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2131 matches for “Ghana” — showing 2101–2130
Tropical Medicine · Schistosomiasis - Cercarial dermatitis difficulty 4/5

Yaw, a 16-year-old secondary school student from Tamale, is brought to the Tamale Teaching Hospital A&E by his parents after developing an intensely itchy, maculopapular rash on both legs and lower tr…

Tropical Medicine · Scrub typhus - eschar, pneumonitis, encephalopathy difficulty 4/5

Kofi, a 45-year-old cocoa farmer from the Ashanti Region, is brought to Komfo Anokye Teaching Hospital ED by relatives with 10 days of fever, confusion, and a productive cough. He has been sleeping in…

Tropical Medicine · Cholera - antimicrobial selection in adults difficulty 3/5

A 22-year-old nursing student, Esi, presents to Komfo Anokye Teaching Hospital ED with a 4-hour history of profuse watery diarrhoea and vomiting. She returned 3 days ago from a 2-week humanitarian pos…

Urology · Surgical decision-making and contralateral orchidopexy in testicular torsion difficulty 5/5

A 22-year-old man is brought to the Komfo Anokye Emergency Department at 23:15 with a 5.5-hour history of acute right scrotal pain and swelling. He is otherwise healthy. On examination: temperature 37…

Urology · Urology consult criteria and post-surgical retention difficulty 4/5

Yaw, a 62-year-old man with type 2 diabetes and BPH, presents to the emergency department of a regional hospital in Volta Region with inability to pass urine for 10 hours after a transurethral resecti…

Urology · Alpha-blockers for ureteric stones difficulty 2/5

Kofi, a 45-year-old man, presents to a district hospital in Northern Ghana with severe right flank pain radiating to the right groin for 6 hours, associated with nausea. He has had two similar episode…

Vascular Emergencies · Clinical signs of irreversible acute limb ischaemia difficulty 4/5

A 72-year-old woman, Adwoa, is brought by her family to the Korle Bu emergency centre with progressive worsening of right leg pain over 8 hours. She has a history of ischaemic heart disease and was re…

Vascular Emergencies · AAA referral threshold and transfer difficulty 2/5

Kofi, a 72-year-old retired farmer with known hypertension and a 40 pack-year smoking history, is seen at a district hospital in the Brong-Ahafo Region after being referred with 'back pain.' He is hae…

Vascular Emergencies · Anticoagulation regimen for proximal DVT difficulty 3/5

Mohammed, a 48-year-old man, presents to the emergency department of a regional hospital in the Northern Region with a 3-day history of left leg swelling. He was immobilised for 5 days following a roa…

Vascular Emergencies · Anticoagulation in acute limb ischaemia difficulty 2/5

Kofi, a 65-year-old man with known peripheral artery disease and hypertension, is referred from a district hospital in Brong-Ahafo to the Komfo Anokye ED with a 2-hour history of sudden severe pain an…

Vascular Emergencies · Wells DVT score and diagnostic pathway difficulty 3/5

Afia, a 34-year-old woman, presents to the emergency department of a regional hospital in the Ashanti region with a 4-day history of right calf swelling and pain. She delivered her first child by caes…

Vascular Trauma · REBOA indications and zones difficulty 4/5

Yaw, a 41-year-old driver, is brought to the Korle Bu Emergency Centre following a high-speed road traffic collision. He has suspected blunt chest and abdominal trauma. On arrival he is unresponsive t…

Vascular Trauma · Tourniquet application and management difficulty 3/5

A 34-year-old construction worker, Mohammed, is referred from a district hospital in Brong-Ahafo to the regional hospital ED following a crush injury to the left lower leg by heavy machinery. At the d…

Vascular Trauma · Junctional bleeding — groin difficulty 3/5

Ama, a 19-year-old market trader, sustains a gunshot wound to the right groin during an armed robbery near Tamale. She is brought to the Tamale Teaching Hospital ED by family approximately 25 minutes …

Vascular Trauma · Junctional bleeding — neck difficulty 4/5

Akosua, a 26-year-old woman, is brought to the Korle Bu Emergency Centre after sustaining a stab wound to the right side of the neck from a broken bottle during an assault. On arrival: BP 88/56 mmHg, …

