Nigerian Medical Practitioner <p><em>The Nigerian Medical Practitioner</em>, a monthly Journal publishes clinical and research articles in medicine and related fields which are of interest to a large proportion of medical and allied health practitioners. It also publishes miscellaneous articles-hospital administration, business practice, accounting, law-for health practitioners. Case reports and letters about published papers are welcome.</p> SAME Ventures en-US Nigerian Medical Practitioner 0189-0964 Copyright belongs to the journal. Guidelines for the management of hypertension in Nigeria 2020 <p><strong><em>Hypertension, defined as blood pressure &gt; 140/90 mmHg, has assumed greater public health importance in Nigeria in the last 2 decades. Many reports put the adult prevalence rates at 20-40%, with some major ones specifically reporting 27.8% and 28.9%. Low detection and reporting rates, inadequate investigation and treatment rates all combine to increase the burden. The guidelines provide updated information. The traditional risk factors, with the addition of high income and education status, are highlighted. Recommendations regarding the use of devices and the setting, including home and ambulatory, in the measurement of the blood pressure, are updated. The importance of total cardiovascular risk assessment and risk stratification, employed in initiating and guiding therapy, is emphasized. Lifestyle modifications are prescribed for all; they are described with estimates of BP responses and with a greater reference to local conditions. Attention is drawn to the early use of medicine therapy in those with high CV risk and multi-medicine therapy in those with BP &gt; 160/100 mmHg. The use of single pill combinations, wherever feasible, is recommended, and the prediction is made of most patients eventually requiring multi-medicine therapy. Considerations of cost, availability, tolerance and patient-specific factors influence the choice of medicines, and although any of the several medicine classes could be used for initial therapy, thiazide and thiazide-like diuretics and calcium channel blockers are recommended for single or dual-medicine therapy. Alternatively, any of these and any of angiotensin converting enzyme inhibitor, angiotensin receptor blocker, centrally acting agent, beta-blocker or alpha-blocker could be used for combination therapy. Effective and recommended combinations and a list of the commonly available medicines in Nigeria are listed. Aspirin for secondary prevention and statin therapy should be used as required. The goal of treatment is commonly &lt;140/90 mmHg, but could be lower in patients with diabetes, chronic kidney disease. Patient counselling, follow-up and treatment monitoring are emphasised. Outlines of treatment in special groups or situations including diabetes, chronic kidney disease, haemoglobinopathies, HIV-infection, paediatric patients, patients with sexual dysfunction, resistant hypertension, hypertension emergency, community control and prevention are provided.</em></strong></p> S Isezuo A Asinobi A Opadeyi A Ademola O Ogah A Ogbera O Familoni I Ulasi M Sani S Ogun S Kadiri B Salako A Mbakwem A Isah A Aderibigbe B Onwubere ABO Omotoso A Arije F Arogundade Copyright (c) 0 2023-05-23 2023-05-23 83 1-3 3 21 “A unilateral ovarian tumour with ascites and raised CA-125 -The malignant mimicry of MEIG'S syndrome. A case review and review of literature.” <p><strong><em>Meig's syndrome which is characterized by ovarian fibroma, ascites and pleural effusion can be misdiagnosed as a malignant condition especially with raised levels of CA125. We present a case of a 28- year-old lady presenting with abdominal swelling and discomfort. Investigations revealed elevated CA- 125, right-sided pleural effusion and the presence of a pelvic mass. Histopathologic examination showed this pelvic mass to be an ovarian fibroma. Its significance lies in the fact that the presence of a pelvic tumour with associated ascites and pleural effusion should not be considered an omnious sign. We comment on the outcome of this case and briefly review Meig's syndrome.</em></strong></p> N. Orah S. Keshinro A. Ogunshakin A. Banjo Copyright (c) 0 2023-05-23 2023-05-23 83 1-3 22 24 Dissociative Identity Disorder: A case report seen in Lagos, Nigeria <p><strong><em>Dissociative Identity Disorder (DID) is diagnosed if an individual has at least two different identities that alternately control a person's actions with no memory of the incidents. We hereby describe a case of a 21-year-old student with a history of clinical depression, false claims of being raped, getting pregnant and often neglected by her parents. Cultural issues regarding DID were also discussed. DID should be closely monitored for suicidal behaviour. </em></strong><strong><em>Dissociative identity disorders are rarely reported in Africa. She was admitted into the psychiatric ward where her diagnosis was confirmed through a structured interview for dissociative disorders and differential diagnoses were ruled out by psychological, and laboratory investigations. Socio-c Possible abuse in her childhood might have contributed to her condition. Individuals with DID should be closely monitored for suicidal behaviour.&nbsp;</em></strong></p> AO Coker I Ogunsusi MO Ogun AO Alonge JO Shokoya Copyright (c) 0 2023-05-23 2023-05-23 83 1-3 25 28