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510 matches for “Ghana” — showing 391–420
Dental emergencies · Dental abscess classical recognition difficulty 1/5

A 28-year-old man, Kwame, presents to a district hospital A&E in Brong-Ahafo with a two-day history of severe throbbing pain in the lower right jaw. He has a swollen, tender right cheek and his temper…

Dental emergencies · Dental abscess classical presentation difficulty 1/5

Kwame, a 28-year-old man, presents to a district hospital A&E in Brong-Ahafo with a 3-day history of severe throbbing pain around his lower right back tooth. He has a swollen right cheek and a tender,…

Dental emergencies · Dental abscess recognition difficulty 1/5

Kwame, a 28-year-old man, presents to a district hospital A&E in Brong-Ahafo with a 3-day history of severe, constant throbbing pain in his lower left jaw. He has a swollen, tender left cheek and a fl…

Diabetes-related emergencies · Sulphonylurea-induced hypoglycaemia mechanism difficulty 2/5

Mohammed, a 45-year-old lorry driver with no known medical history, is found slumped in his cab at a fuel station in Tamale. Bystanders report he appeared confused and was sweating heavily. On arrival…

Diabetes-related emergencies · Hypoglycaemia management — conscious patient, oral glucose difficulty 2/5

Adwoa, a 55-year-old woman with type 2 diabetes on metformin and glibenclamide, presents to the district hospital A&E in Volta Region after her family noticed she was confused and behaving strangely. …

Diarrhoea — acute · Shigella dysentery — classical recognition difficulty 2/5

Kofi, a 28-year-old man, presents to the regional hospital A&E in Tamale with a 3-day history of frequent, small-volume, bloody, mucoid stools associated with fever, lower abdominal cramping, and pain…

Diarrhoea — acute · Cholera-pattern diarrhoea — electrolyte workup difficulty 2/5

A 60-year-old woman, Adwoa, presents to the Korle Bu emergency centre with profuse watery diarrhoea described as 'rice-water' stool for 18 hours, associated with leg cramps. She is from a coastal comm…

ECG basics · AF vs atrial flutter vs MAT difficulty 3/5

Kofi, a 55-year-old man with COPD on home oxygen, presents to Korle Bu emergency centre with worsening breathlessness and palpitations. His ECG shows a rapid narrow-complex tachycardia at 150 bpm with…

ECG basics · Atrial flutter sawtooth pattern difficulty 2/5

Kofi, a 55-year-old man, presents to the UGMC emergency centre with a 2-hour history of palpitations and mild chest discomfort. He is haemodynamically stable with a blood pressure of 130/80 mmHg. The …

ECG basics · Sinus tachycardia recognition difficulty 1/5

Kwame, a 28-year-old man, is brought to the Korle Bu emergency centre after a road traffic accident. He is anxious and in pain. His ECG shows a regular rhythm at 118 beats per minute, upright P waves …

ENT emergencies · Otitis externa vs otitis media - clinical distinction difficulty 1/5

A 7-year-old boy named Kwame is brought to the district hospital A&E in Ashanti Region by his mother. She reports three days of right ear pain, fever, and irritability. On examination, there is tender…

ENT emergencies · Otitis externa vs otitis media - clinical distinction difficulty 1/5

A 7-year-old boy named Kofi is brought to a district hospital A&E in Brong-Ahafo by his mother. He has had right ear pain and fever for two days. On examination, his temperature is 38.6°C, there is te…

Emergency medical services and pre-hospital care · SALT triage — global sorting step difficulty 2/5

A mass-casualty incident occurs after an explosion at a fuel depot near Takoradi. Thirty casualties are brought to the regional hospital A&E. A 22-year-old man named Kofi arrives walking and talking, …

Emergency medical services and pre-hospital care · Pre-hospital management of suspected acute myocardial infarction difficulty 2/5

A 55-year-old man named Mensah collapses in a market in Accra with sudden-onset crushing central chest pain. Bystanders call the ambulance service. On arrival, paramedics find him diaphoretic, pale, a…

Emergency medical services and pre-hospital care · Mass-casualty triage (START) difficulty 2/5

A gas cylinder explosion at a welding workshop in Accra injures 18 workers. The first ambulance crew arrives to find multiple casualties: some walking and shouting, others lying motionless, and a few …

