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3996 matches for “Ghana” — showing 1351–1380
Nephrology · Crush syndrome and myoglobinuria ★ HY difficulty 2/5

Kofi, a 34-year-old man, is brought to Komfo Anokye ED after being trapped under a collapsed building for six hours following a structural failure. He is conscious. Vitals: BP 100/70 mmHg, HR 110 bpm,…

Nephrology · Rhabdomyolysis - AKI prevention and management ★ HY difficulty 3/5

Kofi, a 28-year-old male soldier, is brought to Tamale Teaching Hospital A&E after collapsing during a prolonged military exercise in intense heat. He reports severe muscle pain and weakness in his th…

Nephrology · Emergent RRT indications - AEIOU mnemonic ★ HY difficulty 3/5

Mohammed, a 45-year-old man with no known past medical history, is brought to a regional hospital A&E in the Northern Region after being found confused at home. His family reports he has had reduced u…

Nephrology · Contrast-induced nephropathy ★ HY difficulty 4/5

Mohammed, a 68-year-old man with known ischaemic heart disease, hypertension, and stage 3 CKD (baseline creatinine 168 μmol/L), presents to the Korle Bu emergency centre with an acute coronary syndrom…

Nephrology · AKI - rhabdomyolysis mechanism and alkalinisation ★ HY difficulty 3/5

A 34-year-old man, Kwabena, is brought to the regional hospital A&E in Kumasi after being found unconscious following a building collapse at a construction site in Ashanti Region. He was trapped under…

Nephrology · AKI - indications for emergent renal replacement therapy (AEIOU) ★ HY difficulty 4/5

A 52-year-old man, Mensah, with poorly controlled hypertension and no prior renal history, is referred from a district hospital in Northern Region to Tamale Teaching Hospital with a 5-day history of p…

Nephrology · Crush syndrome fluid management ★ HY difficulty 3/5

Akosua, a 29-year-old woman, is brought to the district hospital A&E in Brong-Ahafo after being rescued from a building collapse. She was trapped for approximately eight hours. Vitals: BP 95/65 mmHg, …

Nephrology · Drug-induced AKI - triple whammy ★ HY difficulty 4/5

Abena, a 66-year-old woman with known hypertension and type 2 diabetes, is referred from a district hospital to Korle Bu emergency centre with three days of worsening confusion and reduced urine outpu…

Nephrology · Crush syndrome and rhabdomyolysis ★ HY difficulty 3/5

Kwame, a 34-year-old man, is brought to Korle Bu emergency centre after being trapped under a collapsed building for six hours following a gas explosion. On extrication he is alert but in severe pain …

Nephrology · Hyperkalaemia in rhabdomyolysis ★ HY difficulty 4/5

A 29-year-old man is brought to a regional hospital A&E after a road traffic accident in which he sustained bilateral femur fractures. He was trapped for two hours. His urine is tea-coloured. Vitals: …

Nephrology · KDIGO staging - intrinsic AKI classification ★ HY difficulty 3/5

Akua, a 34-year-old woman with known HIV on antiretroviral therapy, presents to Komfo Anokye ED with two days of fever, rigors, and flank pain. She is found to have a temperature of 39.1°C, BP 110/70 …

Nephrology · Pre-renal AKI and fluid resuscitation ★ HY difficulty 2/5

A 58-year-old man is brought to the regional hospital A&E after three days of vomiting and diarrhoea. He is oliguric. Vitals: BP 88/60 mmHg, HR 118 bpm, RR 18/min, Temp 37.2°C. Urine dipstick shows no…

Neurology · Acute ischaemic stroke - NIHSS scoring ★ HY difficulty 2/5

Kwame, a 68-year-old hypertensive man, is brought by relatives to the Korle Bu emergency centre after sudden onset of right-sided weakness and inability to speak, witnessed at 09:00. He arrives at 10:…

Neurology · Bacterial meningitis ★ HY difficulty 4/5

A 45-year-old man, Kofi, presents to a district hospital A&E in Brong-Ahafo with a 3-day history of worsening occipital headache, fever of 38.9°C, and neck stiffness. GCS is 15. CT head is not availab…

Neurology · Ischaemic stroke thrombolysis ★ HY difficulty 3/5

A 58-year-old woman, Adwoa, is brought to the emergency centre at Komfo Anokye Teaching Hospital by her husband after he noticed her face drooping and her right arm becoming weak while eating breakfas…

