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3996 matches for “Ghana” — showing 3091–3120
ECG in Poisoning and Toxicology · Calcium-channel blocker overdose - hyperglycaemia and bradyarrhythmia difficulty 4/5

A 55-year-old man named Mensah is admitted to a district hospital A&E in the Brong-Ahafo Region after intentional ingestion of amlodipine tablets. He is bradycardic, confused, and his blood glucose on…

ENT Emergencies · Gradenigo syndrome — petrous apicitis difficulty 4/5

A 12-year-old boy, Mohammed, presents to the Komfo Anokye ED with three weeks of right ear discharge, worsening headache, and two days of diplopia. His mother reports he was seen at a clinic four week…

ENT Emergencies · CT findings in coalescent mastoiditis difficulty 3/5

A 9-year-old girl, Abena, is referred to the Korle Bu Emergency Centre from a district hospital in the Central Region with a two-day history of left-sided post-auricular swelling and fever following a…

ENT Emergencies · Facial nerve palsy — mastoiditis complication difficulty 4/5

An 8-year-old boy, Yaw, is referred from a regional hospital to Korle Bu with a two-week history of left ear discharge, headache, and worsening left-sided facial weakness. His parents report he could …

ENT Emergencies · Acute angioedema difficulty 4/5

Fatima, a 34-year-old woman with a history of hypertension managed with lisinopril 10 mg daily for the past 6 weeks, presents to the Komfo Anokye ED brought by her family with a 90-minute history of r…

ENT Emergencies · Bezold abscess — deep neck complication of mastoiditis difficulty 4/5

Fatima, a 34-year-old woman, presents to the Korle Bu Emergency Centre with a 10-day history of right ear pain, fever, and progressive right-sided neck swelling. She had acute suppurative otitis media…

ENT Emergencies · Salvage therapy for SSNHL — intratympanic steroids difficulty 3/5

Yaw, a 47-year-old accountant, was diagnosed with idiopathic SSNHL at Komfo Anokye ED 10 days ago and commenced on oral prednisolone 60 mg daily. He returns today reporting minimal improvement in left…

ENT Emergencies · SSNHL red flags — distinguishing from posterior fossa stroke difficulty 4/5

Mohammed, a 61-year-old retired civil servant with a history of hypertension and type 2 diabetes, presents to the Korle Bu emergency centre reporting sudden onset left-sided hearing loss, severe verti…

ENT Emergencies · Post-tonsillectomy bleed difficulty 4/5

Joseph, a 7-year-old boy, underwent tonsillectomy at a regional hospital 9 days ago for recurrent tonsillitis. He is brought to the same hospital's emergency department at 02:00 by his parents with a …

ENT Emergencies · Anterior vs posterior epistaxis difficulty 3/5

A 62-year-old man with known hypertension presents to the Korle Bu emergency centre with heavy right-sided nasal bleeding that has not stopped after 30 minutes of direct pressure at home. He takes aml…

ENT Emergencies · Auricular haematoma drainage - bolster dressing and dead space obliteration difficulty 3/5

Ama, a 17-year-old female student, presents to the Korle Bu Emergency Centre two days after a rugby match with a painful, fluctuant swelling of the right auricle. Examination reveals a tense haematoma…

ENT Emergencies · Airway foreign body in children difficulty 3/5

Akosua, a 3-year-old girl, is brought to a regional hospital ED in the Ashanti Region by her mother after a sudden choking episode during play 45 minutes ago. The mother reports Akosua had been playin…

ENT and Head/Neck Emergencies · BPPV - Dix-Hallpike diagnosis and Epley manoeuvre difficulty 2/5

A 38-year-old woman, Ama, presents to a district hospital A&E with episodic dizziness that has been occurring for 3 days. Each episode lasts 20–30 seconds and is triggered by rolling over in bed or lo…

ENT and Head/Neck Emergencies · Peritonsillar abscess (quinsy) — needle aspiration and urgent ENT referral difficulty 3/5

A 28-year-old man, Kofi, presents to a district hospital A&E in the Ashanti Region with a 3-day history of severe sore throat, difficulty opening his mouth, and a muffled 'hot potato' voice. He is feb…

Electrolyte Emergencies · Metabolic alkalosis — primary disorder identification difficulty 2/5

