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3996 matches for “Ghana” — showing 2581–2610
Tropical Medicine · Snakebite envenomation - elapid neurotoxic, airway emergency ★ HY difficulty 3/5

Kwabena, a 27-year-old cocoa farm labourer from Sefwi Wiawso district in the Western Region, is referred to the regional hospital A&E after a bite to his right forearm by a large snake he described as…

Tropical Medicine · Severe acute malnutrition - F-75 vs F-100 stabilisation feeds ★ HY difficulty 3/5

A 18-month-old girl named Ama is referred from a CHPS compound in the Upper West Region to Tamale Teaching Hospital. Her mother reports 3 weeks of poor feeding and watery stools. There is no recent tr…

Tropical Medicine · TB-IRIS post-ART initiation in HIV co-infection ★ HY difficulty 4/5

Yaa, a 42-year-old market trader from Accra, was diagnosed with smear-positive pulmonary TB 3 months ago and started on the standard 2HRZE/4HR regimen. She is HIV-positive with a CD4 count of 112 cell…

Tropical Medicine · Rabies PEP - Essen vs Zagreb schedule and RIG dosing ★ HY difficulty 4/5

Yaw, a 34-year-old farmer from a district in northern Ghana near Tamale, presents to Tamale Teaching Hospital ED after being bitten on the left forearm by a dog that he describes as 'acting strangely …

Tropical Medicine · Schistosomiasis - Acute Katayama syndrome ★ HY difficulty 3/5

Kwame, a 19-year-old male student from Kumasi, presents to the Komfo Anokye ED with a 3-week history of fever, urticaria, dry cough, and myalgia. He returned 6 weeks ago from a 2-week rural attachment…

Tropical Medicine · Ascaris intestinal obstruction ★ HY difficulty 3/5

A 9-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo region by his mother with a 3-day history of colicky central abdominal pain, bilious vomiting, and inability to pass…

Tropical Medicine · Acute HIV seroconversion illness ★ HY difficulty 2/5

Kwame, a 28-year-old male secondary school teacher in Kumasi, presents to Komfo Anokye ED with a 10-day history of fever, sore throat, cervical lymphadenopathy, and a maculopapular rash over his trunk…

Tropical Medicine · Paediatric S. haematobium - praziquantel dosing ★ HY difficulty 3/5

Akosua, an 8-year-old girl from a farming community near Sunyani in the Brong-Ahafo Region, is brought by her mother to the district hospital after her teacher noticed she passes blood in her urine mo…

Tropical Medicine · Snakebite - carpet viper haemotoxic envenomation ★ HY difficulty 2/5

Alhaji, a 34-year-old subsistence farmer from Tamale in the Northern Region, is brought to Tamale Teaching Hospital A&E at 23:00 after being bitten on his right ankle while walking barefoot to his out…

Tropical Medicine · Cerebral malaria - Blantyre Coma Score ★ HY difficulty 3/5

A 6-year-old girl, Akua, is referred from a CHPS compound in rural Northern Region to Tamale Teaching Hospital paediatric ward. She has had fever for 5 days and has been unconscious since this morning…

Tropical Medicine · HIV-associated opportunistic infection - PCP ★ HY difficulty 3/5

Yaw, a 32-year-old male fisherman from a coastal community near Cape Coast, is brought to the Central Regional Hospital A&E by his wife after 3 weeks of progressive weight loss, oral candidiasis, and …

Tropical Pyomyositis · Stage classification and management ★ HY difficulty 3/5

A 45-year-old woman, Abena, presents to the Korle Bu general surgical unit with a 5-day history of right upper arm swelling and fever. She is a known type 2 diabetic on metformin and glibenclamide. On…

Tropical Pyomyositis · Causative organism and stage-dependent management ★ HY difficulty 2/5

A 19-year-old male farmer, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo with a 10-day history of progressive pain and swelling of the right thigh. He initially attributed th…

Tropical Pyomyositis · Management of stage 2 tropical pyomyositis ★ HY difficulty 3/5

A 32-year-old woman, Akua, is referred from a district hospital to Komfo Anokye Teaching Hospital with a 3-week history of right thigh pain, fever, and inability to bear weight. She was initially trea…

Tropical Pyomyositis · Aetiology and microbiology ★ HY difficulty 2/5

A 28-year-old farmer, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo with a 10-day history of progressive right thigh pain, swelling, and fever. He initially attributed the pa…

