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3996 matches for “Ghana” — showing 1231–1260
Medicine: Infectious Diseases · Herpes zoster in a young adult — test for HIV ★ HY difficulty 2/5

Mr Darko, a 27-year-old previously well man, has had burning pain over the right lower chest for 3 days and now has the rash shown in a band on one side of his trunk. He has no other complaints.

Medicine: Infectious Diseases · Severe malaria — treatment ★ HY difficulty 2/5

Kwame, a 9-year-old boy, is brought to the emergency department of Komfo Anokye Teaching Hospital by his mother. He has had fever for three days and has been unconscious since this morning. On examina…

Medicine: Infectious Diseases · Severe malaria – first-line treatment ★ HY difficulty 2/5

Kwame, a 28-year-old farmer from the Northern Region, is brought to Tamale Teaching Hospital in a coma. His wife reports a two-day history of fever, headache and vomiting before he became unresponsive…

Medicine: Infectious Diseases · Malaria in pregnancy — first-line treatment ★ HY difficulty 3/5

Fatima, a 25-year-old primigravida at 34 weeks of gestation, presents to the antenatal clinic at a district hospital in the Northern Region with a 5-day history of fever, rigors, and generalised body …

Medicine: Infectious Diseases · Severe malaria — treatment ★ HY difficulty 2/5

Kwame, a 28-year-old farmer from Brong-Ahafo, is brought to Komfo Anokye Teaching Hospital in a coma. His wife reports a two-day history of fever and vomiting before he became unconscious this morning…

Medicine: Renal · Hyperkalaemia — emergency management ★ HY difficulty 3/5

Kwame, a 34-year-old farmer, is brought to the emergency department at Komfo Anokye Teaching Hospital three days after being bitten by a puff adder on his right leg. He is oliguric and his urine is da…

Medicine: Respiratory · Tuberculosis — first-line treatment regimen ★ HY difficulty 2/5

Kofi, a 34-year-old teacher, presents to the chest clinic at Komfo Anokye Teaching Hospital with a 3-month history of productive cough, drenching night sweats, and a weight loss of 8 kg. He has been t…

Medicine: Respiratory · Tuberculosis — microbiological diagnosis ★ HY difficulty 2/5

Ama, a 34-year-old teacher, attends the chest clinic at Komfo Anokye Teaching Hospital with a 3-month history of cough productive of blood-streaked sputum, drenching night sweats, a 6 kg weight loss, …

Medicine: Respiratory · Tuberculosis — first-line treatment regimen ★ HY difficulty 2/5

Kofi, a 58-year-old farmer from the Ashanti Region, presents to the Komfo Anokye Teaching Hospital with a 3-week history of productive cough, drenching night sweats, and a 6 kg weight loss. He has no …

Medicine: Respiratory · Pulmonary TB on chest X-ray — first diagnostic test ★ HY difficulty 3/5

Mr Adjei, a 48-year-old man, has had a productive cough for 6 weeks with night sweats and weight loss. His HIV test is negative. His chest X-ray is shown.

Medicine: Rheumatology & Dermatology · Gout — acute attack management ★ HY difficulty 2/5

Kwame, a 52-year-old trader, is brought to casualty at Komfo Anokye Teaching Hospital at midnight with sudden onset severe pain and swelling of his right first metatarsophalangeal joint that woke him …

Medicine: Rheumatology & Dermatology · Tinea capitis with kerion — oral antifungal ★ HY difficulty 2/5

Esi, a 7-year-old girl, has had an itchy, scaly patch of hair loss on her scalp for 6 weeks. It has become swollen, boggy and crusted, as shown, with tender lymph nodes at the back of her neck. Two cl…

Metabolic Response to Injury · Catabolic flow phase — hypermetabolism ★ HY difficulty 3/5

A 22-year-old woman, Abena, is brought to a district hospital surgical ward in the Northern Region with a 4-day history of worsening abdominal pain, fever, and diarrhoea. She had been treated with ora…

Metabolic Response to Injury · Flow phase catabolism and nitrogen balance ★ HY difficulty 4/5

A 45-year-old woman, Akua, is reviewed on the general surgical ward at Korle Bu Teaching Hospital on day 4 following an emergency Hartmann's procedure for a perforated sigmoid diverticulitis. She had …

Metabolic Response to Injury · Stress hyperglycaemia in sepsis ★ HY difficulty 3/5

