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2131 matches for “Ghana” — showing 1501–1530
ENT Emergencies · Facial nerve palsy — mastoiditis complication difficulty 4/5

An 8-year-old boy, Yaw, is referred from a regional hospital to Korle Bu with a two-week history of left ear discharge, headache, and worsening left-sided facial weakness. His parents report he could …

ENT Emergencies · Acute angioedema difficulty 4/5

Fatima, a 34-year-old woman with a history of hypertension managed with lisinopril 10 mg daily for the past 6 weeks, presents to the Komfo Anokye ED brought by her family with a 90-minute history of r…

ENT Emergencies · Bezold abscess — deep neck complication of mastoiditis difficulty 4/5

Fatima, a 34-year-old woman, presents to the Korle Bu Emergency Centre with a 10-day history of right ear pain, fever, and progressive right-sided neck swelling. She had acute suppurative otitis media…

ENT Emergencies · Salvage therapy for SSNHL — intratympanic steroids difficulty 3/5

Yaw, a 47-year-old accountant, was diagnosed with idiopathic SSNHL at Komfo Anokye ED 10 days ago and commenced on oral prednisolone 60 mg daily. He returns today reporting minimal improvement in left…

ENT Emergencies · SSNHL red flags — distinguishing from posterior fossa stroke difficulty 4/5

Mohammed, a 61-year-old retired civil servant with a history of hypertension and type 2 diabetes, presents to the Korle Bu emergency centre reporting sudden onset left-sided hearing loss, severe verti…

ENT Emergencies · Post-tonsillectomy bleed difficulty 4/5

Joseph, a 7-year-old boy, underwent tonsillectomy at a regional hospital 9 days ago for recurrent tonsillitis. He is brought to the same hospital's emergency department at 02:00 by his parents with a …

ENT Emergencies · Anterior vs posterior epistaxis difficulty 3/5

A 62-year-old man with known hypertension presents to the Korle Bu emergency centre with heavy right-sided nasal bleeding that has not stopped after 30 minutes of direct pressure at home. He takes aml…

ENT Emergencies · Airway foreign body in children difficulty 3/5

Akosua, a 3-year-old girl, is brought to a regional hospital ED in the Ashanti Region by her mother after a sudden choking episode during play 45 minutes ago. The mother reports Akosua had been playin…

ENT and Head/Neck Emergencies · BPPV - Dix-Hallpike diagnosis and Epley manoeuvre difficulty 2/5

A 38-year-old woman, Ama, presents to a district hospital A&E with episodic dizziness that has been occurring for 3 days. Each episode lasts 20–30 seconds and is triggered by rolling over in bed or lo…

ENT and Head/Neck Emergencies · Peritonsillar abscess (quinsy) — needle aspiration and urgent ENT referral difficulty 3/5

A 28-year-old man, Kofi, presents to a district hospital A&E in the Ashanti Region with a 3-day history of severe sore throat, difficulty opening his mouth, and a muffled 'hot potato' voice. He is feb…

Elder Abuse · Multiple abuse types — physical and financial difficulty 3/5

A 69-year-old man, Mohammed, presents to the district hospital emergency unit in the Northern Region referred from a community clinic. He is accompanied by his nephew, who is also his designated carer…

Elder Abuse · Types of elder abuse — institutional neglect difficulty 2/5

Ama, a 74-year-old woman, is brought to the emergency centre of Komfo Anokye Teaching Hospital by her daughter-in-law. She has been an inpatient at a private nursing home for 6 months following a stro…

Electrolyte Emergencies · Metabolic alkalosis — primary disorder identification difficulty 2/5

A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her family after three days of severe vomiting following a meal at a local chop bar. She is lethargic and unable to keep anything down…

Electrolyte Emergencies · Pseudohyperkalaemia — distinguishing artefact from true hyperkalaemia difficulty 4/5

A 45-year-old female nurse presents to the emergency centre at a regional hospital in the Northern Region with generalised fatigue and mild muscle cramps for two days. She has no known medical illness…

Electrolyte Emergencies · Normal anion gap metabolic acidosis — CKD difficulty 3/5

A 62-year-old man with hypertension and chronic kidney disease (stage 4) is evaluated at a regional hospital ED in the Volta Region for progressive dyspnoea over three weeks. He takes amlodipine and f…

Electrolyte Emergencies · Hyponatraemia - SIADH vs cerebral salt wasting, correction rate difficulty 4/5

