia); no other/new clinical findings
diagnosis: salmonella t. (typhoid fever?)
t: ciprofloxacin 500 2 x 1 for 3 weeks
buscopan 10 2 x 1
53. 40 f dumina bago ( silima ewali)
headache dizzy epigastric pain
d: dehydration
dyspepsia
t: info
Al(oh)3 500 3 x 1
54. 40+,f Erna jamili (silima ewali)
pain in left hypofossa and overall in left leg during menses
d: premenstrual syndrome?
t: naproxen 500 2 x 1 when pain
55. 51, m semi gaorifa (loboi)
d: presbyopsia
t: info and ask to come back for glasses
56. 10 f, murnhi lasé (öfa ewali)
d: recurrent otitis media with effusion
hypertrophic tonsils
caries
t: info
amoxicillin 500 2 x 1
ibuprofen 200 3 x 1
tooth paste
57. 40, m asuwan lagira (ligeho)
since 2 days stomach ache and mucus/blood with stool; no diarrhea
d: acute bacterial gastro enteritis
tinea corporis feet
t: info water
gatifloxacin 400 3 x 1
fluconazol 150/ week 6 weeks
58. 60+,f sinurti finowa (marit)
headache dizzy; constipation, gonarthrosis; TA 160/100 regular; diabetes
d: diabetes II
dehydration
arterial hypertension
gonarthrosis
t: info
metformine 500 2 x 1
cilazapril 5/HCT 12,5 1 x 1
aspirin 325 1 x 1
paracetamol 325 3 x 2
docusat 120 1 x 2
59. 28 f Meliana dohude (marit)
dizzy, headache; neck pain, low back pain
d: dehydration
tension headache
lumbago
t: info
meloxicam 7,5 1 x 1
60. 50 f janduto finowa (marit)
constipation, epigastric pain, head ache , dizzy
d: dehydration
dyspepsia
t: info
Al(OH)3 500 3 x 1
61. 9 m Yansen uni (mata air)
dysuria, no fever
d: cystitis/urethritis?
t: ciprofloxacin 500 1/2 2 x 1 3 days
62. 3,5 f christiani jebua (complex st yosef)
cough and fever since 3 weeks, left stcm glands (already had amoxicillin
treatment)
d: atypical pneumonia?
t: ciprofloxacin 250 1 x 1 6 days
paracetamol 500 2 x 1
63. 9, m clemence jebua (complex st yosef)
cough since 3 weeks, anorexia, tonsil hyperthrophia, eczema feet
d: viral infection
eczema feet
helminthiasis?
t: mebendazol 100 2 x 1 3 days
hydrocortison cream 0,1%
64. 42, m Fajer Jebua (complex st yosef)
d: sprew
t: nystatin 500000 1 x 1
65. 46, m yanuwar Hondö (bintuang)
hard and painful swelling left maxilla , caries (similar 1 year ago)
d: maxillar osteomyelitis left
caries
t: amoxi 500 3 x 1
cefalexin 500 3 x 2
naproxen 500 2 x 1
brush teeth and remove teeth
66. 10, m serian hondö (bintuang)
d: tinea corporis++
t: fluconazol 150 mg for 6 weeks
67. Yunisia sarumaha 46 f ( bawamasio)
since birth of child 1 year ago headache, vertigo, dyspnea, tachycardia,
pale conjunc-tivae; epigasttric pain; pain left hip and knee
d: ferriprive anemia
gastritis
inflammtion tenor fascia latae
t: info
Fesulphate 325 mg 1 x 1 3 months
cimetidine 400 1 x 1
naproxen 500 2 x 1
68. 52, m Jonas sarumaha ( bawamasio)
since 1 month pain in right hip, LBP, knee
d: lumbago
t: info
naproxen 500 2 x 1

