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2131 matches for “Ghana” — showing 1321–1350
Tropical Medicine · Snakebite envenomation - elapid neurotoxic, airway emergency ★ HY difficulty 3/5

Kwabena, a 27-year-old cocoa farm labourer from Sefwi Wiawso district in the Western Region, is referred to the regional hospital A&E after a bite to his right forearm by a large snake he described as…

Tropical Medicine · Severe acute malnutrition - F-75 vs F-100 stabilisation feeds ★ HY difficulty 3/5

A 18-month-old girl named Ama is referred from a CHPS compound in the Upper West Region to Tamale Teaching Hospital. Her mother reports 3 weeks of poor feeding and watery stools. There is no recent tr…

Tropical Medicine · TB-IRIS post-ART initiation in HIV co-infection ★ HY difficulty 4/5

Yaa, a 42-year-old market trader from Accra, was diagnosed with smear-positive pulmonary TB 3 months ago and started on the standard 2HRZE/4HR regimen. She is HIV-positive with a CD4 count of 112 cell…

Tropical Medicine · Rabies PEP - Essen vs Zagreb schedule and RIG dosing ★ HY difficulty 4/5

Yaw, a 34-year-old farmer from a district in northern Ghana near Tamale, presents to Tamale Teaching Hospital ED after being bitten on the left forearm by a dog that he describes as 'acting strangely …

Tropical Medicine · Schistosomiasis - Acute Katayama syndrome ★ HY difficulty 3/5

Kwame, a 19-year-old male student from Kumasi, presents to the Komfo Anokye ED with a 3-week history of fever, urticaria, dry cough, and myalgia. He returned 6 weeks ago from a 2-week rural attachment…

Tropical Medicine · Ascaris intestinal obstruction ★ HY difficulty 3/5

A 9-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo region by his mother with a 3-day history of colicky central abdominal pain, bilious vomiting, and inability to pass…

Tropical Medicine · Acute HIV seroconversion illness ★ HY difficulty 2/5

Kwame, a 28-year-old male secondary school teacher in Kumasi, presents to Komfo Anokye ED with a 10-day history of fever, sore throat, cervical lymphadenopathy, and a maculopapular rash over his trunk…

Tropical Medicine · Paediatric S. haematobium - praziquantel dosing ★ HY difficulty 3/5

Akosua, an 8-year-old girl from a farming community near Sunyani in the Brong-Ahafo Region, is brought by her mother to the district hospital after her teacher noticed she passes blood in her urine mo…

Tropical Medicine · Snakebite - carpet viper haemotoxic envenomation ★ HY difficulty 2/5

Alhaji, a 34-year-old subsistence farmer from Tamale in the Northern Region, is brought to Tamale Teaching Hospital A&E at 23:00 after being bitten on his right ankle while walking barefoot to his out…

Tropical Medicine · Cerebral malaria - Blantyre Coma Score ★ HY difficulty 3/5

A 6-year-old girl, Akua, is referred from a CHPS compound in rural Northern Region to Tamale Teaching Hospital paediatric ward. She has had fever for 5 days and has been unconscious since this morning…

Tropical Medicine · HIV-associated opportunistic infection - PCP ★ HY difficulty 3/5

Yaw, a 32-year-old male fisherman from a coastal community near Cape Coast, is brought to the Central Regional Hospital A&E by his wife after 3 weeks of progressive weight loss, oral candidiasis, and …

Urology · TWIST score interpretation and intermittent torsion ★ HY difficulty 4/5

A 16-year-old boy, Yaw, is evaluated in the emergency department of a regional hospital in the Northern Region at 11:30. He reports intermittent right scrotal pain over the past 6 hours, rated 4/10, w…

Urology · Imaging choice in renal colic in pregnancy ★ HY difficulty 3/5

Akosua, a 32-year-old woman at 24 weeks gestation, is brought to the regional hospital emergency department in Kumasi with sudden-onset right flank pain radiating to the groin, nausea, and one episode…

Urology · Manual detorsion technique and indications ★ HY difficulty 3/5

A 13-year-old boy is brought to a district hospital in the Brong-Ahafo Region with a 2-hour history of acute right scrotal pain. Examination reveals an absent right cremasteric reflex, a high-riding r…

Vascular · RUSH protocol — Pipes (aorta) and shock differentiation ★ HY difficulty 4/5

