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2131 matches for “Ghana” — showing 1111–1140
Toxicology - Snakebite Envenomation · Puff adder (Bitis arietans) venom mechanism - cytotoxic and proteolytic ★ HY difficulty 3/5

A 34-year-old male farmer, Kwame, is brought to the district hospital A&E in Brong-Ahafo region approximately 2 hours after being bitten on the right ankle by a large, heavy-bodied snake with a distin…

Toxicology - Snakebite Envenomation · Cobra (Naja melanoleuca) - alpha-neurotoxin mechanism and neuromuscular blockade ★ HY difficulty 3/5

A 19-year-old student, Yaw, is brought to the Korle Bu Emergency Centre 3 hours after being bitten on the right forearm by a large, black snake with a white throat, identified by a family member as a …

Toxicology - Snakebite Envenomation · Cobra (Naja melanoleuca) - postsynaptic alpha-neurotoxin mechanism and airway management ★ HY difficulty 3/5

A 19-year-old student, Esi, is brought to a regional hospital A&E in the Volta Region at 11 PM after being bitten on the right hand while reaching into a pile of firewood approximately 90 minutes ago.…

Toxicology - Snakebite Envenomation · Echis ocellatus - ecarin-mediated consumption coagulopathy mechanism ★ HY difficulty 4/5

A 22-year-old woman, Akua, is brought to the Komfo Anokye Teaching Hospital emergency centre from a farming village in Ashanti Region after being bitten on the left forearm by a small, rough-scaled sn…

Toxicology - Snakebite Envenomation · Saw-scaled viper (Echis ocellatus) - venom-induced consumption coagulopathy mechanism ★ HY difficulty 3/5

A 27-year-old woman, Akua, presents to the Komfo Anokye Teaching Hospital ED at 11 pm, 90 minutes after being bitten on the left hand by a slender snake she describes as brownish with a saw-like later…

Toxicology - Snakebite Envenomation · Puff adder (Bitis arietans) - cytotoxic venom mechanism ★ HY difficulty 3/5

A 34-year-old male farmer, Kwame, presents to a district hospital A&E in the Northern Region of Ghana approximately 2 hours after sustaining a bite to his right ankle while harvesting millet. He repor…

Toxicology - Toxidromes · Cholinergic toxidrome: atropine titration endpoint in OP poisoning ★ HY difficulty 3/5

Kofi, a 52-year-old cocoa farmer from Brong-Ahafo, is brought to the district hospital A&E by his co-workers at 10:30 after collapsing in the field. His colleagues report he had been spraying chlorpyr…

Toxicology - Toxidromes · Cholinergic toxidrome: antidote sequence and mechanism in organophosphate poisoning ★ HY difficulty 4/5

Kwabena, a 52-year-old cocoa farm labourer from a district hospital in Brong-Ahafo, is rushed in by colleagues 90 minutes after accidentally splashing his face and arms with a concentrated chlorpyrifo…

Toxicology - Toxidromes · Anticholinergic toxidrome: mechanism and distinguishing features ★ HY difficulty 3/5

Akua, a 34-year-old market trader in Kumasi, is brought to the Komfo Anokye ED by her family at 22:00 after ingesting an unknown quantity of diphenhydramine tablets she purchased from a hawker, approx…

Toxicology - Toxidromes · Opioid toxidrome: naloxone titration and co-ingestion management ★ HY difficulty 4/5

Ama, a 19-year-old university student in Accra, is brought to the Korle Bu emergency centre by her roommate at 23:45 after a suspected deliberate self-poisoning. The roommate found an empty blister pa…

Toxicology - Toxidromes · Opioid toxidrome: naloxone mechanism and tramadol-specific considerations ★ HY difficulty 3/5

Mohammed, a 19-year-old apprentice mechanic, is found unresponsive in a locked room by his landlord in Tamale and brought to Tamale Teaching Hospital A&E by motorbike taxi. The landlord found an empty…

Toxicology - Toxidromes · Anticholinergic toxidrome: receptor mechanism and differentiation from sympathomimetic toxidrome ★ HY difficulty 3/5

Akua, a 34-year-old market trader, is brought to the Komfo Anokye ED by her family after ingesting an unknown quantity of her neighbour's 'sleeping tablets' approximately 3 hours ago in a deliberate s…

Toxicology / Cardiology · Digoxin effect vs digoxin toxicity on ECG ★ HY difficulty 4/5

Kofi, a 67-year-old man with ischaemic heart disease and atrial fibrillation, has been taking digoxin 0.25 mg daily for 18 months. He is brought to a regional hospital ED by his son complaining of 12 …

