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3996 matches for “Ghana” — showing 1651–1680
Paediatric Emergency Medicine · Paediatric Trauma - Weight-based fluid resuscitation ★ HY difficulty 3/5

An 8-year-old boy, Kwame, weighing 26 kg, is referred from a district hospital in Brong-Ahafo following a fall from a mango tree. On arrival at the regional hospital paediatric A&E: HR 158 bpm, RR 30 …

Paediatric Emergency Medicine · Intubation threshold in severe croup ★ HY difficulty 4/5

A 22-month-old boy, Kofi, is brought to Korle Bu Emergency Centre by his father at 3 am. He has had a 2-day history of upper respiratory tract infection followed by sudden onset of barking cough, hoar…

Paediatric Emergency Medicine · Septic Shock - Fluid Bolus Strategy ★ HY difficulty 4/5

Kwame is a 3-year-old boy weighing 14 kg, brought to the Komfo Anokye paediatric resus bay with 3 days of fever, vomiting, and progressive drowsiness. Vitals: HR 158 bpm, RR 38 breaths/min, BP 72/40 m…

Paediatric Emergency Medicine · Severe Malaria - Hypoglycaemia Management ★ HY difficulty 3/5

Kwame, a 4-year-old boy weighing 16 kg, is brought to the regional hospital paediatric A&E in Brong-Ahafo by his mother after 3 days of fever and vomiting. On arrival: HR 138 bpm, RR 28/min, temperatu…

Paediatric Emergency Medicine · Sickle Cell Crisis - Acute Chest Syndrome ★ HY difficulty 3/5

Yaw, a 10-year-old boy with HbSS, weighing 30 kg, presents to the Komfo Anokye paediatric resus bay with a 12-hour history of chest pain, fever, and increasing shortness of breath. He had a vaso-occlu…

Paediatric Emergency Medicine · Abusive head trauma — recognition ★ HY difficulty 3/5

An 8-month-old boy is brought to the Korle Bu emergency centre. His grandmother reports he 'fell off the sofa' this morning. He is drowsy, with GCS 10 (E3V3M4), and has vomited twice. Vitals: HR 148, …

Paediatric Emergency Medicine · Danger signs and escalation from Plan B to Plan C ★ HY difficulty 4/5

A 10-month-old infant, Mohammed, weighing 8 kg, is referred from a district hospital in the Upper West Region to a regional hospital. He was started on WHO Plan B oral rehydration therapy 4 hours ago …

Paediatric Emergency Medicine · Acute Asthma - IV Magnesium Sulphate ★ HY difficulty 3/5

Akua is a 10-year-old girl weighing 32 kg with acute severe asthma at Korle Bu paediatric ED. She has received three back-to-back salbutamol 5 mg nebulisers over 60 minutes, oral prednisolone 30 minut…

Paediatric Emergency Medicine · Anaphylaxis - Biphasic reaction and observation period ★ HY difficulty 2/5

Kofi, a 6-year-old boy weighing 20 kg, received IM adrenaline 0.2 mg and IV normal saline 400 mL at the Korle Bu paediatric ED for anaphylaxis to latex after a minor surgical procedure. His symptoms r…

Paediatric Emergency Medicine · Fluid resuscitation in neonatal septic shock ★ HY difficulty 3/5

Adwoa is a 5-week-old female neonate weighing 3.8 kg, brought to the paediatric A&E at Korle Bu with a 6-hour history of fever, poor feeding, and a mottled appearance. Temperature is 38.7°C (rectal), …

Paediatric Emergency Medicine · Status Epilepticus - Glucose check and hypoglycaemia correction ★ HY difficulty 3/5

Kwame, a 5-year-old boy weighing 18 kg, presents to a district hospital in Brong-Ahafo with a fever of 39.4°C and a generalised seizure that began 5 minutes ago. The nurse administers buccal midazolam…

Paediatric Emergency Medicine · NAI - Red Flag Injuries: Bruising in Pre-Mobile Infants ★ HY difficulty 2/5

A 3-month-old girl, weighing 5.8 kg, is brought to the paediatric A&E at Korle Bu by her mother after she reportedly 'rolled off the bed'. On examination she has a 2 cm bruise over her left cheek and …

Paediatric Emergency Medicine · Severe pneumonia — oxygen and IV antibiotics ★ HY difficulty 2/5

A 9-month-old boy named Kwame is brought to the Komfo Anokye Teaching Hospital emergency centre. He has had cough and fast breathing for 2 days. On examination: temperature 38.9°C, respiratory rate 62…

Paediatric Emergency Medicine · Bronchiolitis - Escalation Criteria ★ HY difficulty 3/5

Ama, a 7-week-old girl weighing 4.2 kg, is referred from a CHPS compound in Brong-Ahafo to the district hospital with a 3-day history of cough and poor feeding. She was born at term with no perinatal …

Paediatric Emergency Medicine · Inotrope Choice in Fluid-Refractory Septic Shock ★ HY difficulty 4/5

