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3995 matches for “Ghana” — showing 1–30
Abdominal Aortic Aneurysm · Anatomy in open AAA repair — left renal vein ★ HY difficulty 4/5

A 65-year-old woman, Akua, is undergoing elective open repair of a 6.1 cm infrarenal AAA at Korle Bu Teaching Hospital. A transperitoneal midline laparotomy has been performed. The small bowel has bee…

Abdominal Aortic Aneurysm · Symptomatic AAA — district hospital management ★ HY difficulty 3/5

A 60-year-old man is admitted to the district hospital surgical ward in Brong-Ahafo with a 2-day history of severe back pain and mild central abdominal discomfort. He has a known 5.2 cm infrarenal AAA…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management ★ HY difficulty 3/5

A 68-year-old man, Kwame, is referred from a district hospital in the Brong-Ahafo region to Komfo Anokye Teaching Hospital with a 6-hour history of sudden-onset severe central abdominal pain radiating…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management ★ HY difficulty 4/5

A 67-year-old man, Kwame, is brought by his relatives to the emergency department at Komfo Anokye Teaching Hospital after collapsing at home. He has a 3-hour history of severe, constant central abdomi…

Abdominal Aortic Aneurysm · Contained ruptured AAA — transfer and management ★ HY difficulty 4/5

A 70-year-old man, Mensah, presents to the regional hospital in Kumasi with a three-hour history of severe central abdominal pain radiating to his back. He is haemodynamically stable: blood pressure 1…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management ★ HY difficulty 4/5

A 72-year-old woman, Akua, is brought by relatives to the emergency department at Korle Bu Teaching Hospital in a state of haemodynamic compromise. She gives a 6-hour history of sudden-onset severe ce…

Abdominal Aortic Aneurysm · EVAR vs open repair — patient selection ★ HY difficulty 4/5

A 70-year-old man, Mensah, presents to the Komfo Anokye vascular outpatient clinic for pre-operative assessment before elective repair of a 5.8 cm infrarenal AAA. He has a history of ischaemic heart d…

Abdominal Aortic Aneurysm · Small AAA — surveillance threshold ★ HY difficulty 2/5

A 72-year-old woman, Adwoa, is seen in the vascular outpatient clinic at Korle Bu Teaching Hospital following a routine abdominal ultrasound performed for gallstones. The ultrasound incidentally revea…

Abdominal Aortic Aneurysm · Elective repair threshold and indication ★ HY difficulty 3/5

A 68-year-old man, Kwame, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital after a bedside ultrasound performed by the district surgeon demonstrated a fusiform dil…

Abdominal Aortic Aneurysm · Surveillance and elective repair threshold ★ HY difficulty 2/5

A 68-year-old man, Kwame, is reviewed in the vascular outpatient clinic at Korle Bu Teaching Hospital after a routine abdominal ultrasound performed for urological symptoms revealed an incidental infr…

Abdominal Aortic Aneurysm · Surveillance and elective repair thresholds ★ HY difficulty 3/5

A 72-year-old man, Yaw, attends the vascular outpatient clinic at Korle Bu Teaching Hospital following a surveillance ultrasound. He has no abdominal symptoms. He is a retired teacher, ex-smoker (stop…

Abdominal Aortic Aneurysm · AAA surveillance and repair threshold ★ HY difficulty 3/5

A 72-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to the regional hospital after an incidental finding of a pulsatile abdominal mass during assessment for lower urinary t…

Abdominal Aortic Aneurysm · Small AAA — surveillance threshold ★ HY difficulty 3/5

A 72-year-old woman, Adwoa, is referred to the vascular surgical outpatient clinic at Komfo Anokye Teaching Hospital following an incidental finding on an abdominal ultrasound performed for gallstones…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management ★ HY difficulty 4/5

A 72-year-old man, Yaw, is brought by relatives to the resus bay of a regional hospital in the Ashanti Region at 02:00 hours. He gives a 4-hour history of sudden-onset severe tearing pain radiating fr…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management ★ HY difficulty 3/5

A 68-year-old man, Kwame, is brought to the emergency department at Korle Bu Teaching Hospital by his relatives after collapsing at home. He describes a sudden-onset tearing pain radiating from his ce…

Abdominal Aortic Aneurysm · EVAR versus open repair decision-making ★ HY difficulty 4/5

