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2131 matches for “Ghana” — showing 1051–1080
Toxicology · Sympathomimetic toxidrome recognition and management ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED by friends after collapsing at a nightclub. He is agitated, shouting, and attempting to climb off the trolley. Vital signs: temperature 39.4…

Toxicology · Carbon monoxide — pulse oximetry limitation ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital by his wife after she found him unresponsive in their bedroom. A charcoal brazier had been burning overni…

Toxicology · Rumack-Matthew nomogram ★ HY difficulty 2/5

A 19-year-old woman, Akosua, is brought to the Korle Bu emergency centre by her roommate after taking 'a handful' of paracetamol tablets approximately 4 hours ago following an argument. She is alert a…

Toxicology · Methanol - metabolism and gap interpretation ★ HY difficulty 3/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after being found confused at home. His family reports he was drinking a locally distilled spirit ('akpeteshie') the previous e…

Toxicology · Methanol - fomepizole as first-line ADH inhibitor ★ HY difficulty 2/5

A 45-year-old man is brought to the Korle Bu emergency centre by relatives after being found unconscious at home. An empty bottle of methylated spirits was found at the scene. On arrival, he is unresp…

Toxicology · Serotonin syndrome - cyproheptadine pharmacology ★ HY difficulty 4/5

A 31-year-old man, Kofi, presents to the Korle Bu emergency centre with worsening agitation, diaphoresis, and muscle twitching 4 hours after taking a large quantity of citalopram in a deliberate self-…

Toxicology - Anticoagulants · Super-warfarin (brodifacoum) poisoning - prolonged vitamin K1 therapy ★ HY difficulty 4/5

Kwame, a 34-year-old galamsey operator from a mining community in the Western Region, is brought to the regional hospital A&E by colleagues after he collapsed in a field where brodifacoum-based rodent…

Toxicology - Anticoagulants · Warfarin mechanism of action and vitamin K1 reversal onset ★ HY difficulty 3/5

Akua, a 58-year-old seamstress with atrial fibrillation, presents to the Korle Bu emergency centre after ingesting approximately 30 tablets of her warfarin 5 mg (total ~150 mg) in a deliberate act of …

Toxicology - Anticoagulants · PCC vs FFP vs vitamin K1 in warfarin-associated life-threatening haemorrhage ★ HY difficulty 4/5

Akua, a 72-year-old woman with atrial fibrillation on warfarin, is brought to the Korle Bu Emergency Centre by ambulance after collapsing at home. Her daughter reports she has been taking her warfarin…

Toxicology - Anticoagulants · Dabigatran overdose - idarucizumab mechanism and indication ★ HY difficulty 3/5

Ama, a 71-year-old woman with non-valvular atrial fibrillation and chronic kidney disease (eGFR 28 mL/min/1.73m²), is brought to Komfo Anokye ED by her daughter 2 hours after ingesting approximately 2…

Toxicology - Anticoagulants · Idarucizumab for dabigatran reversal: mechanism ★ HY difficulty 3/5

Ama, a 68-year-old woman with a mechanical mitral valve on dabigatran 150 mg twice daily, is brought to the Komfo Anokye Emergency Department by her son after she was found confused at home. She last …

Toxicology - Anticoagulants · Mechanism of vitamin K1 reversal of warfarin ★ HY difficulty 3/5

Kwame, a 58-year-old farmer from a district hospital in Brong-Ahafo, is brought to the A&E by his family after ingesting approximately 40 tablets of warfarin 5 mg (200 mg total) in a deliberate self-p…

Toxicology - Anticoagulants · Super-warfarin rodenticide: mechanism of prolonged coagulopathy ★ HY difficulty 3/5

Yaw, a 34-year-old construction worker, presents to a regional hospital A&E in the Northern Region after ingesting rat poison bait (brodifacoum-based rodenticide) approximately 72 hours ago. He report…

Toxicology - Antiepileptic Overdose · Multi-dose activated charcoal in carbamazepine toxicity ★ HY difficulty 4/5

Ama, a 34-year-old woman, is brought to Korle Bu Emergency Centre after ingesting approximately 60 tablets of carbamazepine 200 mg (total ~12 g) in a deliberate self-harm attempt 3 hours ago. She was …

Toxicology - Cyanide · Mechanism of cyanide-induced cellular asphyxiation and lactic acidosis ★ HY difficulty 3/5

Yaw, a 22-year-old man, is found unconscious in a locked room at a hotel in Accra. Bystanders report smelling a faint bitter-almond odour. He is brought to the Korle Bu emergency centre 20 minutes aft…

Toxicology - Cyanide Poisoning · Antidote selection for cyanide toxicity with concurrent carboxyhaemoglobinaemia ★ HY difficulty 4/5

A 42-year-old security guard, Yaw, is brought unconscious to the Korle Bu Emergency Centre after being found collapsed in a poorly ventilated generator room where a fire had been burning for approxima…

