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3996 matches for “Ghana” — showing 3061–3090
Dermatological Emergencies · Cellulitis antibiotic regimen difficulty 2/5

Akosua, a 52-year-old woman with type 2 diabetes, presents to the regional hospital ED in Kumasi with a 3-day history of worsening left lower limb pain and swelling. She reports the onset following a …

Dermatological Emergencies · DRESS Syndrome - Diagnosis and Immediate Management difficulty 4/5

Ama, a 29-year-old woman, presents to Korle Bu Teaching Hospital A&E with a 3-week history of a widespread erythematous rash, facial swelling, and fever. She was commenced on phenytoin 6 weeks ago for…

Dermatological Emergencies · Erythroderma — initial district-level management difficulty 2/5

A 61-year-old woman, Yaa, presents to a district hospital in the Upper East Region with a five-day history of diffuse skin redness and shedding after starting carbamazepine three weeks ago for newly d…

Dermatological Emergencies · DRESS syndrome - diagnosis and management difficulty 4/5

Abena, a 32-year-old woman, presents to a district hospital A&E with a 5-day history of fever, facial swelling, and a widespread morbilliform rash. She was started on carbamazepine six weeks ago for t…

Dermatological Emergencies · Erythroderma - diagnosis and immediate management difficulty 3/5

Kofi, a 45-year-old man with known psoriasis, presents to Komfo Anokye Teaching Hospital A&E with a 48-hour history of generalised redness and scaling covering his entire body. He stopped his methotre…

Dermatology / Toxicology · DRESS syndrome — diagnostic pitfalls in resource-limited settings difficulty 4/5

A 62-year-old man with leprosy is brought to a district hospital in Brong-Ahafo. He was started on dapsone 5 weeks ago. He has a 2-week history of progressive rash, swollen face, high fever, and malai…

Dermatology / Toxicology · DRESS syndrome — investigation priorities in resource-limited settings difficulty 3/5

A 19-year-old female student is brought to a regional hospital ED in the Ashanti Region by her parents. She was started on lamotrigine 7 weeks ago for a generalised seizure disorder. Over the past 2 w…

Dermatology / Toxicology · SJS/TEN spectrum classification difficulty 2/5

A 22-year-old university student named Yaw presents to a regional hospital ED in Ashanti Region with 3 days of painful mouth ulcers, red eyes, and dysuria. He started lamotrigine 6 weeks ago for bipol…

Domestic Violence and Sexual Assault · History-taking in a safe environment difficulty 3/5

A 34-year-old woman, Abena, presents to the emergency centre at Komfo Anokye Teaching Hospital with facial bruising, a split lip, and a tender right forearm. She says she fell down the stairs. Her hus…

Domestic Violence and Sexual Assault · Evidence preservation and chain of custody difficulty 3/5

A 26-year-old woman, Fatima, presents to Korle Bu emergency centre 14 hours after a sexual assault. She reports the perpetrator is known to her. She has bathed and changed clothes. On examination, BP …

Domestic Violence and Sexual Assault · History-taking in safe environment difficulty 2/5

A 19-year-old woman, Akosua, is brought to the emergency department of a regional hospital in Ashanti by a friend at 02:00. She states she was sexually assaulted at a party approximately three hours a…

Domestic Violence and Sexual Assault · HIV PEP and emergency contraception difficulty 3/5

A 23-year-old woman, Abena, is assessed at the SGBV unit of a tertiary hospital 36 hours after a penile-vaginal assault by an unknown perpetrator. She is HIV-negative on rapid testing performed today.…

Domestic Violence and Sexual Assault · Hepatitis B prophylaxis difficulty 4/5

A 34-year-old man, Kofi, presents to a district hospital emergency room after being assaulted and bitten on the forearm by his male partner during a domestic dispute. The wound is a human bite with vi…

Domestic Violence and Sexual Assault · Mandatory reporting in Ghana difficulty 4/5

A 14-year-old girl, Yaa, is brought to Komfo Anokye Teaching Hospital emergency centre by her aunt. The aunt reports that Yaa disclosed being repeatedly sexually abused by a male household member over…

ECG - Arrhythmias and Conduction · First-degree AV block - PR >0.20 s, 1:1 conduction, benign difficulty 2/5

Kwame, a 68-year-old retired teacher, presents to the district hospital A&E in Brong-Ahafo with a 2-day history of mild exertional dizziness and fatigue. He is haemodynamically stable with a blood pre…

ECG - Arrhythmias and Conduction · Orthodromic AVRT - retrograde P in ST segment, short RP tachycardia difficulty 3/5

Kofi, a 28-year-old male medical student, is brought to the Korle Bu emergency centre with sudden-onset palpitations, mild chest tightness, and near-syncope. He has had two prior similar episodes that…

