Last Updated Oct 31, 2025:
DENGUE FEVER:
Use of carica, an extract from papaya leaves, to help treat and prevent thrombocytopenia:
(NOTE: Carica not currently approved for use at Sonja Kill Hospital)
5-center, 300-patient study from India, blinded, used tablet of extract 3x/day for 5 days
A PLOS study of treatment in 51 patients with platelets<30K from 2020
NEUROLOGICAL EXAMINATION:
Dr Paul's Basic Neurological ExamCranial Nerve Eval from the Merck Manual
Specific Focused Neurological Exams:
NIH Stroke Scale. See MD Calc and this detailed explanation. I have not seen it translated into the Khmer language.
Use of the RASS scale in the ICU, article from 2019
Glasgow Coma Scale: See MD Calc
INTERESTING NEUROLOGICAL EXAM FINDINGS:
Internuclear Ophthalmoplegia video (you can forward to the diagrams):
MIGRAINE HEADACHES:
Can find the triptan, simvastatin, (at Kampot downtown pharmacy for $7 US per pill:
STATINS IN ASIANS
2006 Article on safety and efficacy of statins in Asians from the American Journal of Cardiology

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