Emergency medical services and pre-hospital care · Ghana NAS realities and informal transport difficulty 3/5

A 19-year-old student, Mohammed, is brought to a district hospital A&E in the Upper East Region after a motorcycle collision. He was transported prone across the back of a motorbike by friends, with n…

Emergency medical services and pre-hospital care · Scoop-and-run vs stay-and-play in penetrating thoracic trauma difficulty 2/5

Yaw, a 22-year-old male, is brought to a district hospital A&E in Brong-Ahafo by a community ambulance after sustaining a stab wound to the left side of his chest. On arrival, he is pale, tachycardic …

Emergency medical services and pre-hospital care · Packaging and transport – spinal immobilisation difficulty 1/5

An ambulance crew arrives at a road traffic collision in Brong-Ahafo. A 40-year-old man, Yaw, is trapped in a vehicle with a suspected spinal injury. He is conscious, breathing spontaneously, and haem…

Emergency medical services and pre-hospital care · Handover (SBAR/ATMIST) difficulty 2/5

A Ghana NAS ambulance crew hands over a 32-year-old woman, Afia, to the Korle Bu emergency centre. She was involved in a road traffic collision 40 minutes ago. The crew's verbal handover is: 'She was …

Emergency medical services and pre-hospital care · Pre-hospital to ED communication — MIST handover format difficulty 1/5

Paramedics at the scene of a road traffic crash in the Ashanti Region are preparing to transport a 45-year-old man named Kwabena who is unconscious with a GCS of 7. They contact the Komfo Anokye ED to…

Endocrine emergencies · Hypothyroidism - constipation as a presenting feature difficulty 2/5

Ama, a 35-year-old woman, presents to the Komfo Anokye ED with a three-week history of constipation, weight gain, and fatigue. She reports feeling cold all the time and her hair has been falling out. …

Environmental emergencies · Hypothermia rewarming by severity difficulty 2/5

A 55-year-old woman, Adwoa, is brought to a regional hospital A&E in the Northern Region after being found unresponsive in a cold harmattan night. Her core temperature is 30°C. She is breathing sponta…

Ethics and end-of-life issues · Palliative symptom control — pain difficulty 2/5

Adwoa, a 45-year-old woman with advanced cervical cancer, presents to the Korle Bu emergency centre in severe pain, rated 9/10. She is alert and oriented. Her husband says she 'should not be given mor…

Ethics and end-of-life issues · Palliative symptom control — dyspnoea difficulty 2/5

Mensah, a 75-year-old man with metastatic lung cancer, is admitted to the Korle Bu emergency centre with increasing breathlessness at rest. He is on a recognised palliative pathway. His oxygen saturat…

Ethics and end-of-life issues · Capacity assessment difficulty 3/5

A 30-year-old woman, Fatima, is brought to the district hospital A&E following a large paracetamol overdose. She is conscious and tearful, saying she took the tablets deliberately and does not want tr…

Ethics and end-of-life issues · Breaking bad news — SPIKES protocol difficulty 1/5

The emergency physician at a district hospital in the Eastern Region is about to inform Mohammed, a 55-year-old man, that his CT scan has revealed a large inoperable brain tumour. Mohammed is accompan…

Ethics and end-of-life issues · Breaking bad news — SPIKES protocol difficulty 1/5

Adwoa, a 35-year-old woman, is brought to the Korle Bu emergency centre after a road traffic crash. She has a severe head injury with a Glasgow Coma Scale score of 6. The neurosurgical team determines…

Extremity trauma · Tetanus prophylaxis — contaminated wound difficulty 2/5

Mensah, a 45-year-old farmer, sustains a deep laceration to his right foot from a cutlass while working in the fields in the Eastern Region. He is brought to the district hospital A&E. The wound is he…

Extremity trauma · Femoral neck fracture — elderly fall difficulty 1/5

Maame Ama, an 80-year-old woman, is brought to the district hospital in Brong-Ahafo after a simple fall from standing at home. She is unable to weight-bear and complains of right hip and groin pain. O…

Eye emergencies · Central retinal vein occlusion — fundoscopic recognition difficulty 2/5

A 55-year-old hypertensive woman, Adwoa, presents to Korle Bu emergency centre with sudden painless loss of vision in her left eye that she noticed on waking. Visual acuity in the left eye is 6/60. Fu…