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2131 matches for “Ghana” — showing 1621–1650
HIV in the Emergency Department · Occupational post-exposure prophylaxis difficulty 3/5

Dr. Afia Mensah, a 26-year-old intern doctor at a district hospital in the Volta Region, presents to the emergency room at 22:00 after sustaining a needlestick injury 45 minutes ago. She was performin…

HIV in the Emergency Department · Occupational PEP difficulty 3/5

Abena, a 27-year-old female nurse, presents to the Korle Bu Emergency Centre 4 hours after a splash of blood from an HIV-positive patient's arterial line landed in her left eye during a procedure. She…

Haematology · Aplastic crisis in sickle cell disease difficulty 3/5

Kofi, a 28-year-old man with HbSS disease, presents to the regional hospital ED in Kumasi. He has had generalised fatigue and progressive pallor for one week, preceded by mild upper respiratory sympto…

Haematology · Hydroxyurea and long-term management difficulty 2/5

Yaa, a 17-year-old girl with HbSS disease, is brought to a regional hospital ED in the Volta Region with bilateral leg pain that she rates 8/10. She has been admitted four times in the past year for s…

Haematology · Vaso-occlusive crisis analgesia difficulty 2/5

Akosua, a 14-year-old girl with known sickle cell disease (HbSS), is brought to the paediatric emergency bay at Komfo Anokye Teaching Hospital by her mother. She has had diffuse bone pain for two days…

Haematology / Transfusion Medicine · Acute haemolytic transfusion reaction — immediate management difficulty 2/5

Akosua, a 28-year-old woman with sickle cell disease, is receiving her third unit of packed red blood cells at the Komfo Anokye ED for a painful vaso-occlusive crisis complicated by haemoglobin of 4.8…

Hepatology / Neurocritical Care · Cerebral oedema complicating acute liver failure difficulty 4/5

Yaw, a 52-year-old man with known chronic hepatitis B, is admitted to the Korle Bu Emergency Centre with a 4-day history of confusion, jaundice, and decreased urine output. He is not on any treatment.…

Hepatology / Toxicology · NAC for paracetamol-induced acute liver failure difficulty 2/5

Akosua, a 28-year-old woman, is brought to the Korle Bu Emergency Centre by her husband after three days of progressive jaundice, vomiting, and confusion. She took 'a lot of paracetamol tablets' appro…

Immunocompromised Host EM · Transplant patient - cryptococcal meningitis difficulty 4/5

Kofi, a 44-year-old man who received a renal transplant 8 months ago at Korle Bu, presents to the emergency centre with a 3-week history of progressive headache, low-grade fever, and mild confusion. H…

Infectious Disease · Yellow fever — clinical features and malaria differentiation difficulty 3/5

A 28-year-old woman, Afia, presents to a regional hospital ED in the Volta Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and lower back pain. She is a farmer who has not…

Infectious Disease · Ghana NTP first-line regimen and hepatotoxicity difficulty 4/5

A 38-year-old man, Kofi, is seen at the Komfo Anokye ED after being referred from a peripheral facility. He was diagnosed with pulmonary TB 3 weeks ago and commenced on the Ghana NTP standard first-li…

Infectious Disease · Tetanus human tetanus immunoglobulin difficulty 4/5

Abena, a 45-year-old market trader, is brought to a regional hospital ED in the Ashanti Region after being found at home with generalised rigidity and repeated painful whole-body spasms. Her family re…

Infectious Disease · Airborne isolation and TB infection control difficulty 3/5

A 45-year-old man, Mohammed, presents to the emergency department of a regional hospital in the Northern Region with a 3-month history of cough productive of blood-stained sputum, night sweats, and 10…

Infectious Disease · Yellow fever vaccination — contraindications difficulty 4/5

Mohammed, a 55-year-old immunocompromised man on long-term prednisolone 20 mg/day for pemphigus vulgaris, presents to the Tamale Teaching Hospital ED requesting a yellow fever vaccine certificate for …

Infectious Disease · Tetanus antibiotic therapy difficulty 3/5

Ama, a 28-year-old woman, is admitted to Komfo Anokye ED two weeks postpartum following a traditional home delivery by a TBA (traditional birth attendant). She presents with generalised rigidity, opis…

