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3996 matches for “Ghana” — showing 3331–3360
Keloid and Hypertrophic Scar Management · Resource-appropriate keloid management and patient counselling difficulty 4/5

A 40-year-old man, Yaw, is reviewed in the general surgical outpatient clinic at a district hospital in the Upper East Region. He has a 6 cm raised scar over his right deltoid region following a road …

Keloid and Hypertrophic Scar Management · Mechanism of pressure therapy in keloid management difficulty 3/5

Abena, a 19-year-old student, presents to Korle Bu plastic surgery clinic with bilateral earlobe keloids following ear piercing performed 14 months ago. Each lesion measures approximately 3 cm and has…

Keloid and Hypertrophic Scar Management · Second-line management of corticosteroid-resistant keloid difficulty 3/5

Kofi, a 35-year-old man with known keloid tendency, was referred to the Komfo Anokye surgical outpatient clinic with a 4 cm × 3 cm keloid over the right deltoid region following a BCG vaccination scar…

Keloid and Hypertrophic Scar Management · BCG vaccination keloid — district-level management difficulty 3/5

Adwoa, a 19-year-old student, presents to the surgical outpatient clinic at a district hospital in the Upper East Region with a 3 cm keloid over the left deltoid region, which developed six months aft…

Keloid and Hypertrophic Scar Management · Keloid — post-operative radiotherapy timing difficulty 3/5

Kwabena, a 40-year-old farmer from the Ashanti Region, is reviewed in the Komfo Anokye plastic surgery clinic with a 6 cm × 4 cm keloid over his anterior chest wall following a traditional scarificati…

Keloid and Hypertrophic Scar Management · Second-line keloid pharmacotherapy difficulty 4/5

Kofi, a 45-year-old market trader, presents to the Korle Bu plastic surgery unit with a 4 cm × 3 cm keloid over the presternal region that has been enlarging for three years following a minor lacerati…

Keloid and Hypertrophic Scar Management · Adjuvant radiotherapy for refractory keloid difficulty 4/5

Yaw, a 40-year-old teacher, presents to the plastic surgery unit at Korle Bu Teaching Hospital with a large, symptomatic keloid over the presternal region measuring 8 cm × 5 cm. The lesion developed f…

Keloid and Hypertrophic Scar Management · Intralesional corticosteroid side effects difficulty 3/5

Kwabena, a 32-year-old secondary school teacher, attends the Komfo Anokye surgical outpatient clinic with a 4 cm pruritic keloid over the presternal region, which developed following a minor burn inju…

Keloid and Hypertrophic Scar Management · Large steroid-resistant keloid management difficulty 4/5

Yaw, a 40-year-old cocoa farmer from the Western Region, is referred to the regional hospital surgical clinic with a large, lobulated keloid over the left deltoid region following a BCG vaccination sc…

Large Bowel Obstruction · Obstructing splenic flexure carcinoma — operative strategy difficulty 4/5

A 68-year-old woman, Akua, is admitted to the Komfo Anokye surgical unit with a 4-day history of absolute constipation, progressive abdominal distension, and colicky pain. She has a background of hype…

Large Bowel Obstruction · Obstructing colorectal carcinoma — post-operative oncological management difficulty 4/5

A 55-year-old woman, Ama, is seen in the Korle Bu colorectal outpatient clinic. She was admitted 3 weeks ago with acute large bowel obstruction secondary to an obstructing sigmoid carcinoma and underw…

Large Bowel Obstruction · Self-expanding metallic stent in obstructing colorectal cancer difficulty 4/5

Mohammed, a 70-year-old man with ischaemic heart disease on aspirin and a history of previous myocardial infarction, is admitted to the Korle Bu general surgical unit with a 7-day history of absolute …

Local and Regional Anaesthesia · Buffering to reduce injection pain difficulty 2/5

Mohammed, a 55-year-old man, is seen in the Komfo Anokye ED for suturing of a 6 cm scalp laceration after a road traffic collision. He is alert and cooperative. BP 138/88 mmHg, HR 96 bpm. The registra…

Local and Regional Anaesthesia · Wound closure timing - golden window and complication management difficulty 4/5

Mohammed, a 55-year-old trader, presents to Tamale Teaching Hospital ED after a road traffic collision. He sustained a deep laceration to the anterior aspect of his left thigh, approximately 10 cm lon…

