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2131 matches for “Ghana” — showing 1081–1110
Toxicology - Iron Poisoning · Mechanism of stage 3 shock and metabolic acidosis - mitochondrial uncoupling ★ HY difficulty 4/5

Kwabena, a 28-year-old farmer, is brought to the regional hospital A&E in the Northern Region 18 hours after deliberately ingesting an unknown quantity of his wife's ferrous fumarate tablets. He was i…

Toxicology - Iron Poisoning · Deferoxamine mechanism and indication in iron poisoning ★ HY difficulty 3/5

Yaw, a 35-year-old man, is brought to the Tamale Teaching Hospital emergency centre 26 hours after ingesting a large quantity of ferrous gluconate tablets. He was initially vomiting and had bloody dia…

Toxicology - Iron Poisoning · Whole bowel irrigation for radio-opaque iron tablets on KUB ★ HY difficulty 3/5

Akua, a 32-year-old woman, is admitted to Korle Bu emergency centre 4 hours after ingesting approximately 40 ferrous sulphate 200 mg tablets (65 mg elemental iron each; total ~2600 mg elemental iron) …

Toxicology - Iron Poisoning · Deferoxamine: indication, mechanism, and vin-rosé endpoint in severe iron poisoning ★ HY difficulty 4/5

Kofi, a 19-year-old male student, is brought to the Korle Bu emergency centre 14 hours after ingesting approximately 150 ferrous sulphate 200 mg tablets (65 mg elemental iron each) in a deliberate sel…

Toxicology - Lithium Toxicity · Haemodialysis indications and pharmacokinetic basis in lithium toxicity ★ HY difficulty 4/5

Yaw, a 52-year-old man with a known history of bipolar disorder on long-term lithium carbonate, presents to the Tamale Teaching Hospital ED with a 24-hour history of worsening tremor, confusion, and v…

Toxicology - Methaemoglobinaemia · Methylene blue contraindication in G6PD deficiency and alternative management ★ HY difficulty 4/5

Ama, a 34-year-old woman with known G6PD deficiency and HIV on dapsone prophylaxis, presents to the Komfo Anokye ED with a 3-hour history of worsening dyspnoea and bluish discolouration of her lips an…

Toxicology - Methaemoglobinaemia · Methylene blue mechanism and G6PD contraindication ★ HY difficulty 4/5

A 35-year-old woman, Akua, presents to the Komfo Anokye Teaching Hospital emergency centre after taking dapsone 300 mg orally (approximately 10 tablets of 30 mg) in a deliberate self-poisoning attempt…

Toxicology - Methaemoglobinaemia · Mechanism of dapsone-induced methaemoglobinaemia and saturation gap ★ HY difficulty 3/5

Akua, a 28-year-old nurse at a regional hospital in the Ashanti Region, presents to the A&E 90 minutes after accidentally ingesting approximately 200 mg of dapsone (taken from the ward stock, mistakin…

Toxicology - Methaemoglobinaemia · Pulse oximetry saturation gap in methaemoglobinaemia ★ HY difficulty 3/5

A 28-year-old farmer, Kwame, is brought to the district hospital A&E in Brong-Ahafo after ingesting approximately 200 mL of a well-water solution contaminated with sodium nitrite, a food-preservation …

Toxicology - Methaemoglobinaemia · Methylene blue mechanism and dosing in benzocaine-induced methaemoglobinaemia ★ HY difficulty 3/5

Kofi, a 6-year-old boy, is brought to the district hospital A&E in Northern Ghana by his mother 45 minutes after she applied a large amount of benzocaine-containing teething gel liberally to his gums …

Toxicology - Organophosphates · Atropine titration endpoint in OP poisoning ★ HY difficulty 4/5

Ama, a 28-year-old woman, is brought to the Komfo Anokye Teaching Hospital emergency centre 45 minutes after deliberately ingesting an unknown quantity of diazinon (an organophosphate insecticide) in …

Toxicology - Organophosphates · Atropine titration endpoint in OP poisoning ★ HY difficulty 4/5

Akua, a 28-year-old woman, is brought to the Komfo Anokye Teaching Hospital emergency centre by her family after deliberately ingesting an unknown quantity of a liquid pesticide from a bottle labelled…

Toxicology - Organophosphates · Mechanism of organophosphate toxicity: irreversible AChE inhibition and dual muscarinic-nicotinic effects ★ HY difficulty 3/5

Kwame, a 34-year-old cocoa farm labourer in the Brong-Ahafo region, is brought to the district hospital A&E by his colleagues approximately 90 minutes after he was found collapsed in a field where chl…

Toxicology - Organophosphates · Mechanism of dual muscarinic and nicotinic toxicity in organophosphate poisoning ★ HY difficulty 3/5

Kofi, a 34-year-old cocoa farm labourer, is brought to the district hospital A&E in Brong-Ahafo by his colleagues approximately 90 minutes after he was found collapsed in a field where chlorpyrifos ha…

Toxicology - Organophosphates · Pralidoxime mechanism and ageing phenomenon in OP poisoning ★ HY difficulty 4/5

Kofi, a 45-year-old rice farmer from the Upper East Region, is transferred to the regional hospital A&E six hours after ingesting malathion 50% EC in a deliberate act of self-harm. He received atropin…

