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2131 matches for “Ghana” — showing 391–420
Environmental Emergencies · Lightning cardiac arrest — resuscitation principles ★ HY difficulty 3/5

During a community health screening at a rural festival in the Upper East Region, a 19-year-old female, Fatima, is struck by lightning. She is apnoeic and pulseless when first responders reach her wit…

Environmental Emergencies · Animal bites and rabies post-exposure prophylaxis — category III exposure ★ HY difficulty 3/5

A 14-year-old girl, Abena, is brought to a regional hospital A&E in the Brong-Ahafo region after being bitten on the right hand by a stray dog three days ago. The wound was washed briefly at home but …

Environmental Emergencies · Electrical injury — rhabdomyolysis, cardiac monitoring, disposition ★ HY difficulty 3/5

A 28-year-old construction worker, Kofi, is brought to Komfo Anokye Teaching Hospital A&E after touching a live 240 V cable. He was thrown back 2 metres and was briefly unconscious. On arrival he is a…

Environmental Emergencies · Osborn waves in hypothermia ★ HY difficulty 3/5

A 28-year-old male construction worker, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after being found unconscious on a harmattan morning in the Ashanti Region. Bystande…

Environmental Emergencies · Hypothermia — moderate (28–32°C): active external rewarming ★ HY difficulty 2/5

A 68-year-old fisherman, Mensah, is brought to a district hospital A&E after being found collapsed on his boat on the Volta Lake on a cold harmattan night. His core temperature (rectal) is 29°C. He is…

Environmental Emergencies · Severe hypothermia — cardiac arrest, prolonged CPR, ECMO consideration ★ HY difficulty 4/5

A 35-year-old market trader, Akua, is brought to a regional hospital A&E after being pulled unconscious from a flooded storm drain. Bystanders performed no CPR. On arrival she is apnoeic, pulseless, a…

Environmental Emergencies · Heatstroke — immediate cooling and disposition ★ HY difficulty 2/5

A 24-year-old soldier, Kwabena, collapses during a physical training exercise at a military camp near Tamale in the dry season. Bystanders report he was confused and combative before losing consciousn…

Environmental Emergencies · Drowning — initial resuscitation sequence ★ HY difficulty 2/5

A 7-year-old boy named Kwame is pulled unresponsive from a backyard well in a village near Techiman. Bystanders carried him to a nearby health post. On arrival, he is apnoeic and pulseless. The nurse …

Environmental Emergencies · High-voltage injury — rhabdomyolysis management ★ HY difficulty 3/5

A 35-year-old female, Ama, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED after sustaining a high-voltage injury (estimated 11,000 V industrial line) at…

Environmental Emergencies · Hypothermia association in drowning ★ HY difficulty 4/5

A 28-year-old fisherman named Mohammed is brought to the Korle Bu Emergency Centre after being pulled from the Volta Lake following a canoe capsize. He was submerged for approximately 10 minutes. On a…

Environmental Emergencies and Envenomation · Animal bites and rabies post-exposure prophylaxis — Category III exposure ★ HY difficulty 3/5

A 7-year-old girl, Akosua, is brought to the district hospital A&E in the Brong-Ahafo Region after being bitten on the right hand by a stray dog while playing outside. The wound is a deep puncture wit…

Ethics and End-of-Life · Comfort medication during withdrawal of life-sustaining treatment ★ HY difficulty 3/5

A 58-year-old woman, Afia, is admitted to the Komfo Anokye ED with massive haemorrhagic stroke. CT scan shows a right-sided intracerebral haemorrhage of 80 mL with intraventricular extension and midli…

Ethics and End-of-Life · Brainstem death testing prerequisites ★ HY difficulty 3/5

A 19-year-old man, Mohammed, was involved in a road traffic crash on the Accra–Kumasi highway. He was brought by ambulance to the Komfo Anokye ED with a severe traumatic brain injury. CT head shows di…

Ethics and End-of-Life · Medical futility and termination of resuscitation ★ HY difficulty 3/5

A 72-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family after a witnessed out-of-hospital cardiac arrest. He received 45 minutes of advanced cardiac life support with no re…

Gastroenterology · Glasgow-Blatchford Score and safe discharge criteria ★ HY difficulty 3/5

A 52-year-old man, Kwame, presents to the regional hospital A&E with two episodes of haematemesis over four hours. He has no known liver disease, is not on anticoagulants, and his systolic BP is 118 m…

