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3996 matches for “Ghana” — showing 511–540
Chest Trauma including Tension Pneumothorax and Haemothorax · Traumatic haemothorax β˜… HY difficulty 2/5

A 35-year-old woman, Ama, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital following a stab wound to the left chest with a kitchen knife. She received 1 litre of n…

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

Akua, a 42-year-old market trader, is brought to the Komfo Anokye emergency theatre following a road traffic collision in which she was an unrestrained front-seat passenger. She complains of severe ri…

Chest Trauma including Tension Pneumothorax and Haemothorax · Intercostal drain anatomy β˜… HY difficulty 2/5

A 19-year-old man, Yaw, presents to the district hospital surgical ward in Upper East Region following a stab wound to the right chest with a broken bottle during a brawl. He is conscious and cooperat…

Chest Trauma including Tension Pneumothorax and Haemothorax · Massive haemothorax β˜… HY difficulty 3/5

A 35-year-old man, Yaw, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital following a stab wound to the right chest sustained during a community altercation. He w…

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

Yaw, a 45-year-old cocoa farmer, is brought to a district hospital in the Brong-Ahafo Region after his tractor overturned onto him. He complains of severe right chest pain and breathlessness. On exami…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax β˜… 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 an unrestrained front-seat p…

Chest Trauma including Tension Pneumothorax and Haemothorax · Tension pneumothorax β˜… HY difficulty 2/5

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

Chest Trauma including Tension Pneumothorax and Haemothorax · Haemothorax β˜… HY difficulty 2/5

Yaw, a 34-year-old farmer, is referred from a district hospital in Brong-Ahafo to the regional surgical unit after sustaining a stab wound to the left lateral chest wall during a community dispute. Th…

Child Health: Growth, Development & Immunisation · Ghana EPI schedule – 9-month vaccines β˜… HY difficulty 2/5

Yaw is a 9-month-old boy attending his scheduled immunisation visit at a CHPS compound in the Ashanti Region. He has received all his previous vaccines on time. The community health nurse checks the G…

Child Health: Growth, Development & Immunisation · Ghana EPI schedule – 9-month vaccines β˜… HY difficulty 2/5

A mother brings her 9-month-old daughter Akosua to the OPD at a regional hospital in the Ashanti Region for scheduled immunisations. On checking the child health record booklet, the nurse notes that A…

Child Health: Growth, Development & Immunisation · Ghana EPI schedule – birth-dose vaccines β˜… HY difficulty 1/5

A healthy newborn girl, Akosua, is delivered at term at the Tamale Teaching Hospital. She is vigorous, with a good cry and Apgar scores of 9 and 10 at one and five minutes respectively. The midwife is…

Child Health: Growth, Development & Immunisation · Ghana EPI schedule β€” 6-week visit β˜… HY difficulty 2/5

A 6-week-old male infant, Kofi, is brought to the child welfare clinic at a district hospital in the Ashanti Region. He was born at term by spontaneous vaginal delivery with no complications. The nurs…

Child Health: Growth, Development & Immunisation · Ghana EPI schedule – 6-week vaccines β˜… HY difficulty 2/5

A community health nurse at a CHPS compound in the Upper West Region is conducting a child welfare clinic. She sees Fatima, a 6-week-old girl born at term with no perinatal complications. The mother h…

Child Health: Neonatology · Birth asphyxia β€” first-line anticonvulsant for neonatal seizures β˜… HY difficulty 2/5

A term male neonate is delivered after a prolonged labour at a district hospital in the Ashanti Region. At birth he is limp, cyanosed, and apnoeic. Resuscitation is performed and he is transferred to …

Child Health: Neonatology · Neonatal jaundice β˜… HY difficulty 3/5

Kofi, a term male neonate born at Cape Coast Teaching Hospital, develops visible jaundice at 18 hours of life. His mother is blood group O Rh-positive and Kofi is blood group A Rh-positive. His serum …

Child Health: Neonatology · Empirical antibiotic choice in neonatal sepsis with meningitis β˜… HY difficulty 3/5

A 5-day-old male term neonate is brought to the emergency department at Tamale Teaching Hospital by his mother who reports that he has been refusing feeds and is increasingly drowsy. On examination he…

