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3996 matches for “Ghana” — showing 1891–1920
Psychiatric Emergencies · Suicide risk assessment and medical priority in self-poisoning ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the Korle Bu emergency centre by her sister after disclosing she has been thinking about killing herself. She took 20 tablets of paracetamol two hours ago. V…

Psychiatric Emergencies · Depot antipsychotic complications - NMS recognition and management ★ HY difficulty 4/5

Ama, a 78-year-old retired civil servant, is brought to the A&E at Korle Bu Teaching Hospital by her daughter. She has become acutely confused, aggressive, and is shouting and attempting to climb out …

Psychiatric Emergencies · Acute psychosis — first-line management ★ HY difficulty 3/5

A 22-year-old university student, Ama, is brought to the Komfo Anokye ED by her roommates. She has been awake for four days, speaking rapidly about receiving divine messages, and spent all her money i…

Psychiatric Emergencies · Deliberate self-harm - psychosocial assessment and disposition ★ HY difficulty 2/5

Ama, a 19-year-old student, presents to the A&E at Korle Bu Teaching Hospital with multiple superficial lacerations to both forearms, which she inflicted herself with a razor blade 2 hours ago. The wo…

Psychiatric Emergencies · Agitated patient sedation - stepped pharmacological approach ★ HY difficulty 3/5

Kwame, a 45-year-old man with a known history of schizophrenia, is brought to the district hospital A&E by police after being found wandering on the Accra-Kumasi highway at night, stating he wants to …

Psychiatric Emergencies · Suicide risk assessment and ED disposition ★ HY difficulty 3/5

A 35-year-old man, Kofi, is brought to a regional hospital A&E in Ashanti by police after being found on a bridge stating he intended to jump. He has no physical injuries. He denies suicidal intent no…

Psychiatric Emergencies · Chemical restraint - rapid tranquillisation ★ HY difficulty 3/5

A 35-year-old man, Yaw, is brought to Korle Bu emergency centre by security staff after becoming violently agitated in the waiting area. He is shouting, throwing objects, and has punched a nurse. He c…

Psychiatric Emergencies · Depot antipsychotic side effects - NMS recognition and management ★ HY difficulty 3/5

Yaw, a 52-year-old man with a 20-year history of schizophrenia managed on depot fluphenazine decanoate, is brought to the regional hospital A&E in Tamale by his family. Over the past 48 hours he has d…

Psychiatric Emergencies · Chemical restraint — first-line regimen ★ HY difficulty 2/5

A 30-year-old man, Yaw, is brought to the Korle Bu emergency centre by police after assaulting a family member. He is acutely agitated, shouting incoherently, and has attempted to bite a nurse. Verbal…

Psychiatric Emergencies · Suicide risk assessment ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after he was found standing on a rooftop saying he wanted to 'end everything.' He is now calm and cooperative. He has no prior …

Psychiatric Emergencies · Acute psychosis - organic exclusion ★ HY difficulty 3/5

A 22-year-old woman, Afia, is brought to a regional hospital A&E in Northern Ghana by police after she was found running in traffic, shouting incoherently, and undressing in public. She is agitated an…

Pulmonary Embolism · S1Q3T3 pattern and anteroseptal T-wave inversions in acute PE ★ HY difficulty 3/5

Akua, a 38-year-old woman, presents to the A&E of a regional hospital in the Ashanti Region with sudden-onset pleuritic chest pain and breathlessness that began 5 days after a long bus journey from Ku…

Pulmonary Embolism · Massive PE thrombolysis ★ HY difficulty 3/5

A 47-year-old woman is referred from a district hospital in the Northern Region to Tamale Teaching Hospital ED in haemodynamic collapse. She was admitted 3 days ago post-elective hysterectomy for fibr…

Pulmonary Embolism · Management in resource-limited settings ★ HY difficulty 3/5

Mohammed, a 28-year-old male footballer, is seen at a district hospital in the Brong-Ahafo region with a 3-day history of right calf swelling and mild breathlessness that started after a long road tri…

Pulmonary Embolism · PE - massive PE classification and thrombolysis ★ HY difficulty 3/5

Kofi, a 72-year-old retired civil servant, presents to Korle Bu emergency centre with acute onset dyspnoea and near-syncope. He has no prior history of venous thromboembolism and is not on anticoagula…

