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2131 matches for “Ghana” — showing 451–480
Geriatric Emergency Medicine · Cardiac syncope vs mechanical fall distinction β˜… HY difficulty 3/5

A 74-year-old woman named Adwoa Mensah is seen in the emergency centre at Korle Bu after a fall whilst walking to the market. She denies any warning symptoms. Her daughter, who witnessed the event, sa…

Geriatric Emergency Medicine · Ceiling-of-treatment documentation β˜… HY difficulty 3/5

A 83-year-old retired teacher, Joseph, is brought to the Korle Bu emergency centre in Accra from a nursing home after developing fever and confusion. He has a known history of Parkinson's disease, chr…

Geriatric Emergency Medicine · Frailty as prognostic indicator superior to age β˜… HY difficulty 3/5

A 69-year-old woman, Afia, and an 82-year-old man, Mr Asante, are simultaneously assessed in the Komfo Anokye ED following separate falls. Afia has no chronic illness, lives independently, walks 5 km …

Geriatric Emergency Medicine · Anticoagulation reversal in fall-related head injury β˜… HY difficulty 3/5

Mohammed Alhassan, a 79-year-old man from Tamale, is referred from a district hospital to the regional hospital ED after a fall at home. He takes warfarin 5 mg daily for AF. On arrival, his GCS is 13 …

Geriatric Emergency Medicine · Anticholinergic burden and Beers Criteria β€” first-generation antihistamines β˜… HY difficulty 2/5

Alhaji Mohammed Issah, a 74-year-old retired teacher with type 2 diabetes and hypertension, is seen at a district hospital in the Northern Region after his family noticed he had become increasingly co…

Geriatric Emergency Medicine · Beers Criteria β€” anticholinergic burden in elderly β˜… HY difficulty 3/5

Maame Akua, a 78-year-old woman with type 2 diabetes, hypertension, and osteoarthritis, is brought to the Komfo Anokye ED by her daughter after a witnessed fall at home. Her medications include gliben…

Geriatric Emergency Medicine · Confusion Assessment Method (CAM) criteria β˜… HY difficulty 2/5

Abena, a 78-year-old woman with known hypertension, is brought to the regional hospital ED by her daughter who reports that her mother 'has not been herself' for the past two days. The daughter notes …

Geriatric Emergency Medicine · Hypoactive vs hyperactive delirium β˜… HY difficulty 3/5

Akosua, an 81-year-old woman, is brought to Korle Bu emergency centre by her son after he noticed she 'just seemed vacant' for the past 48 hours. She has a background of well-controlled type 2 diabete…

Geriatric Emergency Medicine · NSAID drug-disease interaction in CKD and cardiac failure β˜… HY difficulty 3/5

Kofi Asante, a 72-year-old man with ischaemic heart disease, chronic kidney disease (eGFR 28 mL/min/1.73 mΒ²), and gout, presents to a regional hospital ED in the Volta Region with worsening ankle swel…

Geriatrics · Polypharmacy - Beers criteria and anticholinergic delirium β˜… HY difficulty 3/5

A 74-year-old woman, Akua, presents to Korle Bu emergency centre with a 2-day history of increased confusion, reduced appetite, and one episode of urinary incontinence. Her daughter reports she was in…

Goals of Care and End-of-Life · Palliative opioid use and principle of double effect β˜… HY difficulty 3/5

Mohammed Alhassan is a 60-year-old man with metastatic lung carcinoma admitted to the Tamale Teaching Hospital ED with acute respiratory failure. After a goals-of-care discussion with the patient and …

Goals of Care and End-of-Life · Patient capacity and treatment refusal β˜… HY difficulty 4/5

Akosua Mensah is a 72-year-old woman with known dilated cardiomyopathy (ejection fraction 15%), NYHA class IV heart failure, and stage 3 chronic kidney disease. She is brought to Korle Bu Emergency Ce…

HIV in the Emergency Department · Cerebral toxoplasmosis β˜… HY difficulty 3/5

Yaw, a 42-year-old man, is brought to Korle Bu Emergency Centre by his wife with a 10-day history of progressive headache, low-grade fever, and right-sided arm weakness. He has known HIV with a CD4 co…

HIV in the Emergency Department · PJP pneumonia β˜… HY difficulty 3/5

Akosua, a 34-year-old woman, is brought by her husband to the Komfo Anokye ED with a 3-week history of progressive dyspnoea on exertion, now present at rest, dry cough, and low-grade fever. She was di…

HIV in the Emergency Department · Cryptococcal meningitis β˜… HY difficulty 3/5

A 41-year-old man is referred from a district hospital in the Volta Region to the Ho Teaching Hospital ED with a 10-day history of progressively worsening headache, fever, and neck stiffness. For the …