Toxicology - Organophosphates · Intermediate syndrome vs delayed polyneuropathy in organophosphate poisoning ★ HY difficulty 3/5

Akua, a 40-year-old female farmer, was admitted to Korle Bu Teaching Hospital emergency centre 3 days ago following severe organophosphate (malathion) poisoning from dermal and inhalational exposure d…

Toxicology - Organophosphates and Carbamates · Carbamate vs organophosphate: pralidoxime indication and antidote selection ★ HY difficulty 3/5

Yaa, a 19-year-old student, is brought to Korle Bu emergency centre after ingesting carbofuran granules (a carbamate insecticide) from a container she found at home, approximately 45 minutes before ar…

Toxicology - Salicylate Poisoning · Urinary alkalinisation mechanism and indications in salicylate toxicity ★ HY difficulty 4/5

Kofi, a 19-year-old male university student, presents to a regional hospital A&E in the Ashanti Region after ingesting an unknown quantity of aspirin tablets approximately 90 minutes ago in a delibera…

Toxicology - Salicylates · Mixed acid-base disturbance mechanism in salicylate poisoning ★ HY difficulty 3/5

A 17-year-old girl named Akua is brought to the A&E of a regional hospital in the Ashanti Region by her mother, 3 hours after ingesting approximately 30 tablets of aspirin 300 mg (total ~9 g) in a del…

Toxicology - Salicylates · Haemodialysis indications in chronic salicylate poisoning ★ HY difficulty 4/5

A 55-year-old man named Mensah with known osteoarthritis has been taking aspirin 900 mg four times daily for 10 days for joint pain after running out of his usual ibuprofen. He is brought to the Korle…

Toxicology - Salicylates · Urinary alkalinisation mechanism and decontamination strategy in salicylate poisoning ★ HY difficulty 3/5

Akosua, a 34-year-old market trader, presents to a district hospital in the Upper East Region after deliberately ingesting approximately 30 tablets of aspirin 300 mg (total ~9,000 mg) orally approxima…

Toxicology - Salicylates · Haemodialysis indications in severe salicylate poisoning ★ HY difficulty 4/5

A 45-year-old farmer named Kwame is brought to the Komfo Anokye ED in Kumasi after ingesting an unknown quantity of aspirin tablets 3 hours ago following a domestic dispute. He is agitated and confuse…

Toxicology - Salicylates · Mixed acid-base disturbance: mechanism of respiratory alkalosis and metabolic acidosis in salicylate poisoning ★ HY difficulty 3/5

Ama, a 19-year-old student, is brought to the Komfo Anokye ED at 02:00 by her roommate, who found a near-empty bottle of aspirin tablets (300 mg each) on her desk. The roommate estimates Ama ingested …

Toxicology - Salicylates · Haemodialysis indications in severe salicylate poisoning; dangers of intubation ★ HY difficulty 4/5

Kwame, a 52-year-old cocoa farmer from the Brong-Ahafo region, is transferred to the regional hospital A&E after ingesting an unknown quantity of aspirin tablets he purchased from a roadside seller fo…

Toxicology - Sedative-Hypnotics · Enhanced elimination in phenobarbitone poisoning - MDAC and urinary alkalinisation ★ HY difficulty 4/5

Ama, a 45-year-old seamstress, is brought to Korle Bu Emergency Centre after intentionally ingesting a large quantity of phenobarbitone tablets (estimated 60 tablets of 30 mg = 1800 mg total) approxim…

Toxicology - Sedative-Hypnotics · Flumazenil contraindications - chronic benzodiazepine dependence ★ HY difficulty 4/5

Akua, a 28-year-old secondary school teacher, presents to the Komfo Anokye ED after intentionally ingesting approximately 30 tablets of diazepam 5 mg (150 mg total) 90 minutes ago following a domestic…

Toxicology - Sedative-Hypnotics · Benzodiazepine mechanism at GABA-A receptor ★ HY difficulty 3/5

Kwame, a 34-year-old farmer from a district hospital in Brong-Ahafo, is brought to the A&E at 02:00 by his family after they found him unresponsive. His wife reports he had been anxious and unable to …

Toxicology - Sedative-Hypnotics · Mechanism of benzodiazepine withdrawal seizures ★ HY difficulty 3/5

Mohammed, a 52-year-old farmer from a district in Northern Ghana, presents to the district hospital A&E after his family reports he has been taking diazepam 10 mg three times daily for the past 8 mont…

Toxicology - Sedative-Hypnotics · Enhanced elimination strategies for phenobarbitone overdose ★ HY difficulty 4/5

Yaa, a 28-year-old woman, is admitted to the Korle Bu Emergency Centre after deliberately ingesting approximately 60 tablets of phenobarbitone 30 mg (total dose ~1800 mg) orally approximately 3 hours …

Toxicology - Sedative-Hypnotics · Flumazenil contraindications in mixed TCA-benzodiazepine overdose ★ HY difficulty 4/5

Adwoa, a 34-year-old schoolteacher, is brought to the Komfo Anokye ED at 02:00 by her husband after he found her unresponsive at home. He reports finding an empty blister pack of diazepam 10 mg tablet…