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3996 matches for “Ghana” — showing 3751–3780
Skin Cancer - BCC, SCC and Melanoma · Basal cell carcinoma - morphoeic subtype difficulty 4/5

Ama, a 62-year-old woman with no significant past medical history, is seen at a regional hospital in the Eastern Region with a 2-year history of a painless, non-healing ulcer on the left temple. She i…

Skin Cancer - BCC, SCC and Melanoma · Morphoeic BCC - behaviour and management difficulty 3/5

Akua, a 70-year-old retired civil servant from Tamale, is seen in the surgical outpatient department with a 2-year history of a slowly enlarging, firm, skin-coloured to slightly pigmented plaque on th…

Skin Cancer - BCC, SCC and Melanoma · Melanoma of unknown primary — diagnosis and staging difficulty 4/5

A 52-year-old woman, Ama, is referred from a regional hospital in the Volta Region to the Korle Bu surgical oncology unit. She has a 5-month history of a rapidly enlarging, firm, non-tender lump benea…

Skin Cancer - BCC, SCC and Melanoma · Keratoacanthoma vs SCC - diagnostic and management approach difficulty 3/5

A 70-year-old retired fisherman, Joseph, is seen at the UGMC surgical outpatient clinic with a 2-year history of a firm, slowly growing nodule on the outer helix of his right ear. He spent decades wor…

Skin Cancer - BCC, SCC and Melanoma · Squamous cell carcinoma - prognostic features difficulty 4/5

Akua, a 47-year-old woman, is referred from a district hospital in the Volta Region to the regional surgical unit with a 6-month history of a non-healing ulcer on her right lower leg. She has a backgr…

Small Bowel Obstruction · CT diagnosis — whirl sign and closed-loop obstruction difficulty 4/5

A 67-year-old man, Mensah, is referred from a district hospital to Korle Bu with a 4-day history of progressive abdominal distension, colicky pain, and bilious vomiting. He has no previous abdominal s…

Small Bowel Obstruction · Adult intussusception with pathological lead point difficulty 4/5

A 55-year-old woman, Ama, is admitted to the Korle Bu general surgical unit with a 24-hour history of colicky abdominal pain, vomiting, and failure to pass flatus. She has no previous abdominal surger…

Small Bowel Obstruction · Gallstone ileus difficulty 4/5

A 62-year-old woman, Ama, is referred from a district hospital in the Upper West Region to the regional hospital in Wa with a 4-day history of colicky abdominal pain, bilious vomiting, and failure to …

Small Bowel Obstruction · Malignant SBO — mechanism and management difficulty 4/5

A 65-year-old man, Mensah, is referred from a district hospital in the Volta Region to the regional hospital with a 4-day history of colicky abdominal pain, vomiting, and abdominal distension. He has …

Spinal Trauma · Brown-Séquard syndrome — neuroanatomy difficulty 4/5

Kofi, a 35-year-old farmer, is admitted to a district hospital in the Bono East Region after being macheted across the right lateral thorax during a land dispute. He presents two hours after the injur…

Spinal Trauma · NEXUS criteria - cervical spine imaging decision difficulty 2/5

Kofi, a 23-year-old university student, is brought to the A&E of a regional hospital after a motorcycle collision. He was wearing a helmet. He is ambulatory at the scene but reports neck pain. In the …

Spinal Trauma · Canadian C-Spine Rule application difficulty 3/5

A 41-year-old woman, Esi, is brought to a district hospital A&E in the Northern Region after a road traffic collision in which she was a pedestrian struck by a vehicle. She has a witnessed loss of con…

Sudden Sensorineural Hearing Loss · ENT difficulty 4/5

A 47-year-old woman, Akua, presents to the Korle Bu ENT outpatient clinic with a 10-day history of sudden onset left-sided hearing loss for which she received a 10-day course of oral prednisolone 60 m…

Sudden Sensorineural Hearing Loss · ENT difficulty 4/5

A 58-year-old woman, Adwoa, is referred to the ENT registrar at Komfo Anokye Teaching Hospital from a district hospital in Ashanti Region. She reports sudden onset left-sided hearing loss four days ag…

Surgery: Acute Abdomen · Typhoid intestinal perforation difficulty 3/5

Ama, a 30-year-old nurse, is admitted to a regional hospital in the third week of a febrile illness that was treated as malaria without improvement. She develops sudden severe generalised abdominal pa…