Mohammed, a 45-year-old market trader, is brought to the Komfo Anokye ED with sudden-onset tearing chest pain radiating to his back, starting 2 hours ago. He has a history of hypertension. On arrival:…

Vascular Emergencies · Ruptured AAA management ★ HY difficulty 3/5

A 67-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital by his family with sudden-onset severe central abdominal pain radiating to his back for 2 hours. He is a …

Vascular Trauma · Junctional bleeding — groin ★ HY difficulty 3/5

A 22-year-old man, Kofi, is brought to Korle Bu Emergency Centre after a gunshot wound to the left groin. He is agitated and confused. BP 74/40 mmHg, HR 148 bpm, RR 26/min, SpO2 90% on 15 L/min non-re…

Vascular Trauma · Tourniquet application ★ HY difficulty 2/5

A 35-year-old woman, Aisha, is brought by motorbike ambulance to a district hospital in Northern Region after a road traffic collision. She was a pedestrian struck by a heavy goods vehicle. Her right …

Vascular Trauma · Pelvic haemorrhage and damage control ★ HY difficulty 3/5

A 44-year-old woman, Adwoa, is brought by family to a district hospital in Brong-Ahafo Region after a road traffic collision — she was a front-seat passenger in a vehicle that struck a tree at high sp…

Wound Care · Foreign body imaging — ultrasound for organic material ★ HY difficulty 2/5

A 27-year-old carpenter named Yaw presents to a regional hospital ED with a 3-day history of increasing pain and swelling in his left palm. He recalls a small wooden splinter entering the palm while w…

Wound Care · Puncture wound management and tetanus prophylaxis ★ HY difficulty 2/5

A 9-year-old boy named Kwame is brought to a district hospital in Brong-Ahafo by his mother after stepping on a nail while playing barefoot. The nail has been removed. On examination, there is a 1 cm …

Wound Management · Rabies PEP — WHO Category classification ★ HY difficulty 3/5

A 7-year-old girl is brought to a district hospital in the Volta Region by her mother after being scratched and licked on an open abrasion on her forearm by a stray cat. The child has no visible bite …

Wound Management · Imaging for non-radio-opaque foreign body ★ HY difficulty 3/5

A 10-year-old boy is brought to a regional hospital ED in Volta Region by his mother after he stepped on a wooden stick while playing barefoot in a muddy compound. He has a small puncture wound on the…

Wound Management · Tetanus risk assessment ★ HY difficulty 2/5

Kofi, a 19-year-old student, presents to a regional hospital ED after stepping on a rusty nail through the sole of his rubber sandal 3 hours ago. The puncture wound is on the plantar aspect of the rig…

Wound Management · Dog bite — hand wound, primary closure contraindication ★ HY difficulty 2/5

Akosua, a 28-year-old market trader, presents to the regional hospital ED in Kumasi at 10 PM after being bitten on the right hand by her neighbour's dog 2 hours earlier. The bite is a 1.5 cm laceratio…

Wound Management · Mechanism and time elapsed — closure decision ★ HY difficulty 3/5

A 35-year-old woman, Afia, is brought to a district hospital in the Northern Region after a machete assault 8 hours ago. She has a 6 cm laceration over the left forearm with irregular, macerated edges…

Wound Management · Wound irrigation technique and pressure ★ HY difficulty 2/5

A 28-year-old man, Kwame, presents to the emergency unit of a regional hospital in Ashanti Region after sustaining a 4 cm laceration to his right forearm from a broken bottle at a construction site. T…

Wound Management · Imaging for retained foreign body — glass ★ HY difficulty 3/5

A 19-year-old man presents to the Komfo Anokye ED after stepping on a piece of glass while barefoot at the beach 3 hours ago. He has a 1 cm puncture wound on the plantar surface of his right foot. Vit…

Wound Management · Vermilion border laceration — plastic surgery referral ★ HY difficulty 2/5

Akosua, a 28-year-old woman, is brought to the Korle Bu emergency centre after a road traffic accident. She has a 3 cm laceration involving the left vermilion border of the lip — the wound edges cross…

Wound Management · Neurovascular assessment before closure ★ HY difficulty 3/5

A 28-year-old carpenter, Kwame, presents to the emergency centre at Komfo Anokye Teaching Hospital after a circular saw injury to the right hand sustained 2 hours ago. The wound is over the dorsum of …