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3996 matches for “Ghana” — showing 3241–3270
Geriatric Emergency Medicine · Septic shock with suppressed febrile response in the elderly difficulty 3/5

A 76-year-old woman, Akua, is brought to a regional hospital A&E in the Ashanti Region by her family after three days of increasing confusion, reduced oral intake, and urinary incontinence — symptoms …

Geriatric Emergency Medicine · Hendrich II Fall Risk Model scoring difficulty 4/5

Kofi Acheampong, a 76-year-old man, is seen in the Korle Bu emergency centre after his third fall in six months. He has no acute fractures on plain X-ray. He has well-controlled hypertension and mild …

Geriatric Emergency Medicine · Confusion Assessment Method (CAM) difficulty 3/5

Kofi, an 82-year-old retired teacher, is admitted to the emergency centre at Korle Bu Teaching Hospital after being brought by his family for three days of confusion and agitation. He lives alone; his…

Geriatric Emergency Medicine · Gait speed as frailty proxy difficulty 2/5

A 65-year-old market trader, Yaa, is seen at a district hospital in Brong-Ahafo for breathlessness. Her daughter reports that over the past year Yaa has become slower on her feet. To screen for frailt…

Geriatric Emergency Medicine · Delirium precipitants and management difficulty 2/5

A 68-year-old retired teacher, Yaw, is assessed in the emergency centre at Komfo Anokye Teaching Hospital. His wife says he has been confused and agitated for three days. She confirms he had no cognit…

Geriatric Emergency Medicine · Multifactorial fall assessment and Beers criteria difficulty 3/5

A 78-year-old woman, Maame Adwoa, is brought to the emergency department of Komfo Anokye Teaching Hospital after her daughter found her on the floor at home. She cannot recall how she fell. Her past m…

Geriatric Emergency Medicine · Types of elder abuse — institutional neglect difficulty 2/5

Ama, a 74-year-old woman, is brought to the emergency centre of Komfo Anokye Teaching Hospital by her daughter-in-law. She has been an inpatient at a private nursing home for 6 months following a stro…

Geriatric Emergency Medicine · Clinical Frailty Scale scoring difficulty 2/5

A 78-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her daughter following a fall at home. Her past medical history includes heart failure, type 2 diabetes, and mild cognitive impairment.…

Geriatric Emergency Medicine · Beers criteria and anticholinergic burden difficulty 4/5

A 76-year-old woman, Aisha, is brought to a regional hospital emergency department in Northern Ghana after a witnessed fall at home. She was walking to the toilet at night when she fell; there was no …

Geriatric Emergency Medicine · Anticoagulant management and fall risk difficulty 4/5

Abena, an 80-year-old woman with chronic atrial fibrillation and a previous ischaemic stroke, is brought to the emergency department of a regional hospital in the Ashanti Region after falling down thr…

Geriatric Emergency Medicine · Occult cardiac cause of falls difficulty 4/5

Yaw, a 71-year-old hypertensive man, presents to the emergency centre at Korle Bu Teaching Hospital after an unwitnessed fall at home. His wife found him on the bathroom floor approximately one hour a…

HIV in the Emergency Department · Immune reconstitution inflammatory syndrome difficulty 4/5

Abena, a 31-year-old HIV-positive woman, was started on a first-line ART regimen (tenofovir/lamivudine/dolutegravir) 5 weeks ago with a pre-treatment CD4 count of 38 cells/μL. She now presents to a re…

HIV in the Emergency Department · PJP pneumonia difficulty 3/5

Akosua, a 34-year-old woman, is brought to the Komfo Anokye ED by her husband with a 3-week history of progressive dyspnoea on exertion, dry cough, and low-grade fever. She was diagnosed with HIV 6 mo…

HIV in the Emergency Department · Occupational post-exposure prophylaxis difficulty 3/5

Dr. Afia Mensah, a 26-year-old intern doctor at a district hospital in the Volta Region, presents to the emergency room at 22:00 after sustaining a needlestick injury 45 minutes ago. She was performin…

HIV in the Emergency Department · Occupational PEP difficulty 3/5

Abena, a 27-year-old female nurse, presents to the Korle Bu Emergency Centre 4 hours after a splash of blood from an HIV-positive patient's arterial line landed in her left eye during a procedure. She…

