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2131 matches for “Ghana” — showing 1891–1920
Procedures – Orthopaedics · Anterior shoulder dislocation – Stimson technique difficulty 2/5

Kwame, a 28-year-old footballer, is brought to the A&E of a district hospital in Brong-Ahafo after a collision on the pitch. He holds his right arm in slight abduction and external rotation, and there…

Psychiatric Emergencies · Mental Health Act detention difficulty 4/5

A 19-year-old woman, Abena, is brought to a district hospital A&E in Brong-Ahafo by her mother. She has not slept for five days, is spending money recklessly, believes she has been chosen by God to ru…

Psychiatric Emergencies · Suicide risk assessment - self-poisoning difficulty 3/5

A 45-year-old man is brought to Komfo Anokye ED by relatives after ingesting an unknown quantity of paracetamol tablets approximately two hours ago following an argument with his wife. He is alert and…

Psychiatric Emergencies · Mental Health Authority Ghana sectioning process difficulty 4/5

Yaa, a 38-year-old woman with known schizophrenia, is brought to the Korle Bu Emergency Centre by her husband. She stopped her depot antipsychotic three months ago and has been increasingly paranoid, …

Psychiatric Emergencies · Mental Health Authority detention - Ghana Act 846 (2012) difficulty 3/5

Abena, a 34-year-old woman, is brought to the Korle Bu A&E by police under emergency powers after neighbours reported she had been barricaded in her flat for 3 days, not eating, and making statements …

Psychiatric Emergencies · Physical restraint complications — excited delirium difficulty 4/5

Kofi, a 44-year-old man with no prior psychiatric history, is brought to the Komfo Anokye ED requiring four-point physical restraint applied by security staff en route. He had been found running naked…

Psychiatric Emergencies · Self-harm risk assessment in adolescents difficulty 3/5

A 17-year-old girl, Yaa, is brought to a district hospital in the Volta Region by her school teacher after she disclosed she had been cutting her forearms regularly for six months and had thoughts of …

Psychiatric Emergencies · Agitated patient sedation - pharmacological rapid tranquillisation difficulty 3/5

Kofi, a 29-year-old man with a known diagnosis of schizophrenia, is brought to the A&E at Tamale Teaching Hospital by his brother. He is highly agitated, shouting, pacing, and has threatened staff. He…

Psychiatric Emergencies · Agitated patient - delirium vs psychosis, avoid haloperidol in elderly difficulty 2/5

Kofi, a 67-year-old retired teacher with no known psychiatric history, is brought to the regional hospital A&E in Cape Coast by his son. He has become increasingly confused, agitated, and is shouting …

Psychiatric Emergencies · ED disposition - first-episode psychosis difficulty 4/5

A 60-year-old woman, Adwoa, is assessed in the Korle Bu emergency centre after a first episode of acute psychosis. Organic causes have been excluded with blood tests, ECG, and CT head. She has been st…

Psychiatric Emergencies · Suicide risk assessment difficulty 3/5

Afia, a 28-year-old female nurse, is brought to the regional hospital ED in the Ashanti Region by a colleague after she was found sitting alone in the sluice room holding a scalpel to her wrist. She h…

Psychiatric Emergencies · Organic causes of apparent psychosis difficulty 3/5

A 45-year-old man is brought to a district hospital in Brong-Ahafo by family. He has become increasingly paranoid over three weeks, believes neighbours are poisoning his food, and has not eaten for fi…

Psychiatric Emergencies · Agitation management — chemical restraint difficulty 3/5

A 52-year-old man, Mohammed, is brought to a district hospital in Northern Ghana by police after causing a disturbance at a market. He is acutely agitated, shouting, and throwing objects. He weighs ap…

Pulmonary Embolism · PERC rule application difficulty 2/5

Afia, a 22-year-old university student, presents to the Korle Bu emergency centre with 1-day pleuritic chest pain. She had a long-haul flight from the UK 4 days ago. She is on no medications and has n…

Pulmonary Embolism · Anticoagulation choice in malignancy difficulty 4/5

Yaw, a 58-year-old civil servant with known metastatic colorectal cancer under oncology follow-up, is brought to the Korle Bu emergency centre by his family with worsening dyspnoea over 5 days. He has…

Pulmonary Medicine / Cardiothoracic Surgery · Rescue surgical embolectomy after failed thrombolysis difficulty 4/5

