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3996 matches for “Ghana” — showing 1321–1350
Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene β€” initial management β˜… HY difficulty 3/5

A 52-year-old man, Kwame, is brought to the emergency department of Komfo Anokye Teaching Hospital by relatives after three days of progressive scrotal swelling and severe perineal pain. He has type 2…

Necrotising Fasciitis and Fournier Gangrene · Fournier gangrene β€” initial management β˜… HY difficulty 3/5

A 48-year-old man, Kwame, presents to the Komfo Anokye emergency surgical unit with a 3-day history of severe perineal pain, swelling, and fever. He has type 2 diabetes mellitus poorly controlled on o…

Neonatal Bowel Obstruction · Intestinal malrotation and midgut volvulus β˜… HY difficulty 3/5

A 6-hour-old male neonate born at a district hospital in the Volta Region is noted to have copious bilious vomiting immediately after the first feed. He was born at term, birth weight 3.0 kg, with no …

Neonatal Bowel Obstruction · Meconium ileus β˜… HY difficulty 3/5

A 1-day-old female neonate born at term is referred to the paediatric surgical unit at UGMC from a district hospital in the Greater Accra Region. She has not passed meconium and has had bilious vomiti…

Neonatal Bowel Obstruction · Hirschsprung's disease β˜… HY difficulty 3/5

A three-day-old male neonate born at term at a district hospital in the Volta Region is transferred to the regional hospital because of failure to pass meconium, progressive abdominal distension, and …

Neonatal Bowel Obstruction · Hirschsprung's disease β˜… HY difficulty 3/5

A 2-day-old male neonate is brought to the paediatric surgical unit at Komfo Anokye Teaching Hospital by his mother, who reports that he has not passed any meconium since birth and has had progressive…

Neonatal Bowel Obstruction · Duodenal atresia β˜… HY difficulty 2/5

A male neonate is born at term in a district hospital in the Ashanti Region. He is the first child of a 26-year-old primigravida, Akua. There was polyhydramnios noted on antenatal ultrasound at 32 wee…

Neonatal Bowel Obstruction · Hirschsprung's disease β˜… HY difficulty 2/5

A 3-day-old male neonate, born at term by normal vaginal delivery at Komfo Anokye Teaching Hospital, presents with progressive abdominal distension and failure to pass meconium. The mother, Afia, is 3…

Neonatal Bowel Obstruction · Malrotation and midgut volvulus β˜… HY difficulty 4/5

A 6-hour-old male neonate is brought to the neonatal surgical unit at a regional hospital in the Northern Region after the attending midwife noted bile-stained vomiting and a markedly distended, tende…

Neonatal Bowel Obstruction · Meconium ileus β˜… HY difficulty 3/5

A 2-day-old female neonate, born at 36 weeks gestation to a 22-year-old mother, Esi, at a regional hospital in the Northern Region, presents with bilious vomiting and abdominal distension. There was n…

Neonatal Bowel Obstruction · Necrotising enterocolitis β˜… HY difficulty 4/5

A 3-day-old male neonate born at 30 weeks gestation is on the neonatal intensive care unit at a regional hospital in the Volta Region. He was initially doing well on nasogastric feeds but over the pas…

Neonatal Bowel Obstruction · Duodenal atresia β˜… HY difficulty 4/5

A 1-day-old female neonate born at 34 weeks gestation at a regional hospital in the Ashanti Region is referred to the paediatric surgical team with bilious vomiting since the first feed and failure to…

Neonatal Bowel Obstruction · Necrotising enterocolitis β˜… HY difficulty 3/5

A 5-day-old male neonate, born at 28 weeks gestation and weighing 1.1 kg, is in the neonatal intensive care unit at UGMC. He was started on enteral feeds via nasogastric tube on day 3. On day 5, the n…

Neonatal Bowel Obstruction · Necrotising enterocolitis β˜… HY difficulty 3/5

A 36-hour-old male neonate born at 32 weeks gestation in a regional hospital in the Western Region is noted to have abdominal distension, bilious aspirates from the nasogastric tube, and bloody stools…

Neonatal Bowel Obstruction · Anorectal malformation (imperforate anus) β˜… HY difficulty 3/5

A male neonate is brought to the Komfo Anokye paediatric surgical unit on day two of life by his mother, a 24-year-old primigravida from Sunyani. She reports that the baby has not passed meconium sinc…

