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2131 matches for “Ghana” — showing 511–540
Infectious Disease / Sepsis · Early antibiotic timing and selection β˜… HY difficulty 3/5

Akosua, a 34-year-old woman, is brought to the Komfo Anokye Teaching Hospital emergency department with a 6-hour history of rigors, right-sided flank pain, and dysuria. She is 28 weeks pregnant. Vital…

Infectious Disease / Sepsis · Early antibiotic timing β˜… HY difficulty 2/5

Kofi is a 55-year-old man with type 2 diabetes who presents to a regional hospital emergency department in the Ashanti Region with a 2-day history of dysuria, right flank pain, and high-grade fever. H…

Infectious Disease / Sepsis · Vasopressor choice β˜… HY difficulty 3/5

Aisha, a 45-year-old woman, presented to Korle Bu emergency centre 90 minutes ago with septic shock secondary to an infected diabetic foot ulcer. She has received 30 mL/kg of intravenous 0.9% normal s…

Infectious Disease / Sepsis · Vasopressor choice β˜… HY difficulty 3/5

A 67-year-old man is brought to the Korle Bu emergency centre by his family with a 1-day history of fever, rigors, and worsening shortness of breath. He had a laparotomy for perforated sigmoid colon 5…

Infectious Disease / Soft Tissue Infections · Osteomyelitis - paediatric, investigation priority β˜… HY difficulty 3/5

A 6-year-old boy, Kwesi, is brought to a district hospital in the Northern Region with a 2-day history of fever and refusal to weight-bear on his right leg. T 38.9Β°C, HR 128 bpm, BP 96/60 mmHg. There …

Infectious Disease / Soft Tissue Infections · Necrotising fasciitis - recognition and immediate management β˜… HY difficulty 3/5

A 52-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives with a 2-day history of severe left leg pain and swelling. He is febrile (39.8Β°C), HR 118 bpm, BP 94/60 mmHg, RR 22/min, SpO2 9…

Infectious Disease / Surgical Emergencies · Pre-transfer stabilisation β€” typhoid perforation β˜… HY difficulty 4/5

A 14-year-old girl, Adwoa, is brought to the district hospital emergency room in the Volta Region. Her parents report three weeks of progressive fever treated with paracetamol at home. Today she devel…

Infectious Disease / Surgical Emergencies · Typhoid ileal perforation β€” diagnosis β˜… HY difficulty 2/5

A 19-year-old male student, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital by his family. He has had two weeks of high-grade fever, headache, and abdominal discomfort trea…

Infectious Disease / Surgical Emergencies · Antibiotic management of typhoid perforation β˜… HY difficulty 3/5

Afia, a 26-year-old woman, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 3-day history of worsening abdominal pain following two weeks of untreated fev…

Infectious Disease / Toxicology · Rabies immunoglobulin administration technique β˜… HY difficulty 3/5

Abena, a 34-year-old farmer from Kintampo district, presents to the district hospital having been bitten on the right hand by a stray dog 30 minutes ago. The bite is a deep, jagged wound over the dors…

Infectious Disease / Toxicology · WHO bite classification and PEP initiation β˜… HY difficulty 2/5

A 9-year-old boy named Kofi is brought to a district hospital in the Bono East Region by his mother after a dog bite that occurred 2 hours ago. The dog, which belongs to a neighbour, is alive and heal…

Infectious Disease / Toxicology · Timing of PEP initiation β€” delayed presentation β˜… HY difficulty 2/5

A 52-year-old woman, Afia, is referred from a peripheral clinic to the Korle Bu emergency centre with a dog bite to the right forearm sustained 72 hours ago. The wound was initially cleaned at the cli…

Infectious Disease / Tropical Medicine · Bladder schistosomiasis β€” acute obstruction β˜… HY difficulty 3/5

A 52-year-old farmer, Mohammed, presents to a district hospital in Northern Region with progressive difficulty in urination over 4 months, terminal haematuria for 2 years, and now complete urinary ret…

Infectious Disease / Tropical Medicine · Healthcare worker post-exposure prophylaxis β˜… HY difficulty 4/5

A nursing aide, Abena, aged 22, cared for a patient at a district hospital in the Savannah Region who is subsequently confirmed to have Lassa fever. She reports that three days ago she helped clean th…

Infectious Disease / Tropical Medicine · Praziquantel dosing for schistosomiasis β˜… HY difficulty 2/5

A 35-year-old woman, Afia, is referred to Komfo Anokye ED from a district hospital in Ashanti Region. She has been treated for Katayama fever (confirmed on serology) and is now being started on defini…

