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3996 matches for “Ghana” — showing 3541–3570
Ophthalmology · Traumatic retinal tear — management difficulty 3/5

Yaw, a 29-year-old student, presents to the Korle Bu emergency centre after sustaining blunt trauma to his right eye from an elbow during a football match 3 hours ago. He describes multiple dark float…

Ophthalmology · Endogenous endophthalmitis — Klebsiella difficulty 4/5

A 52-year-old man with known type 2 diabetes on insulin presents to the Komfo Anokye ED with a 3-day history of right eye pain, blurred vision, and increasing redness. He has no recent eye surgery or …

Ophthalmology · Open globe management at district level and referral difficulty 2/5

A 9-year-old boy named Yaw is brought to a district hospital in the Eastern Region by his father after a nail from a catapult struck his right eye while playing. He is crying and holding his hand over…

Ophthalmology · Tractional retinal detachment — diabetic difficulty 3/5

Kofi, a 62-year-old farmer with a 15-year history of poorly controlled type 2 diabetes mellitus, is brought to the regional hospital ED in Tamale by his wife because he noticed sudden worsening of alr…

Orthopaedic Emergencies · Fat embolism syndrome difficulty 4/5

Mohammed, a 55-year-old government driver, sustained bilateral closed femur fractures in a head-on collision on the Accra-Kumasi highway. He was haemodynamically stabilised with IV fluids and referred…

Orthopaedic Emergencies · Temporising wound management — NPWT in resource-limited settings difficulty 3/5

Mohammed, a 44-year-old security officer, sustained a Grade IIIB open tibial fracture in a motor vehicle collision 18 hours ago. He was operated on at a district hospital in Brong-Ahafo where debridem…

Orthopaedic Emergencies · Patellar dislocation difficulty 2/5

Akosua, a 16-year-old girl, is brought to the regional hospital ED after twisting her left knee during a school netball game. She felt a 'pop' and saw her kneecap shift laterally. On examination: BP 1…

Orthopaedic Emergencies · Tetanus prophylaxis in open fractures difficulty 2/5

Kofi, a 19-year-old student, presents to a regional hospital emergency department 2 hours after falling from a construction scaffold. He has a transverse mid-shaft femoral fracture with a 3 cm wound o…

Orthopaedic Emergencies · Anterior shoulder dislocation reduction techniques difficulty 3/5

Kwame, a 28-year-old footballer, is brought to the regional hospital ED in Kumasi after a collision on the pitch. He holds his right arm abducted and externally rotated and is unable to bring it to hi…

Orthopaedic Emergencies · Neurovascular examination in limb fractures difficulty 3/5

Yaw, a 72-year-old retired teacher with known hypertension, is brought to a district hospital in the Northern Region after a fall from a standing height at home. He complains of left hip pain and inab…

Orthopaedic Emergencies · Pelvic ring stability and haemorrhage control difficulty 4/5

Akosua, a 34-year-old market trader, is brought to Komfo Anokye ED following a high-speed road traffic collision in Kumasi. She is restless and complains of severe pelvic pain. Vitals: BP 82/54 mmHg, …

POCUS - Aorta · AAA - Measurement pitfall: oblique plane overestimation difficulty 4/5

Ama, a 69-year-old woman with a history of hypertension and obesity (BMI 36 kg/m²), is evaluated at Tamale Teaching Hospital A&E for acute-onset lower back pain. The on-call resident performs aortic P…

POCUS - Aorta · AAA - Pitfall: bowel gas obscuring view difficulty 2/5

Yaw, a 64-year-old male with poorly controlled hypertension and a 40 pack-year smoking history, presents to the Korle Bu Emergency Centre with vague periumbilical discomfort. Vital signs are stable. A…

POCUS - Aorta · Bowel gas pitfall - technique to overcome obstruction difficulty 3/5

Yaw, a 72-year-old male ex-smoker, attends the regional hospital A&E in the Ashanti Region with vague central abdominal discomfort. His blood pressure is 142/88 mmHg and he is haemodynamically stable.…

POCUS - Cardiac · Parasternal Short Axis - Regional Wall Motion Abnormality difficulty 3/5

Kofi, a 47-year-old man with no known cardiac history, presents to a regional hospital A&E in the Ashanti Region with sudden onset central chest tightness, diaphoresis, and dyspnoea for two hours. His…

POCUS - Cardiac · IVC Assessment - Diameter and Respiratory Variation difficulty 3/5

