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3996 matches for “Ghana” — showing 1681–1710
Paediatric Intussusception · Operative management of complicated intussusception ★ HY difficulty 3/5

A 10-month-old boy, Kofi, is brought to the Komfo Anokye Teaching Hospital emergency theatre. He has had colicky abdominal pain and bilious vomiting for 36 hours. His mother initially managed him at h…

Paediatric Intussusception · Contraindications to non-operative reduction ★ HY difficulty 3/5

A 7-month-old female infant, Akua, is referred from a district hospital in the Upper West Region to the regional hospital surgical unit. The referral note states she has had 24 hours of episodic irrit…

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

A 6-month-old boy, Yaw, is brought to a district hospital in the Upper East Region. His mother reports 10 hours of intermittent crying with legs drawn up, one episode of vomiting, and passage of dark …

Paediatric Intussusception · Operative management of complicated intussusception ★ HY difficulty 4/5

A 14-month-old boy, Kofi, is brought to the emergency surgical unit at Korle Bu Teaching Hospital with a 20-hour history of colicky abdominal pain, bilious vomiting, and passage of dark-red blood per …

Paediatric Intussusception · Perforated intussusception — resource-limited setting ★ HY difficulty 4/5

A 10-month-old girl, Esi, is brought to the emergency bay of a district hospital in the Northern Region by her grandmother. She has been crying intermittently for 18 hours and has vomited four times. …

Paediatric Intussusception · Non-operative management of intussusception ★ HY difficulty 3/5

A 10-month-old girl, Akua, is referred from a district hospital in the Bono East Region to the regional hospital with a 10-hour history of colicky abdominal pain, vomiting, and passage of blood-staine…

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

A 9-month-old boy, Kofi, is brought to the emergency department of a regional hospital in the Ashanti Region by his mother, who reports that he has been crying intermittently and drawing up his legs f…

Paediatric Intussusception · Non-operative reduction of intussusception ★ HY difficulty 3/5

A 7-month-old girl, Akua, is referred from a district hospital to the regional hospital in the Ashanti Region. She has had colicky abdominal pain and vomiting for 14 hours. Her mother reports passage …

Paediatric Intussusception · Non-operative reduction of intussusception ★ HY difficulty 3/5

An 8-month-old girl, Ama, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 20-hour history of paroxysmal crying, vomiting, and progressive abdominal diste…

Paediatric Intussusception · Operative management — indications and technique ★ HY difficulty 3/5

A 14-month-old boy, Kofi, presents to the Korle Bu paediatric surgical unit with a 36-hour history of abdominal pain and vomiting. His mother reports he has not passed stool or flatus for 24 hours and…

Paediatric Intussusception · First-line management of uncomplicated intussusception ★ HY difficulty 2/5

A 7-month-old girl, Akua, is referred from a district hospital in the Bono Region to the regional hospital with a 6-hour history of paroxysmal crying, drawing up of the knees, and one episode of bilio…

Paediatric Intussusception · Non-operative reduction — indications and technique ★ HY difficulty 3/5

A 7-month-old girl, Akua, is referred from a district hospital in the Bono East Region to the regional hospital with a 12-hour history of colicky abdominal pain, vomiting, and passage of blood-stained…

Paediatric Intussusception · Pathophysiology and diagnosis of intussusception ★ 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 inconsolable crying and drawi…

Paediatric Intussusception · Operative management of complicated intussusception ★ HY difficulty 3/5

A 7-month-old girl, Ama, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 12-hour history of intermittent screaming episodes and bilious vomiting. Her mot…

Paediatric Intussusception · Pathological lead point and operative indications ★ HY difficulty 4/5

A 4-year-old boy, Kofi, is brought to the Korle Bu paediatric surgical unit with a 3-day history of colicky abdominal pain and vomiting. His mother reports he was treated for a febrile illness with ly…

Parathyroid Disease and Hyperparathyroidism · MEN1 syndrome — parathyroid component ★ HY difficulty 4/5

A 38-year-old male teacher, Kwabena, is admitted to the Korle Bu surgical unit with a two-day history of severe epigastric pain, nausea, and vomiting. He gives a six-month history of recurrent peptic …

Parathyroid Disease and Hyperparathyroidism · MEN 1 — diagnostic recognition ★ HY difficulty 4/5

A 45-year-old woman, Ama, is referred from a regional hospital to the UGMC surgical firm with a 3-year history of recurrent peptic ulcer disease refractory to proton pump inhibitor therapy, episodic w…

