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3996 matches for “Ghana” — showing 1981–2010
Resuscitation · Reversible causes — cardiac tamponade ★ HY difficulty 3/5

A 44-year-old woman, Abena, is brought to the Korle Bu emergency centre by family after she was found unresponsive at home. CPR is in progress on arrival. The cardiac monitor shows a narrow-complex rh…

Resuscitation · BLS-TOR rule criteria ★ HY difficulty 2/5

A 58-year-old man, Kwame, collapses in a market in Kumasi. Bystanders begin CPR immediately and call for help. A community health worker arrives within 6 minutes with an AED but delivers no shock (non…

Resuscitation · Reversible causes — tension pneumothorax in trauma ★ HY difficulty 3/5

Afia, a 38-year-old woman, is admitted in cardiac arrest to the Tamale Teaching Hospital ED. She was involved in a road traffic crash and was brought in by a passing vehicle. Witnesses report she was …

Resuscitation · Targeted temperature management ★ HY difficulty 2/5

Kofi, a 54-year-old man with hypertension, is brought to the Korle Bu emergency centre after a witnessed cardiac arrest at home. Bystander CPR was performed and ROSC was achieved after 18 minutes of r…

Salivary Gland Disease · Submandibular sialolithiasis ★ HY difficulty 3/5

A 45-year-old man, Kwame, presents to the Komfo Anokye emergency surgical unit with a 3-day history of painful swelling beneath the right side of his jaw, worse during meals. He reports a gritty sensa…

Salivary Gland Disease · Frey's syndrome — post-parotidectomy ★ HY difficulty 3/5

A 60-year-old man, Mensah, is reviewed in the Korle Bu head and neck surgical clinic following a right superficial parotidectomy performed 6 weeks previously for a Warthin's tumour. He complains that …

Salivary Gland Disease · Submandibular sialolithiasis ★ HY difficulty 3/5

A 38-year-old woman, Akua, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 3-week history of right-sided facial swelling that is increasingly painfu…

Salivary Gland Disease · Facial nerve anatomy in parotidectomy ★ HY difficulty 4/5

During a right superficial parotidectomy for pleomorphic adenoma at Komfo Anokye Teaching Hospital, the registrar is preparing to identify the facial nerve at the stylomastoid foramen. The consultant …

Salivary Gland Disease · Malignant parotid tumour ★ HY difficulty 4/5

A 62-year-old man, Mensah, presents to the Korle Bu surgical unit with a 4-month history of a rapidly enlarging, painful right parotid swelling. Over the past 3 weeks he has developed right-sided faci…

Salivary Gland Disease · Acute suppurative parotitis ★ HY difficulty 2/5

A 52-year-old man, Yaw, presents to a district hospital surgical ward in the Bono East Region with a 5-day history of acute onset painful swelling of the left parotid region, fever (temperature 38.9°C…

Salivary Gland Disease · Ludwig's angina — airway emergency ★ HY difficulty 4/5

Ama, a 38-year-old schoolteacher, is brought to the regional hospital emergency department in Brong-Ahafo with a 5-day history of progressive right-sided submandibular swelling, trismus, fever, and in…

Salivary Gland Disease · Malignant parotid tumour — clinical diagnosis ★ HY difficulty 3/5

A 58-year-old woman, Akua, is referred from a regional hospital in the Ashanti Region to the Komfo Anokye Head and Neck surgical unit with a 3-month history of a right parotid mass associated with pro…

Salivary Gland Disease · Submandibular sialolithiasis ★ HY difficulty 3/5

A 38-year-old woman, Ama, is referred from a district hospital in the Volta Region to the regional surgical unit with a 3-day history of progressive right submandibular swelling, severe pain on eating…

Salivary Gland Disease · Submandibular sialolithiasis — management ★ HY difficulty 3/5

A 52-year-old woman, Akua, is referred from a district hospital in the Volta Region to the Korle Bu general surgical unit with a 3-week history of a painful, rapidly enlarging right submandibular swel…

Salivary Gland Disease · Pleomorphic adenoma — parotid ★ HY difficulty 3/5

A 45-year-old man, Kwame, presents to the Komfo Anokye surgical outpatient clinic with a 3-month history of painless swelling in the right cheek. He has no history of fever, recent dental infection, o…

Salivary Gland Disease · Submandibular sialolithiasis ★ HY difficulty 2/5

A 38-year-old woman, Akua, is seen in the regional hospital surgical outpatient clinic in Kumasi with a 4-week history of intermittent right submandibular swelling that consistently worsens at mealtim…