Gastroenterology · Acute pancreatitis - initial resuscitation ★ HY difficulty 2/5

A 52-year-old man, Kwame, is brought to Komfo Anokye ED by relatives with a 12-hour history of severe epigastric pain radiating to the back, associated with vomiting. He drinks alcohol heavily. Vitals…

Gastroenterology · Small bowel obstruction - initial management ★ HY difficulty 2/5

A 38-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo with a 3-day history of colicky central abdominal pain, absolute constipation, and vomiting. He had an appendicectomy 5 year…

Gastroenterology · Acute pancreatitis - severity and disposition ★ HY difficulty 3/5

Kofi, a 55-year-old man with known gallstones, presents to Tamale Teaching Hospital ED with severe epigastric pain and vomiting for 8 hours. Vitals: BP 110/70 mmHg, HR 112 bpm, Temp 38.1°C, SpO2 96%. …

Gastroenterology · Glasgow-Blatchford Score ★ HY difficulty 3/5

A 52-year-old man, Kwame, presents to the regional hospital A&E with two episodes of haematemesis over the past four hours. He has no known liver disease. Vitals: BP 118/74 mmHg, HR 96 bpm, RR 16/min,…

Gastroenterology · BISAP severity scoring in acute pancreatitis ★ HY difficulty 3/5

Mohammed, a 52-year-old man with a long history of heavy alcohol use, is brought to the regional hospital ED in Tamale by his family after two days of worsening epigastric pain, vomiting, and inabilit…

Gastroenterology · Glasgow-Blatchford Score - safe discharge ★ HY difficulty 2/5

A 29-year-old woman, Adwoa, presents to a district hospital A&E with a single episode of bright red haematemesis after a night of heavy alcohol consumption and repeated vomiting. She has no prior GI h…

Gastroenterology · Upper GI Bleeding - Transfusion Strategy and PPI Pharmacology ★ HY difficulty 4/5

Kofi, a 68-year-old man with a 3-week history of epigastric pain and dark stools, presents to the Korle Bu emergency centre after a single episode of haematemesis containing coffee-ground material. He…

Gastroenterology · King's College Criteria and transplant referral threshold ★ HY difficulty 4/5

Kofi, a 45-year-old man with no prior liver disease, is referred from a regional hospital in the Brong-Ahafo Region to Komfo Anokye Teaching Hospital with a 5-day history of deep jaundice and progress…

Gastroenterology · Fluid resuscitation in acute pancreatitis ★ HY difficulty 3/5

Abena, a 44-year-old woman, presents to the Korle Bu emergency centre with a 12-hour history of severe epigastric pain, vomiting, and fever. She was diagnosed with acute pancreatitis two days ago at a…

Gastroenterology · Transfusion thresholds in upper GI bleeding ★ HY difficulty 2/5

A 61-year-old man presents to a district hospital A&E in Brong-Ahafo with melaena for two days and one episode of coffee-ground vomiting. Vitals: HR 102 bpm, BP 104/68 mmHg, RR 18/min. Bedside glucose…

Gastroenterology · ERCP timing in gallstone pancreatitis with cholangitis ★ HY difficulty 4/5

Yaa, a 48-year-old woman with known gallstones, presents to the Korle Bu emergency centre with a 20-hour history of acute epigastric pain, vomiting, and fever. On examination: BP 88/58 mmHg, HR 126 bp…

Gastroenterology · Upper GI Bleeding - Risk Stratification ★ HY difficulty 3/5

Kwame, a 54-year-old man with known alcoholic liver cirrhosis and a history of prior variceal haemorrhage, is brought to the Komfo Anokye ED by relatives after vomiting approximately 800 mL of fresh b…

Gastroenterology · Upper GI Bleeding - Glasgow-Blatchford Score ★ HY difficulty 2/5

A 54-year-old man, Kwame, presents to the regional hospital A&E in Kumasi having vomited approximately 400 mL of fresh blood at home. He drinks approximately 14 units of alcohol per week, takes no reg…

Gastroenterology · Transfusion thresholds in upper GI bleeding ★ HY difficulty 3/5

A 61-year-old man is referred from a district hospital in Brong-Ahafo with a 12-hour history of melaena and one episode of haematemesis. He takes ibuprofen regularly for knee pain. Vitals on arrival t…

Gastroenterology · Appendicitis - initial management ★ HY difficulty 2/5

A 28-year-old man, Kofi, presents to the regional hospital A&E in Kumasi with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He is febrile at 38.4°C, HR 102 bpm, B…