Kwabena, a 55-year-old man with chronic kidney disease, presents to the Komfo Anokye ED with worsening dyspnoea and bilateral ankle swelling. His blood pressure is 95/65 mmHg and HR is 102 bpm. You pe…

POCUS - Hepatobiliary · Gallbladder wall thickness measurement technique difficulty 3/5

Yaa, a 44-year-old woman, presents to a regional hospital A&E in the Ashanti Region with fever (38.6°C), right upper quadrant pain, and mild jaundice. The attending doctor performs hepatobiliary POCUS…

POCUS - Lung Ultrasound · Consolidation - hepatisation and dynamic air bronchograms difficulty 3/5

Ama, a 67-year-old woman with a history of smoking and recent productive cough with fever, presents to a regional hospital A&E in the Ashanti Region with 5 days of worsening breathlessness and pleurit…

POCUS - Lung Ultrasound · Pleural effusion - anechoic above diaphragm difficulty 2/5

Kwabena, a 70-year-old retired teacher, presents to the Korle Bu Emergency Centre with progressive breathlessness over two weeks, reduced breath sounds at the right base, and dullness to percussion. H…

POCUS - Lung Ultrasound · A-lines - normal aerated lung difficulty 2/5

Kofi, a 58-year-old male with known hypertension and type 2 diabetes, presents to the Komfo Anokye ED with acute onset breathlessness and orthopnoea. His oxygen saturation is 84% on room air and he ha…

POCUS - Obstetrics and Gynaecology · Gestational age estimation - crown-rump length difficulty 3/5

Yaa, a 24-year-old woman with an uncertain last menstrual period, presents to a regional hospital A&E in the Ashanti Region with mild nausea and light spotting. She is haemodynamically stable. A trans…

POCUS - Procedural Guidance · eFAST - Suprapubic window and pouch of Douglas anatomy difficulty 2/5

A 28-year-old woman, Esi, is brought to a regional hospital A&E in the Volta Region following a motor vehicle collision. She is haemodynamically stable. You perform a suprapubic eFAST window to assess…

POCUS - Procedural Guidance · Femoral nerve block - in-plane vs out-of-plane pitfall difficulty 4/5

Yaa, a 29-year-old woman, presents to the Korle Bu emergency centre following a fall from height with a comminuted fracture of the right femoral shaft requiring urgent procedural analgesia before mani…

POCUS - Procedural Guidance · Thoracentesis - spine sign and site confirmation difficulty 3/5

Ama, a 34-year-old woman, is brought to the Korle Bu emergency centre following a road traffic collision with suspected haemothorax. After initial resuscitation, the emergency physician decides to per…

POCUS - Procedural Guidance · Aorta POCUS - AAA screening and recognition difficulty 3/5

A 71-year-old man, Yaw, presents to the Tamale Teaching Hospital ED with sudden-onset severe central abdominal pain radiating to the back, onset 2 hours ago. He is diaphoretic and hypotensive (BP 90/6…

POCUS - Renal and Bladder · False-positive hydronephrosis - parapelvic cysts difficulty 3/5

Kofi, a 45-year-old man, is brought to a regional hospital A&E in Ashanti with left loin discomfort. He reports a previous ultrasound showing 'cysts on the kidney.' His vital signs are normal and urin…

POCUS - Renal and Bladder · False-positive hydronephrosis - physiological pregnancy / full bladder difficulty 3/5

Yaa, a 32-year-old primigravida at 28 weeks gestation, presents to the Korle Bu Emergency Centre with bilateral loin discomfort but no fever, dysuria, or haematuria. Urinalysis shows trace protein onl…

POCUS - Renal and Bladder · Bladder volume estimation and post-void residual difficulty 3/5

Yaa, a 72-year-old woman with a 2-week history of lower urinary tract symptoms and difficulty voiding, is assessed in the A&E of a regional hospital in the Ashanti Region. She has no fever and her cre…

POCUS - Soft Tissue and Musculoskeletal · Foreign body detection - hyperechoic focus with posterior acoustic shadow difficulty 3/5

Kwabena, a 19-year-old apprentice carpenter, presents to the Korle Bu emergency centre with a laceration on the plantar surface of his right foot sustained three days ago while working barefoot. The w…

POCUS - Trauma (eFAST) · Suprapubic View - False Negative Sources difficulty 3/5

Ama, a 19-year-old female university student, is brought to a regional hospital A&E in the Ashanti Region after being struck by a vehicle as a pedestrian. She is haemodynamically stable (BP 118/76 mmH…