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3996 matches for “Ghana” — showing 1261–1290
Metabolic Response to Injury · Ebb phase neuroendocrine response ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye emergency theatre by relatives after sustaining multiple injuries in a road traffic collision on the Kumasi–Accra highway. He has a closed femo…

Metabolic Response to Injury · Flow phase and nutritional support ★ HY difficulty 3/5

Ama, a 34-year-old previously healthy woman, underwent an emergency laparotomy for typhoid perforation at a regional hospital in the Volta Region three days ago. The perforation was oversewn and the p…

Metabolic Response to Injury · Ebb phase hormonal response and stress hyperglycaemia ★ HY difficulty 4/5

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

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

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

Metabolic Response to Injury · Post-operative salt and water retention ★ HY difficulty 3/5

A 35-year-old woman, Akua, underwent an emergency Hartmann's procedure for sigmoid perforation due to typhoid peritonitis at a regional hospital in the Ashanti Region. On post-operative day 3 she has …

Metabolic Response to Injury · Nitrogen balance and nutritional support in the flow phase ★ HY difficulty 3/5

A 45-year-old woman, Akua, is admitted to the Korle Bu general surgical unit with a 5-day history of generalised abdominal pain, fever, and inability to tolerate oral intake. She underwent an emergenc…

Metabolic Response to Injury · ADH-mediated post-operative oliguria ★ HY difficulty 3/5

A 19-year-old male student, Yaw, is admitted to the surgical ward at a regional hospital in Brong-Ahafo following a stab wound to the right iliac fossa. He underwent exploratory laparotomy under spina…

Metabolic Response to Injury · Sickle-cell peri-op and metabolic stress ★ HY difficulty 4/5

Akua, a 45-year-old market trader, presents to the surgical outpatient clinic at a district hospital in the Ashanti Region with a 6-week history of progressive swelling of the right thigh. She recalls…

Musculoskeletal Emergencies · Sickle cell osteomyelitis and Salmonella ★ HY difficulty 3/5

A 38-year-old man with known sickle cell disease (HbSS) is referred from a district hospital in Brong-Ahafo to the regional hospital with a 4-day history of left thigh pain, fever, and inability to be…

Musculoskeletal Emergencies · Joint aspiration interpretation and empiric antibiotics ★ HY difficulty 3/5

Afia, a 32-year-old woman, presents to a regional hospital ED with a 4-day history of a painful, swollen right knee. She has no history of trauma. She is afebrile (temperature 37.1°C), heart rate 88 b…

Musculoskeletal Emergencies · ICP measurement and delta-P in haemodynamically unstable patient ★ HY difficulty 4/5

Kofi, a 28-year-old construction worker, was pinned under a collapsed scaffolding for roughly 3 hours before rescue. He is brought to the regional hospital ED with severe swelling of the right thigh a…

Musculoskeletal Emergencies · Gonococcal vs staphylococcal arthritis ★ HY difficulty 2/5

A 24-year-old woman named Afia presents to the Korle Bu emergency centre with a 5-day history of migratory polyarthralgia, fever, and a painful swollen left knee. She is sexually active and has not us…

Musculoskeletal Emergencies · Missed compartment syndrome and Volkmann contracture ★ HY difficulty 3/5

A 7-year-old boy named Emmanuel is brought to Korle Bu Emergency Centre by his father, 5 days after sustaining a supracondylar fracture of the right humerus during a fall at school. The fracture was m…

Ménière Disease · ENT ★ HY difficulty 3/5

Mohammed, a 52-year-old teacher from Tamale, is admitted to Tamale Teaching Hospital following a sudden severe episode of vertigo, vomiting, and inability to walk that began 6 hours ago. He has a know…

Ménière Disease · ENT ★ HY difficulty 3/5

Kofi, a 38-year-old male schoolteacher, is referred from a district hospital in the Volta Region to the ENT clinic at Ho Teaching Hospital with a 2-year history of recurrent episodes of severe rotator…

Ménière Disease · ENT ★ HY difficulty 3/5

Kwame, a 38-year-old schoolteacher, is referred from a district hospital in the Bono East Region to the ENT outpatient clinic at a regional hospital. He gives a 2-year history of recurrent attacks of …

Ménière Disease · ENT ★ HY difficulty 2/5

Ama, a 50-year-old civil servant, attends the Komfo Anokye Teaching Hospital ENT clinic with a confirmed diagnosis of left-sided Ménière disease established 18 months ago. She has been on dietary sodi…

Ménière Disease · ENT ★ HY difficulty 2/5

A 42-year-old woman, Akua, is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 14-month history of recurrent episodes of severe rotatory vertigo, each l…

Ménière Disease · ENT ★ HY difficulty 2/5

Adwoa, a 44-year-old bank clerk, attends the ENT outpatient clinic at Korle Bu Teaching Hospital with a 6-month history of recurrent episodic vertigo, left-sided tinnitus, and aural fullness. Pure-ton…

Ménière Disease · ENT ★ HY difficulty 4/5

Yaa, a 47-year-old seamstress, attends the ENT clinic at a regional hospital in the Volta Region with a 3-year history of left-sided Ménière disease. She has been managed with dietary salt restriction…

Ménière Disease · ENT ★ HY difficulty 3/5

Kofi, a 38-year-old civil servant, presents to the ENT outpatient clinic at Korle Bu Teaching Hospital with a 2-year history of episodic vertigo. Each episode lasts approximately 3 hours, is accompani…

Ménière Disease · ENT ★ HY difficulty 3/5

A 47-year-old man, Yaw, is brought to the emergency department at a regional hospital in the Ashanti Region by his wife after collapsing at home during a severe vertiginous episode. He describes sudde…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

A 35-year-old woman, Akua, a nurse working at a regional hospital in the Ashanti Region, presents with a 3-month history of bilateral painless neck swellings, drenching night sweats, a 7 kg weight los…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 2/5

A 28-year-old man, Kwame, presents to the Komfo Anokye surgical outpatient clinic with a 6-week history of a painless swelling in the right side of his neck. He denies fever, weight loss, night sweats…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

Abena, a 52-year-old market trader from Tamale, is referred to the Tamale Teaching Hospital surgical firm with a six-week history of a firm, painless right-sided neck swelling. She reports a two-month…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

A 52-year-old man, Yaw, a retired civil servant from Accra, presents to the Korle Bu general surgical outpatient clinic with a 10-week history of a painless, progressively enlarging right-sided neck m…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 2/5

Kwame, a 34-year-old secondary school teacher from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a three-month history of a painless swelling in the right side of his neck. He r…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

Adwoa, a 19-year-old student, is seen in the surgical outpatient clinic at Tamale Teaching Hospital with a 6-week history of bilateral cervical lymphadenopathy, low-grade fever, night sweats, and a 5 …

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

Ama, a 28-year-old woman, is referred from a district hospital in the Volta region to the Korle Bu general surgical outpatient clinic with a 3-month history of a midline neck swelling. She is otherwis…

Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

Yaw, a 28-year-old subsistence farmer from a district in the Brong-Ahafo region, presents to the district hospital with a three-month history of multiple, painless, matted swellings in the left poster…