A 70-year-old man, Mensah, presents to the regional hospital in Kumasi with a 6-week history of dull, constant central abdominal pain and a palpable pulsatile abdominal mass. He has a background of hy…

Abdominal Aortic Aneurysm · EVAR versus open repair — patient selection ★ HY difficulty 3/5

A 67-year-old man, Kofi, is being worked up for elective repair of a 5.8 cm infrarenal AAA at the Korle Bu vascular unit. He has a history of ischaemic heart disease (previous myocardial infarction 3 …

Abdominal Aortic Aneurysm · Asymptomatic AAA — surveillance thresholds ★ HY difficulty 3/5

A 62-year-old woman, Adwoa, is seen in the vascular outpatient clinic at a regional hospital in the Ashanti Region. She was referred after an abdominal ultrasound performed for unrelated dyspepsia inc…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management ★ HY difficulty 4/5

A 68-year-old man, Kwame, is brought to the Komfo Anokye emergency theatre by relatives after collapsing at home. He is a known hypertensive on amlodipine and has smoked 20 cigarettes per day for 40 y…

Abdominal Aortic Aneurysm · Elective AAA repair — EVAR vs open ★ HY difficulty 3/5

A 68-year-old man, Kwame, is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital after a bedside ultrasound performed by the district surgeon revealed a 5.8 cm in…

Abdominal Aortic Aneurysm · Ruptured AAA — emergency management and operative decision-making ★ HY difficulty 4/5

A 68-year-old male farmer, Kwame, is brought by relatives to the emergency department of Komfo Anokye Teaching Hospital after sudden onset of severe, tearing left flank and back pain of two hours dura…

Abdominal Aortic Aneurysm · Ruptured AAA — haemodynamic management ★ HY difficulty 4/5

A 68-year-old man, Kwame, is brought to the Komfo Anokye emergency theatre by relatives after sudden onset of severe tearing central abdominal pain radiating to the back, associated with two syncopal …

Abdominal Aortic Aneurysm · AAA surveillance — intervention thresholds ★ HY difficulty 2/5

A 65-year-old man, Yaw, attends the vascular surgery outpatient clinic at the University of Ghana Medical Centre (UGMC) after being referred by his general practitioner. He is asymptomatic but was fou…

Abdominal Trauma · Seat-belt sign and bowel injury ★ HY difficulty 3/5

Afia, a 34-year-old woman, presents to the Korle Bu emergency centre after a motor vehicle crash. She was a restrained rear-seat passenger. She is haemodynamically stable: BP 126/82 mmHg, HR 88/min, R…

Abdominal Trauma · FAST scan interpretation ★ HY difficulty 2/5

A 28-year-old man, Kofi, is brought to Komfo Anokye ED after a high-speed road traffic collision. He is restless and diaphoretic. Vitals: BP 88/60 mmHg, HR 128 bpm, RR 24/min, SpO2 96% on 15L O2. FAST…

Abdominal Trauma · Pelvic binding ★ HY difficulty 2/5

A 35-year-old woman, Akosua, is referred from a district hospital in Brong-Ahafo after a motor vehicle crash. On arrival at the regional hospital A&E, her BP is 74/50 mmHg and HR is 138 bpm. The pelvi…

Abdominal Trauma · Splenic injury grading ★ HY difficulty 3/5

A 19-year-old male footballer, Yaw, is brought to Korle Bu emergency centre after sustaining a direct blow to the left upper abdomen. He is haemodynamically stable: BP 118/76 mmHg, HR 94 bpm. CT abdom…

Abdominal Trauma - Blunt and Penetrating · Non-operative management of penetrating hepatic trauma ★ HY difficulty 3/5

A 35-year-old woman, Akua, presents to a regional hospital in the Ashanti Region after being stabbed in the right upper quadrant with a kitchen knife. She is haemodynamically stable: blood pressure 11…

Abdominal Trauma - Blunt and Penetrating · High-grade splenic injury management ★ HY difficulty 4/5

A 40-year-old man, Kofi, is brought to the Korle Bu general surgical unit after a high-speed road traffic accident. He was a motorcyclist struck by a lorry. He is haemodynamically stable: BP 118/76 mm…

Abdominal Trauma - Blunt and Penetrating · Splenic trauma in sickle-cell disease ★ HY difficulty 5/5

Yaw, a 22-year-old university student with known sickle-cell disease (HbSS), is admitted to the UGMC surgical firm after a road traffic accident in which he sustained blunt abdominal trauma. He is hae…