25th June

69. 50, m aseri nehe (k. cina)
d: control ht 145/90
t: enalapril 5 1 x 1
70. 60, m fahato gowasa (hiliotaluo)
HT 180/115 regular SS 3/6 S1S2S3, insomnia, cough, dyspnea, chest pain,
polyuria, hepatomegalia
d: instable angina pectoris
cardiac failure?
arterial hypertension
insomnia
t: metoprolol 50 1 x 2
nitrolingual spray when needed
aspirin 325 1 x 1
diltiazem 90 1 x 1
diphenhydramine 50 1 x 1
71. 3, F stephen Daya (bawoamasi)
father concerned about tonsillitis: no hypertrophic tonsils
d: caries
t: info
72. maharena lajira 50 f (hiligeho)
d: dehydration
t: info
73. esthera harefa 25 f (hiligeho)
d: dehydration
t: info
74. 9 f tenia lajira (hiligeho)
erythema and pruritus and head ache since 1 week
d: viral infection
t: ibuprofen 200 3 x 1
calmoseptine
75. 60 m (hiligeho) awahöli harefa
control ht; ang pectoris, nycturia, dyspna chest pain, cough, insomnia,
ta 17/10 regu-lar
d: aspirin 325 1 x 1
lisinopril 20 1 x 1diphenhydramin 50 1 x 1
76.33, m
d: presternal keloid
pruritus
t: info
calmoseptine
77. 13 m yaya laso (hayo)
caries left under molar, painful; since 1 month erythemateuze plaque
bilateral ingui-nal+ crustae
d: caries
candida?
t: aspirin 325 3 x 2
fluconazol 150/ week 6 weeks
calmoseptine
78. 52 f Marija hndö (hayo)
dizzy, head ache, palpitations, 115/85 regular, pale conjunctivae
d: ferriprive anemia
dehydration
t: info
fesulphate 325 1 x 1 1 month
79. 20,f teresia sarumaha (bawomasia)
since 2 months stomach ache + diarrhea; painful menses
d: premenstrual syndrome
typhoid fever (s. typhi)?
helminthiasis?
t: ciprofloxacin 500 2 x 1 for 2 weeks
mebendazol 100 2 x 1 for 3 days
diclofenac 75 2 x 1
buscopan 10 2 x 1
loperamide 2 2 x 1
80. 19, m Thomasdodi sarumaha (bawamasia)
cough since 2 months (started smoking 3 months ago), night chills,
rhinorrhea
d: smokers’ cough/atypical pneumonia?
t: info
doxycycline 100 2 x 1 1 week
81. Taher dachi 51 m ( sinaur)
d: epicondylitis lateralis
Low back pain
gastritis/gastric ulcer
t: info
naproxen 500 2 x 1
cytotec 200 2 x 1
famotidine 20 2 x 1

26 June was a rainy day


27 june

82. 50, m fanolo jerömi (laurang)
presbyopsis
headache, dizzy, control ht (170/100) regular 90 bpm, smoker; horn sign
right arm
d: supraspinatus insertion tendinitis right
hypertension
presbyopsia
dehydration
t: info
micardis 80/12,5 1 x 1
aspirin 325 1 x 1
naproxen 500 2 x 1

83. 32, m yunus jerömi (laurang)
fatigue, smoker, dyspnea
d: smokers’ dyspnea
t: stop
vit a 200 1 x 1
84. 22, f maruwati jerömi (laurang)
allergy to noodles; head ache vertigo, anorexia
d: egg allergia
dehydration
t: info
cetirizine 10 1 x 1 prescription
85. 61, m Rosman daya (laurang)
cardiac failure, instable angina, peripheral oedema, nycturia, anaemia,
dysp-nea, constipation, 175/90 regular 65 bpm, lungoedema
d: cardiac failure with fluid retention
anaemia
hypertension
instable angina pectoris
constipation
t: info
aspirin 325 1 x 1
captopril 50 1 x 1
diltiazem 90 1 x 1
furosemide 40 2 x 1
ipatropium bromide 3 x 2
bisacodyl 5 1 x 2
ferrosulphate 325 1 x 1
86. 22 f astrifa mohö (mata air)
dizzy, fatigue, anorexia; is under birth control 1 injection per 3
months; gave birth more than 6 months ago; ever since menometrorhaggia
d: progesteron-induced menometroragghia
t: stop injection
think of new way of birth control
Fesulp 325 1 X 1 2 months
87. 35 f nalifa mohö (mata air)
d: acute otitis media with effusion
tinea corporis left ankle +++
ectropion d
dehydration
t: info
amoxi 500 2 x 1 5 days
diclofenac 50 2 x 1
artificial tears
fluconazol 150/week for 10 weeks
88. 51, f mije daya (baligia)
tbc treatment since 2 months, recently had hemoptysis, fever and pain in
chest
continue to take medicine and come back before medicine is finished
d: tbc follow-up and exacerbation
t: continue treatment
ibuprofen 200 3 x 1
89. 28 f: feri sarumaha (baligia)
d: chronic schizophrenia on treatment
t: chlorpromazine 25 1 x 2
info
90. 59 m fanahadödo sarumaha (baligia)
dyspnea, chest pain, anorexia, chills, no smoking, pale conjunctivae,
fatigue, epiconndylitis lateralis, have mosquito net
d: malaria
epicondylitis lateralis s
anemia
tinea coporis
t: info
fluconazol 150/ week 6 weeks
quininesulp 300 3 x 2 1 week
tetracycline 250 1 x 1 1 week
fesulp 325 1 x 1 2 months

