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3996 matches for “Ghana” — showing 3391–3420
Medicine: Respiratory · Sarcoidosis — diagnosis and histological confirmation difficulty 3/5

Abena, a 28-year-old teacher, attends the chest clinic at Ho Teaching Hospital with a 6-week history of dry cough, low-grade fever, and progressive exertional dyspnoea. She has lost 4 kg in weight. Ch…

Medicine: Respiratory · Tuberculosis — management of rifampicin-resistant TB difficulty 3/5

Akua, a 28-year-old woman, attends the chest clinic at Cape Coast Teaching Hospital with a 6-week history of haemoptysis, drenching night sweats, and a 6 kg weight loss. She has a history of pulmonary…

Medicine: Respiratory · Pleural effusion — malignant aetiology difficulty 3/5

Kwame, a 58-year-old farmer from the Brong-Ahafo region, presents to Komfo Anokye Teaching Hospital with a 3-week history of progressive breathlessness and right-sided pleuritic chest pain. He has no …

Medicine: Respiratory · Pleural effusion — Light's criteria and classification difficulty 3/5

Akua, a 48-year-old trader, is referred to the medical ward at Cape Coast Teaching Hospital with increasing left-sided dullness on percussion and reduced breath sounds at the left base. She reports pr…

Medicine: Respiratory · Pleural effusion — ADA and TB pleuritis diagnosis difficulty 3/5

Yaw, a 52-year-old cocoa farmer, is referred from a district hospital to the medical ward at Ho Teaching Hospital with a two-week history of progressive right-sided chest pain and dyspnoea. On examina…

Medicine: Respiratory · Tuberculosis — diagnosis difficulty 2/5

Kwame, a 58-year-old farmer from the Brong-Ahafo Region, presents to Komfo Anokye Teaching Hospital with a 3-week history of productive cough, drenching night sweats, and a 6 kg weight loss. He has no…

Medicine: Rheumatology & Dermatology · Stevens-Johnson syndrome / TEN — immediate management difficulty 3/5

Joseph, a 45-year-old civil servant on antiretroviral therapy (nevirapine-based regimen) for HIV, develops extensive epidermal detachment involving 35% of his body surface area 3 weeks after starting …

Medicine: Rheumatology & Dermatology · Common skin infections — Buruli ulcer difficulty 3/5

Yaw, a 42-year-old fisherman, presents to a regional hospital in the Western Region with a three-week history of an expanding, painless ulcer on his right forearm. The ulcer has undermined edges, a ne…

Metabolic Response to Injury · Metabolic response to thermal injury difficulty 4/5

A 34-year-old woman, Adwoa, is admitted to a regional hospital in the Volta Region following 40% total body surface area flame burns sustained in a domestic kerosene fire. She is conscious with a GCS …

Metabolic Response to Injury · Acute-phase protein response — albumin and transferrin difficulty 4/5

A 52-year-old market trader, Ama, is admitted to the Korle Bu general surgical unit with a 5-day history of fever, rigors, and right upper quadrant pain. She is known to have sickle-cell trait (AS gen…

Metabolic Response to Injury · Acute-phase micronutrient redistribution — zinc, iron, copper difficulty 4/5

A 19-year-old student, Yaw, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 4-day history of fever, diffuse abdominal pain, and diarrhoea. He is known to…

Metabolic Response to Injury · Stress hyperglycaemia in the diabetic surgical patient difficulty 4/5

Yaw, a 60-year-old retired teacher with type 2 diabetes mellitus (on metformin 1 g twice daily) and well-controlled hypertension, is listed for an elective open sigmoid colectomy for diverticular dise…

Musculoskeletal Emergencies · Posterior shoulder dislocation — seizure association difficulty 3/5

Aisha, a 22-year-old woman with known generalised epilepsy, is brought to a regional hospital ED by her family after a witnessed tonic-clonic seizure lasting approximately 3 minutes. She is now post-i…

Musculoskeletal Emergencies · Anterior shoulder dislocation — reduction techniques difficulty 2/5

Kwame, a 28-year-old footballer, is brought to the Komfo Anokye ED after a collision on the pitch. He is holding his right arm in slight abduction and external rotation, unable to adduct it. He is in …

Musculoskeletal Emergencies · Washout urgency and empiric antibiotics at district level difficulty 3/5