Pulmonary Embolism · Wells score and pretest probability ★ HY difficulty 3/5

Akosua, a 34-year-old woman, presents to the Komfo Anokye ED with a 2-day history of left-sided pleuritic chest pain and mild dyspnoea. She delivered her second child 6 weeks ago and has been taking c…

Pulmonary Embolism · Kosuge criteria — simultaneous anteroseptal and inferior T-wave inversions differentiating PE from ACS ★ HY difficulty 4/5

Fatima, a 47-year-old woman, presents to the A&E of a district hospital in the Northern Region with a 2-day history of progressive exertional dyspnoea and mild, non-pleuritic central chest discomfort.…

Pulmonary Embolism · Massive PE - systemic thrombolysis indications and pharmacology ★ HY difficulty 4/5

Kwabena, a 58-year-old man with a history of hypertension and type 2 diabetes mellitus, is brought by relatives to the Korle Bu emergency centre after collapsing at home. He was found unresponsive for…

Pulmonary Embolism · Rescue therapy after failed systemic thrombolysis ★ HY difficulty 4/5

Ama, a 55-year-old woman, is admitted to the Komfo Anokye Teaching Hospital emergency centre after being referred from a district hospital in Brong-Ahafo. She received 5000 units IV heparin at the dis…

Pulmonary Embolism · PE - Wells score and pre-test probability ★ HY difficulty 2/5

Adwoa, a 38-year-old teacher, presents to the regional hospital A&E in Kumasi with a 3-day history of progressive dyspnoea and right-sided pleuritic chest pain. She underwent an uncomplicated laparosc…

Pulmonary Embolism · Dead-space physiology in massive PE ★ HY difficulty 4/5

A 45-year-old woman, Ama, presents to the Komfo Anokye ED with sudden-onset chest pain and breathlessness that started 4 hours ago. She returned from Accra by overnight bus 3 days prior. She is on com…

Pulmonary Embolism · PE - sub-massive PE classification and district hospital management ★ HY difficulty 3/5

Ama, a 58-year-old market trader with known hypertension, is brought to a district hospital A&E in the Volta Region with 2 days of progressive dyspnoea and mild chest discomfort. She is haemodynamical…

Pulmonary Embolism · Massive PE definition and thrombolysis ★ HY difficulty 3/5

A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family after collapsing at home. He had complained of sudden-onset breathlessness and right-sided chest discomfort for two …

Pulmonary Embolism · PE - risk stratification and anticoagulation strategy ★ HY difficulty 3/5

Adwoa, a 34-year-old woman, presents to the regional hospital A&E in Kumasi with a 3-day history of progressive dyspnoea and right-sided pleuritic chest pain. She delivered her first child 10 days ago…

Respiratory Emergencies · PERC Rule ★ HY difficulty 2/5

A 28-year-old man, Kwesi, presents to a district hospital A&E in Brong-Ahafo with two days of mild dyspnoea and chest tightness. He has no past medical history, takes no medications, and has not trave…

Respiratory Emergencies · CURB-65 severity scoring ★ HY difficulty 2/5

Akosua, a 68-year-old woman with type 2 diabetes, presents to the regional hospital ED in Kumasi with a 3-day history of productive cough, fever, and confusion. Her daughter says she has been unable t…

Respiratory Emergencies · Severe asthma - IV magnesium sulphate ★ HY difficulty 3/5

Kofi, a 45-year-old man with a 10-year history of severe asthma, presents to the Korle Bu emergency centre after 4 hours of progressive wheeze and dyspnoea unresponsive to his home salbutamol inhaler.…

Respiratory Emergencies · Corticosteroid dosing in COPD exacerbation ★ HY difficulty 2/5

A 61-year-old woman, Afia, with known COPD is brought to the A&E of a district hospital in Northern Region with increasing breathlessness over 48 hours. Vitals: RR 26/min, SpO2 86% on room air, HR 104…

Respiratory Emergencies · Foreign body aspiration — diagnostic pitfall vs asthma ★ HY difficulty 4/5

A 4-year-old boy named Kofi is brought to Komfo Anokye ED. His mother reports that he had a choking episode while eating groundnuts four weeks ago, and since then has had a persistent cough that has n…

Respiratory Emergencies · COPD exacerbation — controlled oxygen ★ HY difficulty 2/5

A 68-year-old man, Kwame, is brought to the emergency department of a regional hospital in the Ashanti Region by his family. He has a 20-year smoking history and known COPD on salbutamol and ipratropi…