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DOI: 10.1177/1043659605285408 A Guide for Visiting Clinicians to Guatemala: Common Presenting Symptoms and TreatmentMcGuire VA Hospital, Richmond, VA For volunteer clinicians from North America and Europe, treating patients for the first time in remote areas of Guatemala can be a challenge. Radiology and laboratory facilities are usually lacking, and the cultural and linguistic barriers are huge. This article provides clinicians working in Guatemala with a description and ranking of the most common presenting complaints, as determined from a chart review of 1,500 patients. Unfamiliar diagnoses, empiric treatment, and pertinent cultural factors, including the fading but still-present hot-cold paradigm, are also included.
Key Words: Guatemala manual or guide symptoms diagnosis treatment developing countries culture hot-cold paradigm
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