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1466 matches for “Mahadevan” — showing 1021–1050
Chest pain · Pulmonary embolism mechanism and risk factors difficulty 3/5

Adwoa, a 38-year-old woman on the oral contraceptive pill, presents to a district hospital in the Volta Region with sudden-onset left-sided pleuritic chest pain and breathlessness that began this morn…

Chest pain · GORD non-cardiac chest pain difficulty 1/5

Adwoa, a 38-year-old woman, presents to a district hospital in the Ashanti Region with a 3-month history of burning chest discomfort that occurs after large meals and when she lies down at night. The …

Chest pain · Acute pericarditis classical presentation difficulty 1/5

Yaw, a 34-year-old male teacher, presents to a district hospital in Brong-Ahafo with a 2-day history of sharp chest pain that is worse when he lies flat and improves when he sits forward and leans on …

Constipation — emergency considerations · Opioid-induced constipation - mechanism difficulty 2/5

A 45-year-old woman, Ama, is seen in the Komfo Anokye ED. She was involved in a road traffic accident two weeks ago and has been taking oral morphine for pain. She now complains of no bowel motion for…

Constipation — emergency considerations · Hypothyroidism as a cause of constipation difficulty 2/5

A 38-year-old woman, Adwoa, presents to the Korle Bu emergency centre with a 4-month history of worsening constipation, weight gain of 8 kg, cold intolerance, and generalised fatigue. On examination, …

Constipation — emergency considerations · Simple functional constipation - appropriate management difficulty 1/5

A 28-year-old man, Yaw, attends the regional hospital A&E in Tamale. He reports no bowel motion for 4 days following a period of reduced dietary fibre and fluid intake during a long journey. He has mi…

Crying and irritability in children · Corneal abrasion as a cause of inconsolable crying — IT CRIES mnemonic (Eye) difficulty 2/5

An 8-month-old girl, Ama, is brought to a district hospital A&E by her grandmother. The baby has been crying since yesterday and is not feeding well. The grandmother reports no fever or vomiting. On e…

Crying and irritability in children · Red flags versus benign colic — escalation decision difficulty 3/5

A 6-week-old boy named Yaw is brought to a district hospital A&E. His mother says he has been crying after every feed for the past 3 weeks and passes a lot of wind. He is gaining weight appropriately,…

Crying and irritability in children · Red flags vs benign colic difficulty 2/5

A 7-week-old girl is brought to a regional hospital A&E by her father. She has been crying on and off since birth, typically in the evenings, lasting 2–3 hours. She feeds well, has normal weight gain,…

Crying and irritability in children · Post-immunisation reaction — IT CRIES mnemonic (Immunisation) difficulty 1/5

A 3-month-old girl, Akosua, is brought to a district hospital A&E 24 hours after receiving her routine immunisations. Her mother reports she has been crying more than usual, is mildly feverish, and ha…

Crying and irritability in children · Otitis media as a cause of inconsolable crying difficulty 1/5

A 6-month-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother because he has been crying inconsolably for 3 hours. On examination he is afebrile, his abdomen is soft, and the…

Crying and irritability in children · Corneal abrasion — recognition and management difficulty 2/5

A 3-week-old girl is brought to a regional hospital A&E by her parents. She has been crying persistently for 4 hours and rubbing her right eye. She is afebrile and consolable when held. On fluorescein…

Crying and irritability in children · Hair tourniquet syndrome — recognition difficulty 2/5

A 6-week-old girl named Abena is brought to a regional hospital A&E. Her mother says she has been crying for 2 hours and will not feed. On examination she is afebrile; her right second toe is swollen,…

Crying and irritability in children · Must-not-miss causes — corneal abrasion difficulty 2/5

A 10-week-old boy is brought to the Korle Bu emergency centre. His mother says he has been crying all evening and rubbing his right eye. He is afebrile, HR 155 bpm, and well-perfused. Fluorescein stai…

Crying and irritability in children · Crying infant without obvious cause — UTI as must-not-miss difficulty 2/5

A 10-week-old girl named Afia is brought to a district hospital A&E by her grandmother. She has been crying since yesterday evening and has vomited twice. On examination she is alert, temperature 37.2…

