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3996 matches for “Ghana” — showing 2851–2880
Benign Breast Disease · Gynaecomastia difficulty 3/5

Kofi, a 19-year-old male university student in Accra, presents to the UGMC surgical outpatient clinic with a 6-month history of bilateral breast enlargement that has been causing him significant psych…

Benign Breast Disease · Duct ectasia and periductal mastitis — diagnosis and total duct excision difficulty 3/5

A 55-year-old woman is seen in the Korle Bu breast clinic with a 2-month history of a subareolar lump and intermittent multiduct, thick, greenish-grey nipple discharge from the right breast. She is po…

Benign Breast Disease · Gynaecomastia — drug-induced difficulty 3/5

Kofi, a 42-year-old man, presents to the district hospital surgical outpatient clinic in Brong-Ahafo with a 5-month history of bilateral breast enlargement that he finds embarrassing. He is a known hy…

Blood Transfusion and Massive Haemorrhage Protocols · Anticoagulation reversal for emergency surgery difficulty 4/5

A 62-year-old man, Mensah, is on warfarin (target INR 2.5–3.5) for a mechanical mitral valve replacement performed 8 years ago. He presents to the Korle Bu emergency surgical unit with a 6-hour histor…

Blood Transfusion and Massive Haemorrhage Protocols · Warfarin reversal in resource-limited setting difficulty 4/5

A 52-year-old man, Mensah, is on the elective surgical list at a district hospital in the Upper East Region for open repair of a large incisional hernia. He has been taking warfarin for a mechanical m…

Blood Transfusion and Massive Haemorrhage Protocols · Intraoperative cell salvage difficulty 4/5

A 34-year-old woman, Akua, is admitted to the Korle Bu emergency theatre with a ruptured ectopic pregnancy. Intraoperatively, haemoperitoneum of approximately 2.5 litres is evacuated. She has received…

Breast Cancer Diagnosis and Surgical Management · Breast cancer in pregnancy difficulty 5/5

Abena, a 32-year-old primigravida at 24 weeks gestation, is referred from a district hospital in the Upper East Region to the Tamale Teaching Hospital surgical unit with a 2-month history of a rapidly…

Breast Cancer Diagnosis and Surgical Management · Nipple discharge and intraductal lesions difficulty 3/5

Yaa, a 38-year-old teacher, presents to the UGMC surgical firm with a 4-week history of spontaneous bloody nipple discharge from the right breast. There is no palpable breast mass and no axillary lymp…

Breast Cancer Diagnosis and Surgical Management · Male breast cancer difficulty 3/5

Kofi, a 60-year-old retired teacher, is brought to the Korle Bu surgical outpatient clinic by his wife with a 4-month history of a painless right breast lump. He is embarrassed and initially reluctant…

Breast Cancer Diagnosis and Surgical Management · Male breast cancer difficulty 3/5

Kofi, a 62-year-old retired teacher, presents to the Korle Bu surgical unit with a 4-month history of a painless right breast lump and right nipple retraction. He has no significant past medical histo…

Breast Cancer Diagnosis and Surgical Management · Nipple discharge and intraductal papilloma difficulty 3/5

Yaa, a 38-year-old nurse at a regional hospital in the Volta Region, presents with a 6-week history of bloody nipple discharge from the right breast. She denies a palpable lump. On examination, the ri…

Breast Cancer Diagnosis and Surgical Management · BRCA1 and surgical decision-making difficulty 4/5

A 44-year-old woman, Yaa, is seen in the Korle Bu breast surgery clinic. She has a BRCA1 pathogenic variant confirmed on genetic testing following her sister's diagnosis of high-grade serous ovarian c…

Burns · Escharotomy indications difficulty 4/5

A 50-year-old man, Mohammed, is admitted to the Korle Bu burns unit 12 hours after sustaining circumferential full-thickness burns to his left lower limb. On review in the ED, he now reports numbness …

Burns · TBSA Wallace Rule of Nines difficulty 3/5

A 28-year-old woman, Akosua, is brought to a regional hospital ED after a house fire. She has burns to the entirety of her back, the back of both arms, and the back of both legs. She is screaming in p…

Burns · Parkland formula calculation difficulty 3/5

A 35-year-old man, Kwame, is brought to the Komfo Anokye ED after a gas cylinder explosion at a welding workshop. He sustained burns to his entire right arm, entire chest and abdomen (front only), and…

