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2131 matches for “Ghana” — showing 571–600
Neurology · Blood pressure management in acute stroke ★ HY difficulty 3/5

Mohammed, a 61-year-old hypertensive man, is brought to a district hospital in the Upper West Region with sudden-onset left hemiparesis and left facial droop that began 3 hours ago. He is alert, GCS 1…

Neurology · Bacterial meningitis ★ HY difficulty 2/5

A 24-year-old woman, Abena, is brought to the Komfo Anokye ED by relatives with a 6-hour history of severe headache, fever, and neck stiffness. She is confused (GCS 13). Vitals: temp 39.6°C, BP 88/54 …

Neurology · Haemorrhagic stroke — subarachnoid haemorrhage diagnosis ★ HY difficulty 3/5

A 67-year-old man named Kwame is referred from a district hospital in Bono Region to the Brong-Ahafo Regional Hospital ED after sudden onset of the worst headache of his life, followed by a brief loss…

Neurology · Acute ischaemic stroke - thrombolysis BP management and contraindications ★ HY difficulty 4/5

Akua, a 67-year-old woman with known atrial fibrillation managed with aspirin (she declined anticoagulation), is brought to a regional hospital A&E in Ashanti Region with sudden left-sided facial droo…

Neurology · TIA risk stratification and disposition ★ HY difficulty 3/5

A 59-year-old man, Mohammed, is assessed in the Komfo Anokye ED. He had a 15-minute episode of right arm weakness and slurred speech that fully resolved 2 hours ago. His ABCD2 score is 6. BP is 162/94…

Neurology · Intracerebral haemorrhage management ★ HY difficulty 3/5

A 55-year-old man, Kofi, is referred from a district hospital in the Brong-Ahafo region to the regional hospital A&E. He had sudden onset severe headache and left-sided weakness four hours ago. On arr…

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

A 52-year-old man named Kwabena is brought to a regional hospital A&E in the Ashanti Region after collapsing at home. His wife reports he complained of a sudden severe headache approximately 10 days a…

Neurology · Refractory status epilepticus management ★ HY difficulty 4/5

Mohammed is a 41-year-old man with no prior medical history brought to the Korle Bu Emergency Centre by his family after 45 minutes of generalised tonic-clonic status epilepticus. He had received IV d…

Neurology · Thrombolysis eligibility and time window ★ HY difficulty 4/5

Yaw, a 71-year-old retired civil servant with known hypertension and previous TIA 2 years ago, is brought to Korle Bu Emergency Centre with sudden left-sided weakness and left facial droop noted 5.5 h…

Neurology · Subarachnoid haemorrhage recognition ★ HY difficulty 2/5

A 38-year-old woman, Akosua, is brought to the Korle Bu emergency centre by her husband after a sudden severe headache that began while she was lifting a heavy object at home. She describes it as 'the…

Neurology · Ottawa SAH Rule - application and criteria ★ HY difficulty 2/5

A 44-year-old woman named Ama presents to the Komfo Anokye ED with a sudden severe headache that began 3 hours ago while lifting a heavy load at the market. She describes it as 'like a hammer hit my h…

Neurology · Status epilepticus - GABA receptor mechanism of benzodiazepines ★ HY difficulty 2/5

A 32-year-old woman named Akua is brought to the Komfo Anokye ED by her husband after witnessing her sustain a generalised tonic-clonic seizure at home lasting approximately 8 minutes. She has a known…

Neurology · Subarachnoid haemorrhage recognition ★ HY difficulty 2/5

A 38-year-old woman, Akosua, presents to the Komfo Anokye ED describing a headache that reached maximal intensity within seconds of onset while she was lifting a market crate. She rates it 10/10 and s…

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

A 70-year-old woman, Adwoa, presents to Korle Bu emergency centre with sudden onset of left gaze deviation, right hemiplegia, and global aphasia. Symptom onset was 2 hours ago. BP 168/94 mmHg, HR 88 b…

Neurology · Status epilepticus - second-line agents (ESETT trial) ★ HY difficulty 4/5