Haematology · Aplastic crisis in sickle cell disease difficulty 3/5

Kofi, a 28-year-old man with HbSS disease, presents to the regional hospital ED in Kumasi. He has had generalised fatigue and progressive pallor for one week, preceded by mild upper respiratory sympto…

Haematology · Fibrinogen concentrate vs cryoprecipitate in massive haemorrhage difficulty 4/5

Esi, a 34-year-old primigravida at 36 weeks gestation, is brought to the Korle Bu emergency centre by ambulance after a placental abruption resulting in massive postpartum haemorrhage. She has receive…

Haematology · Acute haemolytic transfusion reaction — immediate management difficulty 2/5

Akosua, a 28-year-old woman with sickle cell disease, is receiving her third unit of packed red blood cells at the Komfo Anokye ED for a painful vaso-occlusive crisis complicated by haemoglobin of 4.8…

Haematology · Hydroxyurea and long-term management difficulty 2/5

Yaa, a 17-year-old girl with HbSS disease, is brought to a regional hospital ED in the Volta Region with bilateral leg pain that she rates 8/10. She has been admitted four times in the past year for s…

Haematology · Vaso-occlusive crisis analgesia difficulty 2/5

Akosua, a 14-year-old girl with known sickle cell disease (HbSS), is brought to the paediatric emergency bay at Komfo Anokye Teaching Hospital by her mother. She has had diffuse bone pain for two days…

Head Injury and Raised Intracranial Pressure · Depressed skull fracture — district-level management difficulty 3/5

A 19-year-old male student, Yaw, is brought to a district hospital in Brong-Ahafo Region after being assaulted with a machete during a community dispute. He has a 6 cm laceration over the left parieta…

Head Injury and Raised Intracranial Pressure · Osmotherapy — mannitol vs hypertonic saline difficulty 4/5

A 45-year-old woman, Akua, is admitted to the Korle Bu neurosurgical unit with a 3-day history of worsening headache and drowsiness following a blunt head injury sustained when she fell from a mango t…

Head Injury and Raised Intracranial Pressure · Hypertensive intracerebral haemorrhage — acute BP management difficulty 4/5

A 55-year-old hypertensive man, Mensah, is brought to the regional hospital in Sunyani by relatives after sudden onset of severe headache, vomiting, and progressive right-sided weakness over two hours…

Head and Neck Squamous Cell Carcinoma · ENT difficulty 4/5

Mohammed, a 55-year-old businessman from Tamale, is seen in the surgical outpatient clinic with a 5-month history of right-sided nasal obstruction, blood-stained nasal discharge, and facial pain. He r…

Head and Neck Squamous Cell Carcinoma · ENT difficulty 3/5

Yaw, a 61-year-old retired civil servant at Korle Bu, presents with a 3-month history of progressive dysphagia to solids and a 6 kg weight loss. He has a 40 pack-year smoking history and drinks spirit…

Head and Neck Squamous Cell Carcinoma · ENT difficulty 4/5

A 55-year-old man presents to the Korle Bu head and neck surgical unit with a 5-month history of a painless right-sided neck mass and no identifiable primary mucosal lesion after clinical examination,…

Infectious Disease · Yellow fever — clinical features and malaria differentiation difficulty 3/5

A 28-year-old woman, Afia, presents to a regional hospital ED in the Volta Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and lower back pain. She is a farmer who has not…

Infectious Disease · Transplant patient - cryptococcal meningitis difficulty 4/5

Kofi, a 44-year-old man who received a renal transplant 8 months ago at Korle Bu, presents to the emergency centre with a 3-week history of progressive headache, low-grade fever, and mild confusion. H…

Infectious Disease · Ghana NTP first-line regimen and hepatotoxicity difficulty 4/5

A 38-year-old man, Kofi, is seen at the Komfo Anokye ED after being referred from a peripheral facility. He was diagnosed with pulmonary TB 3 weeks ago and commenced on the Ghana NTP standard first-li…

Infectious Disease · Tetanus human tetanus immunoglobulin difficulty 4/5

Abena, a 45-year-old market trader, is brought to a regional hospital ED in the Ashanti Region after being found at home with generalised rigidity and repeated painful whole-body spasms. Her family re…