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2131 matches for “Ghana” — showing 271–300
ECG - Wide Complex Tachycardia · Capture beats and fusion beats - pathognomonic for VT ★ HY difficulty 4/5

Yaa, a 70-year-old woman with hypertensive heart disease, is brought to the Tamale Teaching Hospital A&E by her family after collapsing at home. She is conscious and her blood pressure is 95/55 mmHg. …

ECG - Wide Complex Tachycardia · Precordial concordance - all negative or all positive favours VT ★ HY difficulty 4/5

Kofi, a 62-year-old man with ischaemic cardiomyopathy and an ejection fraction of 30%, presents to the Korle Bu emergency centre with a 2-hour history of palpitations. He is alert and his blood pressu…

ECG - Wide Complex Tachycardia · Brugada criteria - absence of RS in precordials, AV dissociation, morphology criteria ★ HY difficulty 3/5

Kwame, a 58-year-old man with a known history of ischaemic cardiomyopathy, is brought to the A&E of Komfo Anokye Teaching Hospital in Kumasi after a witnessed collapse at home. He is conscious but dia…

ECG - Wide Complex Tachycardia · Brugada algorithm Step 1 - absence of RS complex in precordial leads ★ HY difficulty 3/5

Kwame, a 58-year-old man with a known history of previous myocardial infarction, presents to the Komfo Anokye ED with a 30-minute history of palpitations and presyncope. He is diaphoretic and his bloo…

ECG - Wide Complex Tachycardia · Capture beats and fusion beats as pathognomonic signs of VT; positive precordial concordance ★ HY difficulty 4/5

Kofi, a 63-year-old man with hypertensive heart disease and a previous anterior myocardial infarction three years ago, is brought to the Korle Bu Emergency Centre in Accra with sudden-onset palpitatio…

ECG in Poisoning and Toxicology · Digoxin toxicity - bidirectional VT, scooped ST, digoxin-specific Fab ★ HY difficulty 4/5

Yaa, a 67-year-old woman with known heart failure and atrial fibrillation, presents to a regional hospital A&E in Brong-Ahafo with nausea, vomiting, and visual disturbance (yellow-green halos) for two…

ECG in Poisoning and Toxicology · Cocaine cardiac toxicity - beta-blocker contraindication ★ HY difficulty 3/5

A 28-year-old man named Kofi is brought to the Komfo Anokye ED by friends after smoking crack cocaine at a party. He is agitated, diaphoretic, and complains of severe central chest pain and palpitatio…

ECG in Poisoning and Toxicology · Tricyclic antidepressant overdose - terminal R in aVR and QRS widening ★ HY difficulty 3/5

A 19-year-old woman named Akua is brought to the Komfo Anokye ED by her family after ingesting an unknown quantity of her mother's amitriptyline tablets approximately 2 hours ago. She is confused, agi…

ECG in Poisoning and Toxicology · Digoxin toxicity - PR prolongation, scooped ST, AV block ★ HY difficulty 3/5

A 45-year-old man named Kwabena presents to a regional hospital A&E in the Ashanti Region with nausea, vomiting, and visual disturbance described as seeing yellow halos. He has known heart failure and…

ECG in Poisoning and Toxicology · Beta-blocker overdose - complete AV block and glucagon therapy ★ HY difficulty 4/5

A 62-year-old woman named Yaa is brought to the Korle Bu Emergency Centre after being found unresponsive at home. Her daughter reports she takes atenolol 100 mg daily for hypertension. On examination …

ECG in Poisoning and Toxicology · Tricyclic antidepressant overdose - terminal R in aVR, QRS widening, sodium bicarbonate ★ HY difficulty 3/5

Kwame, a 28-year-old man, is brought to the Komfo Anokye ED by his family after they found him unresponsive at home with an empty blister pack of amitriptyline nearby. He is drowsy, tachycardic, and h…

ENT Emergencies · Tuning fork interpretation in SSNHL ★ HY difficulty 2/5

Kofi, a 55-year-old bank manager, is brought to the Korle Bu emergency centre by his wife. He reports sudden onset right-sided hearing loss that began abruptly yesterday evening while he was watching …

ENT Emergencies · Acute coalescent mastoiditis — diagnosis ★ HY difficulty 2/5

A 6-year-old boy named Kofi is brought to the Komfo Anokye ED by his mother. Three weeks ago he was treated at a district hospital for acute otitis media with oral amoxicillin, but his mother did not …

ENT Emergencies · Definition and diagnostic criteria of SSNHL ★ HY difficulty 2/5

Akosua, a 42-year-old secondary school teacher, presents to the Komfo Anokye ED reporting that she woke up three days ago unable to hear clearly from her right ear. She denies ear pain, discharge, or …

ENT Emergencies · Initial treatment and referral timing in SSNHL ★ HY difficulty 3/5

Ama, a 38-year-old nurse, presents to a regional hospital ED in the Ashanti Region with a 4-day history of sudden left-sided hearing loss and tinnitus. She denies vertigo, otalgia, or otorrhoea. She i…

