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510 matches for “Ghana” — showing 301–330
Rash — emergency presentations · Meningococcal sepsis in a child - immediate ceftriaxone ★ HY difficulty 2/5

A 7-year-old girl named Afia is brought to the district hospital A&E in the Upper East Region with a 6-hour history of fever, irritability, and a rash. Her mother reports she was well yesterday. On ex…

Rash — emergency presentations · Anaphylaxis with urticaria - immediate management ★ HY difficulty 1/5

A 16-year-old girl, Akua, is brought to the Komfo Anokye ED after collapsing at school. She has a history of penicillin allergy and was given amoxicillin at a clinic two hours ago for a sore throat. S…

Rash — emergency presentations · Meningococcal sepsis recognition - non-blanching purpuric rash ★ HY difficulty 1/5

A 14-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo with a 12-hour history of fever, severe headache, and neck stiffness. On examination he is drowsy, temperature is 3…

Rash — emergency presentations · Meningococcal septicaemia - immediate antibiotic management ★ HY difficulty 2/5

A 28-year-old woman, Ama, presents to the regional hospital A&E in Tamale with a 6-hour history of fever, severe headache, and neck stiffness. She is drowsy but rousable. A non-blanching petechial ras…

Rash — emergency presentations · Meningococcal purpura — immediate management ★ HY difficulty 2/5

A 19-year-old student, Kwame, is brought to a regional hospital A&E by his roommate after developing a sudden severe headache and fever over 6 hours. On examination he is confused, temperature 39.8°C,…

Rash — emergency presentations · SJS/TEN recognition and immediate drug cessation ★ HY difficulty 2/5

A 16-year-old girl named Akua presents to the regional hospital A&E in Kumasi with a 2-day history of high fever, sore throat, and a rapidly spreading rash. She started trimethoprim-sulfamethoxazole 5…

Rash — emergency presentations · Necrotising fasciitis — early recognition and escalation ★ HY difficulty 3/5

A 52-year-old man, Kofi, presents to a district hospital A&E with a 12-hour history of severe pain and swelling in his right thigh following a minor cut. On examination, the overlying skin appears ery…

Rash — emergency presentations · Meningococcal septicaemia recognition ★ HY difficulty 1/5

A 14-year-old boy, Kwame, is brought to the regional hospital A&E in Kumasi by his mother. He has had fever and headache for 12 hours and is now confused. On examination, temperature is 39.4°C, heart …

Rash — emergency presentations · Anaphylaxis with urticaria - IM adrenaline first-line ★ HY difficulty 1/5

A 28-year-old woman named Ama presents to the regional hospital A&E in Tamale with acute onset facial swelling, widespread urticaria, and difficulty breathing. She ate groundnuts 20 minutes ago. On ex…

Seizures · Status epilepticus recognition and immediate benzodiazepine ★ HY difficulty 1/5

A 35-year-old woman, Akua, is brought to Komfo Anokye Emergency Department by ambulance. Bystanders report she has been convulsing continuously for 10 minutes with no recovery of consciousness. On arr…

Seizures · Paediatric febrile convulsion management ★ HY difficulty 1/5

A 4-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother. She reports he had a brief generalised convulsion lasting about 90 seconds at home. He has had a fever of 38.9 °…

Seizures · Paediatric febrile convulsion — recognition ★ HY difficulty 1/5

A 4-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother. She reports he developed a fever this morning and then had a generalised shaking episode lasting 2 minutes, afte…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame presents to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and worsening confusion. On examination, his temperature is 38.9°C, he…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame is brought to the regional hospital A&E in Kumasi with a 2-day history of productive cough, fever, and confusion. On examination, his temperature is 39.2°C, heart rate is…

Sepsis and septic shock · Hour-1 bundle immediate management ★ HY difficulty 2/5

A 27-year-old woman named Akua is brought to Komfo Anokye ED with a 1-day history of high fever, rigors, and confusion following a recent dental extraction. Her temperature is 40.1°C, heart rate is 13…

Sepsis and septic shock · Septic shock recognition from classical presentation ★ HY difficulty 2/5

Kwame, a 58-year-old farmer, is brought to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and increasing confusion. On examination, his temperature is 39.2°C, …

