Introduction

This blog will follow me through my travels and experiences working at a clinic in Quetzaltenango (Xela), Guatemala. The clinic sees primarily indigenous (Mayan) patients in a rural mountain community. More than half of the patients are children, and the clinic is expanding its population even more to include more adults. Much of my struggles actually come from the rather universal theme of being a new healthcare provider, in my case, a new nurse practitioner. I'll also try to post plenty of travel stories to keep people entertained, and share some more cheerful stories. I apologize if there's an overkill of clinic stories. Sometimes it helps to tell the stories, even if only for my own sake.

Friday, September 24, 2010

A Clinical Post

I saw a baby today, 7 months, weighing 7.5 lbs today. It is unclear what the birthweight was, though they thought he was 7 lbs. A normal 2 month old with that birth weight should weight abut 11 lbs. He was brought in for conjunctivitis, which he has had almost since birth (no, not for the lack of weight-gain). There were no birth/hospital records. He also cried a lot and was constipated, though he was breastfed.

When I looked at his eyes, he had a white reflex in both eyes (instead of red). This could be a sign of a tumor called retinoblastoma, though it could be something else. Two other volunteers actually asked me to come in because of the weight issue, but when I saw that, I went to get the Dr immediately. We sent him for a CT immediately, and will continue to evaluate and treat, presuming that the family follows up. Certainly an interesting case, and scary. But also sad to see such a malnourished baby at only 2 months!

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