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3996 matches for “Ghana” — showing 2131–2160
Surgical Nutrition and Refeeding Syndrome · Pre-operative nutritional optimisation in colorectal cancer ★ HY difficulty 3/5

A 62-year-old man, Mensah, is reviewed in the Korle Bu colorectal surgical clinic 6 weeks before his planned elective sigmoid colectomy for a T3 N1 M0 sigmoid adenocarcinoma. He has lost 8 kg over 4 m…

Surgical Nutrition and Refeeding Syndrome · Pre-operative nutritional optimisation in oesophageal cancer ★ HY difficulty 4/5

Ama, a 52-year-old woman with carcinoma of the oesophagus, is referred from a regional hospital to the Korle Bu upper gastrointestinal surgical unit. She has lost 14 kg over four months and has been u…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome prevention in severe malnutrition ★ HY difficulty 3/5

A 62-year-old woman, Akua, is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a diagnosis of carcinoma of the oesophagus. She has been unable to swallow …

Surgical Nutrition and Refeeding Syndrome · Thiamine deficiency and Wernicke's encephalopathy ★ HY difficulty 4/5

Yaw, a 29-year-old man with a background of alcohol dependence and chronic pancreatitis, is admitted to the Komfo Anokye emergency theatre for a laparotomy after developing a perforated duodenal ulcer…

Surgical Nutrition and Refeeding Syndrome · NICE CG32 refeeding risk criteria ★ HY difficulty 3/5

Ama, a 29-year-old primigravida, delivered by emergency caesarean section at a district hospital in the Bono East Region six weeks ago for obstructed labour. She developed a post-operative wound infec…

Surgical Nutrition and Refeeding Syndrome · Post-operative enteral feeding after typhoid perforation ★ HY difficulty 3/5

A 45-year-old man, Kofi, is on the surgical ward of a regional hospital in the Ashanti region following an emergency laparotomy for typhoid ileal perforation 5 days ago. He underwent simple closure of…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — pathophysiology ★ HY difficulty 3/5

A 38-year-old man, Kwame, is admitted to the Korle Bu general surgical unit following a road traffic accident that resulted in a small-bowel resection and temporary ileostomy. He spent 12 days in the …

Surgical Nutrition and Refeeding Syndrome · Post-operative enteral nutrition ★ HY difficulty 3/5

A 55-year-old woman, Ama, is reviewed on the district hospital surgical ward in the Northern Region four days after an emergency laparotomy for typhoid ileal perforation with faecal peritonitis. She u…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — pathophysiology and electrolyte disturbances ★ 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 complicated by faecal peritonitis. He spent 11 days in the IC…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome prevention ★ HY difficulty 3/5

A 38-year-old man, Kwame, is admitted to the Korle Bu general surgical unit following a subtotal gastrectomy for a perforated gastric ulcer complicated by peritonitis. He spent five days in the ICU an…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome pathophysiology ★ 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 had a stormy postoperative course complicated by a pr…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — diagnosis and immediate management ★ HY difficulty 4/5

A 38-year-old man, Kwame, is admitted to the surgical ward at Komfo Anokye Teaching Hospital following a Hartmann's procedure for perforated sigmoid diverticulitis. He has a background of alcohol use …

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — pathophysiology and electrolyte shifts ★ 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 diverticular disease. He has a background of alcohol-use disorder and was fo…

Surgical Nutrition and Refeeding Syndrome · Pre-operative nutritional optimisation ★ HY difficulty 3/5

Kofi, a 62-year-old man with carcinoma of the oesophagus, is admitted to the UGMC surgical firm for staging and nutritional optimisation prior to planned oesophagectomy. He reports progressive dysphag…

Surgical Nutrition and Refeeding Syndrome · Enteral nutrition in the critically ill ventilated patient ★ HY difficulty 3/5

A 28-year-old man, Yaw, is admitted to the ICU at the University of Ghana Medical Centre following a severe road traffic injury resulting in traumatic brain injury (GCS 8/15), bilateral rib fractures,…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — prevention and risk stratification ★ HY difficulty 4/5

Kwame, a 38-year-old subsistence farmer from a rural district in the Northern Region, is referred to the Tamale Teaching Hospital surgical ward following emergency laparotomy for typhoid perforation p…

Surgical Nutrition and Refeeding Syndrome · Early enteral nutrition in critical illness ★ HY difficulty 3/5

