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3995 matches for “Ghana” — showing 181–210
Airway Management · Airway adjunct selection OPA vs NPA ★ HY difficulty 3/5

A 54-year-old man, Kwame, is brought to a regional hospital ED after a witnessed seizure. He is postictal, unresponsive to voice but responds purposefully to pain, and is breathing spontaneously with …

Airway Management · Intubation confirmation with capnography ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the Korle Bu emergency centre following a high-speed road traffic crash. He is unresponsive with a GCS of 6. The ED team performs rapid sequence intubation with…

Airway Management · Gastric insufflation prevention ★ HY difficulty 3/5

A nurse at a district hospital in Brong-Ahafo is ventilating a 72-year-old woman, Yaa, who has been intubated with an endotracheal tube and is awaiting transfer to a regional centre. The nurse is sque…

Airway Management · Scalpel-bougie-tube cricothyroidotomy technique ★ HY difficulty 4/5

Kofi, a 48-year-old man with a large goitre causing tracheal deviation to the right, presents to a district hospital in the Brong-Ahafo Region with acute stridor following a fall. He is obtunded (GCS …

Airway Management · RSI — Paralytic Agent Selection ★ HY difficulty 3/5

Abena, a 45-year-old woman with known chronic renal failure on haemodialysis, is brought to a regional hospital in the Northern Region following a generalised seizure. She is now post-ictal with a GCS…

Airway Management · LEMON criteria ★ HY difficulty 3/5

A 52-year-old man, Mohammed, is brought to the Komfo Anokye ED by family after a road traffic accident. He is GCS 10 (E2V3M5), with noisy stridor and blood around his mouth. Vitals: BP 98/60 mmHg, HR …

Airway Management · Foreign body obstruction — modification for pregnancy ★ HY difficulty 4/5

Fatima, a 34-year-old woman who is 36 weeks pregnant, collapses in the waiting area of a regional hospital in the Upper West Region. A bystander reports she was eating groundnut soup when she suddenly…

Allergic Reactions · Paediatric adrenaline dosing ★ HY difficulty 3/5

A 14-year-old girl, Afia, weighing 35 kg, is brought to the Tamale Teaching Hospital ED by her father after developing facial swelling, diffuse urticaria, and audible wheeze 20 minutes after eating a …

Allergic Reactions · Biphasic anaphylaxis and observation period ★ HY difficulty 3/5

Adwoa, a 35-year-old primary school teacher, was treated in the Komfo Anokye ED two hours ago for anaphylaxis following a bee sting. She received two doses of IM adrenaline 0.5 mg, IV chlorphenamine 1…

Allergic Reactions · Anaphylaxis first-line management ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the emergency centre at Komfo Anokye Teaching Hospital by her husband 15 minutes after receiving amoxicillin for a dental procedure. She has generalised urti…

Allergic Reactions · Anaphylaxis — first-line vasoactive agent ★ HY difficulty 2/5

Aisha, a 34-year-old market trader, is brought to a regional hospital ED after collapsing within minutes of receiving an intramuscular diclofenac injection at a pharmacy. She has a known penicillin al…

Allergic Reactions · HAE acute treatment — resource-limited setting ★ HY difficulty 3/5

Kofi, a 38-year-old man with confirmed HAE type I, presents to the Korle Bu emergency centre with an acute attack involving swelling of the right forearm and left cheek that has been worsening over si…

Allergic Reactions · Refractory anaphylaxis management ★ HY difficulty 4/5

Yaw, a 45-year-old man, is in the resus bay at Korle Bu emergency centre with anaphylaxis following IV ampicillin. He has received three doses of IM adrenaline 500 micrograms at 5-minute intervals, 2 …

Allergic Reactions · Adrenaline IM dose in anaphylaxis ★ HY difficulty 2/5

A 28-year-old woman named Akosua is brought to the Komfo Anokye ED by relatives after eating groundnuts at a social gathering. She has urticaria over her trunk, audible stridor, and is visibly distres…

Allergic Reactions · Anaphylaxis diagnostic criteria ★ HY difficulty 3/5

A 28-year-old woman, Afia, is brought to the Korle Bu emergency centre 10 minutes after receiving an intramuscular injection of benzathine penicillin at a nearby clinic for rheumatic fever prophylaxis…