Infectious Disease / Tropical Medicine · Isolation precautions for suspected VHF β˜… HY difficulty 3/5

A 31-year-old woman, Aisha, presents to a regional hospital ED in the Volta Region with 5 days of fever, myalgia, and pharyngitis. She returned from a humanitarian mission in Sierra Leone 8 days ago. …

Infectious Disease / Tropical Medicine · Ribavirin indications in Lassa fever β˜… HY difficulty 3/5

A 28-year-old man, Kwesi, is admitted to the Komfo Anokye Teaching Hospital ED from Brong-Ahafo with a 7-day febrile illness. He has severe headache, myalgia, vomiting, and now has bleeding gums and h…

Infectious Disease / Tropical Medicine · Yellow fever clinical features vs malaria β˜… HY difficulty 3/5

A 34-year-old farmer, Kofi, is brought to a district hospital in the Northern Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and backache. On examination: temperature 39.…

Infectious Disease / Tropical Medicine · Spinal cord schistosomiasis β€” management β˜… HY difficulty 4/5

A 32-year-old man, Kofi, presents to Korle Bu Emergency Centre with acute-onset severe low back pain radiating to both legs, lower limb weakness, urinary retention, and faecal incontinence over 36 hou…

Limb Fractures · Compartment syndrome β€” pressure measurement and delta-P β˜… HY difficulty 3/5

Kofi, a 34-year-old man, is brought to the emergency department of a regional hospital in the Volta Region after being struck by a speeding vehicle as a pedestrian. He has a suspected closed fracture …

Limb Fractures · Gustilo-Anderson open fracture grading β˜… HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after a motorcycle collision. He has a 12 cm contaminated wound over the mid-shaft tibia with exposed bon…

Limb Fractures · Compartment syndrome β€” clinical diagnosis and management β˜… HY difficulty 3/5

Afia, a 19-year-old woman, was involved in a road traffic accident in Kumasi and is now 8 hours post-operative following intramedullary nailing of a closed femur fracture at a regional hospital. She i…

Limb Fractures · Pelvic ring stability and haemorrhage control β˜… HY difficulty 3/5

A 55-year-old man, Yaw, is brought to the Komfo Anokye emergency centre after a high-speed vehicle collision. He complains of severe pelvic pain. Primary survey is intact. Vitals: BP 88/60 mmHg, HR 12…

Major Incidents and Mass Casualty · Decontamination zones - chemical / biological incidents β˜… HY difficulty 4/5

A gas explosion at a chemical processing plant near Tema injures 28 workers, several of whom arrive at the Tema General Hospital A&E with burning eyes, excessive lacrimation, and skin erythema. Three …

Major Incidents and Mass Casualty · START triage - walking wounded, respiration, perfusion, mental status into red/yellow/green/black β˜… HY difficulty 2/5

A stampede at a football stadium in Kumasi results in 67 casualties being brought to Komfo Anokye Teaching Hospital (KATH) A&E. The hospital major incident plan is activated. A 34-year-old man, Kwaben…

Major Incidents and Mass Casualty · Decontamination zones for chemical / biological incidents β˜… HY difficulty 3/5

A suspected chlorine gas leak at an industrial facility near Tema Port results in 28 workers presenting to the regional hospital A&E with eye irritation, coughing, and skin burning of varying severity…

Major Incidents and Mass Casualty · Hospital major incident activation - call-in cascade and role allocation β˜… HY difficulty 2/5

A fuel tanker overturns on the N1 highway near Accra, triggering a multi-vehicle collision involving a commercial bus. Forty-three casualties are reported at the scene. The A&E registrar at Korle Bu T…

Major Incidents and Mass Casualty · Hospital major incident response activation - call-in cascade + triage point setup β˜… HY difficulty 3/5

A fuel tanker overturns on the Accra-Kumasi highway, triggering a multi-vehicle collision involving two intercity buses. Forty-three casualties are reported at the scene. The first ambulance crew on s…

Major Incidents and Mass Casualty · START triage - respiration, perfusion, mental status categories β˜… HY difficulty 2/5

A 34-year-old man, Kwabena, is found at the scene of a building collapse at a construction site in Kumasi. The first responder applies START triage. Kwabena is not walking, has a respiratory rate of 2…

Maxillofacial Trauma · Airway priority in massive midface injury β˜… HY difficulty 4/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after a high-speed road traffic collision. He is unconscious (GCS 7), with massive midface swelling, blood pooling in the oropharynx, and gu…