anchor.diff:  •  Keep well hydrated
   •  If delirium or hallucinations persist despite treatment of other withdrawal symptoms, then consider using antipsychotics such as haloperidol 2.5 •  5 mg orally up to 3 times daily
   
  -If withdrawal is complicated by a seizure, treat with diazepam in the first instance and do not use anticonvulsants to prevent further seizures",,,
  -"mhg_16","Harmful Use Of Alcohol","case","demo_case",,"icd_code",,"match","F10.1","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"A strong desire or sense of compulsion to take alcohol, Difficulties in controlling alcohol use in terms of its onset, termination or levels of use, A physiological withdrawal state when alcohol use has ceased or been reduced, as shown by the characteristic withdrawal syndrome for alcohol; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms, Evidence of tolerance, such that increased doses of alcohol are required in order to achieve effects originally produced by lower doses, Progressive neglect of alternative pleasures or interests because of alcohol use, increased amount of time necessary to obtain or take alcohol or to recover from its effects, Alcohol use persisting despite clear evidence of overtly harmful consequences, such as harm to the liver, depressive mood states, or impairment of cognitive functioning","•  State clearly the results of alcohol use assessment and explain the links between this level of alcohol use, the person's health problems, and the short-term and long-term risks of continuing use at the current level
  +If withdrawal is complicated by a seizure, treat with diazepam in the first instance and do not use anticonvulsants to prevent further seizures",,,,,,
  +mhg_16,Harmful Use Of Alcohol,case,demo_case,,icd_code,,,match,F10.1,mhgap,,mhgap,,Suspected,mhGAP Guidelines,http://www.paho.org/mhgap/en/,None,mhGAP Guidelines,,"A strong desire or sense of compulsion to take alcohol, Difficulties in controlling alcohol use in terms of its onset, termination or levels of use, A physiological withdrawal state when alcohol use has ceased or been reduced, as shown by the characteristic withdrawal syndrome for alcohol; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms, Evidence of tolerance, such that increased doses of alcohol are required in order to achieve effects originally produced by lower doses, Progressive neglect of alternative pleasures or interests because of alcohol use, increased amount of time necessary to obtain or take alcohol or to recover from its effects, Alcohol use persisting despite clear evidence of overtly harmful consequences, such as harm to the liver, depressive mood states, or impairment of cognitive functioning","•  State clearly the results of alcohol use assessment and explain the links between this level of alcohol use, the person's health problems, and the short-term and long-term risks of continuing use at the current level
   •  Ask about other substance use
   •  Have a short discussion about the person's reasons for their alcohol use
   •  State clearly the recommendation to either cut down to safer levels or stop using alcohol completely and your willingness to help the person to do so
  