Allergic Reactions · Paediatric adrenaline dosing ★ HY difficulty 3/5

A 6-year-old boy, Kofi, weighing 20 kg, is brought to a regional hospital ED in the Northern Region by his mother 10 minutes after being stung by a bee near the school compound. He has periorbital oed…

Allergic Reactions · Observation and disposition after anaphylaxis ★ HY difficulty 2/5

A 24-year-old man named Kwesi presents to a district hospital A&E in Brong-Ahafo after eating shellfish. He has urticaria, lip swelling, and mild wheeze. He received adrenaline 500 micrograms IM and s…

Allergic Reactions · Adrenaline IM dose in anaphylaxis ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the regional hospital A&E after eating groundnut stew at a function. She develops generalised urticaria, lip swelling, stridor, and wheeze within 15 minutes.…

Allergic Reactions · Refractory anaphylaxis ★ HY difficulty 4/5

A 22-year-old student, Abena, is brought to the Korle Bu emergency centre after eating groundnut stew at a campus canteen. She develops acute urticaria, vomiting, and dizziness. On examination: blood …

Allergic Reactions · ACE inhibitor angioedema mechanism ★ HY difficulty 3/5

Mohammed, a 55-year-old hypertensive man, was started on lisinopril 5 mg daily three weeks ago at a district hospital in Brong-Ahafo. He now presents with sudden-onset swelling of the tongue and floor…

Allergic Reactions · HAE short-term prophylaxis ★ HY difficulty 3/5

Adwoa, a 31-year-old woman with known HAE type I, presents to Korle Bu emergency centre with an acute attack of right hand and forearm swelling that began four hours ago after a minor surgical procedu…

Amoebic Liver Abscess · Complications of amoebic liver abscess — pleuropulmonary rupture ★ HY difficulty 4/5

A 28-year-old woman, Akua, presents to the Komfo Anokye Teaching Hospital emergency department with sudden-onset severe epigastric and left-sided chest pain radiating to the left shoulder, followed by…

Amoebic Liver Abscess · Ruptured ALA with peritonitis — emergency management ★ HY difficulty 4/5

A 28-year-old woman, Akua, presents to the Komfo Anokye emergency unit with sudden-onset severe upper abdominal pain radiating to the left shoulder. She had been treated at a district hospital 5 days …

Amoebic Liver Abscess · Left lobe abscess — drainage indications ★ HY difficulty 4/5

A 38-year-old man, Yaw, presents to the regional hospital in Tamale with a 2-week history of left upper quadrant pain radiating to the left shoulder, fever, and dyspnoea. He has no history of right-si…

Amoebic Liver Abscess · Operative management of ruptured amoebic liver abscess ★ HY difficulty 4/5

A 38-year-old man, Kwabena, is brought to the Komfo Anokye emergency theatre with sudden-onset generalised abdominal pain and haemodynamic instability. He had been unwell for 10 days with fever and ri…

Amoebic Liver Abscess · First-line pharmacological treatment ★ HY difficulty 3/5

Akua, a 28-year-old woman, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 2-week history of right-sided chest pain, fever, and progressive dyspnoea. She…

Amoebic Liver Abscess · Diagnosis — distinguishing amoebic from pyogenic abscess ★ HY difficulty 3/5

A 41-year-old man, Kofi, is evaluated at the Korle Bu general surgical unit with a 3-week history of fever, right upper quadrant pain, and a 6 kg weight loss. He returned from a rural farming communit…

Amoebic Liver Abscess · Medical management and response assessment ★ HY difficulty 3/5

A 41-year-old woman, Akua, is admitted to the Korle Bu general surgical unit with a 5-day history of right upper quadrant pain, fever, and anorexia. She has no history of biliary disease, alcohol use,…

Amoebic Liver Abscess · Diagnosis and confirmatory investigation ★ HY difficulty 2/5

Kwame, a 34-year-old subsistence farmer from Brong-Ahafo region, presents to the district hospital with a 10-day history of right upper quadrant pain, fever, and anorexia. He has no history of jaundic…

Amoebic Liver Abscess · Medical management of amoebic liver abscess ★ HY difficulty 2/5

A 28-year-old man, Kofi, is admitted to the Komfo Anokye Teaching Hospital surgical unit with a 7-day history of right upper quadrant pain radiating to the right shoulder, fever, and malaise. He is fr…