Salivary Gland Disease · Submandibular sialolithiasis ★ HY difficulty 3/5

A 40-year-old woman, Esi, presents to the Korle Bu general surgical outpatient clinic with recurrent episodes of painful swelling beneath the right side of her jaw, each episode lasting 1-2 hours and …

Salivary Gland Disease · Submandibular duct calculus — management ★ HY difficulty 3/5

Kofi, a 45-year-old civil servant, presents to the Korle Bu surgical outpatient clinic with recurrent episodes of right submandibular swelling that consistently occur at mealtimes and resolve within 1…

Salivary Gland Disease · Acute suppurative parotitis ★ HY difficulty 3/5

A 50-year-old woman, Ama, is referred from a district hospital in the Brong-Ahafo region to the regional hospital with a 2-day history of right-sided jaw pain, fever, and tender swelling over the righ…

Salivary Gland Disease · Parotid malignancy — facial nerve anatomy in theatre ★ HY difficulty 4/5

A 60-year-old woman, Adwoa, is brought to the Korle Bu general surgical unit after her family noticed progressive right facial asymmetry over 6 months. She reports a painless right parotid mass that h…

Salivary Gland Disease · Pleomorphic adenoma — parotid ★ HY difficulty 3/5

Kwame, a 52-year-old cocoa farmer, presents to the Komfo Anokye surgical outpatient clinic with a 9-month history of a painless, slowly enlarging swelling in front of his right ear. He has no facial w…

Sexual Assault, Forensic, and Safeguarding · HIV PEP, emergency contraception, and STI prophylaxis post-sexual assault ★ HY difficulty 3/5

Ama, a 19-year-old woman, presents to Korle Bu Teaching Hospital A&E 58 hours after a reported rape. She is HIV-negative on a rapid test performed in the department. She has no known hepatitis B vacci…

Sexual Assault, Forensic, and Safeguarding · Emergency contraception after sexual assault - timing and choice ★ HY difficulty 3/5

Fatima, a 17-year-old girl, is brought to the district hospital A&E by her older sister 90 hours after a sexual assault. She did not disclose immediately due to shame and fear. She is not on contracep…

Sexual Assault, Forensic, and Safeguarding · HIV PEP after sexual assault - timing and regimen ★ HY difficulty 3/5

Ama, a 19-year-old university student, presents to the regional hospital A&E in Kumasi 58 hours after a reported rape. She has not previously disclosed the assault. She is HIV-negative on a rapid test…

Sexual Assault, Forensic, and Safeguarding · Paediatric non-accidental injury - recognition, mandatory reporting, and admission for protection ★ HY difficulty 4/5

A 7-month-old infant, Kwame, is brought to the A&E at Tamale Teaching Hospital by his mother, who reports he 'fell off the bed' this morning. On examination, he has multiple bruises over his trunk and…

Sexual Assault, Forensic, and Safeguarding · Forensic evidence preservation - clothing and chain of custody ★ HY difficulty 2/5

A 24-year-old woman, Akua, presents to the A&E at Korle Bu Teaching Hospital at 02:00 hrs, 3 hours after being sexually assaulted by an unknown assailant. She is distressed but haemodynamically stable…

Sexual Assault, Forensic, and Safeguarding · Paediatric safeguarding - non-accidental injury recognition and referral ★ HY difficulty 2/5

A 7-month-old boy, Kwame, is brought to the district hospital A&E by his mother. She reports he 'fell off the sofa' yesterday. On examination he has multiple bruises over his trunk and buttocks in dif…

Sexual Assault, Forensic, and Safeguarding · Forensic preservation and chain of custody ★ HY difficulty 3/5

Akua, a 24-year-old woman, presents to the A&E at a regional hospital in Kumasi at 02:00, reporting that she was sexually assaulted approximately 3 hours ago. She is distressed but haemodynamically st…

Sexual Assault, Forensic, and Safeguarding · Paediatric safeguarding - abusive head trauma recognition ★ HY difficulty 3/5

A 10-month-old girl, Esi, is brought to Tamale Teaching Hospital A&E by her father after a reported 'shaking episode'. On fundoscopy, the paediatric registrar identifies bilateral retinal haemorrhages…

Sickle Cell Disease - Surgical Implications · Acute splenic sequestration crisis ★ HY difficulty 3/5

Yaw, a 17-year-old boy with HbSS disease, is brought to the emergency department of a regional hospital in Ashanti Region with a 4-hour history of severe left-sided abdominal pain, dizziness, and prog…