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3996 matches for “Ghana” — showing 3511–3540
Obstetric Emergencies · Postpartum eclampsia recognition difficulty 2/5

A 31-year-old woman, G2P1, is brought to a district hospital in the Upper East Region 6 hours after a vaginal delivery. Her husband reports she had a generalised convulsion at home lasting about 3 min…

Obstetric Emergencies · Pulmonary oedema in severe pre-eclampsia difficulty 4/5

A 38-year-old woman, Adwoa, is brought to a district hospital in the Eastern Region at 2 AM. She is 34 weeks pregnant and complains of sudden-onset breathlessness and chest tightness that woke her fro…

Obstetric Emergencies · Amniotic fluid embolism difficulty 4/5

A 35-year-old G4P3 at 33 weeks gestation is in the Komfo Anokye obstetric unit when she suddenly develops severe chest pain, profound dyspnoea, and cyanosis followed within minutes by cardiac arrest. …

Obstetric Emergencies · Source control — mastitis and breast abscess difficulty 2/5

A 34-year-old woman, 10 days postpartum after a vaginal delivery at a district hospital in the Volta Region, presents to the regional hospital ED with a 3-day history of right breast pain, swelling, a…

Obstetric Emergencies · Intrauterine balloon tamponade — condom catheter difficulty 3/5

Adwoa, a 38-year-old G5P4, delivers at a regional hospital in the Northern Region. Despite oxytocin, ergometrine, misoprostol, and carboprost, bimanual compression, and IV tranexamic acid, the uterus …

Obstetric Emergencies · AFE — ECMO and refractory shock difficulty 4/5

Fatima, a 31-year-old G1P0 at 38 weeks, is referred from a district hospital in the Upper East Region to the Tamale Teaching Hospital following cardiorespiratory arrest in the labour ward during induc…

Obstetrics and Gynaecology · Uterine inversion — grading difficulty 2/5

A 29-year-old primigravida, Ama, delivered at a district hospital in the Ashanti Region after augmentation with oxytocin for slow progress. Thirty minutes after delivery she develops sudden heavy vagi…

Obstetrics and Gynaecology · MRI vs USS in placenta accreta spectrum difficulty 4/5

Adwoa, a 38-year-old G5P4 woman with three prior caesarean sections, presents at 32 weeks gestation to Komfo Anokye ED with painless vaginal bleeding. Pelvic USS shows an anterior placenta covering th…

Obstetrics and Gynaecology · Expectant vs immediate delivery in severe pre-eclampsia difficulty 3/5

A 26-year-old primigravida at 27 weeks gestation is admitted to the Korle Bu Emergency Centre with BP 166/112 mmHg, severe frontal headache, and 2+ proteinuria. She has no abdominal pain, and her live…

Obstetrics and Gynaecology · Uterine rupture — risk factors and warning signs difficulty 3/5

A 26-year-old primigravida, Fatima, is referred from a district hospital in Northern Ghana at 41 weeks gestation after 24 hours of obstructed labour. She is febrile (38.9°C), BP 90/60 mmHg, HR 132 bpm…

Obstetrics and Gynaecology · Mississippi HELLP classification difficulty 4/5

A 30-year-old woman at 33 weeks gestation is admitted to the Komfo Anokye ED with severe epigastric pain and malaise for 12 hours. Her BP on arrival is 162/108 mmHg and is confirmed at 164/110 mmHg 15…

Obstetrics and Gynaecology · Vaginal laceration repair difficulty 2/5

Akosua, a 28-year-old primigravida, delivers vaginally at a regional hospital ED after a prolonged second stage with instrumental assistance. The placenta delivers spontaneously. Thirty minutes later …

Obstructive Jaundice and Pancreatic Cancer · Preoperative biliary drainage before pancreaticoduodenectomy difficulty 4/5

A 55-year-old man, Kofi, is listed for a Whipple's pancreaticoduodenectomy at Korle Bu Teaching Hospital for a resectable 2.5 cm adenocarcinoma of the head of the pancreas. He is deeply jaundiced (bil…

Oncological Emergencies · Antifungal escalation difficulty 4/5

A 48-year-old man, Mohammed, with multiple myeloma on bortezomib-dexamethasone therapy, is admitted to the Komfo Anokye haematology ward and develops febrile neutropenia (ANC 0.10 × 10⁹/L, temperature…

