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2131 matches for “Ghana” — showing 1531–1560
Emergency Ultrasound · BLUE protocol A-profile vs B-profile difficulty 3/5

A 67-year-old man, Joseph, with a 10-year history of chronic obstructive pulmonary disease (COPD) and smoking presents to the Komfo Anokye ED with acute worsening of dyspnoea. Vitals: HR 110 bpm, BP 1…

Emergency Ultrasound · Dynamic fluid responsiveness assessment with passive leg raise difficulty 3/5

A 29-year-old woman, Fatima, presents to a district hospital in the Northern Region with fever, rigors, and confusion for two days. She is 28 weeks pregnant. Vitals: BP 85/55 mmHg, HR 132 bpm, RR 28/m…

Emergency Ultrasound · IVC assessment in trauma and haemorrhagic shock difficulty 3/5

A 42-year-old man is brought to a regional hospital ED following a road traffic accident with suspected blunt abdominal trauma. He is alert but anxious. Vitals: BP 96/60 mmHg, HR 128 bpm, RR 24/min, S…

Endocrinology · Fixed-rate insulin protocol in DKA difficulty 4/5

A 16-year-old boy, Kwesi, is in the resus bay at Komfo Anokye ED with DKA. He weighs 52 kg. After 2 hours of 0.9% sodium chloride resuscitation, his glucose has fallen to 13.8 mmol/L but his pH remain…

Endocrinology · DKA transition to subcutaneous insulin difficulty 3/5

A 52-year-old woman, Adwoa, with type 2 diabetes is referred from a district hospital in Brong-Ahafo to the regional hospital ED. She had been on IV insulin infusion for 18 hours. Current vitals: HR 8…

Endocrinology · Hypoglycaemia in sulfonylurea overdose difficulty 4/5

A 55-year-old man, Kofi, is brought to Tamale Teaching Hospital ED having intentionally ingested an unknown quantity of glibenclamide tablets 3 hours ago. He is currently alert, GCS 15, with a blood g…

Endocrinology · Phaeochromocytoma crisis in pregnancy difficulty 4/5

A 29-year-old woman, Afia, is 34 weeks pregnant and presents to a regional hospital A&E with a sudden hypertensive crisis, BP 240/140 mmHg, HR 136 bpm, and diaphoresis. She has no proteinuria on dipst…

Endocrinology · Adrenal crisis - diagnosis and precipitants difficulty 3/5

A 61-year-old man, Yaw, with a history of hypertension and type 2 diabetes is found at home confused and brought to the Komfo Anokye ED. His wife reports he has been unwell for a week with fatigue, na…

Endocrinology · Myxoedema coma — clinical vs laboratory diagnosis difficulty 3/5

A 72-year-old woman is brought to Tamale Teaching Hospital ED from a rural health post. She has been increasingly drowsy for five days. Her daughter reports she has hypothyroidism but has not collecte…

Endocrinology · Burch-Wartofsky score interpretation difficulty 2/5

Afia, a 44-year-old woman with a known goitre, is brought to the Korle Bu Emergency Centre by her husband. She had a thyroidectomy planned for next month but presented today with palpitations, anxiety…

Endocrinology · Adrenal crisis — hydrocortisone 100 mg IV stat difficulty 2/5

Akosua, a 34-year-old woman known with Addison's disease, is brought to the emergency centre at Komfo Anokye Teaching Hospital by her husband after two days of profuse watery diarrhoea and vomiting. S…

Endocrinology · Myxoedema coma - diagnosis and pathophysiology difficulty 3/5

A 72-year-old man, Yaw, is referred from a district hospital in the Volta Region to the regional A&E after being found unresponsive at home in the harmattan cold. His family reports he has been increa…

Endocrinology · DKA monitoring with ETCO2 difficulty 3/5

A 19-year-old woman, Afia, is brought to a regional hospital ED by her family. She has type 1 diabetes and has been vomiting for 2 days. On examination: BP 98/60 mmHg, HR 118/min, RR 28/min, temperatu…

Endocrinology · HHS - distinction from DKA difficulty 3/5

A 55-year-old man, Mensah, with type 2 diabetes on metformin and glibenclamide is referred from a district hospital in the Brong-Ahafo region with a five-day history of progressive weakness, polyuria,…

