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3996 matches for “Ghana” — showing 3361–3390
Maxillofacial Trauma · C-spine clearance in maxillofacial trauma difficulty 3/5

A 55-year-old man is referred from a district hospital in Brong-Ahafo to a regional hospital ED after a vehicle rollover. He has been placed in a cervical collar. He is alert, GCS 15. He has obvious m…

Maxillofacial Trauma · Mandibular fractures and airway risk difficulty 3/5

A 22-year-old man, Yaw, presents to a regional hospital ED after being assaulted outside a nightclub. He was punched on the left jaw. He now reports pain on opening his mouth and bite feels 'off'. On …

Maxillofacial Trauma · Le Fort fracture classification difficulty 3/5

A 35-year-old woman, Afia, is referred from a district hospital to the Korle Bu emergency centre following an assault. She was struck across the face with a wooden plank. On examination: BP 124/78 mmH…

Maxillofacial and Dental Emergencies · TMJ dislocation — reduction technique and disposition difficulty 4/5

Akosua, a 28-year-old woman, presents to Korle Bu Teaching Hospital A&E with inability to close her mouth after yawning widely. She is distressed, drooling, and her jaw is locked in an open position. …

Maxillofacial and Dental Emergencies · Dental fracture classification - Ellis II management difficulty 3/5

A 9-year-old boy, Yaw, is brought to the A&E at a regional hospital by his mother after falling off his bicycle and hitting his face on the ground. His upper right central incisor is chipped. On exami…

Maxillofacial and Dental Emergencies · Mandibular fracture - disposition and referral difficulty 2/5

A 22-year-old man, Mohammed, is brought to the A&E at Tamale Teaching Hospital following an assault. He has pain and swelling over the left angle of the mandible, trismus, and malocclusion. Orthopanto…

Maxillofacial and Dental Emergencies · Post-extraction haemorrhage — stepwise local management difficulty 3/5

Yaw, a 52-year-old market trader, presents to Tamale Teaching Hospital A&E with persistent bleeding from a lower right molar socket, three hours after tooth extraction at a community dental clinic. He…

Medicine: Cardiovascular · Rheumatic heart disease — mitral stenosis difficulty 3/5

Kwabena, a 34-year-old man, presents to the cardiology OPD at Korle Bu Teaching Hospital with a three-month history of progressive exertional dyspnoea and orthopnoea. He had recurrent episodes of sore…

Medicine: Cardiovascular · Rheumatic heart disease difficulty 2/5

Ama, a 16-year-old girl, is brought to Korle Bu Teaching Hospital with a two-week history of fever, migratory polyarthritis, and a new cardiac murmur. She had a sore throat three weeks ago that was no…

Medicine: Endocrine & Diabetes · Adrenal insufficiency — pathophysiology of hyperpigmentation difficulty 3/5

Fatima, a 38-year-old woman, is admitted to a regional hospital in northern Ghana with a two-week history of profound fatigue, weight loss, postural dizziness, and darkening of her skin creases and bu…

Medicine: Endocrine & Diabetes · Adrenal insufficiency — electrolyte disturbance mechanism difficulty 3/5

A 58-year-old man, Joseph, presents to a district hospital in the Volta Region with a three-week history of progressive fatigue, anorexia, nausea, and dizziness on standing. He was treated for pulmona…

Medicine: Endocrine & Diabetes · Graves' Disease — Hyperthyroidism difficulty 2/5

Adwoa, a 38-year-old woman, attends the endocrine OPD at Ho Teaching Hospital with a six-month history of palpitations, heat intolerance, weight loss despite a good appetite, and frequent loose stools…

Medicine: Gastroenterology & Liver · Protozoal diarrhoea — Giardia intestinalis difficulty 2/5

Yaw, a 28-year-old student, presents to a regional hospital in the Brong-Ahafo Region with a 5-day history of profuse watery diarrhoea, nausea, and vomiting. He attended a community funeral feast 6 da…

Medicine: Gastroenterology & Liver · Hepatitis B serology and perinatal transmission difficulty 3/5

Esi, a 29-year-old primigravida, is found to be HBsAg-positive at her antenatal booking visit at a district hospital in the Ashanti Region. She is 12 weeks pregnant, feels well, and has no jaundice or…

Medicine: Gastroenterology & Liver · Aetiology of cirrhosis in West Africa difficulty 2/5

Akua, a 38-year-old market trader, presents to the OPD at Korle Bu Teaching Hospital with a 4-month history of abdominal swelling, jaundice, and bilateral leg swelling. She has no history of alcohol u…

