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2131 matches for “Ghana” — showing 1981–2010
Toxicology · NMS - diagnostic investigation difficulty 3/5

A 52-year-old woman named Adwoa with schizophrenia is brought to a regional hospital A&E by relatives. She has been on haloperidol for 3 weeks and developed increasing rigidity, confusion, and fever o…

Toxicology · Staggered overdose difficulty 3/5

A 14-year-old boy, Kwesi, is brought to a district hospital in Northern Region by his parents after he admitted taking 10 tablets of 500 mg paracetamol approximately 90 minutes ago. He is alert and as…

Toxicology · MDMA-associated hyponatraemia - mechanism difficulty 3/5

A 19-year-old man, Yaw, is brought to the Komfo Anokye ED from a nightclub after collapsing. His friends report he had taken 'Molly' (MDMA) and consumed large amounts of water throughout the night. On…

Toxicology · Carbon monoxide — delayed neurological sequelae difficulty 4/5

A 55-year-old man presents to the Korle Bu Emergency Centre three weeks after being treated and discharged for CO poisoning from a faulty generator in his shop. He was treated with 100% oxygen for 8 h…

Toxicology · Ethylene glycol - cofactor adjuncts and metabolic pathway difficulty 4/5

A 28-year-old woman, Ama, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E after ingesting an unknown quantity of antifreeze fluid approximately 6 hours ago in a delibe…

Toxicology · Isopropanol - osmolar gap without anion gap difficulty 3/5

A 52-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 6-hour history of confusion and vomiting after ingesting an unknown substance. The distr…

Toxicology · Urinary alkalinisation in rhabdomyolysis difficulty 4/5

Fatima, a 28-year-old woman, is admitted to the Korle Bu Emergency Centre following extrication from a road traffic collision in which she was pinned under a vehicle for 3 hours. She received 3 litres…

Toxicology · Kerosene aspiration difficulty 4/5

Yaw, a 3-year-old boy, is brought to the accident and emergency department of a regional hospital in the Eastern Region by his mother. She found him 30 minutes ago coughing intensely near an open cont…

Toxicology · Serotonin syndrome — MAOI and herbal medicine interaction difficulty 3/5

A 28-year-old woman is brought to a district hospital in the Bono Region after being found extremely agitated and confused at home. Her husband states she has been on phenelzine (an MAOI) for depressi…

Toxicology · Cobra neurotoxicity — early recognition and management difficulty 4/5

A 12-year-old girl, Akosua, is brought to the Komfo Anokye Teaching Hospital ED by her parents at 11 pm after being bitten on her left hand by a spitting cobra while playing near a rubbish heap behind…

Toxicology · Paracetamol toxicity - staggered overdose management difficulty 4/5

A 28-year-old man, Kwabena, is brought to the Korle Bu emergency centre by his family. He is alert and reports taking 'several paracetamol tablets every few hours throughout yesterday' for severe toot…

Toxicology · Carbon monoxide — exposure recognition and co-victim screening difficulty 2/5

A family of five — a father (Kofi, 42 years), his wife (Adwoa, 38 years), and three children aged 8, 5, and 2 years — are all brought to the emergency department of a district hospital in the Northern…

Toxicology · Paracetamol toxicity - staggered overdose management difficulty 4/5

Kofi, a 34-year-old teacher with a known history of low back pain, presents to a regional hospital A&E in the Brong-Ahafo Region having taken an unknown quantity of paracetamol tablets over the preced…

Toxicology · Drug-induced rhabdomyolysis difficulty 4/5

A 32-year-old woman, Adwoa, is seen in the Komfo Anokye ED 36 hours after developing severe bilateral lower limb weakness and myalgia following an intense 6-hour traditional dance ceremony. She denies…

Toxicology · Iatrogenic cyanide toxicity from nitroprusside difficulty 3/5

A 55-year-old man, Kwame, with hypertensive emergency is admitted to the ICU at Korle Bu Teaching Hospital. His BP on arrival was 230/140 mmHg. He is started on a sodium nitroprusside infusion at 4 mc…

Toxicology - Anticoagulants · Heparin overdose - protamine sulfate mechanism and dosing difficulty 4/5

Yaw, a 45-year-old man with a mechanical mitral valve prosthesis, is admitted to a district hospital in Brong-Ahafo following a cardiac catheterisation during which he received unfractionated heparin …

Toxicology - Anticoagulants · Andexanet alfa for apixaban reversal: mechanism and indication difficulty 4/5

