A 68-year-old man, Yaw, is referred from a district hospital in Northern Region with a 3-day history of colicky central abdominal pain, absolute constipation, and progressive abdominal distension. He …
Membership bank · search
Find any question
Type a keyword, drug name, syndrome, or chapter reference. Searches across topic, stem, teaching point, and source citation. Showing results only from the Membership bank.
A 45-year-old woman, Ama, is admitted to a regional hospital ED with a 6-hour history of large-volume bright red rectal bleeding. She is actively bleeding and haemodynamically unstable with BP 85/50 m…
A 48-year-old man, Kofi, with known liver cirrhosis secondary to hepatitis B presents to the Komfo Anokye ED having vomited a large volume of fresh blood. He is haemodynamically unstable with a blood …
A 42-year-old woman, Akosua, presents to the Komfo Anokye ED with a 10-hour history of severe epigastric pain radiating to the back, associated with nausea and three episodes of vomiting. She has no k…
A 38-year-old woman, Afia, is brought to Komfo Anokye ED by relatives with haematemesis and altered consciousness. She is known to have hepatitis B-related cirrhosis. Vitals: HR 118 bpm, BP 82/50 mmHg…
Akosua, a 47-year-old woman, is assessed in the regional hospital A&E with acute pancreatitis. Her admission bloods show: WBC 16 × 10⁹/L, glucose 12.4 mmol/L, urea 18 mmol/L, LDH 720 U/L, AST 210 U/L.…
A 60-year-old man, Kwame, presents to Komfo Anokye ED with a 2-day history of right upper quadrant pain, fever to 39.8°C, and jaundice. He is confused. Vitals: HR 118 bpm, BP 90/60 mmHg, RR 22/min, Sp…
Afia, a 34-year-old woman with known hepatitis B-related cirrhosis, is brought to Korle Bu emergency centre by relatives. She has vomited approximately 600 mL of fresh blood. Vitals: BP 88/54 mmHg, HR…
A 72-year-old man with known atrial fibrillation presents to Korle Bu emergency centre with sudden-onset severe central abdominal pain for 3 hours. He describes the pain as 'out of proportion' to anyt…
A 60-year-old man is referred from a district hospital in the Ashanti region to the Komfo Anokye ED with a 36-hour history of epigastric pain, vomiting, and jaundice. He has no history of alcohol use.…
A 55-year-old man, Yaw, is brought to the Korle Bu emergency centre from a district hospital in the Brong-Ahafo Region with a 2-day history of acute pancreatitis. He is known to drink heavily. At pres…
A 67-year-old woman, Adwoa, is brought to Korle Bu emergency centre by her daughter after two episodes of coffee-ground vomiting and melaena over 24 hours. She has a history of ischaemic heart disease…
A 47-year-old man, Kwesi, is admitted to the Tamale Teaching Hospital ED with moderate acute pancreatitis. He was diagnosed 6 hours ago. His vital signs on arrival were: temperature 38.2°C, pulse 112 …
Mohammed, a 58-year-old man with known liver cirrhosis, is admitted to Korle Bu emergency centre with haematemesis. He is resuscitated and given terlipressin and IV ceftriaxone. He is haemodynamically…
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, nausea, and vomiting. He drinks heavily. Vitals: BP 98/60 m…
A 47-year-old woman, Afia, presents to a regional hospital A&E with acute pancreatitis confirmed by raised amylase and epigastric tenderness. She is assessed at admission: WBC 16 × 10⁹/L, blood glucos…
A 52-year-old man, Mensah, with liver cirrhosis and known oesophageal varices is admitted to Korle Bu emergency centre with acute variceal haemorrhage. He is stabilised with terlipressin and blood tra…
A 38-year-old woman, Akua, is brought to the Korle Bu emergency centre by relatives after three days of progressive jaundice, vomiting, and confusion. She has no prior history of liver disease. Her re…
A 45-year-old man, Yaw, with known alcohol-related cirrhosis and ascites is admitted to the Korle Bu emergency centre with a three-week history of progressive oliguria and rising creatinine. He was re…
Kofi, a 58-year-old man with known alcoholic liver cirrhosis (Child-Pugh Class C), is referred from a district hospital in Brong-Ahafo with a 3-day history of increasing abdominal distension, fever (3…
A 52-year-old man, Kofi, with known alcohol-related cirrhosis presents to the Komfo Anokye ED with a two-day history of increasing abdominal distension, fever of 38.6°C, and diffuse abdominal tenderne…
Akua, a 34-year-old schoolteacher with no prior liver disease, is brought to the Korle Bu emergency centre by her family after ingesting approximately 18 g of paracetamol in a single episode 14 hours …
A 16-year-old boy, Kwame, is brought to the A&E at Komfo Anokye Teaching Hospital by his father at 02:00 with sudden-onset severe right scrotal pain that woke him from sleep 3 hours ago. On examinatio…
A 19-year-old man with known sickle cell disease (HbSS), Yaw, presents to Korle Bu Teaching Hospital A&E with a painful erection that has been present for 6 hours. He has had no trauma. On examination…
Kwabena, a 28-year-old man with known sickle cell disease (HbSS), presents to the A&E at Korle Bu Teaching Hospital with a painful erection lasting 5 hours. He has had no trauma. Examination reveals a…
A 38-year-old woman, Ama, presents to Korle Bu Teaching Hospital A&E with severe right loin-to-groin pain of sudden onset 3 hours ago, associated with vomiting. She is afebrile (36.8°C), HR 104 bpm, B…
Kofi, a 16-year-old student, is brought to the A&E at Komfo Anokye Teaching Hospital by his father at 02:00 with a 3-hour history of sudden-onset severe right scrotal pain and vomiting. Examination re…
Maame Akua, a 78-year-old woman, is brought to the district hospital in Brong-Ahafo by her son after she slipped on the wet floor of her bathroom and fell. She has no loss of consciousness, no chest p…
A 72-year-old man, Kwesi, is admitted to the regional hospital ED in the Northern Region following an out-of-hospital cardiac arrest witnessed by his wife. Bystander CPR was initiated immediately, and…
A 72-year-old man, Mohammed, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a one-week history of progressive confusion. His family says he was 'always a …