positive.code: •  If available, provide psychological and social interventions such as family therapy or social skills therapy. Consider adding a psychosocial intervention not offered earlier, e.g. cognitive behavioural therapy if available
  •  Provide regular follow-up
  •  Maintain realistic hope and optimism
  •  Facilitate rehabilitation",,,
  "mhg_4","Mania","case","demo_case",,"icd_code",,"match","F30","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Elevated, expansive or irritable mood, Increased activity, restlessness, excitement, Increased talkativeness, Loss of normal social inhibitions, Decreased need for sleep, Inflated self-esteem, Distractibility, Elevated sexual energy or sexual indiscretion, None of the above, Loss of or impaired consciousness","•  Begin treatment of acute mania with lithium, valproate, carbamazepine or with antipsychotics
  •  Consider a short-term benzodiazepine (such as diazepam) for behavioural disturbance or agitation
  •  Discontinue any antidepressants
  •  Advise the person to modify lifestyle; provide information about bipolar disorder and its treatment
  •  Provide regular follow-up",,,
  "mhg_5","Bipolar Depression","case","demo_case",,"icd_code",,"match","F31.9","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Elevated, expansive or irritable mood, Increased activity, restlessness, excitement, Increased talkativeness, Loss of normal social inhibitions, Decreased need for sleep, Inflated self-esteem, Distractibility, Elevated sexual energy or sexual indiscretion, None of the above, Loss of or impaired consciousness","•  Begin treatment with a mood-stabilizer
  •  Consider antidepressant combined with mood stabilizer for moderate / severe depression
  •  Inform the person about the risk of switching to mania before starting antidepressant medication
  •  Advise the person to modify lifestyle; provide information about bipolar disorder and its treatment
  •  Reactivate social networks
  •  If available, consider psychological interventions
  •  Pursue rehabilitation, including appropriate economic and educational activities, using formal and informal systems
  •  Provide regular follow-up",,,
  "mhg_6","Bipolar Depression Between Episodes","case","demo_case",,"icd_code",,"match","F31.7","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Elevated, expansive or irritable mood, Increased activity, restlessness, excitement, Increased talkativeness, Loss of normal social inhibitions, Decreased need for sleep, Inflated self-esteem, Distractibility, Elevated sexual energy or sexual indiscretion, None of the above, Loss of or impaired consciousness","•  If the person is not on a mood stabilizer then begin one
  •  Advise person to modify lifestyle; provide information about bipolar disorder and its treatment
  •  Reactivate social networks
  •  Pursue rehabilitation, including appropriate economic and educational activities, using formal and informal systems
  •  Provide regular follow-up; monitor side-effects and adherence",,,
  "mhg_7","Non-Convulsive Seizures Or Other Medical Condition","case","demo_case",,"icd_code",,"match","G40.3","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  In case of recurrent episodes, CONSULT A SPECIALIST
  •  Follow up after 3 months",,,
  "mhg_8","Acute Aetiology","case","demo_case",,"icd_code",,"match","G40.9","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Treat the medical condition
  •  Antiepileptic maintenance treatment is not required
  •  Follow up after 3 months to assess if the person has epilepsy",,,
  "mhg_9","Complex Febrile Disease","case","demo_case",,"icd_code",,"match","R56.0","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Refer for hospital admission.
  •  Look for neuroinfection (suspect cerebral malaria in high endemic settings)
  •  Follow up",,,
  "mhg_10","Simple Febrile Seizure","case","demo_case",,"icd_code",,"match","R56.8","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Manage fever and look for its cause according to the local IMCI guidelines
  •  Observe for 24 hours
  •  Follow up",,,
  "mhg_11","Epilepsy","case","demo_case",,"icd_code",,"match","G40","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Stiffness, rigidity lasting longer than 1 - 2 minute, Convulsive movements lasting longer than 1 - 2 minute, Tongue bite or self-injury, Incontinence of urine and / or faeces, After the abnormal movement: any fatigue, sleepiness, headache or muscles aches, Focal - starts in one part of the body, Prolonged - more than 15 minutes, Repetitive - more than 1 episode during the current illness","•  Initiate antiepileptic drug phenobarbital, phenytoin, carbamazepine or valproate
  •  Educate about condition, lifestyle and safety issues, and importance of adherence and regular follow-up
  •  Follow up regularly",,,
  "mhg_12","Delerium","case","demo_case",,"icd_code",,"match","R56.0","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Problems with memory and orientation, Mood or behavioural problems , Loss of emotional control, Difficulties in carrying out usual activities","•  CONSULT A SPECIALIST",,,
  "mhg_13","Dementia","case","demo_case",,"icd_code",,"match","F03","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"Problems with memory and orientation, Mood or behavioural problems , Loss of emotional control, Difficulties in carrying out usual activities","•  CONSULT A SPECIALIST",,,
  "mhg_14","Alcohol Intoxication","case","demo_case",,"icd_code",,"match","F10.0","mhgap",,"mhgap","Suspected","mhGAP Guidelines","http://www.paho.org/mhgap/en/","None","mhGAP Guidelines",,"A strong desire or sense of compulsion to take alcohol, Difficulties in controlling alcohol use in terms of its onset, termination or levels of use, A physiological withdrawal state when alcohol use has ceased or been reduced, as shown by the characteristic withdrawal syndrome for alcohol; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms, Evidence of tolerance, such that increased doses of alcohol are required in order to achieve effects originally produced by lower doses, Progressive neglect of alternative pleasures or interests because of alcohol use, increased amount of time necessary to obtain or take alcohol or to recover from its effects, Alcohol use persisting despite clear evidence of overtly harmful consequences, such as harm to the liver, depressive mood states, or impairment of cognitive functioning","•  State clearly the results of alcohol use assessment and explain the links between this level of alcohol use, the person's health problems, and the short-term and long-term risks of continuing use at the current level
  •  Ask about other substance use
  •  Have a short discussion about the person's reasons for their alcohol use
  •  State clearly the recommendation to either cut down to safer levels or stop using alcohol completely and your willingness to help the person to do so
  
negative.code: Stage 4:
  Clinical: HIV wasting syndrome, pneumocystis pneumonia, recurrent severe or radiological bacterial pneumonia, chronic herpes simplex infection (orolabial, genital or anorectal of more than one month's duration), oesophageal candidiasis, extrapulmonary TB, kaposi's sarcoma, central nervous system toxoplasmosis, HIV encephalopathy
  
  Lab: Extrapulmonary cryptococcosis including meningitis, disseminated non-tuberculous mycobacteria infection, progressive multifocal leukoencephalopathy (PML), candida of trachea/bronchi/lungs, cryptosporidiosis, isosporiasis, visceral herpes simplex infection, cytomegalovirus (CMV) infection (retinitis or of an organ other than liver, spleen or lymph nodes), any disseminated mycosis (e.g. histoplasmosis, coccidiomycosis, penicilliosis), recurrent non-typhoidal salmonella septicaemia, lymphoma (cerebral or B cell non-Hodgkin), invasive cervica carcinoma, visceral leishmaniasis","For adults and children 18 months and older, persons have a positive HIV antibody test (rapid or laboratory-based enzyme immunoassay) confirmed by a second HIV antibody test (rapid or laboratory-based enzyme immunoassay) relying on different antigens or of different operating characteristics. For children younger than 18 months, a positive virological test for HIV or its components (HIV-RNA or HIV-DNA or ultrasensitive HIV p24 antigen) confirmed by a second virological test obtained from a separate determination taken more than 4 weeks after birth.",,,,,,
  cmd_31,Mumps,case,demo_case,,icd_code,1,individual,match,"B26,B26.0,B26.1,B26.2,B26.3,B26.8,B26.9","cd_tab,Other viral diseases",,tab,,Suspected,International Classification of Disease (ICD-10),http://apps.who.int/classifications/icd10/browse/2015/en,1 case,"Clinical Description
  An illness with acute onset of unilateral or bilateral tender, self-limited swelling of the parotid or other salivary gland, lasting 2 days or more, and without other apparent cause. 
  
  Probable case  
  