Toxicology / Cardiology · Digoxin toxicity arrhythmias ★ HY difficulty 3/5

A 65-year-old man with a history of atrial fibrillation and heart failure is brought to the Korle Bu Emergency Centre by his son with a 12-hour history of nausea, vomiting, and visual disturbance (see…

Toxicology / Hepatology · NAC for paracetamol-induced acute liver failure ★ HY difficulty 2/5

Akosua, a 28-year-old woman, is brought to the Korle Bu emergency centre by her husband after she took 'a lot of paracetamol tablets' approximately 10 hours ago following a domestic dispute. She is al…

Toxicology / Regional Anaesthesia · Early recognition of LAST ★ HY difficulty 2/5

A 34-year-old woman, Akosua, undergoes an ultrasound-guided femoral nerve block with 20 mL of 0.5% bupivacaine at the Komfo Anokye ED for a displaced femoral shaft fracture. Approximately 90 seconds a…

Trauma · Major trauma centre criteria and bypass decisions ★ HY difficulty 3/5

During a regional hospital A&E morning handover in Tamale, the trauma team reviews the previous night's cases. A 44-year-old farmer named Yaw was involved in a tractor rollover and was trapped under t…

Trauma · Permissive hypotension ★ HY difficulty 3/5

A 42-year-old man is referred from a district hospital to Korle Bu emergency centre after a road traffic collision. He has suspected pelvic fracture and closed abdominal injury. Vital signs on arrival…

Trauma · Tension pneumothorax - needle decompression landmark ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the A&E of a regional hospital in Ashanti Region following a high-speed road traffic collision in which he was an unrestrained front-seat passenger. On arrival,…

Trauma · Trauma in pregnancy - aortocaval compression and left lateral displacement ★ HY difficulty 2/5

Adwoa, a 28-year-old woman at 32 weeks gestation, is brought to the regional hospital A&E after a road traffic collision in which she was a restrained front-seat passenger. On arrival she is anxious b…

Trauma · TXA timing - CRASH-2 3-hour window ★ HY difficulty 2/5

Kofi, a 22-year-old farmer, sustains a machete laceration to the right thigh during a land dispute in the Brong-Ahafo region. He is brought by relatives to the district hospital approximately 2 hours …

Trauma · C-A-B-C primary survey priorities ★ HY difficulty 2/5

A 35-year-old woman, Akosua, is brought to a regional hospital A&E in Brong-Ahafo following a machete assault to the left thigh. There is a deep laceration with pulsatile arterial bleeding. Vitals: HR…

Trauma · Sensitivity of E-FAST and limitations of negative result ★ HY difficulty 3/5

A 23-year-old woman named Ama is brought to a district hospital in Brong-Ahafo Region after a motorcycle accident. She has bruising over her right upper abdomen. Vitals: BP 96/62 mmHg, HR 130/min, RR …

Trauma · Permissive hypotension in haemorrhagic shock ★ HY difficulty 2/5

Kwame, a 28-year-old male, is brought to the regional hospital A&E in Kumasi following a high-speed road traffic collision. He was an unrestrained front-seat passenger and sustained blunt abdominal an…

Trauma · C-A-B-C primary survey priorities ★ HY difficulty 2/5

A 19-year-old student, Kofi, is brought to Komfo Anokye ED after a stab wound to the left chest. He is alert but distressed. Vitals: HR 138 bpm, BP 76/48 mmHg, RR 30/min, SpO2 91%. Breath sounds are a…

Trauma · C-A-B-C primary survey priorities ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to Komfo Anokye ED after a high-speed road traffic collision. On arrival he is unconscious with audible gurgling respirations. Vitals: GCS 7, HR 118 b…

Trauma · Massive haemorrhage protocol ★ HY difficulty 3/5

A 35-year-old woman, Akosua, is referred from a district hospital in the Brong-Ahafo region to the regional hospital emergency department following a machete attack. She arrives 45 minutes after the i…

Trauma · Tranexamic acid in major trauma ★ HY difficulty 2/5

A 31-year-old man, Yaw, is brought to the Tamale Teaching Hospital ED after a gunshot wound to the abdomen sustained 2 hours ago. He is haemodynamically unstable. The trauma team activates the massive…

Trauma · Blunt cardiac injury - risk stratification and monitoring ★ HY difficulty 3/5

A 42-year-old man is referred from a district hospital in the Brong-Ahafo Region to the Komfo Anokye ED following a high-speed head-on motor vehicle collision. He was the restrained driver. On arrival…

Trauma · Massive haemothorax — diagnosis and immediate management ★ HY difficulty 3/5

A 35-year-old woman, Akosua, is referred from a district hospital in Brong-Ahafo following a blunt chest injury from a vehicle rollover 2 hours ago. On arrival at the regional A&E: HR 118 bpm, BP 88/6…