Ludwig Angina · ENT difficulty 4/5

A 42-year-old man, Yaw, presents to the Korle Bu general surgical unit with a 6-day history of right lower molar extraction at a community dental clinic, followed by worsening bilateral neck swelling,…

Ludwig Angina · ENT difficulty 5/5

A 55-year-old man, Mensah, with known HIV infection (CD4 count 88 cells/microlitre, not yet on antiretroviral therapy) is admitted to the Korle Bu surgical unit with a 7-day history of worsening bilat…

Major Incidents and Mass Casualty · START algorithm — apnoeic patient categorisation difficulty 2/5

A fuel tanker overturns on the Accra–Kumasi highway near Nkawkaw, exploding and engulfing three minibuses. Police count approximately 55 casualties scattered across 200 metres of road. A team of two d…

Major Incidents and Mass Casualty · SALT triage framework — principles and comparison with START difficulty 3/5

A ferry capsizes on the Volta Lake near Yeji. NADMO (National Disaster Management Organisation) activates a regional response. The Brong-Ahafo Regional Hospital ED medical director is designated as th…

Major Incidents and Mass Casualty · SALT lifesaving interventions — chemical MCI difficulty 4/5

A chemical tanker explodes on the Tema Industrial Area, releasing an unknown vapour. Forty-three workers are brought to the Tema General Hospital ED. Several patients have pinpoint pupils, profuse sec…

Major Incidents and Mass Casualty · JESIP principles - joint command and interoperability difficulty 3/5

A stampede at a music festival in Accra injures 60 people. NADMO has activated a multi-agency response involving Ghana Police Service, Ghana National Fire Service, and Ghana Red Cross. The scene comma…

Major Incidents and Mass Casualty · SALT triage - sort, assess, lifesaving interventions, treatment categories difficulty 4/5

A gas cylinder explosion at a market in Tamale injures 35 people. The Medical Incident Commander at scene uses the SALT triage method. A 45-year-old man, Yaw, is found with a penetrating abdominal wou…

Major Incidents and Mass Casualty · START triage - red category criteria including perfusion and mental status difficulty 3/5

A 7-year-old girl, Akua, is brought to the triage point following a coach crash on the Accra-Kumasi road. She is not walking. On assessment, she has no spontaneous respirations; the first aider reposi…

Major Incidents and Mass Casualty · JESIP principles - joint emergency services interoperability and on-scene command coordination difficulty 4/5

A building collapse in Tamale following heavy rains traps multiple construction workers. Ghana Fire Service, Ghana Police Service, and ambulance crews from Tamale Teaching Hospital are all on scene si…

Major Incidents and Mass Casualty · Role of EM physician in mass casualty difficulty 4/5

A building collapses during the rainy season in Kumasi, trapping 40 construction workers. Komfo Anokye Teaching Hospital activates its hospital disaster plan. The hospital incident commander assigns t…

Major Incidents and Mass Casualty · JumpSTART paediatric triage — apnoeic child with palpable pulse difficulty 3/5

A building collapse occurs at a construction site in Tamale. The Tamale Teaching Hospital emergency centre activates its mass casualty plan. Among the 40 casualties brought in over 90 minutes, a 9-yea…

Major Incidents and Mass Casualty · Role of emergency physician as medical command officer in hospital mass casualty response difficulty 4/5

A road traffic crash involving a loaded commercial bus occurs on the N10 highway near Techiman. Forty-one people are injured; 8 are dead at scene. NADMO activates the district mass casualty response a…

Major Incidents and Mass Casualty · JESIP principles - M/ETHANE structured scene communication difficulty 2/5

A major road traffic collision on the Cape Coast highway involves two commercial buses and a petrol tanker. Sixty-two casualties are reported. The first structured communication from the scene to Komf…

Maxillofacial Trauma · Traumatic hyphaema difficulty 2/5

Abena, a 17-year-old girl, presents to Komfo Anokye ED after a football struck her directly in the right eye. She complains of eye pain and haematopsia (blood in vision). Visual acuity is 6/24 on the …

Maxillofacial Trauma · Open globe injury difficulty 4/5

A 19-year-old woman, Abena, is brought to the Komfo Anokye ED after being involved in a road traffic collision. She was a pedestrian struck by a vehicle. She is alert with GCS 15. Vital signs: BP 110/…

Maxillofacial Trauma · Airway priority in midface trauma difficulty 2/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED following a high-speed road traffic collision. He was an unrestrained passenger. On arrival he is unconscious with a GCS of 7 (E2V2M3). Vita…