Neonatal Bowel Obstruction · Hirschsprung's disease β˜… HY difficulty 3/5

A 2-day-old female neonate at the Komfo Anokye Teaching Hospital NICU has failed to pass meconium since birth. She was born at 36 weeks gestation by vaginal delivery. Examination reveals a distended a…

Neonatal Bowel Obstruction · Intestinal malrotation with volvulus β˜… HY difficulty 3/5

A 1-day-old male neonate born at term at a district hospital in Brong-Ahafo is referred to the regional hospital with bilious vomiting that began within hours of birth. The mother had no antenatal car…

Neonatal Bowel Obstruction · Duodenal atresia β˜… HY difficulty 3/5

A 1-day-old female neonate delivered at term by elective caesarean section at a regional hospital in the Ashanti Region is noted to have bilious vomiting within 6 hours of birth. The mother had polyhy…

Neonatal Bowel Obstruction · Meconium ileus β˜… HY difficulty 3/5

A 3-day-old male neonate born at term to a mother with cystic fibrosis is referred to the Korle Bu paediatric surgical unit from a district hospital in the Central Region. He has not passed meconium a…

Neonatal Bowel Obstruction · Duodenal atresia β˜… HY difficulty 2/5

A male neonate is born at term at a district hospital in the Ashanti Region. He is the first child of a 26-year-old primigravida. Antenatal USS at 32 weeks had shown polyhydramnios. Within 4 hours of …

Neonatal Bowel Obstruction · Meconium ileus β˜… HY difficulty 3/5

A 3-day-old male neonate is admitted to the paediatric surgical ward at Korle Bu Teaching Hospital with a 24-hour history of bilious vomiting and progressive abdominal distension. He was born at term …

Neonatal Bowel Obstruction · Meconium ileus β˜… HY difficulty 2/5

A 2-day-old male neonate born at Komfo Anokye Teaching Hospital is referred from the postnatal ward after failing to pass meconium and developing progressive abdominal distension. He was born at term …

Neonatal Bowel Obstruction · Meconium ileus β˜… HY difficulty 3/5

A 2-day-old male neonate born at term in a district hospital in Northern Ghana is referred to Tamale Teaching Hospital with bilious vomiting and abdominal distension from birth. The mother had no ante…

Neonatal Bowel Obstruction · Duodenal atresia β˜… HY difficulty 3/5

A term neonate, baby girl Akua, is delivered at a district hospital in the Northern Region. She is noted to have bilious vomiting commencing at 6 hours of life. The abdomen is scaphoid. The midwife no…

Neonatal Bowel Obstruction · Necrotising enterocolitis β˜… HY difficulty 3/5

A 2-week-old male neonate, baby Yaw, is brought to the Komfo Anokye emergency paediatric surgery unit with a 48-hour history of progressive abdominal distension, bilious vomiting, and bloody stools. H…

Neonatal Bowel Obstruction · Duodenal atresia β˜… HY difficulty 2/5

A 2-day-old male neonate born at term in a district hospital in the Ashanti Region is brought to the paediatric surgical unit at Komfo Anokye Teaching Hospital after failing to pass meconium within 48…

Neonatal Bowel Obstruction · Hirschsprung's disease β˜… HY difficulty 3/5

A 2-day-old male neonate born at term at Korle Bu Teaching Hospital has not passed meconium. His mother had no antenatal complications. On examination, the abdomen is moderately distended. A digital r…

Neonatal Emergencies · Kernicterus β€” exchange transfusion β˜… HY difficulty 3/5

A 5-day-old female neonate is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital. She is deeply jaundiced and was noted to be 'not moving her arms and legs normal…

Neonatal Emergencies · Early-onset neonatal sepsis β€” first-line antibiotics β˜… HY difficulty 2/5

A 2-day-old male neonate born at term by spontaneous vaginal delivery at a district hospital in the Volta Region is brought to the emergency unit by his mother. She reports he has been feeding poorly …

Nephrology · Drug-induced AKI and hyperkalaemia management β˜… HY difficulty 4/5

Yaw, a 52-year-old man with type 2 diabetes and hypertension, is brought to Korle Bu emergency centre after three days of fever and reduced urine output. He has been taking ibuprofen 400 mg three time…