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3996 matches for “Ghana” — showing 1291–1320
Neck Lump — Differential and Investigation · ENT ★ HY difficulty 3/5

Kofi, a 52-year-old cocoa farmer, presents to the Korle Bu surgical unit with a 4-month history of a progressively enlarging, painless right neck mass. He is a chronic smoker (30 pack-years) and admit…

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

Kwame, a 34-year-old teacher, presents to the Komfo Anokye outpatient surgical clinic with a 6-week history of a painless swelling in the right anterior triangle of his neck. He reports no dysphagia, …

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

A 19-year-old woman, Ama, is referred from a district hospital in the Volta Region to Korle Bu with a 4-month history of a midline neck swelling. She reports no dysphagia, hoarseness, or constitutiona…

Necrotising Fasciitis and Fournier Gangrene · LRINEC score — variables and point allocations ★ HY difficulty 3/5

A surgical registrar at a district hospital in the Northern Region is asked to score a 52-year-old woman, Fatima, who has presented with a 3-day history of a painful, rapidly spreading wound infection…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis vs cellulitis — diagnosis ★ HY difficulty 3/5

A 42-year-old man, Kofi, is admitted to the Tamale Teaching Hospital surgical ward with a 2-day history of left leg pain and swelling following an insect bite. He has no known comorbidities. Examinati…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — anatomy and operative extent of debridement ★ HY difficulty 4/5

A 62-year-old man, Yaw, is referred urgently from a district hospital in the Northern Region to the regional hospital surgical unit with a two-day history of severe perineal pain, swelling, and discol…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — diagnosis and emergency management ★ HY difficulty 3/5

A 48-year-old man, Kwame, is brought to the emergency department of a regional hospital in the Ashanti Region by his relatives. He is a known type 2 diabetic on metformin and glibenclamide with poor g…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — operative principles ★ HY difficulty 3/5

A 60-year-old man, Mensah, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 4-day history of perianal pain and swelling. He has type 2 diabetes (poorly controlled), …

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — diagnosis and discriminating features ★ HY difficulty 3/5

A 35-year-old woman, Akua, presents to the surgical ward of a regional hospital in the Ashanti Region with a five-day history of a painful left thigh wound following a road traffic accident. She had b…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — antimicrobial management ★ HY difficulty 3/5

A 29-year-old man, Yaw, presents to the Korle Bu emergency surgical unit with a 2-day history of severe perineal pain and swelling. He underwent haemorrhoidectomy at a private clinic 6 days ago. He is…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — operative strategy and second-look debridement ★ HY difficulty 4/5

A 62-year-old man, Mensah, with known ischaemic heart disease and type 2 diabetes is brought to the Korle Bu emergency theatre with Fournier gangrene confirmed at initial debridement 48 hours ago. At …

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — operative confirmation (finger test) ★ HY difficulty 3/5

A 55-year-old woman, Yaa, is admitted to a district hospital surgical ward in the Northern Region with a rapidly spreading left leg infection following a machete wound sustained two days ago. She has …

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — diagnosis and operative urgency ★ HY difficulty 3/5

A 48-year-old man, Kwame, is brought to the emergency department of a regional hospital in the Ashanti Region by his family after three days of worsening pain and swelling of his left thigh. He is a k…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — operative management and testicular preservation ★ HY difficulty 4/5

A 35-year-old man, Yaw, presents to the Korle Bu emergency surgical unit with a 2-day history of severe scrotal and perineal pain, swelling, and fever. He has no significant past medical history. On e…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — operative strategy ★ HY difficulty 4/5

A 60-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 4-day history of rapidly spreading left leg swelling and pain following a diabetic foot u…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene management ★ HY difficulty 3/5

A 35-year-old man, Yaw, presents to the surgical unit of a regional hospital in the Ashanti Region with a two-day history of severe scrotal pain, swelling, and blackening of the scrotal skin. He is a …

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — bedside diagnosis in resource-limited setting ★ HY difficulty 4/5

A 55-year-old woman, Yaa, presents to a district hospital surgical ward in the Northern Region with a 4-day history of rapidly spreading redness, swelling, and pain over her right forearm following a …

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — initial management ★ HY difficulty 3/5

A 48-year-old man, Kwame, is brought by relatives to the Komfo Anokye emergency theatre with a 3-day history of severe scrotal pain, swelling, and high-grade fever. He is a known type 2 diabetic on me…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — operative principles and debridement technique ★ HY difficulty 4/5

A 38-year-old woman, Ama, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 5-day history of progressive left thigh pain, swelling, and high fever. She has…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — initial management ★ HY difficulty 3/5

A 45-year-old man, Kwame, is brought to the Komfo Anokye emergency theatre by relatives after three days of worsening scrotal and perineal pain. He has type 2 diabetes mellitus poorly controlled on me…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene — management priority ★ HY difficulty 4/5

A 52-year-old man, Kwame, is brought by relatives to the emergency department of a regional hospital in the Ashanti Region. He is a known type 2 diabetic on metformin and glibenclamide, and he present…

Necrotising Fasciitis and Fournier Gangrene · Postoperative relook debridement in Fournier gangrene ★ HY difficulty 3/5

A 61-year-old man, Mensah, with type 2 diabetes and hypertension underwent emergency wide debridement for Fournier gangrene at a regional hospital in the Volta Region 48 hours ago. The initial debride…

Necrotising Fasciitis and Fournier Gangrene · Diagnosis of necrotising fasciitis ★ HY difficulty 2/5

A 48-year-old man, Kwame, is brought to the emergency department of Komfo Anokye Teaching Hospital by relatives after three days of worsening left thigh pain, fever, and malaise. He has type 2 diabete…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — clinical diagnosis ★ HY difficulty 2/5

A 38-year-old woman, Ama, presents to the Korle Bu general surgical unit with a 48-hour history of severe right thigh pain and swelling following a minor abrasion sustained while farming. She is an ot…

Necrotising Fasciitis and Fournier Gangrene · Emergency management of Fournier gangrene ★ HY difficulty 3/5

A 48-year-old man, Kwame, presents to the Komfo Anokye emergency theatre with a 3-day history of severe scrotal pain, swelling, and fever. He is a known type 2 diabetic on metformin with poor glycaemi…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — diagnostic principles and finger test ★ HY difficulty 4/5

A 35-year-old woman, Ama, presents to the Korle Bu general surgical unit with a five-day history of a painful, rapidly enlarging wound on her right leg following a minor machete laceration sustained w…

Necrotising Fasciitis and Fournier Gangrene · LRINEC score and diagnosis of necrotising fasciitis ★ HY difficulty 4/5

A 38-year-old woman, Akua, is referred from a district hospital in the Bono Region to the regional hospital with a five-day history of a rapidly spreading painful red swelling of the left thigh follow…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — diagnosis and LRINEC score ★ HY difficulty 4/5

A 35-year-old woman, Akua, is referred from a district hospital in the Eastern Region to a regional hospital with a 5-day history of worsening right thigh pain, fever, and progressive skin discolourat…

Necrotising Fasciitis and Fournier Gangrene · Operative management — testicular preservation in Fournier gangrene ★ HY difficulty 3/5

During an emergency debridement for Fournier gangrene at the Komfo Anokye emergency theatre, the surgical registrar, Dr Mensah, finds that the scrotal skin and perineal skin are entirely necrotic and …

Necrotising Fasciitis and Fournier Gangrene · Diagnosis of necrotising fasciitis ★ HY difficulty 3/5

A 35-year-old woman, Akua, is referred from a district hospital in the Volta Region to the regional hospital with a 5-day history of worsening right thigh pain, fever, and progressive skin discolourat…