Fatima, a 38-year-old woman, is referred from a district hospital in Northern Ghana to the Tamale Teaching Hospital ED with confirmed massive PE on clinical grounds. She is haemodynamically unstable (…

Pulmonary Medicine / Respiratory Emergencies · Wells Score and Pre-Test Probability difficulty 3/5

Abena, a 34-year-old schoolteacher, presents to the emergency department of a regional hospital in Ashanti Region with two days of right-sided pleuritic chest pain and mild shortness of breath. She re…

Pulmonary Medicine / Respiratory Emergencies · PERC Rule and D-dimer Interpretation difficulty 3/5

Kwesi, a 28-year-old male medical officer, presents to the Korle Bu Emergency Centre with a one-day history of mild exertional dyspnoea. He denies chest pain, haemoptysis, or leg swelling. He has no p…

Pulmonary Medicine / Respiratory Emergencies · Empirical Anticoagulation in High-Probability PE difficulty 3/5

Fatima, a 44-year-old market trader, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a one-week history of worsening dyspnoea and right calf pain and swell…

Pulmonary Medicine / Vascular · PE in pregnancy - anticoagulation choice and pharmacology difficulty 4/5

Ama, a 29-year-old woman at 24 weeks gestation (G2P1), is referred from a district hospital in the Volta Region to the regional hospital A&E with a 2-day history of worsening right leg swelling, dyspn…

Pulmonology / Vascular · Chronic thromboembolic pulmonary hypertension recognition difficulty 3/5

Mohammed, a 47-year-old man, presents to the Tamale Teaching Hospital ED with a 9-month history of progressive exertional dyspnoea, fatigue, and two episodes of pre-syncope on exertion. He was hospita…

Pulmonology / Vascular · PE cardiac arrest — empirical thrombolysis and CPR duration difficulty 5/5

A 34-year-old woman is brought to the Korle Bu Emergency Centre having collapsed at home. She is 36 weeks pregnant with a twin pregnancy and has been on bed rest for 4 weeks for pre-eclampsia. On arri…

Pulmonology / Vascular · Massive vs submassive PE classification and treatment difficulty 3/5

Kofi, a 62-year-old man with hypertension and type 2 diabetes, is brought to a regional hospital emergency department in Northern Ghana by his family with 3 days of progressive exertional dyspnoea and…

Renal · Pre-renal AKI - pathophysiology and urinary indices difficulty 2/5

Kwame, a 58-year-old farmer, is brought by relatives to a district hospital A&E in Brong-Ahafo after three days of profuse watery diarrhoea and vomiting. He has no significant past medical history and…

Renal · Contrast-induced AKI - prevention strategies difficulty 3/5

Yaa, a 72-year-old woman with type 2 diabetes, hypertension, and known stage 3 chronic kidney disease (baseline creatinine 180 micromol/L), is referred to Korle Bu emergency centre from a regional hos…

Renal Emergencies · Post-renal AKI and obstructive uropathy difficulty 3/5

A 67-year-old man with known benign prostatic hyperplasia presents to the regional hospital A&E with a two-week history of worsening lower urinary tract symptoms and now complete urinary retention for…

Renal Emergencies · Indications for emergency renal replacement therapy difficulty 4/5

A 44-year-old woman with no prior renal history is admitted to Korle Bu emergency centre with anuric AKI following septic shock. After 48 hours of treatment, her creatinine is 780 micromol/L, potassiu…

Renal and Genitourinary · AKI - contrast-induced AKI prevention difficulty 4/5

A 67-year-old woman, Adwoa, with known type 2 diabetes mellitus and stage 3 chronic kidney disease (baseline creatinine 160 micromol/L) presents to the Korle Bu Emergency Centre with acute-onset chest…

Respiratory / Vascular · PE - age-adjusted D-dimer and Wells score difficulty 3/5

Yaw, a 45-year-old accountant, presents to the Komfo Anokye ED in Kumasi with a 2-day history of mild dyspnoea and left-sided pleuritic chest pain. He denies haemoptysis, leg swelling, or recent surge…

Respiratory Emergencies · Pneumonia in HIV/immunocompromised host difficulty 4/5

Mohammed, a 35-year-old HIV-positive man (not on antiretroviral therapy, last CD4 count 110 cells/μL three months ago), presents to the Korle Bu emergency centre with a 10-day history of progressive d…