Oncological Emergencies · SVC syndrome clinical features difficulty 2/5

A 58-year-old man, Mohammed, is brought to the Komfo Anokye ED by his family with a 3-week history of progressive facial swelling, worsening headache, and increasing breathlessness. He was diagnosed w…

Oncological Emergencies · MSCC — primary malignancies difficulty 3/5

A 52-year-old man, Kwame, is referred from a district hospital in Brong-Ahafo with a 6-week history of progressive lower back pain. He has no prior cancer diagnosis. Over the past week he has develope…

Oncological Emergencies · MSCC — prognostic factors difficulty 3/5

Mohammed, a 67-year-old man with known metastatic prostate cancer, is brought to the Korle Bu Emergency Centre by his family. He reports sudden onset bilateral leg weakness and difficulty walking over…

Oncological Emergencies · SVC syndrome clinical features and severity difficulty 3/5

A 58-year-old man, Kofi, is brought to the Komfo Anokye ED by his family with a 3-week history of progressive facial swelling and headache that worsens when he bends forward. He was diagnosed with lun…

Oncological Emergencies · Rasburicase mechanism vs allopurinol difficulty 2/5

Adwoa, a 19-year-old woman with Burkitt lymphoma and a uric acid of 680 μmol/L, is brought to the Korle Bu emergency centre. She started chemotherapy 36 hours ago at a peripheral facility and now has …

Oncological Emergencies · MSCC initial management difficulty 2/5

Akosua, a 58-year-old woman with known metastatic breast cancer on hormonal therapy, is brought to the Komfo Anokye ED by her daughter. She reports a 3-week history of progressive mid-thoracic back pa…

Ophthalmological Emergencies · Red eye differential - anterior uveitis difficulty 2/5

Ama, a 27-year-old woman, presents to Tamale Teaching Hospital A&E with a 3-day history of worsening pain in her right eye, photophobia, and blurred vision. She has had a similar episode in the same e…

Ophthalmological Emergencies · Optic neuritis - diagnosis and management pathway difficulty 4/5

Adwoa, a 32-year-old woman, attends Korle Bu Teaching Hospital A&E with a 5-day history of progressive blurring of vision in her right eye, mild aching pain behind the eye worsened by eye movement, an…

Ophthalmological Emergencies · Orbital cellulitis vs preseptal cellulitis - disposition and IV antibiotic management difficulty 3/5

A 27-year-old man, Kofi, presents to Korle Bu Teaching Hospital A&E with a 5-day history of swelling around the right eye, fever, and worsening headache. He gives a history of right-sided sinusitis tr…

Ophthalmology · Late complications of chemical eye injury difficulty 2/5

A 55-year-old woman named Adwoa is reviewed in the Korle Bu emergency centre 72 hours after being discharged following a lime (calcium hydroxide) splash injury to her left eye. She received 45 minutes…

Ophthalmology · Endophthalmitis in resource-limited settings difficulty 4/5

A 72-year-old man is brought to a regional hospital ED in the Volta Region 2 days after right eye cataract surgery performed at a district surgical outreach camp. He reports worsening right eye pain s…

Ophthalmology · Sympathetic ophthalmia difficulty 3/5

Mohammed, a 42-year-old security guard, is brought to a district hospital in Brong-Ahafo Region after being shot in the face with a locally fabricated shotgun. He is conscious with a GCS of 14. Vitals…

Ophthalmology · CRAO — stroke risk workup difficulty 3/5

Abena, a 48-year-old woman with no significant past medical history, presents to a regional hospital ED with sudden-onset painless complete blindness in the right eye that she noticed 20 minutes after…

Ophthalmology · Haemophilus influenzae and Hib vaccination in periorbital cellulitis difficulty 4/5

A 4-year-old girl, Yaa, is brought to a district hospital in Brong-Ahafo Region with right eyelid swelling and fever for 2 days following an insect bite to the right cheek. Her Hib vaccination status …

Ophthalmology · CRAO — hyperbaric oxygen therapy difficulty 3/5

Kofi, a 55-year-old man with a history of hypertension and hyperlipidaemia, is referred from a district hospital in Ashanti Region to Komfo Anokye ED with a 5-hour history of painless right monocular …

Ophthalmology · Hydrofluoric acid eye injury — systemic toxicity difficulty 4/5

A 31-year-old male laboratory technician named Joseph presents to the Komfo Anokye ED after hydrofluoric acid (40% concentration) splashed onto his right hand and into his right eye during an industri…