Sepsis and septic shock · qSOFA bedside screening ★ HY difficulty 2/5

A 32-year-old woman named Akua is brought to the regional hospital A&E in Kumasi with a 3-day history of dysuria, rigors, and right loin pain. Her temperature is 39.2°C, heart rate is 124 bpm, respira…

Sepsis and septic shock · qSOFA bedside risk stratification ★ HY difficulty 2/5

A 32-year-old woman named Ama presents to a district hospital in Brong-Ahafo with a 3-day history of dysuria, loin pain, and rigors. Her temperature is 38.8°C, respiratory rate is 24 breaths per minut…

Sepsis and septic shock · Hour-1 bundle — immediate management ★ HY difficulty 2/5

A 55-year-old woman named Yaa is brought to a regional hospital A&E with a 1-day history of fever, rigors, and right upper quadrant pain following a known history of gallstones. Her temperature is 39.…

Sepsis and septic shock · Noradrenaline as first-line vasopressor ★ HY difficulty 2/5

A 50-year-old man named Kofi is admitted to the regional hospital A&E in Tamale with fever, hypotension, and a suspected urinary tract infection. Blood cultures are drawn and IV ceftriaxone is commenc…

Sepsis and septic shock · Hour-1 bundle initiation ★ HY difficulty 2/5

Ama, a 45-year-old market trader, presents to a district hospital A&E in the Northern Region with fever, rigors, and abdominal pain for 4 days. Her temperature is 39.0°C, heart rate 122 bpm, respirato…

Sepsis and septic shock · Serum lactate as a confirmatory marker of septic shock ★ HY difficulty 2/5

Mensah, a 71-year-old retired teacher, is brought to the Komfo Anokye ED by his family with 3 days of fever, decreased urine output, and increasing weakness. His blood pressure is 78/46 mmHg, heart ra…

Shock · Distributive shock - severe malaria management ★ HY difficulty 2/5

Ama, a 28-year-old woman, presents to Komfo Anokye ED with a 2-day history of high fever, rigors, and vomiting. She has just returned from a farming community in the Northern Region. Her temperature i…

Shock · Distributive shock — distinguishing features ★ HY difficulty 2/5

A 45-year-old woman, Akua, presents to the Komfo Anokye ED with a 2-day history of fever, rigors, and productive cough. On examination she is febrile at 39.4°C, heart rate 124 bpm, blood pressure 88/5…

Shortness of breath in adults · Asthma management ladder — IV magnesium sulphate ★ HY difficulty 2/5

Fatima, a 30-year-old woman with known asthma, is brought to Komfo Anokye ED after failing to respond to 3 cycles of back-to-back salbutamol nebulisations and ipratropium bromide. She has received IV …

Sudden onset weakness · Acute ischaemic stroke - urgent CT before treatment ★ HY difficulty 2/5

Kwame, a 62-year-old man, is brought to the Komfo Anokye ED by his wife who noticed he suddenly could not lift his right arm and his speech became slurred 45 minutes ago. On examination, there is righ…

Sudden onset weakness · Transient ischaemic attack — recognition and urgent management ★ HY difficulty 2/5

A 67-year-old woman is brought to a regional hospital A&E by her daughter after a sudden episode of right-sided weakness and slurred speech lasting 25 minutes, which had fully resolved by the time of …

Sudden onset weakness · TIA recognition and ABCD2 score ★ HY difficulty 2/5

Ama, a 55-year-old woman with known hypertension, presents to the regional hospital A&E in Ashanti with a 10-minute episode of right arm weakness and slurred speech that fully resolved before she arri…

Sudden onset weakness · Guillain-Barré syndrome recognition and respiratory monitoring ★ HY difficulty 2/5

Kofi, a 28-year-old man, presents to a district hospital in Brong-Ahafo with a 3-week history of progressive leg weakness that started in both feet and has now ascended to his thighs. He reports tingl…

Syncope · Exertional cardiac syncope — HCM recognition ★ HY difficulty 2/5

Kofi, a 22-year-old footballer, collapses on the pitch at a district hospital sports day in Brong-Ahafo. Witnesses say he suddenly fell without warning during a sprint; he was unconscious for about 15…