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3996 matches for “Ghana” — showing 3151–3180
Endocrinology · Burch-Wartofsky score interpretation difficulty 2/5

Afia, a 44-year-old woman with a known goitre, is brought to the Korle Bu Emergency Centre by her husband. She had a thyroidectomy planned for next month but presented today with palpitations, anxiety…

Endocrinology · Adrenal crisis — hydrocortisone 100 mg IV stat difficulty 2/5

Akosua, a 34-year-old woman known with Addison's disease, is brought to the emergency centre at Komfo Anokye Teaching Hospital by her husband after two days of profuse watery diarrhoea and vomiting. S…

Endocrinology · Myxoedema coma - diagnosis and pathophysiology difficulty 3/5

A 72-year-old man, Yaw, is referred from a district hospital in the Volta Region to the regional A&E after being found unresponsive at home in the harmattan cold. His family reports he has been increa…

Endocrinology · DKA monitoring with ETCO2 difficulty 3/5

A 19-year-old woman, Afia, is brought to a regional hospital ED by her family. She has type 1 diabetes and has been vomiting for 2 days. On examination: BP 98/60 mmHg, HR 118/min, RR 28/min, temperatu…

Endocrinology · HHS - distinction from DKA difficulty 3/5

A 55-year-old man, Mensah, with type 2 diabetes on metformin and glibenclamide is referred from a district hospital in the Brong-Ahafo region with a five-day history of progressive weakness, polyuria,…

Endocrinology · Multidisciplinary surgical referral in diabetic foot infection difficulty 3/5

Abena, a 55-year-old woman with type 2 diabetes for 8 years, presents to the regional hospital ED in the Northern Region with a swollen, erythematous right foot for 4 days. She has no fever and no sys…

Endocrinology · HHS management difficulty 3/5

A 65-year-old woman, Adwoa, is brought to the regional hospital A&E in the Volta Region with 4 days of polydipsia, lethargy, and progressive confusion. She has known type 2 diabetes and hypertension. …

Endocrinology · Osteomyelitis suspicion — probe-to-bone test difficulty 3/5

Kofi, a 67-year-old man with poorly controlled type 2 diabetes, is referred from a district hospital in Brong-Ahafo to the regional hospital ED with a non-healing wound on the dorsum of his right foot…

Endocrinology · Supportive care in myxoedema coma difficulty 3/5

A 68-year-old woman is referred from a district hospital in the Upper West Region with a two-week history of progressive lethargy, constipation, and swelling of the face and limbs. Her family reports …

Environmental Emergencies · Marine envenomation — stingray difficulty 3/5

Kofi, a 38-year-old fisherman, presents to a coastal district hospital in the Central Region after stepping on something in the sea while wading into shallow water. He describes immediate, excruciatin…

Environmental Emergencies · Passive vs active rewarming — mild hypothermia difficulty 2/5

A 19-year-old university student named Yaa is brought to a district hospital in the Northern Region after being found confused and shivering in the early morning following an overnight outdoor event i…

Environmental Emergencies · Lightning injury — keraunoparalysis difficulty 4/5

A 34-year-old woman, Afia, is brought to the Korle Bu Emergency Centre by family after being struck by lightning while working in a peri-urban farm. She was found motionless after the strike. On arriv…

Environmental Emergencies · Rhabdomyolysis complication of heat stroke difficulty 4/5

A 32-year-old construction worker, Mohammed, is referred from a district hospital in Northern Ghana to Tamale Teaching Hospital after sustaining exertional heat stroke two days ago. He was treated wit…

Environmental Emergencies · Primary vs secondary hypothermia — aetiology difficulty 3/5

A 67-year-old man is brought to Komfo Anokye Teaching Hospital emergency centre by his family. He was found confused and cold in his room after his family had not seen him for two days. He has a histo…

Environmental Emergencies · Heatstroke vs Sepsis — Definitive Exclusion Criteria difficulty 4/5

A 67-year-old woman, Adwoa, with no significant medical history is referred from a community clinic to the regional hospital ED in Tamale with a 2-day history of progressive confusion, fever, and redu…