ECG - Arrhythmias and Conduction · Acquired long QT — hypocalcaemia as co-trigger and electrolyte correction strategy difficulty 4/5

Abena, a 45-year-old woman with HIV on antiretroviral therapy, presents to the Korle Bu emergency centre with recurrent episodes of palpitations and presyncope over 48 hours. She was started on azithr…

ECG - Arrhythmias and Conduction · Multifocal atrial tachycardia - three or more P morphologies, COPD association difficulty 3/5

Mohammed, a 68-year-old man with a 20-year history of COPD, is brought to the Komfo Anokye ED in Kumasi in acute respiratory distress. He is hypoxic (SpO2 82% on room air) and tachycardic. His current…

ECG - Arrhythmias and Conduction · Tachy-brady syndrome - post-tachycardia pause, contraindication to rate-control drugs difficulty 4/5

Mohammed, a 72-year-old retired civil servant with a history of ischaemic heart disease and previous inferior MI, presents to a district hospital A&E in the Northern Region with a three-hour history o…

ECG - Arrhythmias and Conduction · Congenital long QT syndrome - LQT1 exercise-triggered torsades de pointes difficulty 4/5

Kwame, a 19-year-old male student, is brought to the Korle Bu emergency centre after collapsing during a 400-metre race at the University of Ghana sports day. Bystanders report that he had a witnessed…

ECG - Arrhythmias and Conduction · Congenital long QT subtypes — LQT1 vs LQT2 vs LQT3 triggers and ECG morphology difficulty 3/5

Kofi, a 28-year-old man with no prior cardiac history, is brought to the Korle Bu emergency centre after collapsing during a 5 km road race. Bystanders report he lost consciousness briefly but recover…

ECG - Arrhythmias and Conduction · Multifocal atrial tachycardia - 3 or more P morphologies, COPD association difficulty 3/5

Yaw, a 52-year-old man with a 10-year history of COPD on salbutamol and theophylline, is brought to a district hospital A&E in Brong-Ahafo in moderate respiratory distress and palpitations for 3 hours…

ECG - Electrolyte Patterns · Hypercalcaemia — shortened QTc and absent ST segment difficulty 3/5

Yaw, a 67-year-old man with known primary hyperparathyroidism and hypertension, presents to the regional hospital A&E in the Ashanti Region with three days of progressive confusion, constipation, and …

ECG - Pre-excitation Syndromes · Contraindicated drugs in WPW with atrial fibrillation - pitfall avoidance difficulty 4/5

Kofi, a 28-year-old male teacher, presents to a regional hospital A&E in the Ashanti Region with a 2-hour history of rapid palpitations and mild breathlessness. He is haemodynamically stable with a bl…

ECG - Pre-excitation Syndromes · WPW - syncope - urgent electrophysiology referral difficulty 3/5

Mohammed, a 31-year-old male, is brought to the Tamale Teaching Hospital ED after a syncopal episode during a football match. Bystanders describe a brief loss of consciousness lasting approximately 30…

ECG - STEMI Equivalents · aVR ST elevation - LMCA or proximal LAD occlusion equivalent difficulty 4/5

Kofi, a 47-year-old male trader with no known medical history, is brought by taxi to a district hospital A&E in Brong-Ahafo with 90 minutes of severe crushing chest pain radiating to the jaw and left …

ECG - STEMI Equivalents · New LBBB - paradigm change post-2013, not automatic STEMI difficulty 3/5

Yaa, a 55-year-old woman with hypertension, presents to a regional hospital A&E in the Ashanti Region with a 1-hour history of palpitations and mild chest tightness. She has no prior cardiac history. …

ECG - Wide Complex Tachycardia · Brugada algorithm Step 2 - R-to-S interval greater than 100 ms difficulty 3/5

Akua, a 45-year-old woman with no known cardiac history, is brought to a regional hospital A&E in Brong-Ahafo after a witnessed syncopal episode. She is now conscious but anxious. Blood pressure is 11…

ECG - Wide Complex Tachycardia · Vereckei aVR criterion - initial R wave in aVR favours VT difficulty 4/5

Ama, a 47-year-old woman with no known cardiac history, presents to a district hospital A&E in Brong-Ahafo with palpitations and mild lightheadedness for 45 minutes. She is haemodynamically stable wit…

ECG - Wide Complex Tachycardia · Vereckei aVR criterion - initial R wave in aVR favours VT difficulty 4/5

Mohammed, a 55-year-old man with no documented cardiac history, presents to a district hospital in the Upper West Region with sudden-onset palpitations and mild dyspnoea. He is haemodynamically stable…