Gloria A., 14

Gloria Adhiambo is a 13-year-old girl and a Grade Eight pupil at a nearby primary school. She is the second-born in a family of three children and the only daughter to her parents. Gloria is a hardworking and determined student who values her education, but her schooling is frequently interrupted due to the fact that she is often unwell, which often forces her to stay at home during episodes of illness. During these times, her parents are unable to seek proper medical care due to financial constraints, and she is often managed at home with basic pain relief such as paracetamol until she improves. Her father is a small-scale farmer who works hard to provide for the family, although his income is limited. In addition to supporting his immediate family, he also cares for his elderly parents and relatives who have lost their own parents, making the financial burden even heavier. Gloria’s mother is a housewife who takes care of the household. Despite these challenges, Gloria remains cheerful and active. She enjoys playing football and even leads a small team in her village. Academically, she performs well in languages and dreams of becoming a police officer in the future. Gloria was brought to the health facility with ongoing nosebleeds that had been occurring intermittently for nearly six months. On the day of presentation, she developed a nosebleed while at school, prompting the headteacher to contact her mother. Her mother, who had previously attended a community outreach and learned about Helpster Charity at Awasi Catholic Mission Health Centre, requested the school administration to take Gloria to the facility as she made her way there. In addition to the recurrent nosebleeds, Gloria also exhibited persistent fever, general body weakness and fatigue, chills and sweating Upon arrival at the facility, Gloria was attended to immediately. First aid measures were administered to control the bleeding and stabilize her condition. She was then admitted to the ward for close monitoring, further investigations, and appropriate medical treatment.

Gloria, a 13-year-old girl, was admitted to the ward on 20/03/2026 after presenting with epistaxis (nose bleeding) accompanied by signs of septicemia, including fever, weakness, and general malaise. Due to the persistent bleeding and evidence of systemic infection, she required close medical observation and inpatient management. During admission, Gloria was started on intravenous Ceftriaxone to treat the underlying infection, Tranexamic acid to control the nasal bleeding, Hydrocortisone to reduce inflammation, and Normal Saline for fluid support and stabilization. Throughout her stay, her vital signs and clinical condition were closely monitored by the medical team. She gradually showed significant improvement as the bleeding stopped, her fever subsided, and her strength returned. By 23/03/2026, Gloria had stabilized well and was discharged in good condition, with advice for continued observation at home and follow-up if symptoms recurred.

Gloria, a 13-year-old girl, presented with epistaxis (recurrent nose bleeding) accompanied by signs of septicemia, including high fever, weakness, and general body malaise. On clinical assessment, her condition was considered serious as the persistent bleeding and systemic infection posed a risk of further complications if not promptly controlled. In the doctor’s opinion, her condition required urgent ward admission for close monitoring, stabilization, and comprehensive treatment. Management included control of the nasal bleeding, administration of intravenous antibiotics to treat the bloodstream infection, fluid therapy, and continuous observation of vital signs to prevent deterioration. With appropriate inpatient care and close medical supervision, the prognosis is good, and she is expected to recover well as the infection resolves and the bleeding is effectively controlled.