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3996 matches for “Ghana” — showing 2641–2670
Typhoid Perforation · Pre-operative resuscitation and antibiotic selection ★ HY difficulty 3/5

Akua, a 24-year-old market woman, is referred from a peripheral clinic to Komfo Anokye emergency theatre with a two-day history of sudden worsening abdominal pain superimposed on a ten-day febrile ill…

Typhoid Perforation · Typhoid perforation ★ HY difficulty 3/5

Ama, a 24-year-old woman, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a two-day history of sudden-onset generalised abdominal pain superimposed on a te…

Typhoid Perforation · Operative management — single perforation ★ HY difficulty 3/5

Akua, a 24-year-old woman, is admitted to the Komfo Anokye emergency theatre with a 3-day history of sudden-onset generalised abdominal pain following two weeks of fever, headache, and diarrhoea. She …

Typhoid Perforation · Typhoid perforation ★ HY difficulty 2/5

A 19-year-old male student, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo by relatives after five days of fever, headache, and diffuse abdominal pain that has worsened acutel…

Upper Gastrointestinal Bleeding · Variceal haemorrhage — pharmacological management ★ HY difficulty 3/5

A 52-year-old woman, Akua, is admitted to the Korle Bu surgical unit with haematemesis and melaena of 18 hours' duration. She has known alcoholic liver cirrhosis (Child–Pugh B) and has been on propran…

Upper Gastrointestinal Bleeding · Peptic ulcer haemorrhage — endoscopic management ★ HY difficulty 3/5

A 52-year-old woman, Adwoa, presents to the surgical ward of a regional hospital in the Ashanti Region with a 12-hour history of haematemesis and melaena. She takes diclofenac daily for osteoarthritis…

Upper Gastrointestinal Bleeding · Risk stratification — Glasgow-Blatchford Score ★ HY difficulty 3/5

A 67-year-old man, Mensah, is referred from a district hospital in the Upper East Region to the regional hospital with a 12-hour history of melaena and dizziness. He has no history of NSAID use, no kn…

Upper Gastrointestinal Bleeding · Oesophageal variceal haemorrhage — pharmacological management ★ HY difficulty 3/5

A 52-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 12-hour history of melaena and one episode of haematemesis. She has a known history of li…

Upper Gastrointestinal Bleeding · Gastric ulcer — post-endoscopy management ★ HY difficulty 3/5

A 45-year-old man, Yaw, is admitted to the Korle Bu general surgical unit with a 48-hour history of melaena and one episode of haematemesis. He has no known comorbidities and takes no medications. On …

Upper Gastrointestinal Bleeding · Peptic ulcer — post-endoscopy medical management ★ HY difficulty 3/5

A 60-year-old man, Mensah, is admitted to the Korle Bu surgical unit with a three-day history of melaena and one episode of haematemesis. He has a known duodenal ulcer diagnosed five years ago. He tak…

Upper Gastrointestinal Bleeding · Acute oesophageal variceal haemorrhage — pharmacotherapy ★ HY difficulty 3/5

A 44-year-old man, Kofi, with known liver cirrhosis secondary to hepatitis B is brought to the resus bay of a regional hospital in the Ashanti region after vomiting approximately 1.5 litres of fresh b…

Upper Gastrointestinal Bleeding · Peptic ulcer haemorrhage — endoscopic management ★ HY difficulty 3/5

A 58-year-old woman, Adwoa, presents to the surgical ward of a regional hospital in the Ashanti Region with a 6-hour history of haematemesis and melaena. She takes diclofenac 75 mg twice daily for ost…

Upper Gastrointestinal Bleeding · Peptic ulcer haemorrhage — Forrest classification and endoscopic management ★ HY difficulty 3/5

A 58-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 24-hour history of haematemesis and melaena. She takes diclofenac regularly for knee oste…

Upper Gastrointestinal Bleeding · Warfarin-associated upper GI haemorrhage — coagulopathy management ★ HY difficulty 4/5

A 67-year-old woman, Akua, with known hypertension and atrial fibrillation is admitted to the UGMC surgical firm with a 24-hour history of melaena and dizziness. She takes warfarin 5 mg daily (target …

Upper Gastrointestinal Bleeding · Peptic ulcer haemorrhage — initial resuscitation ★ HY difficulty 2/5

A 38-year-old man, Kwame, is brought by relatives to the emergency department of Komfo Anokye Teaching Hospital after vomiting approximately 800 mL of fresh red blood at home. He has a 6-year history …

Upper Gastrointestinal Bleeding · Oesophageal variceal haemorrhage — pharmacotherapy ★ HY difficulty 3/5

