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635 matches for “Ghana” — showing 391–420
Procedures - Orthopaedic and Vascular · Forearm fasciotomy — volar incision and carpal tunnel release ★ HY difficulty 4/5

Kofi, a 42-year-old carpenter, presents to a district hospital in Brong-Ahafo after his forearm was trapped under a heavy timber beam for approximately 5 hours. He is conscious, distressed, and report…

Procedures - Orthopaedic and Vascular · Fasciotomy — indications and delta-P threshold ★ HY difficulty 3/5

Kwame, a 28-year-old motorcyclist, is brought to Komfo Anokye ED after a high-speed collision resulting in a closed tibial shaft fracture of the right leg. He is conscious and reports severe, unrelent…

Procedures - Thoracic · Tube thoracostomy - post-insertion management of massive haemothorax ★ HY difficulty 4/5

Mohammed, a 60-year-old man, is brought to a district hospital in the Northern Region after sustaining a stab wound to the left chest. He is haemodynamically stable with a BP of 110/70 mmHg and HR 98 …

Procedures - Thoracic · Tube thoracostomy — blunt dissection technique and neurovascular bundle avoidance ★ HY difficulty 3/5

Yaa, a 28-year-old woman, is being prepared for chest drain insertion at a regional hospital A&E in the Brong-Ahafo region. She has a large right-sided pneumothorax confirmed on chest radiograph follo…

Rash — emergency presentations · Stevens-Johnson syndrome — triage and district-level management ★ HY difficulty 2/5

A 16-year-old boy, Yaw, is brought to a district hospital A&E with a 2-day history of fever, sore mouth, and a painful blistering rash involving his lips, oral mucosa, and eyes. He was started on carb…

Rash — emergency presentations · Meningococcal sepsis in a child - immediate ceftriaxone ★ HY difficulty 2/5

A 7-year-old girl named Afia is brought to the district hospital A&E in the Upper East Region with a 6-hour history of fever, irritability, and a rash. Her mother reports she was well yesterday. On ex…

Rash — emergency presentations · Anaphylaxis with urticaria - immediate management ★ HY difficulty 1/5

A 16-year-old girl, Akua, is brought to the Komfo Anokye ED after collapsing at school. She has a history of penicillin allergy and was given amoxicillin at a clinic two hours ago for a sore throat. S…

Rash — emergency presentations · Meningococcal sepsis recognition - non-blanching purpuric rash ★ HY difficulty 1/5

A 14-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo with a 12-hour history of fever, severe headache, and neck stiffness. On examination he is drowsy, temperature is 3…

Rash — emergency presentations · Meningococcal septicaemia - immediate antibiotic management ★ HY difficulty 2/5

A 28-year-old woman, Ama, presents to the regional hospital A&E in Tamale with a 6-hour history of fever, severe headache, and neck stiffness. She is drowsy but rousable. A non-blanching petechial ras…

Rash — emergency presentations · Meningococcal purpura — immediate management ★ HY difficulty 2/5

A 19-year-old student, Kwame, is brought to a regional hospital A&E by his roommate after developing a sudden severe headache and fever over 6 hours. On examination he is confused, temperature 39.8°C,…

Rash — emergency presentations · SJS/TEN recognition and immediate drug cessation ★ HY difficulty 2/5

A 16-year-old girl named Akua presents to the regional hospital A&E in Kumasi with a 2-day history of high fever, sore throat, and a rapidly spreading rash. She started trimethoprim-sulfamethoxazole 5…

Rash — emergency presentations · Necrotising fasciitis — early recognition and escalation ★ HY difficulty 3/5

A 52-year-old man, Kofi, presents to a district hospital A&E with a 12-hour history of severe pain and swelling in his right thigh following a minor cut. On examination, the overlying skin appears ery…

Rash — emergency presentations · Meningococcal septicaemia recognition ★ HY difficulty 1/5

A 14-year-old boy, Kwame, is brought to the regional hospital A&E in Kumasi by his mother. He has had fever and headache for 12 hours and is now confused. On examination, temperature is 39.4°C, heart …

Rash — emergency presentations · Anaphylaxis with urticaria - IM adrenaline first-line ★ HY difficulty 1/5