Kofi, a 28-year-old male farmer, is admitted to a district hospital surgical ward in the Northern Region following a road traffic accident resulting in a closed head injury and multiple rib fractures.…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — recognition and immediate management ★ HY difficulty 3/5

A 38-year-old man, Kwame, is admitted to the Korle Bu general surgical unit following a subtotal gastrectomy for a perforated gastric ulcer complicated by peritonitis. He had a stormy postoperative co…

Surgical Nutrition and Refeeding Syndrome · Nutritional assessment — albumin interpretation ★ HY difficulty 3/5

A 65-year-old man, Mensah, is admitted to the UGMC surgical firm with a perforated sigmoid diverticular abscess. He undergoes a Hartmann's procedure and is transferred to the surgical HDU post-operati…

Surgical Nutrition and Refeeding Syndrome · Post-major-resection enteral nutrition and refeeding risk ★ HY difficulty 5/5

Akua, a 52-year-old market trader, is admitted to the Korle Bu general surgical unit following a Whipple's pancreaticoduodenectomy for a periampullary adenocarcinoma. Her pre-operative course was comp…

Surgical Nutrition and Refeeding Syndrome · Pre-operative nutritional optimisation in severe malnutrition ★ HY difficulty 4/5

Adwoa, a 52-year-old woman with carcinoma of the oesophagus, is admitted to the Korle Bu surgical unit for neoadjuvant chemotherapy and planned Ivor Lewis oesophagectomy. Her body mass index is 16.2 k…

Surgical Nutrition and Refeeding Syndrome · Refeeding syndrome — management ★ HY difficulty 3/5

A 52-year-old woman, Akua, is referred from a district hospital in the Volta Region to the regional hospital with a 6-week history of progressive dysphagia, weight loss of 12 kg, and inability to swal…

Surgical Site Infection and Antibiotic Prophylaxis · SSI classification and wound management ★ HY difficulty 3/5

A 38-year-old man, Kwame, presents to the Komfo Anokye emergency theatre with a 24-hour history of generalised abdominal pain, fever (38.9°C), and vomiting. He was operated upon 5 days ago at a distri…

Surgical Site Infection and Antibiotic Prophylaxis · Management of established post-operative SSI ★ HY difficulty 2/5

Ama, a 38-year-old market trader, presents to the district hospital surgical ward in the Bono East Region five days after an emergency appendicectomy for gangrenous appendicitis with localised periton…

Surgical Site Infection and Antibiotic Prophylaxis · SSI risk stratification and prophylaxis in mesh hernia repair ★ HY difficulty 4/5

Kofi, a 58-year-old civil servant with type 2 diabetes mellitus (HbA1c 9.8%) and a BMI of 34 kg/m², is scheduled for an elective open inguinal hernia repair (Lichtenstein mesh repair) at the Korle Bu …

Surgical Site Infection and Antibiotic Prophylaxis · Superficial SSI — wound drainage ★ HY difficulty 2/5

Yaw, a 35-year-old secondary school teacher, underwent an open appendicectomy 5 days ago at a regional hospital in the Ashanti Region for a perforated appendix with localised pus. He was discharged on…

Surgical Site Infection and Antibiotic Prophylaxis · Antibiotic prophylaxis in penicillin allergy ★ HY difficulty 4/5

Ama, a 67-year-old retired teacher with a known penicillin allergy (documented urticarial rash), is scheduled for an elective open mesh repair of a large inguinal hernia at the UGMC surgical unit in A…

Surgical Site Infection and Antibiotic Prophylaxis · Wound closure strategy in contaminated wounds ★ HY difficulty 3/5

A 29-year-old man, Yaw, is brought to a district hospital surgical ward in Brong-Ahafo following a road traffic collision. He sustained blunt abdominal trauma and is taken to theatre for an explorator…

Surgical Site Infection and Antibiotic Prophylaxis · Timing of prophylactic antibiotics ★ HY difficulty 2/5

A 38-year-old man, Kwame, is admitted to the Komfo Anokye emergency theatre with a 24-hour history of generalised abdominal pain, fever, and vomiting. He is known to have peptic ulcer disease and take…

Surgical Site Infection and Antibiotic Prophylaxis · Prophylaxis for biliary surgery in sickle-cell disease ★ HY difficulty 3/5

Ama, a 29-year-old woman with known sickle-cell disease (HbSS), is admitted to the Tamale Teaching Hospital surgical ward with a 3-day history of right upper quadrant pain, fever, and jaundice. Ultras…