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3996 matches for “Ghana” — showing 1771–1800
Peripheral Arterial Disease and the Diabetic Foot · Critical limb ischaemia — Fontaine staging ★ HY difficulty 3/5

A 62-year-old woman, Ama, is referred from a district hospital in the Bono East region to the regional hospital vascular unit with a 3-week history of right foot rest pain, worse at night and partiall…

Peripheral Arterial Disease and the Diabetic Foot · Charcot neuroarthropathy — diagnosis and management ★ HY difficulty 3/5

A 55-year-old woman, Ama, presents to the surgical outpatient clinic at a regional hospital in the Western Region. She has had type 2 diabetes for 10 years and is on metformin and sitagliptin. She rep…

Peripheral Arterial Disease and the Diabetic Foot · Critical limb-threatening ischaemia — revascularisation strategy ★ HY difficulty 4/5

Ama, a 63-year-old woman with poorly controlled type 2 diabetes (HbA1c 11.2%) and a 20-year smoking history, is referred from a district hospital in the Bono Region to Komfo Anokye Teaching Hospital w…

Peripheral Arterial Disease and the Diabetic Foot · Fontaine classification and initial management of claudication ★ HY difficulty 2/5

Kwame, a 58-year-old male schoolteacher with a 14-year history of type 2 diabetes mellitus, presents to the Komfo Anokye Teaching Hospital vascular surgical outpatient clinic with a 6-week history of …

Peripheral Arterial Disease and the Diabetic Foot · Critical limb ischaemia — revascularisation strategy and conduit choice ★ HY difficulty 4/5

A 70-year-old man, Yaw, is admitted to the surgical ward at Korle Bu Teaching Hospital with a 5-day history of rest pain in his left foot and a non-healing ulcer on the left second toe. He has type 2 …

Peripheral Arterial Disease and the Diabetic Foot · Necrotising fasciitis in the diabetic foot ★ HY difficulty 3/5

Yaw, a 48-year-old male farmer from the Ashanti Region, presents to a regional hospital surgical unit with a 5-day history of rapidly spreading redness, swelling, and blackening of the skin of his rig…

Peripheral Arterial Disease and the Diabetic Foot · Neuropathic diabetic foot ulcer with osteomyelitis ★ HY difficulty 3/5

A 62-year-old woman, Adwoa, is referred from a regional hospital in the Ashanti Region to the vascular surgical unit at Komfo Anokye Teaching Hospital. She has a 10-year history of type 2 diabetes mel…

Peripheral Arterial Disease and the Diabetic Foot · Intermittent claudication — initial management ★ HY difficulty 2/5

A 58-year-old man, Kwame, presents to the Komfo Anokye vascular surgical unit with a 6-month history of right calf pain on walking approximately 80 metres, which is relieved by rest within 2 minutes. …

Peripheral Arterial Disease and the Diabetic Foot · ABPI interpretation in diabetes — medial calcification ★ HY difficulty 4/5

A 67-year-old woman, Ama, with type 2 diabetes mellitus and end-stage renal disease on haemodialysis is brought to the Korle Bu vascular unit with a 4-week history of rest pain in the left foot and a …

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 4/5

A 35-year-old woman, Ama, is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 7-day history of sore throat, high fever, and now progressive neck swellin…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the emergency department of a regional hospital in Ashanti by his relatives with a 4-day history of worsening right-sided throat pain, fever, and difficulty swa…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the emergency department of a regional hospital in Ashanti by his relatives with a 5-day history of progressively worsening right-sided sore throat, fever, and …

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the emergency department of a regional hospital in the Ashanti Region by his relatives after four days of worsening right-sided throat pain, fever, and progress…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 4/5

A 19-year-old man, Kofi, is brought to Korle Bu Teaching Hospital by his family with a 5-day history of fever, neck pain, and progressive difficulty swallowing. He had a dental extraction of a lower l…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 5/5

A 42-year-old diabetic woman, Akua, is referred urgently from a district hospital in the Northern Region to Tamale Teaching Hospital with a five-day history of right-sided odontogenic pain, progressiv…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 3/5

A 28-year-old man, Kwame, presents to the emergency department of Komfo Anokye Teaching Hospital with a 5-day history of worsening right-sided sore throat, fever, and progressive difficulty swallowing…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 4/5