Child Health: Nutrition & Growth · Breastfeeding β€” initiation and duration of exclusive breastfeeding β˜… HY difficulty 1/5

A mother delivers a healthy baby girl at a district hospital in the Volta Region. She asks the midwife when she should start breastfeeding and for how long she should breastfeed exclusively. The baby …

Child Health: Nutrition & Growth · MUAC screening and SAM classification β˜… HY difficulty 2/5

A community health nurse at a CHPS compound in the Northern Region is conducting a nutrition screening exercise. She uses a mid-upper arm circumference (MUAC) tape to screen children aged 6–59 months.…

Child Health: Nutrition & Growth · Breastfeeding β€” initiation and exclusive breastfeeding recommendations β˜… HY difficulty 1/5

A 28-year-old primigravida, Akosua, delivers a healthy male infant at 38 weeks at Ho Teaching Hospital. She asks the midwife when she should first put the baby to the breast and whether she needs to g…

Child Health: Nutrition & Growth · Timing of complementary feeding introduction β˜… HY difficulty 1/5

Akua, a 5-month-old girl, is seen at a CHPS compound in the Brong-Ahafo Region. Her mother asks about when to introduce complementary foods. The baby is exclusively breastfed, is gaining weight well, …

Child Health: Paediatric Emergencies · Kerosene / hydrocarbon ingestion management β˜… HY difficulty 2/5

A 3-year-old boy, Kofi, is brought to the emergency department at Komfo Anokye Teaching Hospital after his mother found him drinking from a bottle of kerosene stored in an empty soft-drink bottle in t…

Child Health: Paediatric Emergencies · Second-line anticonvulsant after failed benzodiazepines in status epilepticus β˜… HY difficulty 3/5

A 4-year-old girl, Abena, presents to the emergency department at Korle Bu Teaching Hospital with a 15-minute history of generalised tonic-clonic convulsions. She has already received rectal diazepam …

Child Health: Paediatric Infections · Severe malaria in children β˜… HY difficulty 2/5

A 4-year-old boy, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital with a 2-day history of fever, vomiting, and two episodes of generalised tonic-clonic seizures lasting…

Child Health: Paediatric Infections · Measles β€” vitamin A reduces mortality β˜… HY difficulty 3/5

Abena, a 2-year-old girl who has not been vaccinated, has had high fever, cough, runny nose and red eyes for 4 days. Today the rash shown appeared, starting on her face. She is drinking and is not in …

Child Health: Paediatric Infections · Severe malaria β€” treatment and immediate management β˜… HY difficulty 2/5

A 4-year-old boy, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital with a 2-day history of fever and repeated convulsions. His mother reports he has had three seizures t…

Child Health: Paediatric Infections · Tuberculous meningitis β€” diagnosis and management β˜… HY difficulty 4/5

A 6-year-old girl, Ama, is admitted to the children's ward at Tamale Teaching Hospital with a 3-day history of fever, severe headache, and progressive drowsiness. She lives in the Northern Region. On …

Child Health: Paediatric Infections · Severe malaria β€” first-line parenteral treatment β˜… HY difficulty 2/5

Kwame, a 4-year-old boy from Brong-Ahafo, is brought to Komfo Anokye Teaching Hospital after two days of high fever and vomiting. On examination he is unconscious (Blantyre Coma Score 2), has respirat…

Colorectal Cancer · Colorectal liver metastases β˜… HY difficulty 4/5

A 67-year-old man, Mensah, is reviewed in the Korle Bu colorectal MDT clinic. He had a right hemicolectomy 18 months ago for a T3 N2 (4 positive lymph nodes) moderately differentiated adenocarcinoma o…

Colorectal Cancer · Perforated colorectal carcinoma β€” emergency management β˜… HY difficulty 3/5

A 70-year-old man, Mensah, is brought to the Komfo Anokye emergency theatre with a 24-hour history of severe generalised abdominal pain. He had been experiencing increasing constipation and rectal ble…

Colorectal Cancer · Postoperative surveillance and recurrence β˜… HY difficulty 3/5

A 47-year-old man, Yaw, is seen in the Korle Bu colorectal clinic following curative anterior resection for a T3 N2 M0 upper rectal adenocarcinoma performed 6 months ago. He received 6 cycles of adjuv…