Dental emergencies · Dental abscess — mechanism of treatment failure with antibiotics alone difficulty 2/5

Abena, a 32-year-old woman, presents to a district hospital A&E in the Volta Region with a 2-day history of severe toothache in her lower left molar. Examination reveals a tender, fluctuant swelling o…

Dental emergencies · Irreversible pulpitis recognition difficulty 2/5

Mensah, a 38-year-old man, presents to a district hospital A&E in the Volta Region with severe spontaneous toothache in the lower left first molar that has been present for 3 days and worsens at night…

Dental emergencies · Dental trauma — luxation vs avulsion difficulty 2/5

Akua, a 19-year-old university student, presents to a regional hospital A&E with a 2-hour history of severe pain in her upper right front tooth after being hit by a football. The tooth is still in the…

Dental emergencies · Antibiotic regimen for dental abscess difficulty 2/5

A 40-year-old man, Mensah, presents to the Korle Bu emergency centre with a two-day history of worsening right jaw pain and facial swelling. He is febrile at 38.8°C and has a fluctuant swelling in the…

Dental emergencies · Dental abscess classical recognition difficulty 1/5

A 28-year-old man, Kwame, presents to a district hospital A&E in Brong-Ahafo with a two-day history of severe throbbing pain in the lower right jaw. He has a swollen, tender right cheek and his temper…

Dental emergencies · Pericoronitis — classical presentation difficulty 2/5

Yaa, a 22-year-old woman, presents to a district hospital A&E in the Upper East Region with a 1-day history of severe right-sided jaw pain and swelling around her partially erupted lower right wisdom …

Dental emergencies · Dental abscess classical presentation difficulty 1/5

Kwame, a 28-year-old man, presents to a district hospital A&E in Brong-Ahafo with a 3-day history of severe throbbing pain around his lower right back tooth. He has a swollen right cheek and a tender,…

Dental emergencies · Dental abscess recognition difficulty 1/5

Kwame, a 28-year-old man, presents to a district hospital A&E in Brong-Ahafo with a 3-day history of severe, constant throbbing pain in his lower left jaw. He has a swollen, tender left cheek and a fl…

Dental emergencies · Dental trauma classification - luxation vs avulsion difficulty 2/5

A 14-year-old girl, Abena, is brought to a district hospital A&E in the Volta Region after being struck in the mouth during a football match. Her upper right central incisor is intact but is displaced…

Dental emergencies · Reversible pulpitis vs dental abscess vs irreversible pulpitis difficulty 2/5

Adwoa, a 19-year-old woman, presents to a regional hospital A&E with sharp tooth pain in her upper left first molar that is triggered by cold drinks and resolves within seconds of removing the stimulu…

Dental emergencies · Pericoronitis recognition difficulty 2/5

Ama, a 22-year-old student, presents to a district hospital A&E in the Upper West Region with a 2-day history of pain and swelling over her lower right wisdom tooth area. She reports food trapping und…

Dental emergencies · Simple toothache vs dental abscess - initial management difficulty 2/5

A 22-year-old student, Esi, presents to a district hospital A&E in the Northern Region complaining of severe toothache for three days. She points to a lower right molar that is grossly carious. There …

Diabetes-related emergencies · DKA — most characteristic clinical feature difficulty 1/5

A 17-year-old girl named Esi is brought to the Komfo Anokye ED by her parents with a 2-day history of vomiting, abdominal pain, and deep rapid breathing. She was recently diagnosed with type 1 diabete…

Diabetes-related emergencies · Sulphonylurea-induced hypoglycaemia mechanism difficulty 2/5

Mohammed, a 45-year-old lorry driver with no known medical history, is found slumped in his cab at a fuel station in Tamale. Bystanders report he appeared confused and was sweating heavily. On arrival…

Diabetes-related emergencies · Hypoglycaemia management — conscious patient, oral glucose difficulty 2/5

Adwoa, a 55-year-old woman with type 2 diabetes on metformin and glibenclamide, presents to the district hospital A&E in Volta Region after her family noticed she was confused and behaving strangely. …