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2131 matches for “Ghana” — showing 1471–1500
Dermatology / Toxicology · DRESS syndrome — investigation priorities in resource-limited settings difficulty 3/5

A 19-year-old female student is brought to a regional hospital ED in the Ashanti Region by her parents. She was started on lamotrigine 7 weeks ago for a generalised seizure disorder. Over the past 2 w…

Dermatology / Toxicology · SJS/TEN spectrum classification difficulty 2/5

A 22-year-old university student named Yaw presents to a regional hospital ED in Ashanti Region with 3 days of painful mouth ulcers, red eyes, and dysuria. He started lamotrigine 6 weeks ago for bipol…

Disaster Medicine · SALT lifesaving interventions — chemical MCI difficulty 4/5

A chemical tanker explodes on the Tema Industrial Area, releasing an unknown vapour. Forty-three workers are brought to the Tema General Hospital ED. Several patients have pinpoint pupils, profuse sec…

Disaster Medicine · Role of EM physician in mass casualty difficulty 4/5

A building collapses during the rainy season in Kumasi, trapping 40 construction workers. Komfo Anokye Teaching Hospital activates its hospital disaster plan. The hospital incident commander assigns t…

Domestic Violence and Sexual Assault · History-taking in a safe environment difficulty 3/5

A 34-year-old woman, Abena, presents to the emergency centre at Komfo Anokye Teaching Hospital with facial bruising, a split lip, and a tender right forearm. She says she fell down the stairs. Her hus…

Domestic Violence and Sexual Assault · Evidence preservation and chain of custody difficulty 3/5

A 26-year-old woman, Fatima, presents to Korle Bu emergency centre 14 hours after a sexual assault. She reports the perpetrator is known to her. She has bathed and changed clothes. On examination, BP …

Domestic Violence and Sexual Assault · History-taking in safe environment difficulty 2/5

A 19-year-old woman, Akosua, is brought to the emergency department of a regional hospital in Ashanti by a friend at 02:00. She states she was sexually assaulted at a party approximately three hours a…

Domestic Violence and Sexual Assault · HIV PEP and emergency contraception difficulty 3/5

A 23-year-old woman, Abena, is assessed at the SGBV unit of a tertiary hospital 36 hours after a penile-vaginal assault by an unknown perpetrator. She is HIV-negative on rapid testing performed today.…

Domestic Violence and Sexual Assault · Hepatitis B prophylaxis difficulty 4/5

A 34-year-old man, Kofi, presents to a district hospital emergency room after being assaulted and bitten on the forearm by his male partner during a domestic dispute. The wound is a human bite with vi…

Domestic Violence and Sexual Assault · Mandatory reporting in Ghana difficulty 4/5

A 14-year-old girl, Yaa, is brought to Komfo Anokye Teaching Hospital emergency centre by her aunt. The aunt reports that Yaa disclosed being repeatedly sexually abused by a male household member over…

ECG - AV Blocks and Bradyarrhythmias · First-degree AV block - PR >0.20 s, 1:1 conduction, benign difficulty 2/5

Kwame, a 68-year-old retired teacher, presents to the district hospital A&E in Brong-Ahafo with a 2-day history of mild exertional dizziness and fatigue. He is haemodynamically stable with a blood pre…

ECG - AV Blocks and Bradyarrhythmias · Tachy-brady syndrome - post-tachycardia pause, contraindication to rate-control drugs difficulty 4/5

Mohammed, a 72-year-old retired civil servant with a history of ischaemic heart disease and previous inferior MI, presents to a district hospital A&E in the Northern Region with a three-hour history o…

ECG - Arrhythmias and Repolarisation Abnormalities · Congenital long QT syndrome - LQT1 exercise-triggered torsades de pointes difficulty 4/5

Kwame, a 19-year-old male student, is brought to the Korle Bu emergency centre after collapsing during a 400-metre race at the University of Ghana sports day. Bystanders report that he had a witnessed…

ECG - Electrolyte Patterns · Hypercalcaemia — shortened QTc and absent ST segment difficulty 3/5

Yaw, a 67-year-old man with known primary hyperparathyroidism and hypertension, presents to the regional hospital A&E in the Ashanti Region with three days of progressive confusion, constipation, and …

ECG - Long QT Syndrome and Torsades de Pointes · Acquired long QT — hypocalcaemia as co-trigger and electrolyte correction strategy difficulty 4/5

Abena, a 45-year-old woman with HIV on antiretroviral therapy, presents to the Korle Bu emergency centre with recurrent episodes of palpitations and presyncope over 48 hours. She was started on azithr…

ECG - Long QT Syndrome and Torsades de Pointes · Congenital long QT subtypes — LQT1 vs LQT2 vs LQT3 triggers and ECG morphology difficulty 3/5