A 19-year-old man named Kofi presents to a district hospital in the Upper East Region with a 2-day history of severe pain and swelling in his right knee after a minor football injury. Temperature is 3…

Musculoskeletal Emergencies · Hip dislocation — prosthetic vs native, reduction urgency difficulty 4/5

Mr Joseph Agyemang, a 72-year-old man with a history of right total hip replacement 2 years ago, is referred from a district hospital in Brong-Ahafo to the Komfo Anokye ED after a fall from a chair. H…

Musculoskeletal Emergencies · Patellar dislocation — acute management difficulty 3/5

Adwoa, a 19-year-old student, attends the Korle Bu emergency centre after twisting her left knee while dancing. She describes her kneecap 'going to the outside' and then relocating spontaneously befor…

Musculoskeletal Emergencies · Sickle cell osteomyelitis and Salmonella difficulty 4/5

A 35-year-old man known to have sickle cell disease (HbSS) is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED with a 10-day history of progressive right mid…

Musculoskeletal Emergencies · Gonococcal vs non-gonococcal septic arthritis difficulty 3/5

Akosua, a 24-year-old woman, presents to the Korle Bu Emergency Centre with a 5-day history of pain and swelling in her right wrist and left ankle, low-grade fever, and a rash. She is sexually active …

Ménière Disease · ENT difficulty 4/5

A 44-year-old woman, Adwoa, is seen in the UGMC surgical ENT clinic. She has a 4-year history of right-sided Ménière disease, confirmed on audiometry and glycerol test. Despite 2 years of betahistine …

Ménière Disease · ENT difficulty 4/5

Adwoa, a 55-year-old market trader, is seen in the ENT clinic at Korle Bu Teaching Hospital. She has a 6-year history of left-sided Ménière disease with disabling vertigo attacks occurring up to twice…

Ménière Disease · ENT difficulty 4/5

Ama, a 50-year-old woman, is referred to the ENT outpatient clinic at Korle Bu Teaching Hospital from a district hospital in the Central Region. She reports a 5-year history of episodic rotatory verti…

Neck Lump — Differential and Investigation · ENT difficulty 2/5

A 14-year-old boy, Kwabena, is brought to the paediatric surgical clinic at UGMC by his mother with a large, soft, lobulated swelling in the left posterior triangle of the neck present since birth, wh…

Neck Lump — Differential and Investigation · ENT difficulty 3/5

Yaw, a 45-year-old civil servant, presents to the Korle Bu general surgical clinic with a 2-year history of a slowly enlarging, painless right lateral neck mass. He denies any systemic symptoms. He ha…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — pathophysiology difficulty 4/5

A 35-year-old woman, Akua, presents to the Korle Bu general surgical unit with a 5-day history of a rapidly spreading painful erythema of the right thigh following a minor abrasion sustained during fa…

Necrotising Fasciitis and Fournier Gangrene · Necrotising fasciitis — empirical antibiotic therapy difficulty 4/5

A 61-year-old man, Mensah, with type 2 diabetes and peripheral vascular disease is admitted to the Komfo Anokye Teaching Hospital surgical unit with a 5-day history of a rapidly spreading infection of…

Necrotising Fasciitis and Fournier Gangrene · Antibiotic management of polymicrobial necrotising fasciitis difficulty 4/5

A 45-year-old man, Yaw, with known HIV infection (CD4 count 112 cells/µL, not on antiretroviral therapy) is admitted to the Korle Bu general surgical unit with a two-day history of rapidly spreading r…

Neonatal Bowel Obstruction · Jejuno-ileal atresia difficulty 3/5

A 3-day-old male neonate, baby Kwame, is brought to the Korle Bu neonatal surgical unit with bilious vomiting, abdominal distension, and failure to pass meconium. He was born at 36 weeks gestation by …

Neonatal Bowel Obstruction · Jejunoileal atresia difficulty 4/5

A 2-day-old female neonate born at 36 weeks gestation is referred from a district hospital in the Brong-Ahafo Region to the paediatric surgical unit at a regional hospital. The referring clinician not…

Neonatal Bowel Obstruction · Omphalocele (exomphalos) difficulty 3/5

A 1-day-old male neonate is brought to the Korle Bu paediatric surgical unit. He was born at term by emergency caesarean section for foetal distress to a 28-year-old primigravida, Abena. On initial as…