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3996 matches for “Ghana” — showing 2461–2490
Trauma · TBI - Osmotherapy Mechanism and Drug Selection β˜… HY difficulty 4/5

Kofi, a 44-year-old civil servant, arrives at Korle Bu emergency centre after a road traffic collision in which he was an unrestrained front-seat passenger. His GCS is 6 (E1V2M3), blood pressure 130/8…

Trauma · Massive transfusion protocol β˜… HY difficulty 3/5

A 55-year-old woman, Adwoa, is referred from a district hospital to Korle Bu emergency centre following a motor vehicle collision 90 minutes ago. She has received 2 litres of crystalloid en route. On …

Trauma · Traumatic aortic injury - mechanism, diagnosis, and haemodynamic management β˜… HY difficulty 4/5

A 52-year-old man, Yaw, is brought to Korle Bu Emergency Centre by relatives following a high-speed road traffic collision in which he was the driver and sustained significant chest impact against the…

Trauma · CABC priorities - catastrophic haemorrhage β˜… HY difficulty 2/5

A 35-year-old woman, Akosua, is brought to a regional hospital A&E after a machete assault. She has a deep laceration to the right thigh with pulsatile arterial bleeding that soaks through dressings r…

Trauma · Uterine rupture β˜… HY difficulty 3/5

A 24-year-old woman at 38 weeks gestation is brought to a district hospital in the Brong-Ahafo Region after a road traffic collision. She was wearing a lap-only seat belt. Vitals on arrival: BP 90/60 …

Trauma · Gustilo-Anderson Grade III + tetanus prophylaxis β˜… HY difficulty 3/5

Mohammed, a 19-year-old student, is brought to the Korle Bu Emergency Centre after his motorcycle was struck by a bus. He has a right tibial fracture with a 12 cm wound exposing the tibia with comminu…

Trauma · Lactate and base deficit as resuscitation markers β˜… HY difficulty 3/5

A 45-year-old man is brought to the Komfo Anokye ED following a motor vehicle collision in which he was struck as a pedestrian. He has sustained blunt chest, abdominal, and pelvic trauma. Initial BP i…

Trauma and Orthopaedics · Fasciotomy timing and indications β˜… HY difficulty 3/5

A 34-year-old woman, Akosua, is reviewed in the emergency unit of a regional hospital in the Ashanti Region 18 hours after a plaster cast was applied to her left forearm following a distal radius frac…

Trauma and Orthopaedics · Early clinical signs of compartment syndrome β˜… HY difficulty 2/5

A 19-year-old man, Kofi, is brought to the emergency centre at Komfo Anokye Teaching Hospital after sustaining a closed tibial shaft fracture during a motorbike accident two hours ago. His leg was spl…

Tropical Medicine · Rabies PEP in previously vaccinated individual β˜… HY difficulty 4/5

Yaw, a 31-year-old veterinary assistant at a livestock market in Kumasi, presents to Komfo Anokye ED after being bitten on the right index finger by a dog he was restraining for examination. The bite …

Tropical Medicine · African tick-bite fever - eschar and empirical doxycycline β˜… HY difficulty 2/5

Kwame, a 34-year-old subsistence farmer from the Brong-Ahafo region, presents to the district hospital A&E with a 5-day history of fever, severe headache, and a painful swelling in his right axilla. H…

Tropical Medicine · Leptospirosis - Weil syndrome: jaundice, AKI, haemorrhage β˜… HY difficulty 3/5

Ama, a 28-year-old rice farmer from the Volta Region, presents to the regional hospital A&E with 7 days of high fever, severe myalgia (particularly in the calves), headache, and conjunctival suffusion…

Tropical Medicine · Severe falciparum malaria - cerebral malaria and IV artesunate dosing β˜… HY difficulty 2/5

Kwame, a 28-year-old subsistence rice farmer from the Volta Region, is brought to a district hospital A&E by relatives after three days of high fever, headache, and progressive confusion. He has not t…

Tropical Medicine · Uncomplicated falciparum malaria - pregnancy-safe regimens β˜… HY difficulty 3/5

Akua, a 28-year-old primary school teacher from a rural community in the Bono East region, presents to a district hospital A&E with a 4-day history of fever, headache, and myalgia. She has no recent t…

Tropical Medicine · Severe falciparum malaria - hypoglycaemia β˜… HY difficulty 3/5

Yaw, a 28-year-old secondary school teacher, is referred from a CHPS compound to the regional hospital A&E in Tamale after three days of fever, vomiting, and progressive drowsiness. He lives in a peri…

