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635 matches for “Ghana” — showing 481–510
Cardiopulmonary and cerebral resuscitation · Shockable rhythm — pulseless VT management difficulty 2/5

A 62-year-old man named Yaw is in cardiac arrest in the resus bay of a district hospital in Brong-Ahafo. The monitor shows a wide, regular, monomorphic waveform at 180 beats per minute; he has no palp…

Cardiopulmonary and cerebral resuscitation · Post-ROSC priorities — targeted temperature management mechanism difficulty 3/5

A 62-year-old man named Yaw is brought to the Komfo Anokye Emergency Department after a witnessed out-of-hospital cardiac arrest. After 25 minutes of CPR, return of spontaneous circulation (ROSC) is a…

Cardiopulmonary and cerebral resuscitation · Reversible causes of cardiac arrest - 4Hs and 4Ts difficulty 1/5

A 40-year-old man named Kwabena is brought to the A&E of a regional hospital after a witnessed collapse. CPR is in progress. The team leader asks the team to consider reversible causes of cardiac arre…

Cardiopulmonary and cerebral resuscitation · Reversible causes — 4Hs and 4Ts difficulty 2/5

A 40-year-old woman named Esi is brought to a district hospital A&E in the Northern Region after a witnessed cardiac arrest. CPR is in progress. The monitor shows asystole. The team notes she was foun…

Constipation — emergency considerations · Opioid-induced constipation - mechanism difficulty 2/5

A 45-year-old woman, Ama, is seen in the Komfo Anokye ED. She was involved in a road traffic accident two weeks ago and has been taking oral morphine for pain. She now complains of no bowel motion for…

Constipation — emergency considerations · Hypothyroidism as a cause of constipation difficulty 2/5

A 38-year-old woman, Adwoa, presents to the Korle Bu emergency centre with a 4-month history of worsening constipation, weight gain of 8 kg, cold intolerance, and generalised fatigue. On examination, …

Constipation — emergency considerations · Simple functional constipation - appropriate management difficulty 1/5

A 28-year-old man, Yaw, attends the regional hospital A&E in Tamale. He reports no bowel motion for 4 days following a period of reduced dietary fibre and fluid intake during a long journey. He has mi…

Crying and irritability in children · Must-not-miss causes — corneal abrasion difficulty 2/5

A 10-week-old boy is brought to the Korle Bu emergency centre. His mother says he has been crying all evening and rubbing his right eye. He is afebrile, HR 155 bpm, and well-perfused. Fluorescein stai…

Dental emergencies · Dental abscess — mechanism of treatment failure with antibiotics alone difficulty 2/5

Abena, a 32-year-old woman, presents to a district hospital A&E in the Volta Region with a 2-day history of severe toothache in her lower left molar. Examination reveals a tender, fluctuant swelling o…

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. …