Kofi, a 28-year-old man with no prior cardiac history, is brought to the Korle Bu emergency centre after collapsing during a 5 km road race. Bystanders report he lost consciousness briefly but recover…

ECG - Narrow Complex Tachycardia · Orthodromic AVRT - retrograde P in ST segment, short RP tachycardia difficulty 3/5

Kofi, a 28-year-old male medical student, is brought to the Korle Bu emergency centre with sudden-onset palpitations, mild chest tightness, and near-syncope. He has had two prior similar episodes that…

ECG - Narrow Complex Tachycardia · Multifocal atrial tachycardia - three or more P morphologies, COPD association difficulty 3/5

Mohammed, a 68-year-old man with a 20-year history of COPD, is brought to the Komfo Anokye ED in Kumasi in acute respiratory distress. He is hypoxic (SpO2 82% on room air) and tachycardic. His current…

ECG - Narrow Complex Tachycardia · Multifocal atrial tachycardia - 3 or more P morphologies, COPD association difficulty 3/5

Yaw, a 52-year-old man with a 10-year history of COPD on salbutamol and theophylline, is brought to a district hospital A&E in Brong-Ahafo in moderate respiratory distress and palpitations for 3 hours…

ECG - Pre-excitation Syndromes · Contraindicated drugs in WPW with atrial fibrillation - pitfall avoidance difficulty 4/5

Kofi, a 28-year-old male teacher, presents to a regional hospital A&E in the Ashanti Region with a 2-hour history of rapid palpitations and mild breathlessness. He is haemodynamically stable with a bl…

ECG - Pre-excitation Syndromes · WPW - syncope - urgent electrophysiology referral difficulty 3/5

Mohammed, a 31-year-old male, is brought to the Tamale Teaching Hospital ED after a syncopal episode during a football match. Bystanders describe a brief loss of consciousness lasting approximately 30…

ECG - Pulmonary Embolism and Right Heart Strain · New RBBB and haemodynamic instability in massive PE — management decision difficulty 4/5

Kofi, a 55-year-old man with known hypertension and a recent right total knee replacement 10 days ago, is brought to the Korle Bu Emergency Centre with acute dyspnoea, presyncope, and right-sided pleu…

ECG - STEMI Equivalents · aVR ST elevation - LMCA or proximal LAD occlusion equivalent difficulty 4/5

Kofi, a 47-year-old male trader with no known medical history, is brought by taxi to a district hospital A&E in Brong-Ahafo with 90 minutes of severe crushing chest pain radiating to the jaw and left …

ECG - STEMI Equivalents · New LBBB - paradigm change post-2013, not automatic STEMI difficulty 3/5

Yaa, a 55-year-old woman with hypertension, presents to a regional hospital A&E in the Ashanti Region with a 1-hour history of palpitations and mild chest tightness. She has no prior cardiac history. …

ECG - Wide Complex Tachycardia · Brugada algorithm Step 2 - R-to-S interval greater than 100 ms difficulty 3/5

Akua, a 45-year-old woman with no known cardiac history, is brought to a regional hospital A&E in Brong-Ahafo after a witnessed syncopal episode. She is now conscious but anxious. Blood pressure is 11…

ECG - Wide Complex Tachycardia · Vereckei aVR criterion - initial R wave in aVR favours VT difficulty 4/5

Ama, a 47-year-old woman with no known cardiac history, presents to a district hospital A&E in Brong-Ahafo with palpitations and mild lightheadedness for 45 minutes. She is haemodynamically stable wit…

ECG - Wide Complex Tachycardia · Vereckei aVR criterion - initial R wave in aVR favours VT difficulty 4/5

Mohammed, a 55-year-old man with no documented cardiac history, presents to a district hospital in the Upper West Region with sudden-onset palpitations and mild dyspnoea. He is haemodynamically stable…

ECG in Poisoning and Toxicology · Calcium-channel blocker overdose - hyperglycaemia and bradyarrhythmia difficulty 4/5

A 55-year-old man named Mensah is admitted to a district hospital A&E in the Brong-Ahafo Region after intentional ingestion of amlodipine tablets. He is bradycardic, confused, and his blood glucose on…

ENT Emergencies · Gradenigo syndrome — petrous apicitis difficulty 4/5

A 12-year-old boy, Mohammed, presents to the Komfo Anokye ED with three weeks of right ear discharge, worsening headache, and two days of diplopia. His mother reports he was seen at a clinic four week…

ENT Emergencies · CT findings in coalescent mastoiditis difficulty 3/5

A 9-year-old girl, Abena, is referred to the Korle Bu Emergency Centre from a district hospital in the Central Region with a two-day history of left-sided post-auricular swelling and fever following a…