CoC Past Papers: Clinical Case Essay Questions for Clinical Officers

picture_as_pdf Wound Closure and Suturing Techniques: Choosing Suture Material, Burying a Knot and Intradermal Patterns Surgery II deck on closing a wound, starting with how to choose a suture: absorbable against non-absorbable, natural against synthetic, monofilament against multifilament, and then tensile strength, ease of handling, knot security, capillary wicking, the tissue being sutured, healing speed and cost. It shows how to make a surgical incision, bury a knot, run the intradermal suture patterns and tie an Aberdeen knot, and ends with removing sutures by elevating and snipping them and supporting the wound with adhesive strips so it does not reopen. PDF KES 40.00 picture_as_pdf Immunization Covers immunization systems, policies, service delivery, and the expanded program of immunization (EPI) in Kenya. Defines key terms and discusses vaccine types and administration. PDF KES 40.00 picture_as_pdf Juvenile Rheumatoid Arthritis: Definition, Etiology, Pathology, and Clinical Presentation This document details Juvenile Rheumatoid Arthritis (JRA), covering its definition, subdivisions, proposed autoimmune and infectious etiologies, pathological characteristics of inflamed synovium, and clinical signs like morning stiffness and joint examination findings. PDF KES 40.00 picture_as_pdf Normal Puerperium Lecture by Thomas Rutto on normal puerperium covering the period of time following delivery during which the body recovers, goals of the puerperium, and anatomical changes of the reproductive system including the immediate puerperium first 24 hours. Essential for midwifery students. PDF KES 40.00 picture_as_pdf Diabetes Mellitus: Type 1, Type 2 and Gestational Diabetes, Their Management and Complications A short clinical deck by an MBChB graduate of the University of Nairobi on classification: type 1 as insulin-dependent and usually juvenile, from destruction of the pancreatic beta cells, always needing insulin and prone to ketoacidosis and weight loss; type 2 as non-insulin-dependent, most often over 40 years, from reduced secretion with insulin resistance and linked to obesity and inactivity; and gestational diabetes. Management and complications follow, with rehydration over 48 hours at half the rate used in ketoacidosis, insulin sometimes unnecessary at 1 unit an hour, full-dose heparin for the high thrombotic risk, and the metabolic, macrovascular, microvascular and nervous complications. PDF KES 40.00