A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her family after three days of severe vomiting following a meal at a local chop bar. She is lethargic and unable to keep anything down…

Electrolyte Emergencies · Pseudohyperkalaemia — distinguishing artefact from true hyperkalaemia difficulty 4/5

A 45-year-old female nurse presents to the emergency centre at a regional hospital in the Northern Region with generalised fatigue and mild muscle cramps for two days. She has no known medical illness…

Electrolyte Emergencies · Normal anion gap metabolic acidosis — CKD difficulty 3/5

A 62-year-old man with hypertension and chronic kidney disease (stage 4) is evaluated at a regional hospital ED in the Volta Region for progressive dyspnoea over three weeks. He takes amlodipine and f…

Electrolyte Emergencies · Hyponatraemia - SIADH vs cerebral salt wasting, correction rate difficulty 4/5

Akua, a 72-year-old woman with a known history of small-cell lung carcinoma, is referred from a district hospital in the Volta Region to the Korle Bu emergency centre with a 5-day history of progressi…

Electrolyte Emergencies · Hyponatraemia correction rate difficulty 4/5

Yaw, a 72-year-old man with hypertension on bendroflumethiazide, presents to a district hospital A&E with confusion and generalised weakness for three days. His relatives report he has been drinking l…

Electrolyte Emergencies · Type B lactic acidosis — NRTI mitochondrial toxicity difficulty 4/5

A 45-year-old woman with known HIV on antiretroviral therapy (tenofovir, lamivudine, efavirenz) is seen at the Korle Bu Emergency Centre with a two-week history of progressive weakness, nausea, and ab…

Electrolyte Emergencies · Hyperkalaemia ECG staging difficulty 2/5

Mohammed, a 70-year-old man with hypertension and type 2 diabetes, is brought to the Tamale Teaching Hospital emergency department with severe generalised weakness and inability to walk. He was starte…

Electrolyte Emergencies · Pseudohyperkalaemia difficulty 3/5

A 38-year-old woman named Afia presents to a district hospital in the Upper East Region with weakness and fatigue following a week of severe diarrhoea. She has no known kidney disease. Vitals: BP 100/…

Electrolyte Emergencies · Hyponatraemia — mechanism and aetiology difficulty 4/5

Yaw, a 55-year-old man with known hypertension, is brought to the Korle Bu emergency centre by his family with a 3-day history of progressive confusion, nausea, and a headache that he describes as the…

Electrolyte Emergencies · Acute symptomatic hyponatraemia — correction rate difficulty 4/5

Abena, a 34-year-old woman, is brought to the Korle Bu emergency centre with a first-ever generalised tonic-clonic seizure lasting 3 minutes that self-terminated. She has no prior epilepsy. She was de…

Electrolyte Emergencies · Hyponatraemia aetiology — SIADH vs hypervolaemic vs dilutional difficulty 4/5

A 70-year-old woman with a history of hypertension and chronic heart failure on frusemide is brought to Korle Bu Emergency Centre by her family with a 3-week history of gradually worsening lethargy, n…

Electrolyte Emergencies · Hypocalcaemia difficulty 4/5

Akosua, a 29-year-old woman at 34 weeks gestation, is referred from a district hospital in Brong-Ahafo with severe pre-eclampsia. En route she developed perioral tingling, carpopedal spasm, and a posi…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · First adult seizure — immediate investigation strategy difficulty 3/5

Yaw, a 40-year-old farmer, is brought to the emergency department at Komfo Anokye Teaching Hospital after being found unconscious in his field. Bystanders report he had a generalised tonic-clonic seiz…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Second-line treatment of refractory status epilepticus difficulty 3/5

A 28-year-old known epileptic man named Yaw is brought to the emergency department at Ho Teaching Hospital. Bystanders say he has been convulsing continuously for 35 minutes. The nurse has already adm…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · CSF interpretation — bacterial vs viral meningitis difficulty 3/5

A 19-year-old university student, Esi, is brought to the emergency department at a regional hospital in the Northern Region during the dry season with a 2-day history of severe headache, fever, and ne…

Emergency Medicine: Chest Pain & the ED ECG · Acute pericarditis — ECG and management difficulty 2/5

Yaa, a 22-year-old university student, presents to the OPD at Ho Teaching Hospital with a 3-day history of sharp, positional chest pain that is worse on lying flat and relieved by sitting forward. She…