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2131 matches for “Ghana” — showing 1951–1980
Resuscitation · Neuroprognostication timing difficulty 4/5

Yaa, a 47-year-old female teacher, is admitted to the Korle Bu ICU following ROSC after 25 minutes of CPR for out-of-hospital ventricular fibrillation. She is comatose (GCS 3/15) and intubated. TTM at…

Resuscitation · Post-arrest seizure management difficulty 3/5

Akosua, a 35-year-old previously well woman, is admitted to the Komfo Anokye ED following out-of-hospital cardiac arrest due to suspected hypokalemia-induced torsades de pointes. ROSC was achieved aft…

Resuscitation · ECPR bridge to definitive treatment — massive PE difficulty 3/5

Fatima, a 38-year-old woman who is 32 weeks pregnant, is brought to the Korle Bu emergency centre with a sudden onset of severe dyspnoea and haemodynamic collapse. She arrests in the resuscitation bay…

Resuscitation · TTM shiver management difficulty 3/5

Afia, a 45-year-old woman, is admitted to the ICU at Komfo Anokye Teaching Hospital following ROSC after an out-of-hospital VF cardiac arrest. She is intubated and unresponsive to commands. TTM has be…

Resuscitation · Hypothermia — modified ALS protocol difficulty 4/5

A 30-year-old man, Mohammed, is in cardiac arrest in the resuscitation bay of a regional hospital in the Northern Region. He was found near a river during the harmattan season and is profoundly hypoth…

Resuscitation · TOR exceptions — paediatric arrest difficulty 3/5

A 4-year-old girl, Adwoa, is brought to the Korle Bu Emergency Centre after drowning in a domestic water tank. Her mother reports she was submerged for approximately 8 minutes. On arrival she is in ca…

Resuscitation · ECMO candidacy in refractory cardiac arrest difficulty 5/5

Mohammed, a 42-year-old man with no known comorbidities, collapses at the Kumasi Central Market and is brought to the Komfo Anokye ED by bystanders. He received no bystander CPR. Resuscitation is init…

Resuscitation · In-hospital TOR decision-making and ethics difficulty 3/5

A 55-year-old woman, Yaa, suffers an in-hospital cardiac arrest on the general medical ward at Komfo Anokye Teaching Hospital. She was admitted three days earlier for a haemorrhagic stroke confirmed o…

Resuscitation · ECMO candidates difficulty 4/5

Kwame, a 29-year-old athlete with no prior medical history, collapses during a community football match in Kumasi. Bystanders initiate CPR immediately and an automated external defibrillator delivers …

Resuscitation · TOR exceptions — hypothermia and drowning difficulty 3/5

A 19-year-old male student, Mohammed, is brought to Korle Bu Emergency Centre after being retrieved from a river where he was submerged for an estimated 40 minutes. Witnesses saw him fall in and he di…

Resuscitation / Pulmonary Medicine · Thrombolysis in PE cardiac arrest difficulty 4/5

A 55-year-old man, Kofi, presents to the Komfo Anokye Teaching Hospital ED in cardiac arrest. His family reports he had complained of severe breathlessness and near-syncope for 3 hours before collapsi…

Sexual Assault, Forensic, and Safeguarding · STI prophylaxis after sexual assault difficulty 2/5

Adwoa, a 28-year-old woman, presents to Komfo Anokye Teaching Hospital A&E 18 hours after a sexual assault. She has been examined and forensic swabs have been taken. She has no known drug allergies. H…

Sexual Assault, Forensic, and Safeguarding · Intimate partner violence - safety assessment, DOVVSU referral, and documentation difficulty 3/5

Adwoa, a 32-year-old woman, presents to the A&E at a district hospital with a 3-day history of right periorbital bruising and a laceration to her lower lip. She initially attributes her injuries to a …

Skin, Soft Tissue and Bone Infections · Osteomyelitis - paediatric management and antibiotic choice difficulty 4/5

A 7-year-old girl, Ama, is referred from a district hospital in Northern Ghana with a 10-day history of right tibial pain, swelling, and fever. She has been treated with oral amoxicillin for 5 days wi…

Skin, Soft Tissue and Bone Infections · Cellulitis vs erysipelas - clinical differentiation difficulty 2/5

A 34-year-old woman, Afia, presents to a regional hospital A&E with a 2-day history of a painful, bright-red, sharply demarcated rash on her right lower leg. She is febrile at 38.6°C, HR 102 bpm, BP 1…

