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3996 matches for “Ghana” — showing 481–510
Cardiology · Acquired QT Prolongation — Reversible Triggers ★ HY difficulty 4/5

A 45-year-old woman presents to the Korle Bu Emergency Centre with recurrent palpitations and two syncopal episodes over 6 hours. She was admitted 3 days earlier for chemotherapy-induced nausea and vo…

Cardiology · STEMI - PCI vs thrombolysis decision ★ HY difficulty 3/5

Yaa, a 67-year-old woman with known ischaemic heart disease and prior inferior MI 3 years ago, presents to the Komfo Anokye ED with a 2-hour history of anterior chest pain. Her ECG shows 5 mm ST eleva…

Cardiology · Hyperkalaemia ECG management ★ HY difficulty 3/5

Mohammed, a 34-year-old man with known end-stage renal disease on intermittent haemodialysis, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital ED after missing t…

Cardiology · Hypomagnesaemia ECG changes ★ HY difficulty 3/5

A 55-year-old woman with alcohol use disorder is brought to a regional hospital ED by her family after she was found on the floor at home. She has not eaten for three days. Vitals: BP 108/72 mmHg, HR …

Cardiology · Hypertensive emergency with acute pulmonary oedema ★ HY difficulty 3/5

A 62-year-old woman is brought to a regional hospital ED in the Northern Region with a 6-hour history of progressive shortness of breath and inability to lie flat. She has hypertension and type 2 diab…

Cardiology · Hypokalaemia ECG changes ★ HY difficulty 2/5

A 58-year-old man with hypertension and heart failure is brought to the regional hospital ED by his family after two days of vomiting and poor oral intake. He is on furosemide 80 mg daily and lisinopr…

Chest Trauma · Massive haemothorax - operative criteria ★ HY difficulty 3/5

A 35-year-old woman, Akua, is brought to Korle Bu Emergency Centre after a motor vehicle crash. She was the driver and sustained significant anterior chest trauma from the steering wheel. Her blood pr…

Chest Trauma · Pericardial tamponade - Beck triad and mechanism ★ HY difficulty 2/5

A 52-year-old man, Mensah, is brought to a district hospital A&E in Brong-Ahafo following a pedestrian versus vehicle collision. He is confused and diaphoretic. His blood pressure is 80/60 mmHg and he…

Chest Trauma · Flail chest pathophysiology ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by family to the emergency centre at Komfo Anokye Teaching Hospital after a road traffic crash. He was an unrestrained front-seat passenger. On arrival he is in mo…

Chest Trauma · Cardiac tamponade ★ HY difficulty 2/5

A 19-year-old man, Kofi, arrives at a district hospital in the Northern Region after sustaining a stab wound to the left anterior chest in the 4th intercostal space, mid-clavicular line. He is anxious…

Chest Trauma · Haemothorax — indications for thoracotomy ★ HY difficulty 3/5

A 35-year-old woman, Afia, is brought to the regional hospital emergency department after a high-speed road traffic crash in which her vehicle rolled over. On primary survey: airway patent, GCS 15. Vi…

Chest Trauma · Traumatic aortic injury - CT angiography diagnosis ★ HY difficulty 3/5

A 45-year-old man, Yaw, is brought to the A&E of a regional hospital in the Volta Region after a high-speed head-on collision. He was the driver and the airbag deployed. He complains of interscapular …

Chest Trauma · Tension pneumothorax - needle decompression site ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the A&E of a regional hospital in Ashanti after a high-speed road traffic collision. He was an unrestrained front-seat passenger. On arrival, he is agitated and…

Chest Trauma · Blunt cardiac injury — cardiac contusion ★ HY difficulty 3/5

A 52-year-old man, Joseph, presents to the Korle Bu emergency centre after a head-on road traffic collision. He was a restrained driver. He complains of anterior chest pain and mild shortness of breat…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to the resus bay of Komfo Anokye Teaching Hospital following a high-speed road traffic collision on the Kumasi–Accra highway. He was an unrestrained f…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax ★ HY difficulty 2/5