Tropical Pyomyositis · Management of suppurative tropical pyomyositis ★ HY difficulty 3/5

A 34-year-old woman, Akua, is referred from a district hospital in the Brong-Ahafo Region to Komfo Anokye Teaching Hospital with a 3-week history of left buttock pain and swelling, high-grade fever, a…

Tropical Pyomyositis · Differential diagnosis and investigation ★ HY difficulty 4/5

A 14-year-old boy, Kofi, is brought to the Tamale Teaching Hospital emergency department by his parents with a 5-day history of right hip pain, limp, and fever. He cannot bear weight on the right leg.…

Tropical Pyomyositis · Diagnosis and investigation of tropical pyomyositis ★ HY difficulty 3/5

A 19-year-old male farmer, Kwame, presents to the district hospital surgical ward in Brong-Ahafo with a 10-day history of fever, malaise, and progressive swelling of the right thigh. He initially attr…

Tropical Pyomyositis · Clinical staging and management ★ HY difficulty 3/5

A 19-year-old student, Akua, is referred from a district hospital in the Upper East Region to the regional hospital with a 2-week history of right buttock pain and fever. She was initially treated wit…

Tropical Pyomyositis · Predisposing host factors ★ HY difficulty 3/5

A 35-year-old man, Yaw, known to have HIV infection (CD4 count 112 cells/µL, not yet on antiretroviral therapy), presents to the Komfo Anokye Teaching Hospital surgical unit with a 2-week history of r…

Tropical Pyomyositis · Operative anatomy and surgical drainage approach ★ HY difficulty 3/5

A 28-year-old man, Yaw, presents to the Korle Bu general surgical unit with a 2-week history of left thigh pain, swelling, and fever. He is a previously healthy footballer. On examination, temperature…

Tropical Pyomyositis · Clinical staging and classification ★ HY difficulty 3/5

A 28-year-old woman, Akua, is referred from a health centre in the Upper West Region to the regional hospital with a 3-week history of left buttock pain and swelling. She initially had fever and malai…

Tropical Pyomyositis · Clinical staging and sepsis management ★ HY difficulty 3/5

A 45-year-old fisherman, Mensah, presents to a district hospital in the Central Region with a 3-week history of buttock pain and fever. He initially had brawny induration of the right gluteal region w…

Tropical Pyomyositis · Stage 3 pyomyositis and septic shock management ★ HY difficulty 5/5

A 22-year-old male student, Kofi, presents to the UGMC surgical firm with a 3-week history of right thigh pain and swelling that has progressively worsened despite a 10-day course of oral amoxicillin …

Tropical Pyomyositis · Stage-dependent management of tropical pyomyositis ★ HY difficulty 3/5

A surgical registrar at a district hospital in the Upper East Region is called to review a 28-year-old male, Yaw, with a 5-day history of right thigh pain and low-grade fever. There is no history of t…

Tropical Pyomyositis · Sickle-cell peri-operative management ★ HY difficulty 4/5

A 42-year-old woman, Ama, with known sickle-cell disease (HbSS) presents to the Korle Bu Teaching Hospital surgical unit with a 12-day history of left calf pain, swelling, and fever. She has had two p…

Tropical Pyomyositis · Pyomyositis in sickle-cell disease — perioperative management ★ HY difficulty 4/5

Kofi, a 14-year-old schoolboy, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 3-week history of right thigh pain and swelling. He has sickle-cell diseas…

Tropical Pyomyositis · Management of suppurative stage ★ HY difficulty 3/5

A 35-year-old man, Yaw, presents to the Komfo Anokye emergency department with a 3-week history of left thigh swelling and low-grade fever. He initially had a vague ache that he ignored. Over the past…

Tropical Pyomyositis · Aetiology and microbiology ★ HY difficulty 2/5

A 19-year-old male farmer, Kwame, is brought to the district hospital surgical ward in the Brong-Ahafo region with a 10-day history of pain and swelling in his right thigh. He recalls no specific inju…

Tropical Pyomyositis · Differential diagnosis: pyomyositis vs necrotising fasciitis ★ HY difficulty 3/5

A 28-year-old male footballer, Kofi, presents to the emergency department of a regional hospital in the Ashanti Region with a 5-day history of fever, right buttock pain, and difficulty sitting. He rec…