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510 matches for “Ghana” — showing 271–300
Pelvic pain — female · PID - combination antibiotic management ★ HY difficulty 2/5

Yaa, a 22-year-old sexually active woman, presents to the Komfo Anokye ED with a 4-day history of lower abdominal pain and a yellowish vaginal discharge. Her temperature is 38.4°C, pulse 96 bpm. Pelvi…

Pelvic pain — female · PID - antibiotic management ★ HY difficulty 2/5

A 23-year-old woman, Abena, presents to a district hospital in Brong-Ahafo with a 3-day history of lower abdominal pain, purulent vaginal discharge, and fever. She is sexually active with multiple par…

Pelvic pain — female · Mandatory pregnancy test in reproductive-age women ★ HY difficulty 1/5

A 26-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. On exami…

Pelvic pain — female · Ruptured ectopic pregnancy - classical presentation ★ HY difficulty 2/5

Ama, a 29-year-old woman, is brought to the Komfo Anokye ED with sudden-onset severe right iliac fossa pain and two episodes of vomiting. She is 8 weeks pregnant by her last menstrual period. On exami…

Pelvic pain — female · Ovarian torsion - classical presentation and urgent management ★ HY difficulty 2/5

Ama, a 24-year-old woman, is brought to the district hospital A&E in Brong-Ahafo with sudden-onset severe left-sided pelvic pain that began 3 hours ago while she was at rest. She is not pregnant (urin…

Pharmacology · Paracetamol metabolism and NAC antidote mechanism ★ HY difficulty 2/5

A 35-year-old woman, Akua, is brought to the regional hospital A&E in Kumasi after an attempted suicide by ingesting an unknown quantity of paracetamol tablets approximately 10 hours ago. Her serum pa…

Pharmacology · Adrenergic receptor pharmacology ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the Korle Bu emergency centre in anaphylactic shock after a bee sting. He has generalised urticaria, stridor, and a blood pressure of 72/40 mmHg. The resus team…

Pharmacology · Etomidate pharmacology — adrenal suppression mechanism ★ HY difficulty 2/5

Ama, a 34-year-old woman with no known adrenal disease, requires rapid sequence intubation in the Korle Bu emergency centre for refractory status epilepticus. Etomidate is selected as the induction ag…

Pharmacology · Adrenergic receptor pharmacology — adrenaline in anaphylaxis ★ HY difficulty 2/5

A 28-year-old woman, Akua, is brought to the Korle Bu emergency centre in severe anaphylactic shock following a bee sting. She has profound hypotension, generalised urticaria, and audible wheeze. The …

Physiology · Renin-angiotensin-aldosterone system in hypovolaemia ★ HY difficulty 2/5

Yaa, a 52-year-old woman with known hypertension, is brought to the UGMC after three days of profuse vomiting and diarrhoea. She is clinically dehydrated with a blood pressure of 90/60 mmHg and urine …

Procedures - Airway · Surgical cricothyroidotomy — scalpel-bougie technique step sequence ★ HY difficulty 4/5

A 52-year-old man, Kofi, is in the resus bay at a regional hospital A&E in the Ashanti region. He has a large anterior neck haematoma following a stab wound and cannot be intubated despite two attempt…

Procedures - Airway · Needle cricothyroidotomy — jet ventilation technique and improvisation at district level ★ HY difficulty 4/5

A 29-year-old woman, Akua, is brought to a district hospital in Brong-Ahafo by relatives following a severe asthma attack. She is unresponsive, GCS 4, and SpO2 is unrecordable. Bag-mask ventilation is…

Procedures - Airway · CICO decision and DAS guideline — when to declare failure and convert to surgical airway ★ HY difficulty 3/5

A 38-year-old man, Kwame, is brought to the resus bay at Komfo Anokye ED following a high-speed road traffic collision. He has severe maxillofacial trauma with active oropharyngeal haemorrhage and a G…

Procedures - Airway · Cricothyroid membrane anatomy - palpation landmarks in extended neck ★ HY difficulty 3/5

Yaa, a 29-year-old woman, is in the resus bay of a district hospital in Brong-Ahafo following anaphylaxis to a wasp sting. Despite two doses of intramuscular adrenaline 0.5 mg and 10 mg IV chlorphenam…

Procedures - Airway · Paediatric cricothyroidotomy - needle technique contraindication to surgical in under-12s ★ HY difficulty 4/5

Ama, a 7-year-old girl weighing 22 kg, is brought to a district hospital A&E in the Volta Region by her parents after ingesting a large button battery that has lodged at the cricopharyngeus, causing c…

Procedures - Airway · CICO decision and DAS guideline - when to declare failure and convert to surgical airway ★ HY difficulty 3/5

