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2131 matches for “Ghana” — showing 2041–2070
Trauma / Neurology · CRASH-3 - TXA in isolated TBI difficulty 4/5

Kwame, a 45-year-old farmer, is referred from a district hospital in the Northern Region after a road traffic collision in which he sustained an isolated closed head injury. A CT scan performed at the…

Trauma / Neurology · Anterior cord syndrome difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after a road traffic collision on the Accra-Kumasi highway. He was an unrestrained front-seat passenger. On arrival he is awake and distress…

Trauma / Neurology · Methylprednisolone controversy and NASCIS trials difficulty 4/5

A 22-year-old man is brought to a district hospital ED in the Brong-Ahafo Region after a gunshot wound to the back during a robbery. He arrived 2.5 hours after the injury. He has no other injuries ide…

Trauma / Spinal Cord Injury · Brown-Séquard syndrome — neuroanatomy difficulty 4/5

Kofi, a 35-year-old farmer, is admitted to a district hospital in the Bono East Region after being macheted across the right lateral thorax during a land dispute. He presents two hours after the injur…

Trauma / Spine · NEXUS criteria - cervical spine imaging decision difficulty 2/5

Kofi, a 23-year-old university student, is brought to the A&E of a regional hospital after a motorcycle collision. He was wearing a helmet. He is ambulatory at the scene but reports neck pain. In the …

Trauma / Spine · Canadian C-Spine Rule application difficulty 3/5

A 41-year-old woman, Esi, is brought to a district hospital A&E in the Northern Region after a road traffic collision in which she was a pedestrian struck by a vehicle. She has a witnessed loss of con…

Trauma and Orthopaedics · Compartment syndrome in paediatric supracondylar fracture difficulty 3/5

A 12-year-old boy, Yaw, falls from a mango tree and sustains a supracondylar fracture of the left humerus. He is brought to a district hospital in the Bono Region by his father. Vitals: BP 100/64 mmHg…

Tropical Medicine · Cholera - outbreak notification and public health response difficulty 4/5

A 45-year-old fisherman, Mensah, is the fourth patient presenting within 48 hours from the same riverside community in the Central Region of Ghana to a district hospital A&E with profuse watery diarrh…

Tropical Medicine · Malaria species recognition - P. falciparum morphology difficulty 2/5

Yaa, a 30-year-old market trader, presents to the Korle Bu emergency centre with a 7-day history of fever and malaise. She lives in Accra and has not travelled outside Greater Accra in the past 3 mont…

Tropical Medicine · Crimean-Congo haemorrhagic fever - diagnosis difficulty 4/5

Ama, a 42-year-old livestock trader, presents to a regional hospital A&E in the Upper East Region with a 4-day history of fever, severe headache, myalgia, and back pain. She returned 6 days ago from a…

Tropical Medicine · Typhoid fever - encephalopathy and relative bradycardia difficulty 3/5

Ama, a 19-year-old university student in Accra, presents to a regional hospital A&E with 8 days of fever, severe headache, and increasing drowsiness. She returned 12 days ago from a two-week visit to …

Tropical Medicine · IRIS and ART Complications - Tenofovir Renal Toxicity difficulty 4/5

Mohammed, a 48-year-old male cattle herder from the Upper East region, was diagnosed with HIV (CD4 count 14 cells/µL) and initiated on tenofovir disoproxil fumarate (TDF)/lamivudine/efavirenz 18 month…

Tropical Medicine · HIV pre-exposure prophylaxis (PrEP) difficulty 2/5

Kofi, a 35-year-old male long-distance truck driver who regularly travels the Accra–Ouagadougou corridor, presents to Tamale Teaching Hospital ED requesting HIV prevention advice. He reports multiple …

Tropical Medicine · MDR-TB suspicion and management difficulty 3/5

Kofi, a 39-year-old HIV-positive lorry driver from Kumasi, is being reviewed in the Komfo Anokye TB clinic. He was diagnosed with smear-positive pulmonary TB 7 months ago and was started on standard f…

Tropical Medicine · Severe acute malnutrition - sepsis and empirical antibiotics difficulty 3/5

A 2.5-year-old girl named Akua is admitted to the paediatric ward of a district hospital in the Ashanti Region. She was brought by her father, a cocoa farmer, after 10 days of progressive oedema and s…

