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3996 matches for “Ghana” — showing 1711–1740
Parathyroid Disease and Hyperparathyroidism · Hypercalcaemic crisis β€” emergency management β˜… HY difficulty 3/5

A 58-year-old woman, Ama, is admitted to the Korle Bu general surgical unit with confusion, severe dehydration, and abdominal pain. Her daughter reports a two-week history of progressive lethargy, pol…

Parathyroid Disease and Hyperparathyroidism · Secondary and tertiary hyperparathyroidism in CKD β˜… HY difficulty 4/5

A 67-year-old woman, Adwoa, with known end-stage renal disease on haemodialysis for eight years, is reviewed in the surgical outpatient clinic at a regional hospital in the Western Region. She complai…

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 3/5

A 52-year-old man, Kwabena, is listed for right superficial parotidectomy for a pleomorphic adenoma at the Korle Bu general surgical unit. The operating consultant asks the registrar to identify the m…

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 2/5

A 45-year-old woman, Akua, presents to the Komfo Anokye surgical outpatient clinic with a 3-year history of a slowly enlarging, painless swelling in the right pre-auricular region. She is otherwise we…

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 4/5

A 60-year-old man, Mensah, presents to the Korle Bu surgical unit with a 6-month history of a rapidly growing, painful right parotid mass associated with progressive weakness of the right side of his …

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 3/5

A 55-year-old woman, Ama, is seen in the Korle Bu Head and Neck clinic with a 2-year history of a slowly enlarging left parotid mass. She is otherwise well with no facial weakness. FNAC is performed a…

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 4/5

A 62-year-old man, Kwame, is referred from a regional hospital in Ashanti to Komfo Anokye Teaching Hospital with a 4-month history of a rapidly enlarging left parotid mass associated with progressive …

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 3/5

A 48-year-old man, Yaw, undergoes a right superficial parotidectomy at a regional hospital in the Eastern Region for a 4 cm pleomorphic adenoma. The procedure is completed without apparent injury to t…

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 3/5

A 48-year-old woman, Akua, presents to the Korle Bu general surgical unit with a 14-month history of a slowly enlarging, painless right pre-auricular mass. She is otherwise well with no facial weaknes…

Parotid Tumours and Facial Nerve Considerations · ENT β˜… HY difficulty 2/5

A 38-year-old man, Kwame, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 3-week history of rapidly enlarging right parotid swelling associated with…

Perforated Peptic Ulcer · Initial management of perforated peptic ulcer with generalised peritonitis β˜… HY difficulty 3/5

A 38-year-old man, Kwame, is brought by relatives to the emergency department of a regional hospital in the Ashanti Region at 02:00 hrs. He gives a 6-hour history of sudden-onset, severe epigastric pa…

Perforated Peptic Ulcer · Operative steps β€” peritoneal lavage β˜… HY difficulty 3/5

During an emergency laparotomy at the Komfo Anokye theatre for perforated peptic ulcer in a 40-year-old man, the surgical registrar identifies a 1.2 cm perforation on the anterior wall of the first pa…

Perforated Peptic Ulcer · Operative anatomy β€” Graham omental patch β˜… HY difficulty 3/5

Yaw, a 45-year-old civil servant, undergoes emergency laparotomy at Korle Bu for a perforated anterior duodenal ulcer with 12-hour generalised peritonitis. The perforation is 8 mm in diameter and is l…

Perforated Peptic Ulcer · Graham omental patch β€” operative anatomy β˜… HY difficulty 2/5

During an emergency laparotomy at Komfo Anokye Teaching Hospital for a 40-year-old man, Yaw, with a 6-hour history of perforated duodenal ulcer, the consultant surgeon identifies a 5 mm perforation on…

Perforated Peptic Ulcer · Prognostic scoring β€” Boey score β˜… HY difficulty 3/5

Ama, a 60-year-old woman with a 20-year history of rheumatoid arthritis managed with prednisolone 10 mg daily and diclofenac, is referred from a district hospital in the Northern Region to Tamale Teac…

Perforated Peptic Ulcer · Diagnosis of perforated peptic ulcer β˜… HY difficulty 2/5

Kwame, a 38-year-old male secondary school teacher, presents to the Komfo Anokye emergency theatre at 02:00 with a 6-hour history of sudden-onset, severe epigastric pain that has since spread to invol…