28 june

91. melati sarumaha 57 f (sifitu ewali) OUT
diagnosis: ectropion
posttraumatic arthrosis right wrist
therapy: artificial tears
naproxen 500 2 x 1
92. Fara Wau 61, m ( sifitu ewali) OUT
anal blood loss;weight loss; fatigue;pale conjunctivae; anorexia,
ascites; dyspnea; systolic souffle 2/6
d: disseminated primary colon carcinoma?
valve dysfunction
t: Fe sulphate
aspirin 300 1 x 1
ciprofloxacin 500 2 x 1
mebendazol 100 2 x 1
furosemid 40 2 x 1
93. Maye Wau 60,f (hilinintaya) = nr 31 OUT
still in pain; TA 190/95
d: postictal contusion
t: tramadol 50 2 x 1
94. Tina Sarumaha 65 f (hilinintaya) OUT
dyspnea, tachycardia, TA 170/90, ankle oedema, insomnia, fever, pain
d: infection induced exacerbation cardiac failure
t: morphin 10 2 x 1
amoxicillin 500 2 x 1
diazepam 5 1 x 1
metoclopramid 10 2 x 1
furosemid 40 2 x 1
aspirin 300 1 x 1
95. Berikan 21, m
stomach cramps, fever
d: gastrointestinal infection
t: buscopan 10 2 x 1
ciprofloxacin 500 2 x 1

29 June

96. michael sarumaha 4 m (sibuasi)
rhinorrhea, cough, fever, vomit
d: influenza-like syndrome
t: paracetamol 500 2 x 1
metoclopramid 10 2 x 1
drink enough

97. samarida sarumaha 50 f (hilinudula)
pain in right leg since 1 month
d: discushernia
dehydration & constipation
t: voltaren 100 1 x 1
naproxen 500 2 x 1
tramadol 50 2 x 1
docusat 120 1 x 2
98. Ané laowu 5 f ( hilinudula)
cough rhinorrhea, nausea, anorexia
d: infuenza like syndrome
t: paracetamol 500 2 x 1
metoclopramid 10 2 x 1
mebendazol 100 2 x 1
99. regina wulawölö f 50 (silima ewali)
comes back for continued diarrhea and dehydration
d: diarrhea with dehydration
t: ciprofloxacin 500 2 x 1
ORS 3 x 1 liter
naproxen 500 2 x 1
loperamid 2 3 x 1
Fesulphate+fa 2 months
100. melisa lawö f 50 (fitu ewali)
vague symptoms; ta 135/80; enlarged thyroid?; pyrosis
d: atrial fibrillation
gastric reflux
t: sotalol 80 1 x 1
aspirin 300 1 x 1
AlOH 500 3 x 1
101. Ini Lawö f55 (fitu ewali)
d: gonarhtrosis
aht 230/110
gastric reflux
obesitas
systolic souffle 3/6 S4S1S2
anaemia (mechanic hemolysis?)
t: tramadol 50 2 x 1
aldoril 25 1 x 1
captopril 50 1 x 1
Aloh 500 3 X 1
aspirin 300 1 x 1
fesulphate 300 1 x 1

102. nelu wari f 4 (fituewali)
cough and fever since 2 days; occasionnal allergic eruption (urticaria)
d: influenza like syndrome
unspecified allergy
t: info
paracetamol 500 2 x 1
103. teredödö Wao 50, m (fitu ewali)
d: dehydration with constipation
t: info
naproxen 500 2 x 1
docusat 120 1 x 1
104. foluwaha bayo 51 m ( silima ewali)
d: dehydration
presbyopsia
tinea corporis?
t: info
fluconazol 150 for 6 weeks
calmoseptine
105. Moaja julögö m 38 ( sifitu ewali)
since 2 months cough and epigastric stomach ache, loss of weight
anorexia; erythe-mateus well defined skin laesion epigastric
d: ? gastric ulcer/perforation/stomach cancer/ helminthiasis?
t: albendazol 400 2 x 1
mebendazol 100 2 x 1
pantoprazol 20 1 x 2
tramadol 50 2 x 1
metronidazol 500 2 x 1

106. simanahu daya m 55 (laurang)
dyspnea, fever, weight loss since 2 years, inguinal bilateral glands;
recently stopped smoking
d: copd
disseminated neoplasma
t: info
107. merina jeremi f 49 (laurang)
headache, palpitations, insomnia, pain left arm; epigastric pain and
pyrosis; gonarht-rosis
d: gonarthrosis
stress
gastric reflux
unspecified overuse strain of locomotoric apparatus left arm
t: tramadol 50 2 x 1
naproxen 500 2 x 1
cimetidin 400 1 x 2
diphenhydramin 50 1 x 1