Medicine: Gastroenterology & Liver · Hepatocellular carcinoma — aetiology and risk factors difficulty 2/5

Kofi, a 45-year-old fisherman, is seen at a district hospital in the Volta Region with a 4-week history of right upper quadrant pain, weight loss of 8 kg, and a palpable, tender, irregular hepatomegal…

Medicine: Gastroenterology & Liver · Hepatocellular carcinoma — diagnosis difficulty 2/5

Kofi, a 60-year-old fisherman from the Volta Region, presents to the regional hospital with a 3-month history of right upper quadrant pain, progressive weight loss, and abdominal swelling. He has know…

Medicine: Haematology · Hodgkin lymphoma — diagnosis difficulty 2/5

Kofi, a 28-year-old man, presents to the medical ward at Korle Bu Teaching Hospital with a 6-week history of painless cervical lymphadenopathy, drenching night sweats, and a 10 kg weight loss. He deni…

Medicine: Haematology · Vitamin B12 Deficiency — Treatment difficulty 3/5

A 35-year-old woman presents to the medical OPD at Ho Teaching Hospital with a 6-month history of progressive fatigue and dyspnoea on exertion. She has no history of blood loss, has regular menstrual …

Medicine: Haematology · G6PD deficiency — haemolytic crisis difficulty 3/5

A 7-year-old boy, Joseph, is brought to the paediatric emergency unit at Ho Teaching Hospital with a two-day history of pallor, jaundice, and dark urine. His mother reports he had a febrile illness a …

Medicine: Infectious Diseases · Tetanus – antibiotic management difficulty 2/5

A 19-year-old man is brought to the emergency department at Cape Coast Teaching Hospital after stepping on a rusty nail while working on a construction site 5 days ago. He now has difficulty opening h…

Medicine: Infectious Diseases · Sepsis — recognition and initial management bundle difficulty 3/5

Adwoa, a 40-year-old market trader, is brought to the emergency department at Cape Coast Teaching Hospital with a two-hour history of high fever (temperature 39.6 °C), rigors, and confusion. She retur…

Medicine: Infectious Diseases · Typhoid — Widal test interpretation and limitations difficulty 3/5

A 19-year-old student, Mohammed, is admitted to Tamale Teaching Hospital with a 10-day history of fever, headache, and abdominal discomfort. For the past 2 days he has had diarrhoea with 6–8 loose sto…

Medicine: Infectious Diseases · Typhoid — diagnosis difficulty 2/5

Yaw, a 19-year-old student, presents to the emergency department at Cape Coast Teaching Hospital with a 10-day history of stepwise fever, headache, and abdominal discomfort. He is constipated. On exam…

Medicine: Infectious Diseases · HIV/TB co-infection – timing of ART initiation difficulty 3/5

Ama, a 34-year-old seamstress, presents to the OPD at Komfo Anokye Teaching Hospital with a 3-month history of productive cough, night sweats and a 7 kg weight loss. She is commenced on anti-tuberculo…

Medicine: Infectious Diseases · Typhoid fever – investigation of choice difficulty 2/5

Abena, a 19-year-old student, presents to the district hospital OPD in week 2 of a febrile illness. She describes a gradual onset of fever, frontal headache and anorexia. She is constipated and has no…

Medicine: Neurology · Diabetic peripheral neuropathy difficulty 2/5

Akua, a 55-year-old woman with poorly controlled type 2 diabetes mellitus for 12 years, presents to the OPD at Ho Teaching Hospital with a 4-month history of burning pain, numbness, and tingling in bo…

Medicine: Neurology · Diabetic peripheral neuropathy — classification difficulty 2/5

Yaa, a 55-year-old market trader with poorly controlled type 2 diabetes mellitus, presents to the OPD at Ho Teaching Hospital with a 6-month history of burning pain, tingling, and numbness in both fee…

Medicine: Neurology · Coma assessment — Glasgow Coma Scale difficulty 3/5

A 40-year-old man, Joseph, is found unconscious at home and brought to the emergency department at Ho Teaching Hospital. His wife says he has been unwell with fever for 3 days and has a history of sic…

Medicine: Neurology · Stroke — thrombolysis eligibility and time window difficulty 3/5

Ama, a 58-year-old market woman with known hypertension, is brought to Komfo Anokye Teaching Hospital by her family after they noticed she could not move her right arm and leg when she woke up this mo…