ENT Emergencies · Mastoiditis management — resource-limited district hospital ★ HY difficulty 3/5

Ama, a 5-year-old girl, is brought to a district hospital in Brong-Ahafo with four days of fever, right-sided post-auricular swelling, and a painful ear. She had otitis media three weeks earlier treat…

ENT Emergencies · Otogenic meningitis — antibiotic management ★ HY difficulty 3/5

Kwame, a 7-year-old boy, presents to the Tamale Teaching Hospital ED with a 5-day history of fever, left ear pain, and a stiff neck. He had acute otitis media one month ago treated only with oral para…

ENT Emergencies · Peritonsillar abscess — antibiotic therapy ★ HY difficulty 2/5

Afia, a 31-year-old teacher, presents to a regional hospital ED in the Ashanti region with a 5-day history of right-sided throat pain, fever (38.7°C), and difficulty swallowing. She was started on ora…

ENT Emergencies / Airway · Ludwig's angina — airway management ★ HY difficulty 4/5

Kwame, a 34-year-old man, is brought to the Korle Bu Emergency Centre with a 6-day history of worsening throat pain and 2 days of neck swelling. He was seen at a district health facility 3 days ago an…

ENT and Head/Neck Emergencies · Ludwig angina — airway management and emergency theatre ★ HY difficulty 4/5

A 52-year-old man, Mensah, is brought to the resus bay at Korle Bu Teaching Hospital by ambulance with a 2-day history of worsening floor-of-mouth swelling, dysphagia, and difficulty breathing. He is …

ENT and Head/Neck Emergencies · Sudden sensorineural hearing loss — steroid therapy and urgent ENT referral within 72 hours ★ HY difficulty 3/5

A 45-year-old man, Kwame, presents to the A&E at Komfo Anokye Teaching Hospital with a 36-hour history of sudden, complete deafness in his right ear, accompanied by tinnitus but no vertigo. He has no …

ENT and Head/Neck Emergencies · Retropharyngeal abscess - paediatric airway emergency, lateral neck X-ray, IV antibiotics, ENT theatre ★ HY difficulty 3/5

A 6-year-old boy, Kofi, is brought to the paediatric A&E at the 37 Military Hospital by his mother. She reports a 4-day history of sore throat, fever, and difficulty swallowing. Today he has developed…

ENT and Head/Neck Emergencies · Vertigo — HINTS examination and central vs peripheral discrimination ★ HY difficulty 4/5

A 62-year-old woman, Adwoa, is brought to the A&E at Tamale Teaching Hospital by her family with acute-onset severe vertigo, vomiting, and unsteadiness that began 2 hours ago. She has a history of hyp…

ENT and Head/Neck Emergencies · Ludwig angina - airway compromise, IV antibiotics, urgent theatre ★ HY difficulty 3/5

A 52-year-old man, Mensah, is brought to the A&E at Komfo Anokye Teaching Hospital by his family with a 3-day history of worsening floor-of-mouth swelling, odynophagia, and drooling. He is febrile at …

ENT and Head/Neck Emergencies · Bell palsy - LMN vs UMN differentiation, prednisolone within 72 hours ★ HY difficulty 2/5

A 34-year-old man, Yaw, presents to the A&E at Korle Bu Teaching Hospital with a 2-day history of right-sided facial weakness. He is unable to close his right eye fully, the right corner of his mouth …

ENT and Head/Neck Emergencies · Sudden sensorineural hearing loss - corticosteroids within 72 hours ★ HY difficulty 3/5

A 45-year-old teacher, Akua, presents to the A&E at Komfo Anokye Teaching Hospital with sudden onset right-sided hearing loss that began 18 hours ago. She reports no preceding trauma, ear discharge, o…

ENT and Head/Neck Emergencies · Vertigo - HINTS examination, central vs peripheral differentiation ★ HY difficulty 4/5

A 62-year-old man, Kwabena, is brought to the A&E at Tamale Teaching Hospital with acute onset severe dizziness and vomiting that started 3 hours ago. He is unable to walk without support. On examinat…

Elder Abuse · Physical abuse red flags ★ HY difficulty 3/5

An 82-year-old woman, Adwoa, is brought to the emergency centre at Korle Bu by her adult son after a fall at home. She has a laceration over the right eyebrow and bruising over both forearms. Her son …

Elder Abuse · Sexual abuse and mandatory reporting ★ HY difficulty 3/5

A 73-year-old woman, Abena, is brought to the emergency centre of a district hospital in the Brong-Ahafo Region by her granddaughter. She presents with a three-week history of vaginal bleeding and per…

Elder Abuse · Capacity assessment and self-neglect management ★ HY difficulty 4/5

A 65-year-old man, Joseph, is seen at a regional hospital emergency department in the Volta Region. He was brought by a community health nurse who found him at home following a visit triggered by a ne…