108. asnima layu f 45 ( simulaya)
d: obesitas
gastric ulcer
t: loose weight
cimetidin 400 1 x 2 metro 500 2 x 1
tetracycline 250 1 x 1

109. Pius vanaitu m 15 ( sinauru)
have treated him for jaundice 2 months ago with antihelminthica; ok now;
has cough since a couple of days
d: control
influenza like syndrome
t: info
110. yani jidomi f 45 (sinauru)
insomnia, pale conjunctivae, epigastric discomfort
d: anaemia
insomnia
gastric reflux
t: fe+fa
diphenhydramin 50 1 x 1
aloh 500 3 x 1
111. wao 1 week m (bawöfaido)
posttraumatic (passage through birthcanal) skull hematoma
d: skull hematoma
t: info + drink enough
112. harti laowö 40 m (silima ewali)
has been treated for stomach ulcer, but pain continues
d: stomach ulcer
t: omeprazol 10 2 x 3
info
113. 42, f Yurnia Sarumaha ( Bawödowana), 2 cariës
d: caries
t: extract 2 molars (1 partly resides)
naproxen 500 2 x 1
cefalexin 500 2 x 1
114. 38,f Monica Lowö ( Bawödowana), 2 cariës
d: caries
t: extract 2 molars
naproxen 500 2 x 1
115. =nr 105 dyspnea, tachycardia, ta 160/100 OUT
d:?
t: info, come back tomorrow
116. =nr 31
TA 180/90; painfree
d: follow-up cva
t: info
117. =nr94 ; clearly improved; has to take/continue medication
d: follow up
t: info
118. ben hock (mata air)
d: check ht
t: info

30 June
119. depi lehade m 30 (marit)
minor cut in right toe yesterday
d: superficial cut toe
t: remove local medicine; clean with betadin
fluclox 500 3 x 2
naproxen 500 2 x 1
120. netral sarumaha m 8 ( bawodobara)
cough ++ and dyspnea since birth; mothers asks for antihelminthica
d: astma
t: info
symbicort 3 x 2
pulmicort crisis 1 x 2
mebendazol 100 2 x 1

121. sadoki halmens m 45 ( ?)
fatigue, dyspnea (smoker), anal itch, mental health?
d: schizoophrenia?
t: chlorpromazin 25 1 x 1
calmoseptine
122. jiro dao 41 m ( silima ewali)
d: control ht
t: info
123. 94 improvement; still in pain
d: ?
t: info
124. 105 status quo
d: follow up
t: info
125. 31 status quo
d: follow up cva
t: info
126. Alfred jamili m 5 (k cina)
fever++, cough, submandibular and cervical glands, no lung focus,
rhinorrhea; inabil-ity to speak
d: influenza like syndrome
speech absent
t: paracetamol 500 2 x 1
info
127. Puteri jamili 8 months f ( k cina)
d: oesophagal reflux
t: gaviscon 2 after every meal
128. medi mendöfa f 36 (k.cina)
d: lumbago
t: info
naproxen 500 2 x 1

1 July

129. erwan lasé 21 m (silifa ewali)
cough, dyspnea d’effort since 4 months, palpitations, loss of weight
d: TBC?
t: check tbc and come back
130. sadis sarumaha m 13 (bawaomasé)
tender and swollen bump on head; soft and mobile consistence for more
than a year
d: sebumcyste?
t: will remove next week + info
131. tesalonika luha f 2 (bawadöwara)
cough, fever, diarrhea, headache, stomach ache; aks for antihelminthica
d: influenza like syndrome
t: paracetamol 500 2 x 1
ORS 4 X 1
mebendazol 100 2 x 1

132. sifita bagu f 39 (bawödowara)
vertigo, pale conjunctivae, headache
d: dehydration
anaemia
t: info
fe+fa
133. jurbi pina m 56 ( marit)
recurrent epigastric pain, dyspnea, pyrosis
d: gastric ulcer
smoker’s dyspnea
t: info
stop smoking
cimetidin 400 1 x 2
134. bojuwe sarumaha m 32 (baluta)
fatigue, headache, vertigo, epigastric pain; has no mosquito net
d: malaria
anaemia
dehydration
gastric ulcer
t: info
quininesulphate 300 3 x 2
tetracycline 250 1 x 1
fe+folic acid
cimetidin 400 1 x 2
135. Sifema laso f 25 (hayo)
d: tension headache since 2 weeks
t: alprazolam 250 microgram 1 tima
naproxen 500 2 x 1
136. rosia laya 21 f (laurang)
tensed neck muscles, insomnia
d: panic disorder
t: diazepam 2,5 1 x 1
137. jermas holo 42 m (silima ewali)
insomnia, fatigue, unhappy, no clinical findings
d: depression
t: amitryptilin 10 1 x 5 for 6 month