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3995 matches for “Ghana” — showing 361–390
Buruli Ulcer · Diagnosis and confirmatory testing ★ HY difficulty 2/5

A 14-year-old boy, Kwame, is brought to the outpatient department of a district hospital in the Ashanti Region by his mother, who reports a painless swelling on his right forearm that began three mont…

Buruli Ulcer · WHO staging / classification of Buruli ulcer ★ HY difficulty 2/5

A 28-year-old farmer named Kofi presents to a regional hospital in the Western Region with a six-month history of a painless ulcer on his left leg. He noticed a small, firm, painless nodule three mont…

Buruli Ulcer · WHO antibiotic regimen and category-based management ★ HY difficulty 3/5

A 9-year-old girl, Akosua, is brought by her parents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital. Her parents report a painless lump on the right upper arm that appeared six we…

Buruli Ulcer · WHO staging and antibiotic treatment ★ HY difficulty 3/5

A 28-year-old farmer named Yaw presents to the Komfo Anokye Teaching Hospital surgical outpatient department with a 10-week history of a painless ulcer on his left forearm. He lives in a peri-urban co…

Buruli Ulcer · First-line antimicrobial treatment of Buruli ulcer ★ HY difficulty 3/5

A 28-year-old woman named Akua is referred from a district hospital in the Oti Region to the regional hospital with a six-month history of a painless ulcer on her left lower leg. She is a subsistence …

Buruli Ulcer · Surgical management of large Buruli ulcer ★ HY difficulty 3/5

A 35-year-old farmer, Yaw, is referred from a district hospital in the Western Region to Korle Bu Teaching Hospital with a large, destructive ulcer of the right thigh. The ulcer measures 18 cm in its …

Buruli Ulcer · Pathophysiology of Mycobacterium ulcerans infection ★ HY difficulty 3/5

A 12-year-old boy named Kofi is brought to a district hospital surgical outpatient clinic in Brong-Ahafo by his mother. He has a painless, slowly enlarging swelling on his right lower leg that began a…

Buruli Ulcer · WHO staging and category classification of Buruli ulcer ★ HY difficulty 2/5

A 10-year-old girl, Ama, is brought to a district hospital in the Oti Region with a three-week history of a painless swelling over her right forearm that has not yet ulcerated. Her mother reports the …

Buruli Ulcer · Early Buruli ulcer — Category I nodule management ★ HY difficulty 2/5

During a district hospital outreach surgical camp in the Oti Region, a 7-year-old boy named Kwabena is assessed. He has a 3 cm painless nodule on the lateral aspect of his left calf, present for three…

Buruli Ulcer · Antibiotic treatment protocol ★ HY difficulty 3/5

A 28-year-old farmer, Yaw, presents to a regional hospital in the Western Region of Ghana with a 6-week history of a painless swelling on his left lower leg that has broken down into a large ulcer. Ex…

Cardiology · WPW with atrial fibrillation ★ HY difficulty 4/5

A 28-year-old man, Mohammed, is brought to a district hospital in Northern Ghana by family after two episodes of near-syncope associated with palpitations. He has no past medical history and takes no …

Cardiology · Hypomagnesaemia and Torsades de Pointes ★ HY difficulty 3/5

A 44-year-old woman, Adwoa, is referred from a district hospital in the Ashanti Region to the Komfo Anokye ED with recurrent palpitations and near-syncope over 48 hours. She has a history of chronic a…

Cardiology · HEART score and ACS risk stratification ★ HY difficulty 3/5

Fatima, a 62-year-old woman with hypertension, hyperlipidaemia, and a previous PCI three years ago, presents to the Korle Bu Emergency Centre with 6 hours of intermittent chest pressure at rest, now p…

Cardiology · Modified Sgarbossa criteria for LBBB ★ HY difficulty 4/5

Adwoa, a 62-year-old woman with a known history of hypertension and previous inferior MI, is referred from a district hospital in the Upper East Region to the regional hospital ED with a 90-minute his…

Cardiology · Cardiogenic Shock - Haemodynamic Classification ★ HY difficulty 3/5

Adwoa, a 55-year-old woman with known ischaemic cardiomyopathy (ejection fraction 28%), presents to the Komfo Anokye ED with worsening dyspnoea over 48 hours. She is on carvedilol, spironolactone, and…

