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2131 matches for “Ghana” — showing 1561–1590
Environmental Emergencies · Electrical injury — cardiac arrhythmia management difficulty 4/5

A 52-year-old night-watchman, Kofi, is referred to the Komfo Anokye ED from a district hospital after sustaining a high-voltage electrical injury from a broken 11 kV distribution line approximately 4 …

Environmental Emergencies · High-voltage injury — compartment syndrome difficulty 3/5

A 44-year-old man, Kwesi, is brought to the Korle Bu Emergency Centre after a high-voltage (33,000 V overhead power line) electrical injury at a telecommunications mast site. He was resuscitated at th…

Environmental Emergencies · Drowning — immediate reversible causes in children difficulty 3/5

A 5-year-old girl named Yaa is brought to a district hospital in Upper West Region after she was found floating face-down in a domestic water storage drum. Her mother pulled her out and she is now bre…

Environmental Emergencies · Swiss staging and initial hypothermia management difficulty 3/5

A 34-year-old fisherman named Kofi is brought to a district hospital in the Western Region after his canoe capsized in the ocean at night. He was retrieved from the water after approximately 90 minute…

Environmental Emergencies · Drowning — observation period and disposition difficulty 2/5

A 9-year-old boy, Yaw, is brought to a district hospital A&E after being submerged in a river for an estimated 3 minutes before being rescued. He was coughing on arrival but is now alert, comfortable,…

Environmental Emergencies · Electrical injury — cardiac arrhythmia management difficulty 4/5

A 67-year-old woman, Adwoa, is brought to a regional hospital ED after touching a faulty household appliance (220 V). She is alert, GCS 15/15. Vitals: BP 146/88 mmHg, HR 102 bpm irregular, RR 18/min, …

Environmental Emergencies · Primary vs secondary hypothermia — myxoedema crisis difficulty 4/5

A 72-year-old woman named Adwoa is brought to the Komfo Anokye Teaching Hospital emergency department by her family. They found her on the floor of her room at home, unable to get up, after she had be…

Environmental Emergencies · Lightning injury — Lichtenberg figures difficulty 2/5

A 45-year-old farmer, Mohammed, is brought to the regional hospital ED in Tamale after being struck by lightning during a harmattan season thunderstorm. Witnesses state he was knocked to the ground an…

Environmental Emergencies · Electrical injury — rhabdomyolysis, cardiac monitoring, and disposition difficulty 4/5

A 19-year-old male apprentice electrician, Yaw, is brought to the regional hospital A&E in Kumasi after receiving a shock from a 240V domestic supply while working without insulated gloves. He was bri…

Environmental Emergencies · Wet vs dry drowning concepts (outdated) difficulty 3/5

During a continuing medical education session at the Komfo Anokye Teaching Hospital ED, a junior registrar asks about the distinction between 'wet drowning' and 'dry drowning', having read an older te…

Environmental Emergencies · Lightning injury — keraunoparalysis difficulty 3/5

A 52-year-old farmer, Yaw, is brought to a district hospital in Brong-Ahafo after being struck by lightning during a rainstorm on his farm. Bystanders report he was thrown several metres and lost cons…

Environmental Emergencies / Infectious Disease · Heatstroke vs Sepsis — Definitive Exclusion Criteria difficulty 4/5

A 67-year-old woman, Adwoa, with no significant medical history is referred from a community clinic to the regional hospital ED in Tamale with a 2-day history of progressive confusion, fever, and redu…

Ethics and End-of-Life · Culturally sensitive family communication after death difficulty 4/5

A 45-year-old man, Yaw, has been admitted to the regional hospital ED in the Northern Region after a high-voltage electrical injury sustained at a construction site. He is in refractory ventricular fi…

Ethics and End-of-Life · Anticipated symptoms during dying — secretions difficulty 3/5

A 78-year-old woman, Mary, with known end-stage heart failure and advanced dementia is brought from a nursing home to the Korle Bu emergency centre after a period of unresponsiveness. Her daughter, wh…

Ethics and End-of-Life · Terminal extubation technique difficulty 4/5

A 64-year-old woman, Adwoa, is in the Korle Bu emergency centre resuscitation bay, ventilated following a massive pulmonary embolism with refractory cardiac arrest. After 30 minutes of ACLS, the team …