Kofi, a 38-year-old man, is brought to Komfo Anokye Emergency Department following a high-speed road traffic collision. He has a GCS of 6 and massive oropharyngeal bleeding from a mid-face fracture. R…

Procedures - Airway · Surgical cricothyroidotomy - scalpel-bougie technique steps ★ HY difficulty 4/5

Kwabena, a 45-year-old man with a known difficult airway from previous neck surgery, is brought to Tamale Teaching Hospital ED after a road traffic collision. He is unconscious with a GCS of 5 and apn…

Procedures - Ocular · Lateral canthotomy and cantholysis — time-critical decision and scope of practice ★ HY difficulty 3/5

A 55-year-old man referred from a district hospital in the Upper East Region arrives at Tamale Teaching Hospital A&E with a history of blunt right orbital trauma sustained 100 minutes ago. He has no p…

Procedures - Ocular · Lateral canthotomy and cantholysis - indications and time-critical decision ★ HY difficulty 3/5

Kwame, a 34-year-old man, is brought to the A&E of a regional hospital in Ashanti by relatives following a road traffic accident. He sustained a direct blow to the right orbit from the steering wheel.…

Procedures - Ocular · Lateral canthotomy and cantholysis — indications and time-critical decision ★ HY difficulty 2/5

Kwame, a 34-year-old man, is brought to the A&E of a regional hospital in Brong-Ahafo by relatives after sustaining a direct blow to the right orbit with a wooden club during a community altercation. …

Procedures - Ophthalmological · Lateral canthotomy and cantholysis - indications and time-critical decision ★ HY difficulty 3/5

Kwame, a 34-year-old man, is brought to the A&E of Komfo Anokye Teaching Hospital by relatives following a road traffic collision in which he sustained a direct blow to the right orbit from the steeri…

Procedures - Ophthalmological · Lateral canthotomy and cantholysis - contraindications ★ HY difficulty 3/5

Kofi, a 52-year-old man with a known bleeding disorder, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED after a fall caused a retrobulbar haematoma. He has right proptosis, IOP …

Procedures - Orthopaedic / Vascular · Fasciotomy indications — clinical diagnosis without pressure measurement ★ HY difficulty 3/5

Kofi, a 22-year-old construction worker, is brought to a district hospital in the Northern Region after a concrete block fell on his right lower leg. He was trapped for six hours before rescue. On arr…

Procedures - Orthopaedic / Vascular · Lower leg fasciotomy — lateral compartment release and superficial peroneal nerve ★ HY difficulty 4/5

Yaw, a 40-year-old farmer, undergoes a two-incision four-compartment lower leg fasciotomy at Tamale Teaching Hospital following a tibial fracture with compartment syndrome. The lateral incision is mad…

Procedures - Orthopaedic / Vascular · Forearm fasciotomy — volar incision extent and carpal tunnel release ★ HY difficulty 4/5

Ama, a 35-year-old woman, is in theatre at a regional hospital in Brong-Ahafo following surgical repair of a brachial artery injury sustained during a machete attack. The vascular surgeon has complete…

Procedures - Orthopaedic and Vascular · Forearm fasciotomy — volar incision and carpal tunnel release ★ HY difficulty 4/5

Kofi, a 42-year-old carpenter, presents to a district hospital in Brong-Ahafo after his forearm was trapped under a heavy timber beam for approximately 5 hours. He is conscious, distressed, and report…

Procedures - Orthopaedic and Vascular · Fasciotomy — indications and delta-P threshold ★ HY difficulty 3/5

Kwame, a 28-year-old motorcyclist, is brought to Komfo Anokye ED after a high-speed collision resulting in a closed tibial shaft fracture of the right leg. He is conscious and reports severe, unrelent…

Procedures - Thoracic · Tube thoracostomy - post-insertion management of massive haemothorax ★ HY difficulty 4/5

Mohammed, a 60-year-old man, is brought to a district hospital in the Northern Region after sustaining a stab wound to the left chest. He is haemodynamically stable with a BP of 110/70 mmHg and HR 98 …

Procedures - Thoracic · Tube thoracostomy — blunt dissection technique and neurovascular bundle avoidance ★ HY difficulty 3/5

Yaa, a 28-year-old woman, is being prepared for chest drain insertion at a regional hospital A&E in the Brong-Ahafo region. She has a large right-sided pneumothorax confirmed on chest radiograph follo…

Rash — emergency presentations · Stevens-Johnson syndrome — triage and district-level management ★ HY difficulty 2/5

A 16-year-old boy, Yaw, is brought to a district hospital A&E with a 2-day history of fever, sore mouth, and a painful blistering rash involving his lips, oral mucosa, and eyes. He was started on carb…