Surgery: Acute Abdomen · Acute pancreatitis — severity scoring difficulty 3/5

Kofi, a 48-year-old heavy drinker, presents to the emergency department at Cape Coast Teaching Hospital with severe epigastric pain radiating to the back, persistent vomiting, and inability to find a …

Surgery: Acute Abdomen · Perforated peptic ulcer — resuscitation and operative timing difficulty 3/5

Kofi, a 58-year-old cocoa farmer, is brought to Komfo Anokye Teaching Hospital with a 6-hour history of sudden-onset, severe epigastric pain that has now spread across the entire abdomen. He takes ibu…

Surgery: Gastrointestinal & Hepatobiliary · Liver abscess — amoebic aetiology and diagnosis difficulty 3/5

Ama, a 44-year-old teacher, is admitted to a regional hospital in the Ashanti Region with a 5-day history of high spiking fever (up to 39.8 °C), right upper quadrant pain radiating to the right should…

Surgery: Hernias, Breast & Thyroid · Endemic goitre — iodine deficiency difficulty 2/5

Kofi, a 45-year-old farmer from the Brong-Ahafo region, presents to the regional hospital with a large, smooth, diffuse neck swelling that has grown gradually over ten years. He has no symptoms of hyp…

Surgery: Hernias, Breast & Thyroid · Inguinal hernia repair techniques difficulty 3/5

Kofi, a 58-year-old farmer, presents to Komfo Anokye Teaching Hospital with a dragging sensation in his right groin for six months. On examination there is a reducible swelling in the right groin that…

Surgery: Orthopaedics & Fractures · Definitive diagnosis of spinal tuberculosis difficulty 4/5

Mohammed, a 45-year-old farmer from the Northern Region, presents to the district hospital with a 6-week history of progressively worsening low back pain. He has lost approximately 8 kg in weight over…

Surgery: Orthopaedics & Fractures · Back pain red flags — spinal malignancy difficulty 3/5

A 50-year-old civil servant, Akua, presents to the orthopaedic outpatient clinic at Ho Teaching Hospital with a 3-month history of low back pain. She describes the pain as dull and constant, present b…

Surgery: Orthopaedics & Fractures · Back pain red flags — identifying serious pathology difficulty 3/5

Abena, a 55-year-old market trader, presents to the OPD at Ho Teaching Hospital with a 3-month history of low back pain. She reports that the pain is constant, worse at night, and not relieved by rest…

Surgery: Orthopaedics & Fractures · Acute haematogenous osteomyelitis — causative organism difficulty 2/5

A 7-year-old boy, Kofi, is brought to Korle Bu Teaching Hospital by his mother with a 5-day history of fever, right thigh pain, and refusal to walk. He was treated for malaria at a CHPS compound one w…

Surgery: Perioperative Care & Wounds · Buruli ulcer diagnosis difficulty 3/5

Ama, a 34-year-old market trader from Sunyani, presents to the regional hospital with a 6-week history of a painless ulcer on her right lower leg. She initially noticed a small, firm, painless swellin…

Surgery: Perioperative Care & Wounds · Buruli ulcer — pathogenic mechanism of mycolactone difficulty 3/5

Esi, a 34-year-old seamstress, presents to the surgical OPD at Ho Teaching Hospital with a four-week history of a painless swelling on her right forearm that began as a firm nodule and has now develop…

Surgery: Perioperative Care & Wounds · Buruli ulcer — diagnosis and causative organism difficulty 3/5

Yaa, a 45-year-old cocoa farmer from the Ashanti Region, presents to a district hospital with a painless ulcer on her lower leg that has been present for three months. Examination reveals a large necr…

Surgery: Trauma & Burns · Head injury — indications for neurosurgical referral difficulty 2/5

Kofi, a 28-year-old mechanic, is brought to the emergency department at Komfo Anokye Teaching Hospital after a road traffic collision. On examination he is agitated and confused. His GCS is 13. Pupils…

Surgery: Trauma & Burns · Head injury — raised intracranial pressure difficulty 3/5

Kofi, a 40-year-old lorry driver, is brought to a regional hospital after a head-on collision. He opens his eyes to pain (score 2), makes incomprehensible sounds (score 2), and withdraws to pain (scor…

Surgery: Urology · Urogenital schistosomiasis and haematuria difficulty 3/5

Abena, a 55-year-old trader, is evaluated at Cape Coast Teaching Hospital for a 3-month history of intermittent painless haematuria. She has no dysuria, no loin pain, and no weight loss. She grew up n…