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2131 matches for “Ghana” — showing 541–570
Maxillofacial and Dental Emergencies · Dental avulsion — storage medium and reimplantation window ★ HY difficulty 2/5

Ama, a 9-year-old girl, is brought to the A&E of a regional hospital by her mother after falling from a mango tree and knocking out an upper front tooth. The avulsed tooth is a permanent upper central…

Maxillofacial and Dental Emergencies · Post-extraction haemorrhage - local haemostasis and anticoagulation management ★ HY difficulty 3/5

A 52-year-old man, Kofi, presents to Korle Bu A&E with persistent bleeding from the left lower molar socket following a tooth extraction performed 6 hours ago. He is on warfarin for atrial fibrillatio…

Maxillofacial and Dental Emergencies · Dental avulsion - reimplantation window and storage medium ★ HY difficulty 2/5

A 19-year-old student, Esi, presents to the A&E at a regional hospital in Tamale after being struck in the face during a football match 25 minutes ago. Her upper left central incisor was completely av…

Mental Capacity and Ethics · Best-interests decision process when lacking capacity ★ HY difficulty 3/5

A 78-year-old man, Joseph, is referred from a peripheral clinic to the regional hospital ED in the Northern Region with a two-day history of worsening confusion. He lives alone; no family is contactab…

Mental Capacity and Ethics · Presumption of capacity and right to refuse ★ HY difficulty 3/5

A 68-year-old woman, Afia, is brought to the emergency centre at Korle Bu by her son after she refused to go to the theatre for an elective hernia repair scheduled that morning. She has no prior psych…

Musculoskeletal Emergencies · Sickle cell osteomyelitis and Salmonella ★ HY difficulty 3/5

A 38-year-old man with known sickle cell disease (HbSS) is referred from a district hospital in Brong-Ahafo to the regional hospital with a 4-day history of left thigh pain, fever, and inability to be…

Musculoskeletal Emergencies · Joint aspiration interpretation and empiric antibiotics ★ HY difficulty 3/5

Afia, a 32-year-old woman, presents to a regional hospital ED with a 4-day history of a painful, swollen right knee. She has no history of trauma. She is afebrile (temperature 37.1°C), heart rate 88 b…

Musculoskeletal Emergencies · ICP measurement and delta-P in haemodynamically unstable patient ★ HY difficulty 4/5

Kofi, a 28-year-old construction worker, was pinned under a collapsed scaffolding for roughly 3 hours before rescue. He is brought to the regional hospital ED with severe swelling of the right thigh a…

Musculoskeletal Emergencies · Gonococcal vs staphylococcal arthritis ★ HY difficulty 2/5

A 24-year-old woman named Afia presents to the Korle Bu emergency centre with a 5-day history of migratory polyarthralgia, fever, and a painful swollen left knee. She is sexually active and has not us…

Musculoskeletal Emergencies · Missed compartment syndrome and Volkmann contracture ★ HY difficulty 3/5

A 7-year-old boy named Emmanuel is brought to Korle Bu Emergency Centre by his father, 5 days after sustaining a supracondylar fracture of the right humerus during a fall at school. The fracture was m…

Neonatology · Kernicterus — exchange transfusion ★ HY difficulty 3/5

A 5-day-old female neonate is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital. She is deeply jaundiced and was noted to be 'not moving her arms and legs normal…

Neonatology · Early-onset neonatal sepsis — first-line antibiotics ★ HY difficulty 2/5

A 2-day-old male neonate born at term by spontaneous vaginal delivery at a district hospital in the Volta Region is brought to the emergency unit by his mother. She reports he has been feeding poorly …

Nephrology · Contrast-induced nephropathy ★ HY difficulty 4/5

Mohammed, a 68-year-old man with known ischaemic heart disease, hypertension, and stage 3 CKD (baseline creatinine 168 μmol/L), presents to the Korle Bu emergency centre with an acute coronary syndrom…

Nephrology · Drug-induced AKI - triple whammy ★ HY difficulty 4/5

Abena, a 66-year-old woman with known hypertension and type 2 diabetes, is referred from a district hospital to Korle Bu emergency centre with three days of worsening confusion and reduced urine outpu…

Nephrology · Crush syndrome and rhabdomyolysis ★ HY difficulty 3/5

Kwame, a 34-year-old man, is brought to Korle Bu emergency centre after being trapped under a collapsed building for six hours following a gas explosion. On extrication he is alert but in severe pain …

