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3996 matches for “Ghana” — showing 2101–2130
Small Bowel Obstruction · Sickle-cell peri-op management in SBO β˜… HY difficulty 4/5

A 28-year-old man, Kofi, with known sickle-cell disease (HbSS) is admitted to the Komfo Anokye surgical ward with a 36-hour history of colicky abdominal pain, vomiting, and abdominal distension. He ha…

Small Bowel Obstruction · Aetiology of SBO β€” adhesions β˜… HY difficulty 2/5

A 38-year-old man, Kwame, is brought to the surgical ward of a regional hospital in the Ashanti Region with a 3-day history of colicky central abdominal pain, abdominal distension, vomiting, and absol…

Spinal Trauma · Spinal shock and complete vs incomplete injury classification β˜… HY difficulty 3/5

Mohammed, a 24-year-old construction worker, falls three storeys from scaffolding at a building site in Accra and is brought to the Korle Bu Emergency Centre. On arrival he is awake but unable to move…

Spinal Trauma · Autonomic dysreflexia β˜… HY difficulty 2/5

A 45-year-old woman, Yaa, known to have had a complete T10 spinal cord injury from a road traffic crash three years ago, presents to the Komfo Anokye ED brought by her daughter. She is agitated and di…

Spinal Trauma · Vasopressor choice in neurogenic shock β˜… HY difficulty 3/5

Adwoa, a 35-year-old woman, is admitted to the Korle Bu emergency centre following a diving accident in which she struck her head on a submerged rock. She is brought in by relatives approximately 90 m…

Spinal Trauma · Incomplete cord syndromes β€” central cord β˜… HY difficulty 2/5

A 19-year-old student, Aisha, dives into a shallow end of a community pool in Tamale and is pulled out unresponsive. She is brought to the Tamale Teaching Hospital ED by friends. By the time of arriva…

Spinal Trauma · Methylprednisolone controversy and NASCIS trials β˜… HY difficulty 4/5

Adwoa, a 62-year-old retired teacher with known hypertension and cervical spondylosis, is brought to the Korle Bu Emergency Centre after slipping on wet tiles at home and striking her forehead on the …

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 38-year-old woman, Akua, is referred from a district hospital in the Ashanti Region to the ENT unit at Komfo Anokye Teaching Hospital with a three-day history of sudden right-sided hearing loss on w…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 50-year-old man, Yaw, presents to the ENT clinic at the University of Ghana Medical Centre (UGMC) with a 48-hour history of sudden onset left-sided hearing loss and tinnitus. He has no vertigo, no r…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 2/5

A 42-year-old man, Kwame, presents to the ear, nose, and throat (ENT) outpatient clinic at Komfo Anokye Teaching Hospital with a two-day history of sudden onset hearing loss in his right ear, which he…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 4/5

A 35-year-old man, Yaw, with known sickle-cell disease (HbSS) is admitted to the Korle Bu surgical ward for elective laparoscopic cholecystectomy for symptomatic pigment gallstones. Pre-operatively, h…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 42-year-old man, Kwame, presents to the ENT outpatient clinic at Komfo Anokye Teaching Hospital with a 48-hour history of sudden onset profound deafness in his right ear, noticed when he woke from s…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 4/5

A 55-year-old woman, Ama, is reviewed in the ENT clinic at Korle Bu Teaching Hospital. She developed sudden right-sided hearing loss 10 days ago and was started on oral prednisolone 60 mg/day. She has…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 42-year-old man, Kwame, presents to the Korle Bu ENT outpatient clinic with a two-day history of sudden onset right-sided hearing loss that he noticed upon waking. He denies any preceding ear pain, …