Wound Care · Deep foreign body — CT imaging and MRI contraindication difficulty 3/5

Mohammed, a 52-year-old farmer from Northern Ghana, is referred to a regional hospital ED after an accident with a farming tool resulted in a deep penetrating injury to the right thigh. The wound was …

Wound Care · Gravel foreign body and plain radiography at district level difficulty 2/5

A 19-year-old woman named Abena presents to a district hospital after a road traffic accident in which she sustained multiple small abrasions and lacerations to both knees and shins from gravel road s…

Wound Care and Soft Tissue · Pressure ulcer risk assessment (Braden Scale) difficulty 3/5

A 30-year-old physiotherapist is reviewing a risk assessment tool for pressure ulcer prevention in the new surgical ward at a district hospital in the Brong-Ahafo Region. She asks the emergency physic…

Wound Care and Soft Tissue · Dressing selection by exudate level difficulty 3/5

Yaa, a 55-year-old woman with end-stage renal disease on haemodialysis, is reviewed in the emergency centre at Korle Bu Teaching Hospital. She was referred from a peripheral dialysis unit for a non-he…

Wound Management · Staples for scalp lacerations difficulty 2/5

A 19-year-old man named Mohammed presents to the emergency department of Tamale Teaching Hospital after a road traffic crash. He has a 4 cm laceration to the right scalp with brisk bleeding, now contr…

Wound Management · Tetanus prophylaxis — paediatric, EPI schedule interpretation difficulty 4/5

A 7-year-old girl named Abena is brought to a regional hospital ED by her mother after falling off a mango tree and sustaining a clean 2 cm laceration on her scalp. The wound has clean edges, no soil …

Wound Management · Mechanical debridement of grossly contaminated wounds difficulty 2/5

Adwoa, a 35-year-old market trader, is brought to the district hospital in Brong-Ahafo Region with a 3 cm laceration on her left palm sustained when her hand was impaled on a rusty metal spike about 2…

Wound Management · Animal bite wound management and rabies risk difficulty 3/5

Adwoa, a 6-year-old girl, is brought by her parents to a district hospital in Brong-Ahafo after a dog bite to the left cheek sustained approximately 4 hours ago. The wound is a 1.5 cm puncture-type la…

Wound Management · Tissue adhesive contraindications difficulty 3/5

A 28-year-old man named Kwesi presents to the Komfo Anokye Teaching Hospital emergency centre after a fight. He has a 4.5 cm linear laceration over his right shin (anterior tibia), with well-approxima…

Wound Management · High-risk bite wound — antibiotic prophylaxis indications difficulty 2/5

Ama, a 45-year-old woman with type 2 diabetes (on metformin and glibenclamide) and no other known medical history, presents to a district hospital in the Central Region. She was bitten on the dorsum o…

Wound Management · Systematic wound description — depth and structures difficulty 4/5

Yaa, a 67-year-old woman with poorly controlled type 2 diabetes, presents to the Korle Bu emergency centre with a 5-day-old wound on the plantar aspect of her right foot. She reports she stepped on a …

Wound Management · Systematic wound description and documentation difficulty 2/5

A 52-year-old man is brought to the Korle Bu emergency centre after a road traffic crash. He has a 4 cm stellate laceration over the right parietal scalp, actively bleeding, and a 2 cm superficial abr…

Wound Management · Paediatric facial laceration requiring sedation or GA difficulty 3/5

A 7-year-old girl, Ama, is brought by her mother to a district hospital in Brong-Ahafo after falling against a concrete step. She has a 2.5 cm stellate laceration on her right cheek in the pre-auricul…

Wound Management · Wound exploration and imaging for metallic foreign body difficulty 3/5

Mohammed, a 44-year-old mechanic, presents to the district hospital emergency room in Upper East Region with a 4 cm laceration on his right forearm sustained when a metal grinding disc slipped 90 minu…

Wound Management · Human bite — HIV/HBV PEP decision-making difficulty 4/5

Fatima, a 32-year-old nurse, presents to the Korle Bu Emergency Centre after being bitten on the right index finger by an HIV-positive patient who was agitated during cannulation. The patient's last H…