A 35-year-old woman, Ama, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 7-day history of sore throat that has progressively worsened despite oral amoxi…

Peritonsillar Abscess (Quinsy) and Deep Neck Space Infections · ENT ★ HY difficulty 3/5

A 19-year-old male student, Kofi, presents to the UGMC surgical firm with a 3-day history of right-sided sore throat, fever of 38.7°C, and increasing difficulty swallowing. He has had three similar ep…

Portal Hypertension and Variceal Bleeding · Secondary prophylaxis of variceal rebleeding ★ HY difficulty 3/5

A 44-year-old woman, Adwoa, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 3-day history of progressive abdominal distension, mild haematemesis, an…

Portal Hypertension and Variceal Bleeding · Secondary prophylaxis of variceal rebleeding ★ HY difficulty 3/5

A 44-year-old woman, Akua, is reviewed on the hepatology-surgical firm at Korle Bu Teaching Hospital. She has known hepatitis B-related liver cirrhosis (Child-Pugh class B, score 8) and presented 6 da…

Portal Hypertension and Variceal Bleeding · Balloon tamponade for refractory variceal haemorrhage ★ HY difficulty 2/5

A 52-year-old man, Yaw, with known alcoholic cirrhosis (Child-Pugh class C, score 12) presents to the Komfo Anokye emergency unit with massive haematemesis. He is resuscitated with packed red cells an…

Portal Hypertension and Variceal Bleeding · Secondary prophylaxis of recurrent oesophageal variceal haemorrhage ★ HY difficulty 4/5

A 45-year-old woman, Akua, with known hepatitis B-related cirrhosis (Child–Pugh class C, score 12) presents to the Korle Bu general surgical unit six days after her second episode of oesophageal varic…

Portal Hypertension and Variceal Bleeding · Acute variceal haemorrhage — pharmacological management ★ HY difficulty 3/5

A 38-year-old man, Kwame, is brought by relatives to the resus bay at Komfo Anokye Teaching Hospital after vomiting approximately 800 mL of fresh red blood over two hours. He has a background of chron…

Portal Hypertension and Variceal Bleeding · Refractory variceal haemorrhage — TIPS rescue therapy ★ HY difficulty 4/5

A 52-year-old man, Yaw, with known hepatitis B cirrhosis (Child-Pugh C, MELD score 22) presents to the Korle Bu emergency theatre with massive haematemesis unresponsive to two sessions of endoscopic b…

Portal Hypertension and Variceal Bleeding · Acute variceal haemorrhage — pharmacological management ★ HY difficulty 3/5

A 38-year-old man, Kwame, is brought by relatives to the resus bay of Komfo Anokye Teaching Hospital at midnight with a 2-hour history of profuse haematemesis. He has a known history of hepatitis B in…

Portal Hypertension and Variceal Bleeding · Aetiology of portal hypertension — schistosomiasis ★ HY difficulty 3/5

A 33-year-old man, Kofi, is admitted to a regional hospital in Brong-Ahafo with his first episode of haematemesis. He has no prior history of liver disease. On examination he is not jaundiced, has no …

Portal Hypertension and Variceal Bleeding · Ascites and spontaneous bacterial peritonitis ★ HY difficulty 4/5

A 52-year-old man, Yaw, with known liver cirrhosis secondary to chronic hepatitis B presents to the Korle Bu surgical unit with a 6-week history of increasing abdominal girth, bilateral ankle swelling…

Portal Hypertension and Variceal Bleeding · Balloon tamponade — Sengstaken-Blakemore tube ★ HY difficulty 3/5

A 41-year-old woman, Ama, with schistosomiasis-related hepatic fibrosis and portal hypertension is admitted to the Komfo Anokye emergency unit with massive haematemesis. She has received two units of …

Portal Hypertension and Variceal Bleeding · Acute variceal haemorrhage — initial resuscitation ★ HY difficulty 3/5

A 38-year-old man, Kwame, is brought by relatives to the emergency department of Komfo Anokye Teaching Hospital at midnight with a 3-hour history of massive haematemesis. He has a known history of hep…

Portal Hypertension and Variceal Bleeding · Primary prophylaxis of variceal bleeding ★ HY difficulty 3/5

A 41-year-old woman, Ama, is seen in the surgical outpatient clinic at the University of Ghana Medical Centre. She was diagnosed with hepatic schistosomiasis three years ago following investigation fo…