Endocrinology · HHS management difficulty 3/5

A 65-year-old woman, Adwoa, is brought to the regional hospital A&E in the Volta Region with 4 days of polydipsia, lethargy, and progressive confusion. She has known type 2 diabetes and hypertension. …

Endocrinology · Supportive care in myxoedema coma difficulty 3/5

A 68-year-old woman is referred from a district hospital in the Upper West Region with a two-week history of progressive lethargy, constipation, and swelling of the face and limbs. Her family reports …

Endocrinology / Infectious Disease · IDSA diabetic foot infection grading difficulty 2/5

Akosua, a 58-year-old woman with a 12-year history of type 2 diabetes mellitus, presents to the regional hospital ED in Kumasi with a 3-day history of pain and swelling over the plantar surface of her…

Endocrinology / Infectious Disease · Osteomyelitis suspicion — probe-to-bone test difficulty 3/5

Kofi, a 67-year-old man with poorly controlled type 2 diabetes, is referred from a district hospital in Brong-Ahafo to the regional hospital ED with a non-healing wound on the dorsum of his right foot…

Endocrinology / Metabolic Emergencies · HHS vs DKA - pathophysiological distinction difficulty 4/5

A 72-year-old man, Mensah, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED with a 5-day history of progressive confusion, polyuria, and reduced oral intake. He has a background …

Endocrinology / Vascular Surgery · Multidisciplinary surgical referral in diabetic foot infection difficulty 3/5

Abena, a 55-year-old woman with type 2 diabetes for 8 years, presents to the regional hospital ED in the Northern Region with a swollen, erythematous right foot for 4 days. She has no fever and no sys…

Environmental Emergencies · Passive vs active rewarming — mild hypothermia difficulty 2/5

A 19-year-old university student named Yaa is brought to a district hospital in the Northern Region after being found confused and shivering in the early morning following an overnight outdoor event i…

Environmental Emergencies · Lightning injury — keraunoparalysis difficulty 4/5

A 34-year-old woman, Afia, is brought to the Korle Bu Emergency Centre by family after being struck by lightning while working in a peri-urban farm. She was found motionless after the strike. On arriv…

Environmental Emergencies · Rhabdomyolysis complication of heat stroke difficulty 4/5

A 32-year-old construction worker, Mohammed, is referred from a district hospital in Northern Ghana to Tamale Teaching Hospital after sustaining exertional heat stroke two days ago. He was treated wit…

Environmental Emergencies · Primary vs secondary hypothermia — aetiology difficulty 3/5

A 67-year-old man is brought to Komfo Anokye Teaching Hospital emergency centre by his family. He was found confused and cold in his room after his family had not seen him for two days. He has a histo…

Environmental Emergencies · Heatstroke vs Sepsis — Clinical Discrimination difficulty 3/5

A 34-year-old construction worker, Kofi, is brought to the regional hospital ED in Kumasi by his colleagues at 14:00. He had been working outdoors in direct sunlight for six hours without adequate wat…

Environmental Emergencies · Evaporative vs immersion cooling difficulty 3/5

A 67-year-old woman, Akosua, is brought to the Komfo Anokye ED by family after being found confused and unresponsive to commands at home. She has no air conditioning, lives alone, and has not been see…

Environmental Emergencies · Core temperature measurement methods in hypothermia difficulty 3/5

During a mass casualty triage exercise at a regional hospital in the Upper East Region, a faculty supervisor asks a group of EM residents to identify the best method for measuring core temperature in …

Environmental Emergencies · Paediatric drowning considerations difficulty 3/5

A 3-year-old girl named Afia is brought to a district hospital in the Northern Region by her parents. She was found submerged face-down in a plastic water storage drum — depth approximately 60 cm — fo…

Environmental Emergencies · Heatstroke — Immediate Management and Cooling difficulty 3/5

Kwame, a 19-year-old military recruit, collapses during a 10 km forced march in hot weather and is brought to the district hospital in Brong-Ahafo. On arrival he is unconscious (GCS 6). Vitals: temper…

Environmental Emergencies · Drowning — cervical spine precautions and neurogenic shock difficulty 3/5

A group of 20 teenagers attending a scout camp near the Pra River in the Central Region report that one of their companions, a 16-year-old boy named Mohammed, dived from a rope swing into the river an…