Toxicology - Decontamination and Enhanced Elimination · Activated charcoal: indications, dose, and contraindications in paracetamol overdose ★ HY difficulty 3/5

Akua, a 28-year-old woman, is brought to the A&E of a regional hospital in Ashanti Region by her husband 45 minutes after deliberately ingesting approximately 30 tablets of 500 mg paracetamol (total e…

Toxicology - Decontamination and Enhanced Elimination · Whole bowel irrigation for iron poisoning; activated charcoal contraindication in heavy metal ingestion ★ HY difficulty 3/5

Kofi, a 9-year-old boy, is brought to the district hospital A&E in Brong-Ahafo Region by his mother approximately 2 hours after accidentally ingesting an unknown number of his pregnant mother's ferrou…

Toxicology - Decontamination and Enhanced Elimination · Urinary alkalinisation mechanism and indications in salicylate poisoning ★ HY difficulty 4/5

Yaa, a 35-year-old nurse, presents to the Komfo Anokye Teaching Hospital emergency centre 6 hours after deliberately ingesting approximately 20 g of aspirin (40 tablets of 500 mg) with a large volume …

Toxicology - Heavy Metal Poisoning · Arsenic chelation: dimercaprol mechanism and antidote selection ★ HY difficulty 4/5

Ama, a 28-year-old woman, presents to the district hospital A&E in Brong-Ahafo with a 5-day history of profuse watery diarrhoea, vomiting, and severe colicky abdominal pain that began acutely after dr…

Toxicology - Heavy Metal Poisoning · Lead chelation strategy: succimer (DMSA) for moderate adult lead poisoning ★ HY difficulty 4/5

Yaw, a 38-year-old man, works as a house painter in Accra and has been employed painting older residential buildings for 12 years without respiratory or dermal protection. He presents to the Komfo Ano…

Toxicology - Heavy Metal Poisoning · Lead: mechanism of haematological toxicity (ALA dehydratase + ferrochelatase inhibition) ★ HY difficulty 3/5

A 4-year-old boy, Kwame, is brought to the Korle Bu emergency centre by his mother after she noticed him eating flaking paint chips from the walls of their newly renovated home, which used imported pa…

Toxicology - Heavy Metals · Mechanism of lead encephalopathy in paediatric poisoning ★ HY difficulty 4/5

A 4-year-old boy, Kwame, is brought to the paediatric A&E at Komfo Anokye Teaching Hospital by his mother after 3 days of progressive irritability, vomiting, and unsteady gait. His mother reports he h…

Toxicology - Heavy Metals · Antidote choice and mechanism in acute arsenic poisoning ★ HY difficulty 3/5

Kofi is a 28-year-old man who works in a small-scale gold mining operation in the Western Region of Ghana. He is brought to the Tarkwa District Hospital A&E by colleagues after a 6-hour history of sev…

Toxicology - Heavy Metals · Recognition of arsenic toxicity - Mees lines and clinical specificity ★ HY difficulty 3/5

Yaa is a 34-year-old woman brought to the district hospital A&E in the Upper West Region after a 10-day history of progressive weakness and numbness starting in her feet and ascending to her knees, ac…

Toxicology - Heavy Metals · Chelation agent selection for moderate paediatric lead poisoning ★ HY difficulty 4/5

A 7-year-old girl, Akua, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital with a 2-week history of recurrent colicky abdominal pain, constipation, and declining sc…

Toxicology - Iron Poisoning · Stage 2 latent phase - falsely reassuring clinical improvement ★ HY difficulty 3/5

Ama, a 24-year-old woman, presents to the Komfo Anokye ED in Kumasi 8 hours after deliberately ingesting approximately 30 ferrous sulphate 200 mg tablets (65 mg elemental iron each; total elemental ir…

Toxicology - Iron Poisoning · Decontamination choice in iron ingestion: WBI vs activated charcoal ★ HY difficulty 3/5

Akua, a 28-year-old woman, is brought to the Komfo Anokye ED by her family after a deliberate ingestion of approximately 30 tablets of ferrous sulphate 200 mg (total ~6 g elemental iron) taken 45 minu…

Toxicology - Iron Poisoning · Decontamination strategy: whole bowel irrigation for iron tablet ingestion ★ HY difficulty 3/5

A 3-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo by his mother, who found him with an open bottle of his mother's prenatal ferrous sulphate tablets approximately 90 …

Toxicology - Iron Poisoning · Direct corrosive GI effects via Fe2+/Fe3+ redox cycling and Fenton reaction ★ HY difficulty 3/5

A 3-year-old boy named Kofi is brought to the district hospital A&E in Brong-Ahafo by his mother, approximately 90 minutes after she found him with an open bottle of her prenatal ferrous sulphate tabl…