Parathyroid Disease and Hyperparathyroidism · Intraoperative parathyroid preservation — autotransplantation ★ HY difficulty 3/5

During a total thyroidectomy for a large multinodular goitre at the Komfo Anokye regional theatre, the senior registrar identifies four parathyroid glands. At the end of the procedure, the inferior ri…

Parathyroid Disease and Hyperparathyroidism · Post-thyroidectomy hypocalcaemia — operative mechanism ★ HY difficulty 3/5

A 44-year-old man, Kofi, undergoes a right hemithyroidectomy for a 3 cm follicular thyroid neoplasm at the Komfo Anokye Teaching Hospital. The operation proceeds uneventfully and he is transferred to …

Parathyroid Disease and Hyperparathyroidism · Hypercalcaemic crisis — acute management ★ HY difficulty 3/5

A 38-year-old woman, Ama, is brought to the Korle Bu emergency resus bay by relatives with a 2-day history of severe nausea, vomiting, confusion, and generalised weakness. She has no known past medica…

Parathyroid Disease and Hyperparathyroidism · Secondary hyperparathyroidism — CKD-MBD management ★ HY difficulty 4/5

A 60-year-old man, Mensah, with end-stage renal disease on haemodialysis for 7 years at a regional hospital in the Ashanti Region, is referred to the KATH surgical firm with progressive bone pain, pro…

Parathyroid Disease and Hyperparathyroidism · Tertiary hyperparathyroidism in chronic renal failure ★ HY difficulty 4/5

A 58-year-old man, Kwame, is reviewed in the renal outpatient clinic at a regional hospital in the Ashanti Region. He has been on haemodialysis for 11 years for end-stage renal disease secondary to di…

Parathyroid Disease and Hyperparathyroidism · Operative anatomy — recurrent laryngeal nerve in parathyroidectomy ★ HY difficulty 3/5

A consultant surgeon at the Korle Bu general surgical unit is performing a right-sided focused minimally invasive parathyroidectomy on a 52-year-old woman, Ama, for a preoperatively localised right in…

Parathyroid Disease and Hyperparathyroidism · Hypercalcaemia of malignancy — PTHrP-mediated humoral hypercalcaemia ★ HY difficulty 3/5

A 62-year-old woman, Ama, is admitted to the Komfo Anokye Teaching Hospital medical ward with confusion, severe nausea, vomiting, and profound weakness for three days. She was recently diagnosed with …

Parathyroid Disease and Hyperparathyroidism · Intra-operative parathyroid gland identification ★ HY difficulty 3/5

During a right hemithyroidectomy for a 4 cm follicular thyroid nodule at Komfo Anokye Teaching Hospital, the operating registrar identifies a small, tan-coloured, oval structure measuring approximatel…

Parathyroid Disease and Hyperparathyroidism · Primary hyperparathyroidism — pre-operative localisation ★ HY difficulty 3/5

A 52-year-old woman, Akua, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital after incidental laboratory findings. She presented initially with fatigue, cons…

Parathyroid Disease and Hyperparathyroidism · Hypercalcaemic crisis — acute management ★ HY difficulty 3/5

A 62-year-old woman, Ama, is admitted to the Komfo Anokye Teaching Hospital medical ward with confusion, nausea, vomiting, and severe constipation for 5 days. Her daughter reports she has been increas…

Parathyroid Disease and Hyperparathyroidism · Primary hyperparathyroidism — surgical management ★ HY difficulty 3/5

A 45-year-old woman, Akua, is referred to the Korle Bu general surgical unit from a regional hospital in the Ashanti region. She presents with a 6-month history of generalised bone pain, fatigue, poly…

Parathyroid Disease and Hyperparathyroidism · Post-operative hypoparathyroidism and hypocalcaemia ★ HY difficulty 3/5

A 45-year-old woman, Ama, undergoes a total thyroidectomy for a multinodular goitre at a regional hospital in the Eastern Region. She is reviewed on the first post-operative morning and complains of p…

Parathyroid Disease and Hyperparathyroidism · MEN1-associated hyperparathyroidism ★ HY difficulty 4/5

A 38-year-old man, Kwabena, is evaluated at the UGMC surgical firm for recurrent peptic ulcer disease refractory to proton pump inhibitor therapy and bilateral nephrolithiasis. His father died of panc…