Tropical Medicine · Typhoid fever - chronic carriers and gallbladder disease difficulty 4/5

Akosua, a 52-year-old food vendor at a lorry station in Cape Coast, is brought to the regional hospital A&E by her family after three episodes of sudden-onset right upper quadrant pain over the past m…

Tropical Medicine · Cutaneous leishmaniasis - diagnosis difficulty 3/5

Ama, a 28-year-old woman, presents to a regional hospital A&E in the Upper East Region with a 3-month history of a slowly enlarging, painless papule on her left cheek that has now ulcerated. She has n…

Tropical Medicine · T. brucei gambiense stage 1 - trypanosomal chancre and haemolymphatic disease difficulty 3/5

Yaw, a 45-year-old subsistence farmer from a village bordering the Digya National Park in the Oti region, presents to the district hospital with a 4-week history of fever, malaise, and a painless, ind…

Tropical Medicine · Hepatosplenic Schistosomiasis - periportal fibrosis difficulty 4/5

Kwabena, a 42-year-old fisherman from Yeji on Lake Volta, is referred to Komfo Anokye Teaching Hospital with progressive abdominal swelling for 8 months and two episodes of haematemesis. He has no his…

Tropical Medicine · Severe scrub typhus - IV doxycycline - encephalitis difficulty 4/5

Kofi, a 38-year-old cocoa farm labourer from the Ashanti Region, is brought to the district hospital A&E by relatives with a 12-day history of fever, severe headache, altered consciousness, and a gene…

Tropical Medicine · Chikungunya arthralgia - diagnosis and management difficulty 3/5

Mohammed, a 45-year-old subsistence farmer from the Brong-Ahafo region, presents to a district hospital A&E 10 days after returning from a 2-week pilgrimage to Mecca, Saudi Arabia. He reports severe b…

Tropical Medicine · Severe Acute Malnutrition - Hypothermia difficulty 2/5

A 3-year-old boy named Kwabena is admitted to the paediatric ward of a regional hospital in the Central Region. He was brought by his grandmother from a rural farming community after three weeks of po…

Tropical Medicine · Brucellosis - diagnosis and treatment difficulty 3/5

Ama, a 28-year-old woman, presents to a regional hospital A&E in the Ashanti region with a 10-day history of high-grade fever, drenching night sweats, severe headache, and lower back pain. She works a…

Tropical Medicine · Mycetoma - diagnosis difficulty 3/5

Mohammed, a 38-year-old cattle herder from Tamale in the Northern Region, presents to Tamale Teaching Hospital ED with a 5-month history of a painless swelling on his right foot that has progressively…

Tropical Medicine · Ascaris - Löffler's syndrome difficulty 3/5

Ama, a 6-year-old girl from a fishing community near Lake Volta in Eastern Region, is brought to the district hospital A&E by her mother with a two-week history of recurrent dry cough, low-grade fever…

Tropical Medicine · Dengue fever - classification without warning signs difficulty 2/5

Akua, a 19-year-old university student in Accra, presents to the Korle Bu emergency centre on day 4 of illness with high fever, severe retro-orbital headache, and myalgia. She has not travelled outsid…

Tropical Medicine · HIV-associated opportunistic infections - CMV retinitis difficulty 4/5

Mohammed, a 44-year-old long-distance truck driver from Tamale, presents to Tamale Teaching Hospital A&E reporting painless progressive visual loss in his right eye over four weeks. He describes 'floa…

Tropical Medicine · Gastrointestinal S. mansoni infection difficulty 2/5

Yaw, a 35-year-old irrigation scheme worker from the Upper East Region, presents to Tamale Teaching Hospital ED with a 6-week history of bloody diarrhoea, colicky lower abdominal pain, and tenesmus. H…

Tropical Medicine · Spotted fever group rickettsiosis - diagnosis without eschar difficulty 4/5

Mohammed, a 42-year-old cattle herder from the Upper East Region near Bolgatanga, is referred to Tamale Teaching Hospital after 10 days of progressive fever, headache, and a generalised maculopapular …

Tropical Medicine · VHF vs severe malaria - early febrile phase differentiation difficulty 4/5

Kofi, a 19-year-old student, is brought to the Komfo Anokye Teaching Hospital ED by relatives with a 3-day history of abrupt-onset high fever, severe headache, myalgia, and arthralgia. He returned 5 d…