Tropical Medicine · CSF examination and staging in T. brucei gambiense β˜… HY difficulty 4/5

Ama, a 32-year-old nurse working at a district hospital in the Savannah region near Damongo, presents to the Tamale Teaching Hospital ED with a 5-week history of fever, generalised lymphadenopathy, an…

Tropical Medicine · Visceral leishmaniasis - diagnosis and liposomal amphotericin B treatment β˜… HY difficulty 3/5

Ama, a 9-year-old girl from a rural farming community in the Upper West Region near Wa, is brought to Wa Regional Hospital by her parents after six weeks of progressive weight loss, abdominal swelling…

Tropical Medicine · Severe falciparum malaria - paediatric IV artesunate dosing β˜… HY difficulty 4/5

A 4-year-old girl named Yaa is admitted to Komfo Anokye Teaching Hospital paediatric ED from a village in the Kwabre East district after four days of fever, vomiting, and one witnessed generalised ton…

Tropical Medicine · Severe falciparum malaria β€” first-line treatment β˜… HY difficulty 3/5

Kojo, a 24-year-old man in Kumasi, has had fever and rigors for 4 days and is brought in drowsy, with a GCS of 10. His thin film is shown; parasitaemia is 8%. Blood glucose is 5.2 mmol/L. He weighs 60…

Tropical Medicine · Typhoid fever - intestinal perforation β˜… HY difficulty 3/5

Yaa, a 34-year-old female market trader from Accra, presents to the Korle Bu emergency centre resus bay with sudden-onset severe generalised abdominal pain and rigidity. She has had two weeks of untre…

Tropical Medicine · Severe falciparum malaria - severe anaemia transfusion threshold β˜… HY difficulty 3/5

Abena, a 6-year-old girl from a rural community in Brong-Ahafo Region, is brought to the district hospital paediatric ward by her mother after four days of fever and refusing to eat. She has had no pr…

Tropical Medicine · VHF - isolation precautions and PPE standards β˜… HY difficulty 2/5

Mohammed, a 45-year-old male trader from Tamale, is admitted to Tamale Teaching Hospital with a 4-day febrile illness. He reports fever, chills, and headache initially, followed today by gum bleeding …

Tropical Medicine · PCP - cotrimoxazole and corticosteroids in severe disease β˜… HY difficulty 2/5

Akua, a 34-year-old seamstress from Kumasi, is brought to the Komfo Anokye ED by her husband after three weeks of progressive dyspnoea, dry cough, and low-grade fever. She has no history of TB contact…

Tropical Medicine · Typhoid fever - intestinal perforation β˜… HY difficulty 3/5

Kwabena, a 42-year-old subsistence farmer, is referred from a CHPS compound in the Bono East Region after 14 days of worsening fever and malaise. He reports consuming river water during the recent dry…

Tropical Medicine · Typhoid fever - blood culture diagnostic yield β˜… HY difficulty 2/5

Kofi, a 28-year-old male farmer from a rural community near Techiman in the Bono East region, is brought by relatives to the district hospital with a 12-day history of fever, malaise, and abdominal pa…

Tropical Medicine · Severe Acute Malnutrition - Kwashiorkor vs Marasmus β˜… HY difficulty 2/5

A 2-year-old boy named Kofi is brought to the district hospital A&E in Brong-Ahafo region by his mother, a subsistence farmer. She reports he has had poor appetite and swelling of both legs for three …

Tropical Medicine · Severe falciparum malaria - hypoglycaemia β˜… HY difficulty 2/5

Yaw, a 34-year-old lorry driver, is brought to Komfo Anokye Teaching Hospital ED from a rural community in Ashanti Region after developing fever, rigors, and sudden-onset seizures on the roadside. He …

Tropical Medicine · Cholera - severe dehydration and IV rehydration β˜… HY difficulty 2/5

A 28-year-old rice farmer, Kwame, is brought by relatives to a district hospital in the Northern Region of Ghana during the rainy season. He reports sudden onset of profuse, painless watery diarrhoea …

Tropical Medicine · Schistosomiasis - Urogenital S. haematobium, praziquantel dosing β˜… HY difficulty 2/5

Ama, an 11-year-old girl, is brought to the district hospital A&E in the Brong-Ahafo Region by her mother with a 4-month history of blood at the end of urination. She is otherwise well and afebrile. H…

Tropical Medicine · Hookworm-induced anaemia in pregnancy β˜… HY difficulty 2/5

Adwoa, a 28-year-old subsistence farmer from a rural community in the Central Region, presents to the regional hospital A&E with progressive fatigue, exertional dyspnoea, and pica (eating soil) for tw…