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 58-year-old woman, Adwoa, is referred from a regional hospital in the Ashanti Region to the Komfo Anokye ENT unit with a 3-week history of progressive left-sided hearing loss, initially thought to b…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 35-year-old man, Kofi, presents to the ENT outpatient clinic at the University of Ghana Medical Centre with a three-day history of sudden right-sided hearing loss and intermittent tinnitus. He denie…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 29-year-old man, Kofi, is seen in the ENT outpatient clinic at a regional hospital in the Brong-Ahafo Region. He presents with a five-day history of sudden left-sided hearing loss associated with se…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 47-year-old man, Yaw, is seen in the Korle Bu ENT outpatient clinic with a six-week history of progressive right-sided hearing loss and unilateral tinnitus. He initially attributed the hearing loss …

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 29-year-old woman, Ama, presents to the ENT registrar at a regional hospital in the Volta Region with sudden onset left-sided hearing loss and severe vertigo of 12 hours' duration. She reports a pre…

Sudden Sensorineural Hearing Loss · ENT β˜… HY difficulty 3/5

A 29-year-old woman, Ama, is seen in the ENT clinic at a regional hospital in the Volta Region with a 5-day history of sudden profound deafness in her right ear, preceded by a 2-day prodrome of right-…

Surgery: Acute Abdomen · Typhoid perforation β€” site and pathophysiology β˜… HY difficulty 2/5

Yaw, a 35-year-old farmer, is admitted to a district hospital with a 3-day history of fever, headache, and abdominal pain. He was diagnosed with enteric fever 10 days ago and was started on ciprofloxa…

Surgery: Perioperative Care & Wounds · Buruli ulcer β˜… HY difficulty 2/5

A 12-year-old boy named Kwabena is brought to the OPD at a district hospital in the Ashanti Region with a painless ulcer on his right forearm that has been present for three months. His mother reports…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome β€” pathophysiology β˜… HY difficulty 3/5

A 38-year-old man, Kwame, is admitted to the Komfo Anokye surgical unit following a Hartmann's procedure for perforated sigmoid diverticulitis. He has a background of alcohol dependence and had been e…

Surgical Nutrition and Refeeding Syndrome · TPN complications β€” catheter-related bloodstream infection β˜… HY difficulty 3/5

A 45-year-old man, Yaw, is being managed on the surgical high-dependency unit at the University of Ghana Medical Centre (UGMC) following a Whipple's pancreaticoduodenectomy for periampullary carcinoma…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome β€” recognition and acute management β˜… HY difficulty 4/5

Akua, a 52-year-old woman, is being managed on the surgical ward of Komfo Anokye Teaching Hospital following a Whipple's pancreaticoduodenectomy for periampullary carcinoma. Her pre-operative weight w…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome prevention β€” thiamine β˜… HY difficulty 3/5

A 52-year-old woman, Akua, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital following an oesophagogastrectomy for carcinoma of the oesophagogastric junction perf…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome pathophysiology β˜… HY difficulty 3/5

A 38-year-old man, Kwame, is admitted to the Korle Bu general surgical unit following a Hartmann's procedure for perforated diverticulitis. He has a background of alcohol-use disorder and has eaten vi…

Surgical Nutrition and Refeeding Syndrome · Pre-operative nutritional optimisation in major upper GI surgery β˜… HY difficulty 4/5

A 52-year-old woman, Adwoa, with carcinoma of the mid-oesophagus is referred to the Komfo Anokye regional surgical unit after completing neoadjuvant chemoradiotherapy. She has been on a liquid diet fo…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome prevention β€” parenteral nutrition initiation protocol β˜… HY difficulty 4/5

A 28-year-old man, Yaw, is admitted to a district hospital surgical ward in the Northern Region with a 3-day history of fever, generalised abdominal pain, and watery diarrhoea. He has not eaten for 5 …

Surgical Nutrition and Refeeding Syndrome · Pre-operative nutritional optimisation β€” refeeding risk stratification β˜… HY difficulty 3/5

A 52-year-old woman, Akua, with known oesophageal carcinoma (T3 N1 M0) is referred to the Komfo Anokye surgical unit for nutritional optimisation prior to neoadjuvant chemoradiotherapy. She has lost 9…