Surgical Emergencies / Infectious Disease · Typhoid perforation — definitive surgical management difficulty 3/5

Kofi, a 34-year-old subsistence farmer, is brought to the Korle Bu emergency centre by his brother after 3 weeks of fever, anorexia, and weight loss, followed by sudden-onset severe abdominal pain 8 h…

Thoracic Trauma · Penetrating cardiac tamponade - operative management difficulty 3/5

A 19-year-old man, Kofi, is brought to Komfo Anokye ED after sustaining a stab wound to the left anterior chest at the 5th intercostal space, mid-clavicular line. He is anxious but talking. His blood …

Toxicology · Antihistamine overdose - QTc prolongation and magnesium difficulty 4/5

A 16-year-old girl, Afia, is brought to the Korle Bu emergency centre after her mother found her unresponsive at home. Empty blister packs of an antihistamine (chlorphenamine) are found at the scene —…

Toxicology · TCA overdose - physostigmine contraindication difficulty 4/5

A 19-year-old woman, Esi, is brought to a regional hospital A&E in the Volta Region after being found unconscious at home. Her mother reports she has been treated for depression and had access to her …

Toxicology · Beta-blocker overdose difficulty 3/5

A 19-year-old woman is brought to the district hospital A&E in Brong-Ahafo after ingesting approximately 20 tablets of her father's atenolol. She is drowsy, HR 38 bpm, BP 74/40 mmHg, blood glucose 3.1…

Toxicology · Methanol and ethylene glycol vs ethanol toxicity difficulty 4/5

Aisha, a 35-year-old woman, is brought to the Korle Bu emergency centre by her husband at 2 AM. He reports that she drank an unknown clear liquid from a bottle labelled as local gin (akpeteshie) at a …

Toxicology · Calcium-channel blocker overdose difficulty 4/5

Yaw, a 58-year-old hypertensive man, is brought to the Korle Bu emergency centre after deliberately ingesting an unknown quantity of amlodipine tablets. On arrival: HR 52 bpm, BP 68/40 mmHg, GCS 14. E…

Toxicology · Cardiovascular manifestations of cyanide poisoning difficulty 3/5

A 42-year-old jewellery electroplater, Mohammed, presents to the regional hospital ED in Tamale complaining of sudden-onset severe headache, dizziness, and palpitations that began 20 minutes ago while…

Toxicology · MDMA toxicity – hyponatraemia mechanism and management difficulty 4/5

Esi, a 22-year-old female university student, is brought to the regional hospital A&E in Kumasi by her friends after collapsing at a rave party. Her friends report she had taken 'molly' (MDMA) tablets…

Toxicology · Paracetamol overdose in resource-limited setting difficulty 4/5

A 22-year-old man is brought to a district hospital in Northern Region 10 hours after ingesting approximately 25 g of paracetamol. He is drowsy but rousable. Vitals: BP 96/58 mmHg, HR 118 bpm, RR 22/m…

Toxicology · Opioid overdose and naloxone difficulty 3/5

A 32-year-old woman is brought to the Korle Bu emergency centre after a suspected heroin overdose. Naloxone 0.4 mg IV was given by the referring team 45 minutes ago and she was briefly alert. She is n…

Toxicology · Serotonin syndrome — linezolid as a precipitant difficulty 4/5

Yaw, a 47-year-old man with HIV and recently diagnosed tuberculosis, presents to the Komfo Anokye ED with fever (38.7°C), agitation, and tremulousness 4 days after starting anti-TB therapy and linezol…

Toxicology · Anticholinergic toxidrome - clinical recognition difficulty 2/5

A 72-year-old woman, Yaa, is brought to the Komfo Anokye ED by her family. She was found confused at home. Her medications include amitriptyline and an over-the-counter cold remedy. Vitals: HR 122 bpm…

Toxicology · Anticholinergic toxidrome - recognition and differentiation difficulty 2/5

A 28-year-old woman named Afia is brought to Komfo Anokye ED after ingesting an unknown quantity of her grandmother's eye drops (atropine sulphate) approximately 90 minutes ago. She is agitated and co…

Toxicology · Digoxin toxicity - pharmacokinetics in renal impairment and Fab antidote difficulty 4/5

A 72-year-old man, Mensah, with atrial fibrillation and chronic kidney disease (eGFR 22 mL/min/1.73 m²) is brought to the Korle Bu Emergency Centre by his daughter after two days of nausea, vomiting, …