Nephrology · Hyperkalaemia in rhabdomyolysis ★ HY difficulty 4/5

A 29-year-old man is brought to a regional hospital A&E after a road traffic accident in which he sustained bilateral femur fractures. He was trapped for two hours. His urine is tea-coloured. Vitals: …

Neurology · Acute ischaemic stroke - NIHSS scoring ★ HY difficulty 2/5

Kwame, a 68-year-old hypertensive man, is brought by relatives to the Korle Bu emergency centre after sudden onset of right-sided weakness and inability to speak, witnessed at 09:00. He arrives at 10:…

Neurology · Bacterial meningitis ★ HY difficulty 4/5

A 45-year-old man, Kofi, presents to a district hospital A&E in Brong-Ahafo with a 3-day history of worsening occipital headache, fever of 38.9°C, and neck stiffness. GCS is 15. CT head is not availab…

Neurology · Ischaemic stroke thrombolysis ★ HY difficulty 3/5

A 58-year-old woman, Adwoa, is brought to the emergency centre at Komfo Anokye Teaching Hospital by her husband after he noticed her face drooping and her right arm becoming weak while eating breakfas…

Neurology · Status epilepticus — second-line agent selection ★ HY difficulty 3/5

A 58-year-old woman named Abena is brought to the Korle Bu Emergency Centre after generalised tonic-clonic seizures that began 18 minutes ago. She received lorazepam 4 mg IV en route, and a second dos…

Neurology · First-line benzodiazepines in status epilepticus ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the regional hospital A&E by relatives after a witnessed generalised tonic-clonic seizure lasting 8 minutes. She is still seizing on arrival. Vitals: HR 118 …

Neurology · Anticoagulant reversal in intracerebral haemorrhage ★ HY difficulty 3/5

A 48-year-old man, Yaw, is brought to the Tamale Teaching Hospital ED after collapsing at work. He is on warfarin for a mechanical heart valve. CT head confirms a large left frontal intracerebral haem…

Neurology · Acute ischaemic stroke - NIHSS scoring and LVO recognition ★ HY difficulty 3/5

Kofi, a 58-year-old hypertensive man, is brought by relatives to the Korle Bu emergency centre after sudden onset of right-sided weakness and expressive dysphasia that began 90 minutes ago. He has no …

Neurology · Acute ischaemic stroke - thrombolysis contraindications ★ HY difficulty 2/5

Yaw, a 48-year-old man with no known medical history, is brought to the Korle Bu emergency centre 2 hours after sudden onset of severe headache, vomiting, and right arm weakness. On examination, BP is…

Neurology · First-line benzodiazepine therapy in status epilepticus ★ HY difficulty 2/5

A 28-year-old woman named Akosua is brought to the Komfo Anokye ED by relatives after a witnessed generalised tonic-clonic seizure lasting 8 minutes. She has no prior seizure history. On arrival she i…

Neurology · Large vessel occlusion - thrombectomy ★ HY difficulty 4/5

A 72-year-old man is brought to the Korle Bu emergency centre with sudden onset right hemiplegia, global aphasia, and a head and eye deviation to the left. Onset was 90 minutes ago. GCS is 9. Non-cont…

Neurology · Acute ischaemic stroke - thrombolysis window ECASS-III ★ HY difficulty 3/5

Akua, a 55-year-old woman with atrial fibrillation on no anticoagulation, presents to a regional hospital A&E in the Ashanti region with acute left-sided weakness and slurred speech. Her relatives con…

Neurology · Thrombolysis window and eligibility ★ HY difficulty 2/5

A 62-year-old woman, Akosua, is brought to the Korle Bu emergency centre by her husband at 09:15. She developed sudden right-sided weakness and expressive dysphasia at 07:45 while preparing breakfast.…

Neurology · Subarachnoid haemorrhage - sentinel headache and Hunt-Hess grading ★ HY difficulty 3/5

A 42-year-old woman, Akua, is brought to the Korle Bu emergency centre by her husband after experiencing a sudden, severe headache while lifting a heavy bag at the market. She describes it as 'the wor…

Neurology · Acute ischaemic stroke - pre-thrombolysis BP management ★ HY difficulty 3/5

Ama, a 61-year-old woman, arrives at a district hospital in the Brong-Ahafo region with sudden onset left facial droop, left arm weakness, and dysarthria beginning 90 minutes ago. Her BP is 210/118 mm…