Gastroenterology · Sigmoid volvulus - management difficulty 3/5

A 72-year-old woman, Yaa, presents to the regional hospital A&E with a 4-day history of progressive abdominal distension, absolute constipation, and bilious vomiting. She has no prior abdominal surger…

Gastroenterology · Transfusion thresholds - cardiovascular comorbidity difficulty 3/5

A 66-year-old woman, Yaa, is brought to the regional hospital A&E with melaena for two days and dizziness on standing. She has a history of ischaemic heart disease and takes aspirin 75 mg daily. Vital…

Gastroenterology · Variceal haemorrhage — pharmacotherapy difficulty 3/5

Aisha, a 38-year-old woman with known liver cirrhosis secondary to hepatitis B, presents to the Komfo Anokye Teaching Hospital ED having vomited approximately 500 mL of fresh blood. She was brought by…

Gastroenterology · Aetiology of lower GI bleed difficulty 2/5

A 72-year-old woman, Adwoa, presents to the regional hospital ED in Kumasi with painless passage of bright red blood per rectum for the past 12 hours. She has no prior history of inflammatory bowel di…

Gastroenterology · Ischaemic colitis difficulty 3/5

A 55-year-old man presents to a district hospital in Brong-Ahafo region with a 24-hour history of sudden-onset crampy left-sided abdominal pain followed by the passage of bloody diarrhoea. He has a kn…

Gastroenterology · Antiplatelet management in upper GI bleeding difficulty 4/5

A 67-year-old man, Yaw, is referred from a district hospital to the regional hospital A&E with melaena and haematemesis. He takes aspirin 75 mg daily for ischaemic heart disease and has a background o…

Gastroenterology · Small bowel obstruction — diagnosis difficulty 2/5

Akosua, a 52-year-old market trader, is brought by her family to the regional hospital ED in Kumasi with a 3-day history of colicky central abdominal pain, abdominal distension, and multiple episodes …

Gastroenterology · Variceal bleeding - mechanical tamponade difficulty 3/5

Kofi, a 47-year-old man with known oesophageal varices secondary to alcohol-related cirrhosis, presents to Komfo Anokye ED actively vomiting blood. He is given terlipressin and IV ceftriaxone. Despite…

Gastroenterology · Aetiology of acute pancreatitis difficulty 3/5

A 38-year-old woman, Abena, presents to a regional hospital ED in the Eastern Region with a 6-hour history of acute-onset epigastric pain and vomiting. She is 32 weeks pregnant. She denies alcohol use…

Gastroenterology · Refractory variceal haemorrhage — salvage intervention difficulty 4/5

Mohammed, a 55-year-old fisherman with a history of alcohol-related liver cirrhosis, presents to the emergency centre at Korle Bu with acute haematemesis. He is resuscitated with IV fluids and blood, …

Gastroenterology · Endoscopy timing in upper GI bleeding difficulty 3/5

A 45-year-old man, Kofi, is admitted to Korle Bu emergency centre after haematemesis. He is haemodynamically stable after resuscitation, GBS 9, Hb 9.1 g/dL. He is not on anticoagulants and has no know…

Gastroenterology · Variceal Bleeding - Octreotide Pharmacology difficulty 3/5

A 39-year-old woman, Esi, with known oesophageal varices secondary to schistosomiasis-related portal hypertension presents to a district hospital in Brong-Ahafo after vomiting blood. Terlipressin is n…

Gastroenterology · Adynamic ileus vs mechanical obstruction — trauma context difficulty 3/5

Mohammed, a 34-year-old motor mechanic, is brought to a district hospital in the Northern Region following a road traffic crash 2 hours ago. He had no abdominal complaints before the accident. Paramed…

Gastroenterology · Atlanta criteria for acute pancreatitis diagnosis difficulty 2/5

Afia, a 38-year-old woman, presents to the emergency centre at Komfo Anokye Teaching Hospital with a 10-hour history of severe epigastric pain radiating to the back, associated with nausea and three e…

Gastroenterology · Small bowel obstruction - surgical vs conservative management difficulty 3/5

A 62-year-old man, Mohammed, is brought to Komfo Anokye ED with a 4-day history of colicky central abdominal pain, bilious vomiting, and absolute constipation. He had an open appendicectomy 20 years a…