A 28-year-old woman named Ama presents to the regional hospital A&E in Tamale with acute onset facial swelling, widespread urticaria, and difficulty breathing. She ate groundnuts 20 minutes ago. On ex…

Seizures · Status epilepticus recognition and immediate benzodiazepine ★ HY difficulty 1/5

A 35-year-old woman, Akua, is brought to Komfo Anokye Emergency Department by ambulance. Bystanders report she has been convulsing continuously for 10 minutes with no recovery of consciousness. On arr…

Seizures · Paediatric febrile convulsion management ★ HY difficulty 1/5

A 4-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother. She reports he had a brief generalised convulsion lasting about 90 seconds at home. He has had a fever of 38.9 °…

Seizures · Paediatric febrile convulsion — recognition ★ HY difficulty 1/5

A 4-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother. She reports he developed a fever this morning and then had a generalised shaking episode lasting 2 minutes, afte…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame presents to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and worsening confusion. On examination, his temperature is 38.9°C, he…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame is brought to the regional hospital A&E in Kumasi with a 2-day history of productive cough, fever, and confusion. On examination, his temperature is 39.2°C, heart rate is…

Sepsis and septic shock · Hour-1 bundle immediate management ★ HY difficulty 2/5

A 27-year-old woman named Akua is brought to Komfo Anokye ED with a 1-day history of high fever, rigors, and confusion following a recent dental extraction. Her temperature is 40.1°C, heart rate is 13…

Sepsis and septic shock · Septic shock recognition from classical presentation ★ HY difficulty 2/5

Kwame, a 58-year-old farmer, is brought to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and increasing confusion. On examination, his temperature is 39.2°C, …

Sepsis and septic shock · qSOFA bedside screening ★ HY difficulty 2/5

A 32-year-old woman named Akua is brought to the regional hospital A&E in Kumasi with a 3-day history of dysuria, rigors, and right loin pain. Her temperature is 39.2°C, heart rate is 124 bpm, respira…

Sepsis and septic shock · qSOFA bedside risk stratification ★ HY difficulty 2/5

A 32-year-old woman named Ama presents to a district hospital in Brong-Ahafo with a 3-day history of dysuria, loin pain, and rigors. Her temperature is 38.8°C, respiratory rate is 24 breaths per minut…

Sepsis and septic shock · Hour-1 bundle — immediate management ★ HY difficulty 2/5

A 55-year-old woman named Yaa is brought to a regional hospital A&E with a 1-day history of fever, rigors, and right upper quadrant pain following a known history of gallstones. Her temperature is 39.…

Sepsis and septic shock · Noradrenaline as first-line vasopressor ★ HY difficulty 2/5

A 50-year-old man named Kofi is admitted to the regional hospital A&E in Tamale with fever, hypotension, and a suspected urinary tract infection. Blood cultures are drawn and IV ceftriaxone is commenc…

Sepsis and septic shock · Hour-1 bundle initiation ★ HY difficulty 2/5

Ama, a 45-year-old market trader, presents to a district hospital A&E in the Northern Region with fever, rigors, and abdominal pain for 4 days. Her temperature is 39.0°C, heart rate 122 bpm, respirato…

Sepsis and septic shock · Serum lactate as a confirmatory marker of septic shock ★ HY difficulty 2/5

Mensah, a 71-year-old retired teacher, is brought to the Komfo Anokye ED by his family with 3 days of fever, decreased urine output, and increasing weakness. His blood pressure is 78/46 mmHg, heart ra…

Shock · Distributive shock - severe malaria management ★ HY difficulty 2/5

Ama, a 28-year-old woman, presents to Komfo Anokye ED with a 2-day history of high fever, rigors, and vomiting. She has just returned from a farming community in the Northern Region. Her temperature i…

Shock · Distributive shock — distinguishing features ★ HY difficulty 2/5

A 45-year-old woman, Akua, presents to the Komfo Anokye ED with a 2-day history of fever, rigors, and productive cough. On examination she is febrile at 39.4°C, heart rate 124 bpm, blood pressure 88/5…

Shortness of breath in adults · Asthma management ladder — IV magnesium sulphate ★ HY difficulty 2/5

Fatima, a 30-year-old woman with known asthma, is brought to Komfo Anokye ED after failing to respond to 3 cycles of back-to-back salbutamol nebulisations and ipratropium bromide. She has received IV …