A 45-year-old man named Kwabena is brought to the Korle Bu Emergency Centre having received two doses of IV diazepam (10 mg each, 5 minutes apart) by the referring district hospital before transfer. H…

Neurology · SAH - CT sensitivity and diagnostic pathway ★ HY difficulty 3/5

A 38-year-old woman named Akua presents to the Korle Bu emergency centre brought by her husband after a sudden-onset severe headache that began while she was gardening. She describes it as 'the worst …

Neurology · Acute ischaemic stroke - endovascular thrombectomy extended window ★ HY difficulty 3/5

Kofi, a 72-year-old man with hypertension and type 2 diabetes, is brought to the Komfo Anokye ED by his family 5 hours after sudden onset of right-sided weakness and gaze deviation to the left. His NI…

Neurology · Status epilepticus - GABA receptor mechanism of benzodiazepines ★ HY difficulty 3/5

A 32-year-old woman named Akua is brought to the Komfo Anokye ED by relatives after witnessing her sustain continuous tonic-clonic seizure activity for 12 minutes at home. She has a known diagnosis of…

Neurology · Idiopathic intracranial hypertension - diagnosis and pathophysiology ★ HY difficulty 3/5

Adwoa, a 29-year-old obese woman (BMI 36 kg/m²), presents to the Komfo Anokye ED with a 3-month history of daily generalised headaches, progressive visual blurring, and intermittent transient visual o…

Neurology · Status epilepticus - paediatric weight-based dosing ★ HY difficulty 2/5

A 7-year-old boy named Kofi, weighing 22 kg, is brought to a regional hospital A&E in the Ashanti Region after a prolonged febrile seizure at home. His mother reports the seizure began approximately 2…

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

A 62-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband at 09:15. She woke at 08:45 with sudden right-sided weakness and dysphasia. She has no history of recent surgery, no antic…

Neurology · Refractory status epilepticus ★ HY difficulty 4/5

A 32-year-old woman, Ama, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E with a seizure that has persisted for 45 minutes despite IV lorazepam 4 mg twice and IV pheny…

Neurology · Status epilepticus - second-line agents (ESETT trial) ★ HY difficulty 3/5

A 54-year-old man named Mensah is brought to Korle Bu Emergency Centre having been found convulsing in the street. Bystanders report the seizure has lasted at least 30 minutes. Paramedics administered…

Neurology · Thrombolysis contraindications ★ HY difficulty 3/5

A 48-year-old woman, Afia, presents to Komfo Anokye ED with sudden onset of right-sided facial droop, arm weakness, and slurred speech. Symptom onset was confirmed 3 hours ago. CT head shows no haemor…

Neurology / Emergency Medicine · LP safety contraindications in meningitis ★ HY difficulty 3/5

A 65-year-old man is brought to a district hospital in the Brong-Ahafo Region with fever, confusion, and neck stiffness for 2 days. He has a history of alcohol use disorder and no prior immunisations.…

Neurology / Haematology · Warfarin reversal in anticoagulated elderly head injury ★ HY difficulty 4/5

A 82-year-old man, Mensah, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED after a mechanical fall at home three days ago. He struck his head on a concre…

Neurology / Haematology · Anticoagulated patient with intracranial haemorrhage - reversal strategy ★ HY difficulty 3/5

A 68-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her family after being found confused at home. She has a history of atrial fibrillation and is on warfarin 5 mg daily. Her GCS is 11 (E…

Neurology / Neurosurgical Emergencies · Head Injury - Monro-Kellie Doctrine and ICP Physiology ★ HY difficulty 3/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after a high-speed road traffic collision. On arrival, his GCS is 8 (E2V2M4), pupils are 4 mm bilaterally and reactive, blood p…

Neurology / Neurosurgical Emergencies · Head Injury - Hypertonic Saline vs Mannitol Mechanism ★ HY difficulty 4/5

A 58-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to Korle Bu emergency centre with severe traumatic brain injury following a fall from a mango tree. Her GCS on arrival is…

Neurology / Trauma · NICE CT head rules - 1-hour vs 8-hour indications ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the regional hospital A&E by relatives after a road traffic collision. He was briefly confused at the scene but is now alert and orientated (GCS 15). He has a 4…