Neurology · Status epilepticus — second-line agent selection ★ HY difficulty 3/5

A 58-year-old woman named Abena is brought to the Korle Bu Emergency Centre after generalised tonic-clonic seizures that began 18 minutes ago. She received lorazepam 4 mg IV en route, and a second dos…

Neurology · First-line benzodiazepines in status epilepticus ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the regional hospital A&E by relatives after a witnessed generalised tonic-clonic seizure lasting 8 minutes. She is still seizing on arrival. Vitals: HR 118 …

Neurology · Anticoagulant reversal in intracerebral haemorrhage ★ HY difficulty 3/5

A 48-year-old man, Yaw, is brought to the Tamale Teaching Hospital ED after collapsing at work. He is on warfarin for a mechanical heart valve. CT head confirms a large left frontal intracerebral haem…

Neurology · Acute ischaemic stroke - NIHSS scoring and LVO recognition ★ HY difficulty 3/5

Kofi, a 58-year-old hypertensive man, is brought by relatives to the Korle Bu emergency centre after sudden onset of right-sided weakness and expressive dysphasia that began 90 minutes ago. He has no …

Neurology · Acute ischaemic stroke - thrombolysis contraindications ★ HY difficulty 2/5

Yaw, a 48-year-old man with no known medical history, is brought to the Korle Bu emergency centre 2 hours after sudden onset of severe headache, vomiting, and right arm weakness. On examination, BP is…

Neurology · First-line benzodiazepine therapy in status epilepticus ★ HY difficulty 2/5

A 28-year-old woman named Akosua is brought to the Komfo Anokye ED by relatives after a witnessed generalised tonic-clonic seizure lasting 8 minutes. She has no prior seizure history. On arrival she i…

Neurology · Large vessel occlusion - thrombectomy ★ HY difficulty 4/5

A 72-year-old man is brought to the Korle Bu emergency centre with sudden onset right hemiplegia, global aphasia, and a head and eye deviation to the left. Onset was 90 minutes ago. GCS is 9. Non-cont…

Neurology · Acute ischaemic stroke - thrombolysis window ECASS-III ★ HY difficulty 3/5

Akua, a 55-year-old woman with atrial fibrillation on no anticoagulation, presents to a regional hospital A&E in the Ashanti region with acute left-sided weakness and slurred speech. Her relatives con…

Neurology · Thrombolysis window and eligibility ★ HY difficulty 2/5

A 62-year-old woman, Akosua, is brought to the Korle Bu emergency centre by her husband at 09:15. She developed sudden right-sided weakness and expressive dysphasia at 07:45 while preparing breakfast.…

Neurology · Subarachnoid haemorrhage - sentinel headache and Hunt-Hess grading ★ HY difficulty 3/5

A 42-year-old woman, Akua, is brought to the Korle Bu emergency centre by her husband after experiencing a sudden, severe headache while lifting a heavy bag at the market. She describes it as 'the wor…

Neurology · Head Injury - Monro-Kellie Doctrine and ICP Physiology ★ HY difficulty 3/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after a high-speed road traffic collision. On arrival, his GCS is 8 (E2V2M4), pupils are 4 mm bilaterally and reactive, blood p…

Neurology · Acute ischaemic stroke - pre-thrombolysis BP management ★ HY difficulty 3/5

Ama, a 61-year-old woman, arrives at a district hospital in the Brong-Ahafo region with sudden onset left facial droop, left arm weakness, and dysarthria beginning 90 minutes ago. Her BP is 210/118 mm…

Neurology · Blood pressure management in acute stroke ★ HY difficulty 3/5

Mohammed, a 61-year-old hypertensive man, is brought to a district hospital in the Upper West Region with sudden-onset left hemiparesis and left facial droop that began 3 hours ago. He is alert, GCS 1…

Neurology · Bacterial meningitis ★ HY difficulty 2/5

A 24-year-old woman, Abena, is brought to the Komfo Anokye ED by relatives with a 6-hour history of severe headache, fever, and neck stiffness. She is confused (GCS 13). Vitals: temp 39.6°C, BP 88/54 …

Neurology · Haemorrhagic stroke — subarachnoid haemorrhage diagnosis ★ HY difficulty 3/5

A 67-year-old man named Kwame is referred from a district hospital in Bono Region to the Brong-Ahafo Regional Hospital ED after sudden onset of the worst headache of his life, followed by a brief loss…