Kofi is a 6-year-old boy weighing 20 kg with a known history of sickle cell disease, presenting to the Korle Bu paediatric ED with 2 days of fever and progressive respiratory distress. Vitals: HR 138 …

Paediatric Emergency Medicine · Empirical antibiotic selection for febrile infants under 3 months ★ HY difficulty 3/5

Ama is a 10-week-old female infant weighing 5.1 kg, brought to the regional hospital paediatric A&E with a 1-day history of fever. Temperature is 38.9°C (rectal), HR 158 bpm, RR 38/min, SpO₂ 98% in ai…

Paediatric Emergency Medicine · Acute Asthma - Severity Classification ★ HY difficulty 2/5

A 6-year-old boy, Kwame, weighing 22 kg, is brought to the regional hospital paediatric A&E by his mother with a 3-hour history of worsening wheeze and cough. He has a known history of asthma. On asse…

Paediatric Emergency Medicine · Meningococcal Septicaemia - Septic Shock Resuscitation ★ HY difficulty 3/5

A 2-year-old boy, Yaw, weighing 12 kg, is brought by ambulance to the regional hospital paediatric resus bay. He has had fever for 6 hours and is now unresponsive. On examination: HR 188 bpm, RR 42/mi…

Paediatric Emergency Medicine · Fever in a child with sickle cell anaemia — blood culture and IV ceftriaxone within 1 hour ★ HY difficulty 3/5

Kojo, a 3-year-old boy with HbSS, is brought to the emergency unit with a fever of 39.1 °C that started 4 hours ago. He is playful, eating and drinking, heart rate 130/min, capillary refill 2 seconds.…

Paediatric Emergency Medicine · Antibiotic timing in paediatric septic shock with suspected meningitis ★ HY difficulty 4/5

Abena is a 7-year-old girl brought to a regional hospital ED in the Ashanti Region. She has been febrile for 5 days and became increasingly breathless and drowsy over the past 12 hours. Her mother rep…

Paediatric Emergency Medicine · Observation period post nebulised adrenaline ★ HY difficulty 3/5

A 2.5-year-old boy, Yaw, presented to the emergency unit of a regional hospital in the Northern Region four hours ago with moderate croup (Westley score 6). He received nebulised adrenaline 0.5 mL/kg …

Paediatric Emergency Medicine · Status Epilepticus - First-line benzodiazepine without IV access ★ HY difficulty 2/5

Kofi, a 3-year-old boy weighing 14 kg, is brought to the regional hospital paediatric A&E by his mother after 8 minutes of generalised tonic-clonic seizure at home. He has no IV access. HR 148 bpm, RR…

Paediatric Intussusception · Diagnosis of ileocolic intussusception ★ HY difficulty 2/5

A 9-month-old boy, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo by his mother. She reports that he has had intermittent episodes of inconsolable crying lasting 2–3 minutes, …

Paediatric Intussusception · Pathological lead point in recurrent intussusception ★ HY difficulty 3/5

A 4-year-old boy, Kofi, is seen in the paediatric surgical outpatient clinic at Korle Bu Teaching Hospital with a 3-day history of colicky abdominal pain and vomiting. His mother reports he has had tw…

Paediatric Intussusception · Ultrasound diagnosis of intussusception ★ HY difficulty 2/5

A 10-month-old girl, Akua, is brought to the emergency department of a regional hospital in the Ashanti Region with an 18-hour history of intermittent crying and drawing up of the legs. She has vomite…

Paediatric Intussusception · Resource-limited management and transfer decision in intussusception ★ HY difficulty 3/5

A 7-month-old boy, Yaw, is brought to the district hospital surgical unit in the Oti Region by his parents with an 8-hour history of intermittent screaming, vomiting, and refusal to feed. The district…

Paediatric Intussusception · Pathological anatomy and ultrasound diagnosis ★ HY difficulty 2/5

A 9-month-old boy, Kwame, is brought to the paediatric surgical ward at Komfo Anokye Teaching Hospital by his mother, who reports that he has had intermittent episodes of drawing up his legs and screa…

Paediatric Intussusception · Ultrasound-guided hydrostatic reduction — district-level Ghana ★ HY difficulty 4/5

An 8-month-old boy, Yaw, is brought to the district hospital surgical ward in the Upper West Region with a 20-hour history of episodic screaming and drawing up of the legs. He vomited three times and …

Paediatric Intussusception · Peritonitis and resource-limited operative decision-making ★ HY difficulty 4/5

A 10-month-old infant, Ama, is brought to the emergency department at a district hospital in the Northern Region. Her mother reports 18 hours of intermittent screaming, drawing up of the legs, and bil…

Paediatric Intussusception · Management — failed non-operative reduction ★ HY difficulty 3/5

A 7-month-old girl, Akosua, is referred from a district hospital in the Ashanti Region to the regional hospital with a 10-hour history of intermittent screaming episodes and vomiting. She passed a sma…