Akua, a 72-year-old woman with a known history of small-cell lung carcinoma, is referred from a district hospital in the Volta Region to the Korle Bu emergency centre with a 5-day history of progressi…

Electrolyte Emergencies · Hyponatraemia correction rate difficulty 4/5

Yaw, a 72-year-old man with hypertension on bendroflumethiazide, presents to a district hospital A&E with confusion and generalised weakness for three days. His relatives report he has been drinking l…

Electrolyte Emergencies · Type B lactic acidosis — NRTI mitochondrial toxicity difficulty 4/5

A 45-year-old woman with known HIV on antiretroviral therapy (tenofovir, lamivudine, efavirenz) is seen at the Korle Bu Emergency Centre with a two-week history of progressive weakness, nausea, and ab…

Electrolyte Emergencies · Hyperkalaemia ECG staging difficulty 2/5

Mohammed, a 70-year-old man with hypertension and type 2 diabetes, is brought to the Tamale Teaching Hospital emergency department with severe generalised weakness and inability to walk. He was starte…

Electrolyte Emergencies · Pseudohyperkalaemia difficulty 3/5

A 38-year-old woman named Afia presents to a district hospital in the Upper East Region with weakness and fatigue following a week of severe diarrhoea. She has no known kidney disease. Vitals: BP 100/…

Electrolyte Emergencies · Hyponatraemia — mechanism and aetiology difficulty 4/5

Yaw, a 55-year-old man with known hypertension, is brought to the Korle Bu emergency centre by his family with a 3-day history of progressive confusion, nausea, and a headache that he describes as the…

Electrolyte Emergencies · Acute symptomatic hyponatraemia — correction rate difficulty 4/5

Abena, a 34-year-old woman, is brought to the Korle Bu emergency centre with a first-ever generalised tonic-clonic seizure lasting 3 minutes that self-terminated. She has no prior epilepsy. She was de…

Electrolyte Emergencies · Hyponatraemia aetiology — SIADH vs hypervolaemic vs dilutional difficulty 4/5

A 70-year-old woman with a history of hypertension and chronic heart failure on frusemide is brought to Korle Bu Emergency Centre by her family with a 3-week history of gradually worsening lethargy, n…

Electrolyte Emergencies · Hypocalcaemia difficulty 4/5

Akosua, a 29-year-old woman at 34 weeks gestation, is referred from a district hospital in Brong-Ahafo with severe pre-eclampsia. En route she developed perioral tingling, carpopedal spasm, and a posi…

Emergency Procedures · Suture selection — scalp difficulty 2/5

Kwame, a 19-year-old student, presents to a district hospital in Brong-Ahafo with a 5 cm scalp laceration from a fall. He is alert, GCS 15, and haemodynamically stable: BP 122/78 mmHg, HR 92 bpm. The …

Emergency Procedures · Suture technique — wound tension and eversion difficulty 3/5

Afia, a 35-year-old market trader, presents to a regional hospital ED with a 3 cm laceration over the dorsum of her right hand sustained from a broken bottle 2 hours ago. The wound is clean and involv…

Emergency Ultrasound · DVT compression ultrasound — integration with PE workup difficulty 3/5

A 58-year-old man, Kwesi, presents to the Korle Bu emergency centre with acute-onset right-sided pleuritic chest pain and mild dyspnoea for 6 hours. He underwent surgery for a perforated duodenal ulce…

Emergency Ultrasound · Spine sign above diaphragm difficulty 3/5

Mohammed, a 61-year-old fisherman, is referred from a district hospital to the Tamale Teaching Hospital ED with a 3-week history of fevers, night sweats, weight loss, and worsening left-sided pleuriti…

Emergency Ultrasound · Pleural effusion — anechoic vs complex difficulty 3/5

A 52-year-old woman, Abena, known to have breast cancer, presents to the Korle Bu Emergency Centre with progressive dyspnoea over 2 weeks. Vitals: HR 98 bpm, BP 124/80 mmHg, RR 24/min, SpO2 91% on roo…

Emergency Ultrasound · Paediatric lung USS — bronchiolitis vs pneumonia difficulty 3/5

A 7-month-old boy, Emmanuel, is brought to the paediatric emergency area of a regional hospital in Ashanti Region during the harmattan season. His mother reports 4 days of runny nose, low-grade fever,…