A 19-year-old student, Yaw, presents to the Tamale Teaching Hospital surgical unit with a two-day history of generalised abdominal pain, fever, and three episodes of haematochezia. He has had no prior…

Metabolic Response to Injury · Burns resuscitation and fluid management ★ HY difficulty 3/5

A 42-year-old farmer, Yaw, is brought from a district hospital in the Northern Region to Tamale Teaching Hospital after sustaining 35% total body surface area (TBSA) mixed partial- and full-thickness …

Metabolic Response to Injury · Neuroendocrine ebb phase — ADH and aldosterone ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye emergency theatre following a road traffic accident on the Kumasi–Accra highway. He sustained blunt abdominal trauma and a closed femoral fract…

Metabolic Response to Injury · Stress hyperglycaemia and neuroendocrine ebb phase ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital by relatives after sustaining a road traffic injury on the Kumasi–Accra highway. He was a front-seat …

Metabolic Response to Injury · Flow phase — hyperglycaemia and insulin resistance ★ HY difficulty 4/5

A 45-year-old woman, Akua, underwent an emergency Hartmann's procedure for perforated sigmoid diverticulitis at a regional hospital in the Ashanti Region. She is now on post-operative day 3. Her tempe…

Metabolic Response to Injury · Post-operative water retention and ADH response ★ HY difficulty 4/5

Ama, a 55-year-old seamstress with known hypertension managed with amlodipine, is admitted to the Korle Bu general surgical unit for an elective right hemicolectomy for a caecal adenocarcinoma. Pre-op…

Metabolic Response to Injury · Neuroendocrine stress response and stress hyperglycaemia ★ HY difficulty 3/5

A 28-year-old road traffic accident victim, Kwame, is brought by relatives to the Komfo Anokye emergency theatre after a head-on collision on the Kumasi–Accra highway. He sustained a closed femoral sh…

Metabolic Response to Injury · Ebb phase neuroendocrine response ★ HY difficulty 3/5

A 28-year-old male farmer, Kwame, is brought to the Komfo Anokye emergency theatre following a road traffic accident on the Kumasi–Accra highway. He sustained blunt abdominal trauma and an open femora…

Metabolic Response to Injury · Post-operative oliguria and fluid management ★ HY difficulty 3/5

A 55-year-old man, Mensah, undergoes an elective open right hemicolectomy for a T3N1M0 caecal adenocarcinoma at the Korle Bu surgical unit. He has no significant comorbidities. On post-operative day 1…

Metabolic Response to Injury · Protein catabolism and negative nitrogen balance ★ HY difficulty 3/5

Afia, a 35-year-old market trader, is admitted to the Korle Bu general surgical unit following an emergency Hartmann's procedure for a perforated sigmoid diverticulitis. On post-operative day 2 she is…

Metabolic Response to Injury · Catabolic flow phase and acute-phase protein response ★ HY difficulty 4/5

Ama, a 35-year-old woman with no prior medical history, underwent an emergency laparotomy at a regional hospital in the Ashanti Region for typhoid perforation. She received appropriate resuscitation a…

Metabolic Response to Injury · Steroid-induced hyperglycaemia and perioperative diabetic management ★ HY difficulty 4/5

A 62-year-old man, Mensah, with known hypertension and type 2 diabetes mellitus (on metformin and glibenclamide) is admitted to the Korle Bu surgical unit for an elective right hemicolectomy for a cae…

Metabolic Response to Injury · Flow phase catabolism and nutritional support in post-operative sepsis ★ HY difficulty 4/5

A 45-year-old woman, Abena, is on the surgical ward at the Korle Bu general surgical unit on day 4 following a Hartmann's procedure for perforated sigmoid diverticulitis with faecal peritonitis. Her p…

Metabolic Response to Injury · Ebb phase physiology ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the resus bay at Komfo Anokye Teaching Hospital following a road traffic accident on the Kumasi–Accra highway. He was a restrained front-seat passenger in a hea…

Metabolic Response to Injury · Neuroendocrine stress response — cortisol, catecholamines, and aldosterone ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye emergency theatre following a road traffic accident on the Kumasi–Accra highway. He sustained blunt abdominal trauma and a closed femoral shaft…

Metabolic Response to Injury · Nutritional support in the catabolic flow phase ★ HY difficulty 3/5

Yaw, a 35-year-old secondary school teacher, underwent an emergency laparotomy at the Tamale Teaching Hospital for typhoid ileal perforation three days ago. He had a single perforation oversewn with a…