Kwame, a 28-year-old motor-vehicle accident victim, is brought by relatives to the resus bay of a regional hospital in the Ashanti Region. He was a front-seat passenger in a head-on collision and was …

Chest Trauma including Tension Pneumothorax and Haemothorax · Flail chest and pulmonary contusion ★ HY difficulty 3/5

A 22-year-old man, Yaw, is brought to the emergency department of a district hospital in the Upper East Region after sustaining multiple rib fractures (ribs 4–8 on the right) in a motorcycle accident.…

Chest Trauma including Tension Pneumothorax and Haemothorax · Massive haemothorax — immediate drainage ★ HY difficulty 2/5

Esi, a 35-year-old market trader, is referred from a district hospital in the Volta Region following a stab wound to the right chest sustained during an altercation. She received 1 litre of normal sal…

Chest Trauma including Tension Pneumothorax and Haemothorax · Massive haemothorax ★ HY difficulty 3/5

Esi, a 34-year-old woman, is referred from a district hospital in the Upper West Region to the regional hospital after sustaining multiple rib fractures in a road traffic collision 6 hours earlier. Sh…

Chest Trauma including Tension Pneumothorax and Haemothorax · Open pneumothorax ★ HY difficulty 3/5

A 22-year-old man, Kofi, is brought to the emergency department of a regional hospital in the Northern Region following a gunshot wound to the chest. The entry wound is a 2 cm defect in the left later…

Chest Trauma including Tension Pneumothorax and Haemothorax · Flail chest and pulmonary contusion ★ HY difficulty 4/5

A 52-year-old man, Mensah, with a known history of hypertension and type 2 diabetes mellitus is admitted to the surgical ward at a regional hospital in the Volta Region following blunt chest trauma su…

Chest Trauma including Tension Pneumothorax and Haemothorax · Massive haemothorax ★ HY difficulty 3/5

A 35-year-old woman, Akua, is admitted to a regional hospital in the Brong-Ahafo region following a stab wound to the left lateral chest wall at the level of the 5th intercostal space. She is consciou…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to the emergency bay of a district hospital in Brong-Ahafo following a road traffic collision on the N10 highway. He was a front-seat passenger in a c…

Chest Trauma including Tension Pneumothorax and Haemothorax · Intercostal chest drain anatomy ★ HY difficulty 2/5

A surgical registrar at Komfo Anokye Teaching Hospital is asked to insert an intercostal chest drain in a 42-year-old woman, Akua, who has a right-sided haemopneumothorax following a road traffic coll…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax — clinical diagnosis and emergency management ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to the resus bay of a regional hospital in Ashanti following a road traffic collision on the Kumasi–Accra highway. He was a front-seat passenger and s…

Chest Trauma including Tension Pneumothorax and Haemothorax · Flail chest — pathophysiology ★ HY difficulty 3/5

A 55-year-old man is brought to the emergency department of a district hospital in Brong-Ahafo following a crush injury to the chest sustained when a loaded tipper truck overturned onto him. He is in …

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax ★ HY difficulty 2/5

A 28-year-old motorcyclist, Kwame, is brought by relatives to the emergency department of a regional hospital in Ashanti after a head-on collision with a lorry. He was not wearing a helmet and sustain…

Chest Trauma including Tension Pneumothorax and Haemothorax · Cardiac tamponade ★ HY difficulty 3/5

A 22-year-old man, Kofi, is brought to a district hospital in the Upper East Region after being stabbed in the left chest with a knife. On arrival he is anxious but alert: HR 122 bpm, BP 88/60 mmHg, R…

Chest Trauma including Tension Pneumothorax and Haemothorax · Massive haemothorax ★ HY difficulty 3/5

A 35-year-old woman, Akua, is brought to Komfo Anokye emergency theatre following a stab wound to the left chest at the level of the fifth intercostal space in the midaxillary line. She is conscious a…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to the resus bay of a regional hospital in Ashanti Region following a road traffic collision on the Kumasi–Accra highway. He was a front-seat passenge…