Infectious Disease · Tetanus wound prophylaxis algorithm difficulty 3/5

A 22-year-old student, Yaw, presents to the Komfo Anokye ED after stepping on a rusty nail at a construction site 3 hours ago. The wound is a 1.5 cm puncture to the plantar surface of his right foot, …

Infectious Disease · Yellow fever — toxic phase management difficulty 3/5

A 45-year-old man, Kwame, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED on day 6 of illness. He initially had fever and recovered briefly, but now presents with recurrence of …

Infectious Disease · Miliary TB difficulty 2/5

Ama, a 19-year-old nursing student, presents to the Komfo Anokye ED with a 2-week history of high fever, non-productive cough, and shortness of breath. She has no significant past medical history. Tem…

Infectious Disease / Critical Care · Refractory septic shock - hydrocortisone (APROCCHSS) and noradrenaline vasopressor physiology difficulty 4/5

A 72-year-old man, Mensah, is brought to the Korle Bu Emergency Centre by his family after five days of dysuria, confusion, and reduced oral intake. He has a background of type 2 diabetes managed with…

Infectious Disease / Critical Care · Tetanus magnesium infusion difficulty 4/5

Mohammed, a 19-year-old student, is admitted to the Tamale Teaching Hospital ED with generalised tetanus following a compound fracture sustained in a road traffic collision five days ago. He is receiv…

Infectious Disease / Dermatology · Cellulitis antibiotic regimen difficulty 2/5

Akosua, a 52-year-old woman with type 2 diabetes, presents to the regional hospital ED in Kumasi with a 3-day history of worsening left lower limb pain and swelling. She reports the onset following a …

Infectious Disease / GI Emergencies · Cholera — doxycycline single dose antibiotic therapy difficulty 2/5

Mohammed is a 45-year-old school teacher admitted to a regional hospital ED in the Upper East Region with a confirmed case of cholera (stool culture positive for Vibrio cholerae O1, El Tor biotype). H…

Infectious Disease / Geriatric EM · Septic shock with suppressed febrile response in the elderly difficulty 3/5

A 76-year-old woman, Akua, is brought to a regional hospital A&E in the Ashanti Region by her family after three days of increasing confusion, reduced oral intake, and urinary incontinence — symptoms …

Infectious Disease / Immunocompromised Host · Post-splenectomy sepsis - pathophysiology and mechanism difficulty 4/5

Akua, a 34-year-old woman, presents to a regional hospital A&E in the Ashanti region having been referred from a district facility. She underwent splenectomy five years ago following a road traffic co…

Infectious Disease / Neurology · Brain abscess - diagnosis difficulty 2/5

A 62-year-old man is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED with a 10-day history of progressive headache, low-grade fever, and focal right arm weakness. He had dental ext…

Infectious Disease / Neurology · Tetanus clinical diagnosis difficulty 2/5

A 34-year-old farmer, Kwame, is brought to the district hospital in Brong-Ahafo by his family three days after sustaining a deep puncture wound to his right foot from a rusty nail. He has had progress…

Infectious Disease / Neurology · Tuberculous meningitis diagnosis difficulty 3/5

A 52-year-old man is referred from a district hospital in the Ashanti Region to Komfo Anokye ED with a 6-week history of headache, low-grade fever, night sweats, and 5 kg weight loss. He has a history…

Infectious Disease / Respiratory Emergencies · HIV-related secondary spontaneous pneumothorax — PCP difficulty 4/5

A 32-year-old man, Yaw, with known HIV infection (not on antiretroviral therapy) presents to Komfo Anokye ED with a 2-week history of progressive dyspnoea, dry cough, and weight loss. Today he develop…

Infectious Disease / Sepsis · qSOFA criteria difficulty 2/5

A 58-year-old man is brought to the medical outpatient clinic at a district hospital in Brong-Ahafo by his family after two days of productive cough and fever. He has no known chronic illness. On exam…

Infectious Disease / Sepsis · Source control difficulty 3/5

A 44-year-old man, Mohammed, presents to a district hospital in Brong-Ahafo Region with a 3-day history of right lower limb swelling, redness, and fever. He has no significant past medical history. Vi…