Perforated Peptic Ulcer · Diagnosis of perforated peptic ulcer β˜… HY difficulty 2/5

A 38-year-old man, Kwame, is brought by relatives to the emergency department of a regional hospital in Ashanti at 02:00 hours. He gives a 6-hour history of sudden-onset, severe epigastric pain that b…

Perforated Peptic Ulcer · Pre-operative resuscitation and timing of surgery β˜… HY difficulty 4/5

Yaw, a 44-year-old civil servant, presents to the Korle Bu surgical emergency unit with a 2-hour history of sudden severe epigastric pain. He smokes 15 cigarettes daily and takes prednisolone 30 mg/da…

Perforated Peptic Ulcer · Conservative management β€” Taylor method β˜… HY difficulty 3/5

Kofi, a 45-year-old civil servant, presents to the Korle Bu surgical unit with a 6-hour history of sudden-onset severe epigastric pain. He has a documented duodenal ulcer on OGD performed 2 years ago …

Perforated Peptic Ulcer · Septic shock and timing of surgery in PPU β˜… HY difficulty 4/5

A 52-year-old man, Yaw, is referred from a district hospital in the Upper East Region to the regional hospital after 30 hours of generalised abdominal pain. He gives a 5-year history of dyspepsia and …

Perforated Peptic Ulcer · Diagnosis of perforated peptic ulcer β˜… HY difficulty 2/5

Kwame, a 38-year-old secondary school teacher, is brought to the Komfo Anokye emergency department by relatives at 02:00 hours with a 6-hour history of sudden-onset, severe epigastric pain that has sp…

Perforated Peptic Ulcer · Operative management β€” Graham omental patch for anterior duodenal perforation β˜… HY difficulty 3/5

A 52-year-old woman, Akua, with a known history of rheumatoid arthritis on long-term prednisolone and diclofenac, is brought to Komfo Anokye Teaching Hospital emergency theatre with a 10-hour history …

Perforated Peptic Ulcer · Pre-operative optimisation in high-risk PPU β˜… HY difficulty 4/5

Ama, a 62-year-old market trader with known type 2 diabetes mellitus managed with metformin, presents to the regional hospital in the Ashanti Region with a 24-hour history of worsening abdominal pain …

Perforated Peptic Ulcer · Emergency management of perforated peptic ulcer β˜… HY difficulty 3/5

Ama, a 52-year-old market trader, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 14-hour history of sudden-onset epigastric pain that has since generalised. She ha…

Perforated Peptic Ulcer · Pre-operative resuscitation β˜… HY difficulty 2/5

Kwame, a 38-year-old subsistence farmer, is brought to the district hospital surgical ward in Brong-Ahafo by relatives after developing sudden-onset severe epigastric pain six hours ago while working …

Perforated Peptic Ulcer · Operative management β€” Graham omental patch β˜… HY difficulty 3/5

Ama, a 45-year-old market trader, presents to the Komfo Anokye emergency theatre with a 10-hour history of sudden-onset epigastric pain now generalised across the abdomen. She is on long-term predniso…

Perforated Peptic Ulcer · Sickle cell disease and perforated peptic ulcer β˜… HY difficulty 4/5

Kofi, a 29-year-old man with sickle cell disease (HbSS), is admitted to the Korle Bu surgical unit with a 4-hour history of sudden-onset epigastric pain radiating to the right shoulder. He has a histo…

Perforated Peptic Ulcer · Diagnosis β€” absence of free gas β˜… HY difficulty 3/5

Kofi, a 29-year-old university student, presents to the regional hospital in the Ashanti Region with a 10-hour history of sudden-onset severe abdominal pain, initially epigastric but now generalised. …

Perforated Peptic Ulcer · Emergency management and operative approach β˜… HY difficulty 3/5

Kofi, a 38-year-old cocoa farmer, is brought by relatives to the district hospital surgical ward in Brong-Ahafo at 02:00 hours with a 6-hour history of sudden-onset, severe epigastric pain that has sp…

Perforated Peptic Ulcer · Emergency surgical management β€” Graham omental patch β˜… HY difficulty 3/5

A 45-year-old woman, Ama, is referred from a district hospital in the Northern Region to the regional hospital in Tamale. She presented 18 hours ago with sudden-onset epigastric pain and was treated c…