Burns · Parkland formula calculation difficulty 3/5

A 38-year-old woman, Akosua, arrives at a district hospital in the Western Region having sustained burns in a kerosene fire. She has burns to her entire left arm, both anterior and posterior, and to t…

Burns · Escharotomy indications difficulty 4/5

A 42-year-old man is brought to the Korle Bu emergency centre following a building fire. He has full-thickness circumferential burns to his entire right lower leg. On arrival, he was conscious and mov…

Burns · Paediatric Lund-Browder TBSA estimation difficulty 4/5

A 4-year-old girl, Afia, weighing 16 kg, is brought to a regional hospital ED after pulling a pot of boiling water off a stove. She has blistered, moist, painful burns to her entire right arm, the ent…

Burns · Inhalation injury difficulty 3/5

A 52-year-old man, Joseph, is brought to the Komfo Anokye ED after being rescued from a burning warehouse where he was trapped for approximately 20 minutes. He is agitated and hoarse. On examination: …

Burns Assessment and Fluid Resuscitation · Electrical burns and myoglobinuria difficulty 4/5

A 52-year-old man, Kwabena, sustains electrical burns at an industrial site in Tema. He is brought to the Korle Bu emergency resuscitation bay. The burns wound on his right hand (entry) and left foot …

Burns Assessment and Fluid Resuscitation · Electrical burns and myoglobinuria difficulty 4/5

A 35-year-old man, Yaw, is brought to the emergency department of a district hospital in the Bono East Region after an electrical flash burn sustained while working on a high-voltage power line. He ha…

Burns Assessment and Fluid Resuscitation · Burns fluid creep and abdominal compartment syndrome difficulty 4/5

A 35-year-old woman, Ama, is admitted to the Korle Bu burns unit following a house fire. She has full-thickness burns to both hands, the anterior chest, and the right thigh — estimated TBSA 27% by the…

Burns Assessment and Fluid Resuscitation · Abdominal compartment syndrome in major burns difficulty 5/5

A 52-year-old man, Mensah, is admitted to the Korle Bu Teaching Hospital burns unit with 25% TBSA partial- and full-thickness flame burns to the anterior chest, abdomen, and both upper limbs following…

Buruli Ulcer · Critical-site Buruli ulcer reconstruction and disability prevention difficulty 4/5

A 45-year-old woman, Adwoa, is referred to the regional hospital surgical unit in the Central Region with a 12 cm ulcer on her right ankle and foot, involving the Achilles tendon region. PCR confirms …

Buruli Ulcer · Pathophysiology of Buruli ulcer — mycolactone difficulty 4/5

A 28-year-old farmer, Yaw, is referred from a health centre in the Brong-Ahafo Region to the district hospital with a three-month history of a painless ulcer on his right thigh. He initially noticed a…

Buruli Ulcer · Complications of Buruli ulcer — secondary osteomyelitis difficulty 4/5

A 35-year-old man named Kwabena is under the care of the surgical team at Komfo Anokye Teaching Hospital in Kumasi. He was diagnosed with WHO Category III Buruli ulcer of the right ankle four months a…

Buruli Ulcer · Surgical reconstruction after Buruli ulcer antibiotic sterilisation difficulty 3/5

A 19-year-old man named Yaw is admitted to the surgical ward at Agogo Presbyterian Hospital — a WHO Buruli ulcer treatment centre in the Ashanti Region — with a confirmed Category II Buruli ulcer on h…

Buruli Ulcer · Post-treatment complications — keloid at donor site difficulty 3/5

A 22-year-old woman, Abena, is seen in the surgical outpatient clinic at a district hospital in the Oti Region. She has a 6 cm painless ulcer on the left forearm, confirmed as Buruli ulcer by IS2404 P…

Buruli Ulcer · Buruli ulcer with osteomyelitis — Category III disease difficulty 4/5

A 19-year-old student, Abena, presents to the Korle Bu General Surgical Unit with a 16-week history of a painless ulcer on her left ankle. The ulcer has progressively enlarged and now involves the Ach…

Buruli Ulcer · Post-Buruli contracture and disability management difficulty 3/5

A 35-year-old woman named Ama presents to the Korle Bu Teaching Hospital plastic and reconstructive surgery outpatient clinic. She was treated two years ago at a district hospital for a Buruli ulcer o…