A 52-year-old woman, Adwoa, is admitted to the Korle Bu general surgical unit with a 12-hour history of haematemesis and melaena. She has known liver cirrhosis secondary to hepatitis B infection, conf…

Upper Gastrointestinal Bleeding · Sickle-cell disease — peri-operative haematological management ★ HY difficulty 4/5

A 34-year-old woman, Ama, with known sickle-cell disease (HbSS) presents to the Komfo Anokye emergency unit with haematemesis and severe epigastric pain. She has been admitted twice previously for vas…

Upper Gastrointestinal Bleeding · Failed endoscopic haemostasis — surgical rescue ★ HY difficulty 4/5

A 60-year-old man is referred urgently from a district hospital in the Volta Region to the regional hospital after two episodes of haematemesis and ongoing melaena. He has a history of hypertension ma…

Upper Gastrointestinal Bleeding · Oesophageal variceal haemorrhage ★ HY difficulty 4/5

A 38-year-old man, Kwame, is brought by relatives to the emergency department of Komfo Anokye Teaching Hospital after vomiting approximately 800 mL of fresh blood over two hours. He has a known histor…

Upper Gastrointestinal Bleeding · Peptic ulcer haemorrhage — initial resuscitation ★ HY difficulty 3/5

A 38-year-old man, Kwame, is brought by relatives to the emergency department at Komfo Anokye Teaching Hospital after vomiting approximately 800 mL of fresh blood over two hours. He has a 6-year histo…

Upper Gastrointestinal Bleeding · Typhoid intestinal haemorrhage and perforation ★ HY difficulty 4/5

A 29-year-old man, Kofi, presents to a district hospital in the Northern Region with a two-day history of profuse haematemesis. He reports three weeks of high-grade fever, diffuse abdominal pain, and …

Upper Gastrointestinal Bleeding · Risk stratification — Glasgow-Blatchford Score ★ HY difficulty 3/5

A 52-year-old woman, Adwoa, is referred from a district hospital in the Ashanti Region to the Komfo Anokye Teaching Hospital with a 3-day history of melaena and one episode of haematemesis. She has be…

Urolithiasis and Acute Ureteric Colic · Diagnosis of ureteric calculi ★ HY difficulty 2/5

Kwame, a 34-year-old male teacher, presents to the emergency department of a regional hospital in Ashanti with a 6-hour history of sudden-onset severe right loin pain radiating to the right groin and …

Urolithiasis and Acute Ureteric Colic · Initial management of acute ureteric colic ★ HY difficulty 2/5

Kwame, a 34-year-old male teacher, presents to the regional hospital emergency unit in Kumasi with a 6-hour history of sudden-onset severe left loin pain radiating to the left groin and scrotum. He is…

Urolithiasis and Acute Ureteric Colic · Imaging investigation for ureteric colic ★ HY difficulty 2/5

A 34-year-old man, Kwame, presents to the emergency department of Komfo Anokye Teaching Hospital with a 6-hour history of sudden-onset severe right loin pain radiating to the right groin and scrotum. …

Urolithiasis and Acute Ureteric Colic · Obstructed infected kidney / pyonephrosis ★ HY difficulty 3/5

Kofi, a 45-year-old farmer from the Upper East Region, is brought to the regional hospital with a 3-day history of right loin pain, rigors, and high-grade fever. He reports a previous episode of right…

Urolithiasis and Acute Ureteric Colic · Diagnosis and imaging of ureteric colic ★ HY difficulty 2/5

Kwame, a 34-year-old male civil servant, presents to the Komfo Anokye emergency department with a 6-hour history of sudden-onset, severe, colicky right loin pain radiating to the right groin and inner…

Urolithiasis and Acute Ureteric Colic · Infected obstructed hydronephrosis ★ HY difficulty 3/5

Yaw, a 52-year-old businessman, presents to a regional hospital in the Ashanti Region with a 2-day history of right loin pain, rigors, and high fever. He had a right ureteric stone diagnosed 3 weeks a…

Urolithiasis and Acute Ureteric Colic · Medical expulsive therapy ★ HY difficulty 3/5

Yaw, a 45-year-old man with known sickle-cell disease (HbSS), is admitted to the Korle Bu urology ward with right loin pain and haematuria. NCCT-KUB reveals a 4 mm right ureteric stone at the vesico-u…

Urolithiasis and Acute Ureteric Colic · Stone composition and radiolucent calculi ★ HY difficulty 3/5

A 38-year-old man, Mohammed, presents to the district hospital in Tamale with acute right loin-to-groin pain and haematuria. He is known to have gout and takes no uricosuric agents. He drinks 1.2 litr…