Cardiology · AV block in inferior STEMI — risk stratification ★ HY difficulty 4/5

A 60-year-old woman, Afia, is brought to the Korle Bu Emergency Centre with sudden-onset severe chest pain radiating to the left arm for 90 minutes, associated with diaphoresis. She has a history of h…

Cardiology · Complete heart block complicating inferior MI ★ HY difficulty 3/5

A 72-year-old man, Joseph, is referred from a district hospital in Brong-Ahafo to the regional hospital ED following an inferior STEMI managed 18 hours earlier with streptokinase. He now complains of …

Cardiology · Hyperacute T waves — earliest STEMI sign ★ HY difficulty 3/5

A 55-year-old woman, Akosua, presents to a regional hospital emergency department in the Volta Region with a 40-minute history of severe central chest tightness radiating to the left arm, diaphoresis,…

Cardiology · SVT – vagal manoeuvres ★ HY difficulty 2/5

A 28-year-old man, Kofi, is brought to a regional hospital A&E in Ashanti Region with sudden-onset palpitations and dizziness for 45 minutes. He has no cardiac history. Vitals: BP 118/74 mmHg, HR 178 …

Cardiology · Torsades de Pointes Management ★ HY difficulty 3/5

Kofi is a 58-year-old man admitted to the medical ward of a regional hospital in the Ashanti Region after a week of profuse diarrhoea. He has type 2 diabetes managed with metformin and is also taking …

Cardiology · Atrial fibrillation rate vs rhythm control ★ HY difficulty 3/5

Kofi, a 67-year-old man with known hypertension, is brought to the Korle Bu Emergency Centre by his family with a 10-hour history of palpitations and mild breathlessness. He is on amlodipine 10 mg dai…

Cardiology · Posterior MI on standard 12-lead ECG ★ HY difficulty 3/5

A 67-year-old retired fisherman from the Central Region is brought to a regional hospital emergency department by his family with a 90-minute history of severe central chest pain, sweating, and dizzin…

Cardiology · Acute Heart Failure - Frank-Starling / preload-afterload pathophysiology ★ HY difficulty 3/5

A 62-year-old man, Kwame, is brought to the Korle Bu emergency centre by his wife with a 3-hour history of severe breathlessness and inability to lie flat. He has a background of hypertensive heart di…

Cardiology · Brugada pattern ECG ★ HY difficulty 4/5

A 48-year-old man is brought to a district hospital in Brong-Ahafo Region with sudden onset of severe chest pain that began 90 minutes ago while he was at rest. He has no prior cardiac history. Vitals…

Cardiology · STEMI reperfusion decision-making ★ HY difficulty 4/5

Kofi, a 52-year-old hypertensive farmer, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 90-minute history of severe crushing central chest pain radiatin…

Cardiology · Wellens syndrome Type A vs Type B ECG pattern ★ HY difficulty 4/5

Afia, a 47-year-old woman with no known cardiac history, presents to a regional hospital ED in the Ashanti Region with a 2-day history of intermittent left-sided chest pain at rest. She denies exertio…

Cardiology · Torsades de Pointes — Multi-Drug QT Prolongation ★ HY difficulty 4/5

A 47-year-old man, Kwesi, is brought by family to the Tamale Teaching Hospital ED following a cardiac arrest at home. Return of spontaneous circulation was achieved after 8 minutes of CPR. He is now s…

Cardiology · Wellens syndrome ECG patterns ★ HY difficulty 3/5

Kofi, a 47-year-old male teacher, is brought to a regional hospital ED in the Northern Region by his colleagues after a single episode of severe retrosternal chest pain lasting 20 minutes that resolve…

Cardiology · Torsades de pointes - mechanism and magnesium ★ HY difficulty 4/5

A 34-year-old woman, Esi, presents to a district hospital A&E in the Volta Region with syncope and is found to have a prolonged QT interval of 560 ms on her ECG. She is on haloperidol for schizophreni…

Cardiology · Mobitz I / Wenckebach AV block ★ HY difficulty 3/5

Adwoa, a 72-year-old woman, is brought to the regional hospital ED by her family with a 2-hour history of progressive light-headedness and one episode of near-syncope. She is known to have hypertensio…