HIV in the Emergency Department · Immune reconstitution inflammatory syndrome β˜… HY difficulty 4/5

Kofi, a 45-year-old lorry driver, is brought to a district hospital in Brong-Ahafo after being found confused at a roadside. Bystanders report he was shaking about 20 minutes ago. He is known to have …

HIV in the Emergency Department · Occupational PEP β˜… HY difficulty 2/5

Mohammed, a 29-year-old male medical intern, sustains a deep needlestick injury to his right index finger while recapping a needle used to draw blood from a known HIV-positive patient at a regional ho…

Haematology · Exchange transfusion indications β˜… HY difficulty 4/5

Kofi, a 28-year-old man with known HbSS disease, is brought to Komfo Anokye ED with sudden onset right-sided weakness and slurred speech of 2 hours duration. He denies headache or seizures. Vitals: te…

Haematology / Transfusion Medicine · Anaphylactic transfusion reaction in IgA deficiency β˜… HY difficulty 4/5

Kofi, a 19-year-old male student with no known chronic illness, presents to a district hospital in Brong-Ahafo with generalised urticaria, lip swelling, and difficulty swallowing that started 10 minut…

Hand Injuries · Flexor tendon and nerve injury β€” plastic surgery referral β˜… HY difficulty 3/5

Kofi, a 35-year-old carpenter, presents to a regional hospital ED in Ashanti after sustaining a circular saw injury to the right hand. He is right-hand dominant. On examination: BP 122/80 mmHg, HR 96 …

Hepatology / Emergency Medicine · King's College Criteria β€” non-paracetamol ALF β˜… HY difficulty 4/5

Kofi, a 35-year-old farmer, presents to a regional hospital ED in the Volta Region after ingesting a traditional herbal concoction 4 days ago for 'body pains'. He is increasingly confused. Vitals: BP …

Hepatology / Emergency Medicine · Lactulose for hepatic encephalopathy β˜… HY difficulty 2/5

Ama, a 42-year-old woman with known hepatitis B infection, presents to the Komfo Anokye ED with a 5-day history of progressive jaundice, abdominal distension, and worsening confusion. Her family repor…

Hepatology / Neurocritical Care · Cerebral oedema in acute liver failure β˜… HY difficulty 3/5

Yaw, a 55-year-old man with no known medical history, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 6-day history of jaundice following ingestion of wi…

Hepatology / Obstetric Emergencies · Acute fatty liver of pregnancy β€” definitive management β˜… HY difficulty 3/5

Abena, a 32-year-old primigravida at 34 weeks gestation, is brought to the Komfo Anokye ED by her husband after two days of worsening jaundice, epigastric pain, and confusion. She has no prior liver d…

Hospice and Palliative Emergencies · Terminal restlessness and agitation β˜… HY difficulty 3/5

Fatima, a 64-year-old woman with squamous cell carcinoma of the lung, is brought to the Korle Bu emergency centre by her family. She was previously on oral morphine 30 mg every 12 hours for pain. Over…

Hospice and Palliative Emergencies · Dyspnoea management in advanced malignancy β˜… HY difficulty 3/5

Adwoa, a 55-year-old woman with metastatic cervical cancer, is seen in the Korle Bu emergency centre for increasing shortness of breath over the past week. She has a pleural effusion confirmed on ches…

Immunocompromised Host EM · HIV/AIDS - Pneumocystis jirovecii pneumonia β˜… HY difficulty 2/5

Akua, a 31-year-old woman known to have HIV infection (not on antiretroviral therapy), is brought to the Komfo Anokye ED by her sister with a 3-week history of progressive dyspnoea, non-productive cou…

Immunocompromised Host EM · Neutropenic fever - empirical antibiotic selection β˜… HY difficulty 2/5

Kwame, a 58-year-old man with acute myeloid leukaemia, is brought to the Korle Bu emergency centre by his wife on day 12 of his third cycle of induction chemotherapy. He reports a 6-hour history of ri…

Infectious Disease · MDR-TB suspicion and GeneXpert MTB/RIF β˜… HY difficulty 3/5

A 52-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo to the regional hospital ED. He has a 6-week history of productive cough, night sweats, weight loss, and haemoptysis. He com…

Infectious Disease · Airborne isolation β˜… HY difficulty 2/5

A triage nurse at the Tamale Teaching Hospital ED reports that a 38-year-old woman, Abena, has walked in coughing vigorously. She has a 4-week history of productive blood-streaked cough, fever, and si…