Kofi, a 61-year-old retired teacher with a history of deep vein thrombosis on apixaban 5 mg twice daily, is admitted to the Korle Bu Emergency Centre after a road traffic accident. He sustained a sple…

Toxicology - Decontamination and Enhanced Elimination · Multi-dose activated charcoal: mechanism and indications for antiepileptic drug toxicity difficulty 4/5

Mohammed, a 52-year-old farmer with epilepsy, is brought to the Tamale Teaching Hospital emergency centre by his family 3 hours after a witnessed generalised tonic-clonic seizure at home. His family r…

Toxicology - Heavy Metal Poisoning · Activated charcoal inefficacy for heavy metals; mercury decontamination difficulty 3/5

Mohammed, a 45-year-old galamsey (artisanal gold miner) from the Western Region, is referred to a district hospital A&E with a 2-week history of progressive tremor, memory impairment, and gingivitis. …

Toxicology - Heavy Metal Poisoning · Inorganic mercury vapour poisoning: mechanism and recognition (galamsey context) difficulty 3/5

Kofi, a 34-year-old man, works at an unlicensed galamsey gold-mining site in the Western Region. Over the past 6 weeks he has been burning amalgam (mercury-gold alloy) over open fires without respirat…

Toxicology - Iron Poisoning · Stage 4 hepatic failure: mechanism and significance of normal serum iron at day 3 difficulty 4/5

Abena, a 35-year-old market trader, presents to a regional hospital A&E in the Ashanti Region 3 days after ingesting a large quantity of ferrous sulphate tablets in a suicide attempt. She initially ha…

Toxicology - Methaemoglobinaemia · Methylene blue dosing and mechanism in symptomatic methaemoglobinaemia difficulty 3/5

A 19-year-old university student, Ama, is brought to the regional hospital A&E in Kumasi by friends after collapsing at a nightclub approximately 30 minutes ago. Her friends report she had been using …

Toxicology - Organophosphates and Carbamates · Pralidoxime: indication in OP vs carbamate poisoning difficulty 4/5

Yaw, a 22-year-old student, presents to the regional hospital A&E in the Ashanti Region 6 hours after ingesting approximately 30 mL of a liquid carbamate insecticide (methomyl) in a deliberate self-po…

Toxicology - Salicylates · Mechanism of hyperthermia and lactic acidosis: mitochondrial uncoupling by salicylate as protonophore difficulty 4/5

Yaw, a 16-year-old secondary school student, is brought to the Korle Bu emergency centre by his parents after they found him unresponsive in his room. They discovered an empty box of aspirin 500 mg ta…

Toxicology - Salicylates · Gastrointestinal decontamination in salicylate poisoning difficulty 2/5

A 28-year-old woman named Ama presents to a district hospital A&E in the Brong-Ahafo Region 90 minutes after deliberately ingesting approximately 20 tablets of aspirin 300 mg (total 6 g). She is alert…

Toxicology - Sedative-Hypnotics · GHB toxidrome - recognition and rapid awakening pattern difficulty 3/5

Yaw, a 19-year-old university student, is brought to the regional hospital A&E in Kumasi by friends after collapsing at a party. His friends report he consumed an unknown substance described as 'liqui…

Toxicology - Sedative-Hypnotics · GHB toxidrome recognition and rapid awakening pattern difficulty 3/5

Kwabena, a 19-year-old university student, is brought to a regional hospital A&E in Accra at 23:30 by friends who found him unresponsive at a party. His friends report he consumed an unknown substance…

Toxicology - Snakebite Envenomation · Mamba (Dendroaspis) - presynaptic neurotoxin and muscarinic toxin mechanisms difficulty 4/5

A 45-year-old farmer, Mensah, is brought to a district hospital A&E in the Upper East Region 4 hours after being bitten on the left foot by a large green snake with a narrow head that he says moved ex…

Toxicology - Snakebite Envenomation · Antivenom anaphylaxis management and resumption of antivenom after reaction difficulty 4/5

A 45-year-old market trader, Yaw, is brought to Korle Bu Emergency Centre after receiving 10 vials of polyvalent antivenom (EchiTAb-Plus-ICP) over 1 hour for a confirmed Echis ocellatus bite sustained…

Toxicology - Toxidromes · Serotonin syndrome vs sympathomimetic toxidrome: differentiating neuromuscular features and MDMA-associated hyponatraemia difficulty 4/5

Esi, a 28-year-old woman, is brought to the Korle Bu Emergency Centre by ambulance at 02:00 after collapsing at a nightclub in Accra. Her friends report she had been dancing energetically for several …