Environmental Emergencies · Heatstroke vs Sepsis — Clinical Discrimination difficulty 3/5

A 34-year-old construction worker, Kofi, is brought to the regional hospital ED in Kumasi by his colleagues at 14:00. He had been working outdoors in direct sunlight for six hours without adequate wat…

Environmental Emergencies · Evaporative vs immersion cooling difficulty 3/5

A 67-year-old woman, Akosua, is brought to the Komfo Anokye ED by family after being found confused and unresponsive to commands at home. She has no air conditioning, lives alone, and has not been see…

Environmental Emergencies · Core temperature measurement methods in hypothermia difficulty 3/5

During a mass casualty triage exercise at a regional hospital in the Upper East Region, a faculty supervisor asks a group of EM residents to identify the best method for measuring core temperature in …

Environmental Emergencies · Paediatric drowning considerations difficulty 3/5

A 3-year-old girl named Afia is brought to a district hospital in the Northern Region by her parents. She was found submerged face-down in a plastic water storage drum — depth approximately 60 cm — fo…

Environmental Emergencies · Prazosin in Buthidae scorpion envenomation difficulty 3/5

A 7-year-old boy named Kwame is brought to a district hospital in the Northern Region after being stung by a scorpion while playing near a woodpile. His mother reports he screamed immediately and has …

Environmental Emergencies · Heatstroke — Immediate Management and Cooling difficulty 3/5

Kwame, a 19-year-old military recruit, collapses during a 10 km forced march in hot weather and is brought to the district hospital in Brong-Ahafo. On arrival he is unconscious (GCS 6). Vitals: temper…

Environmental Emergencies · Jellyfish envenomation wound management difficulty 3/5

A group of five secondary school students are brought to Korle Bu Emergency Centre after swimming at a beach near Accra. One of them, Yaa, a 16-year-old girl, complains of immediate burning pain, prur…

Environmental Emergencies · Drowning — cervical spine precautions and neurogenic shock difficulty 3/5

A group of 20 teenagers attending a scout camp near the Pra River in the Central Region report that one of their companions, a 16-year-old boy named Mohammed, dived from a rope swing into the river an…

Environmental Emergencies · Electrical injury — cardiac arrhythmia management difficulty 4/5

A 52-year-old night-watchman, Kofi, is referred to the Komfo Anokye ED from a district hospital after sustaining a high-voltage electrical injury from a broken 11 kV distribution line approximately 4 …

Environmental Emergencies · High-voltage injury — compartment syndrome difficulty 3/5

A 44-year-old man, Kwesi, is brought to the Korle Bu Emergency Centre after a high-voltage (33,000 V overhead power line) electrical injury at a telecommunications mast site. He was resuscitated at th…

Environmental Emergencies · Drowning — immediate reversible causes in children difficulty 3/5

A 5-year-old girl named Yaa is brought to a district hospital in Upper West Region after she was found floating face-down in a domestic water storage drum. Her mother pulled her out and she is now bre…

Environmental Emergencies · Swiss staging and initial hypothermia management difficulty 3/5

A 34-year-old fisherman named Kofi is brought to a district hospital in the Western Region after his canoe capsized in the ocean at night. He was retrieved from the water after approximately 90 minute…

Environmental Emergencies · Hymenoptera anaphylaxis management difficulty 2/5

Aisha, a 24-year-old market trader, is brought to the Komfo Anokye ED 15 minutes after multiple bee stings while working outdoors. She reports prior bee stings with local swelling only. She is acutely…

Environmental Emergencies · Drowning — observation period and disposition difficulty 2/5

A 9-year-old boy, Yaw, is brought to a district hospital A&E after being submerged in a river for an estimated 3 minutes before being rescued. He was coughing on arrival but is now alert, comfortable,…

Environmental Emergencies · Electrical injury — cardiac arrhythmia management difficulty 4/5

A 67-year-old woman, Adwoa, is brought to a regional hospital ED after touching a faulty household appliance (220 V). She is alert, GCS 15/15. Vitals: BP 146/88 mmHg, HR 102 bpm irregular, RR 18/min, …