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2131 matches for “Ghana” — showing 61–90
CNS Infections · Viral encephalitis ★ HY difficulty 3/5

A 19-year-old student, Yaw, presents to Korle Bu emergency centre with a 3-day history of fever, behavioural change, and two witnessed generalised seizures. His GCS is 11/15. Vitals: temp 38.6°C, HR 1…

CNS Infections · Bacterial meningitis empirical antibiotics - paediatric ★ HY difficulty 4/5

A 6-year-old boy, Kofi, is brought to a district hospital in the Upper East Region with a 6-hour history of fever, neck stiffness, and vomiting. He is alert but irritable. Vitals: temp 39.1°C, HR 136 …

CNS Infections · Lumbar puncture decision rules ★ HY difficulty 3/5

A 65-year-old man, Kwame, is brought to a regional hospital A&E in Brong-Ahafo with 2 days of worsening headache and confusion. He has no focal neurological deficit, no papilloedema on fundoscopy, and…

CNS Infections · Bacterial meningitis empirical antibiotics ★ HY difficulty 3/5

A 28-year-old woman, Akosua, is brought to Komfo Anokye ED by relatives with a 12-hour history of severe headache, fever, and neck stiffness. She is drowsy but rousable. Vitals: temp 39.4°C, HR 118 bp…

Cardiology · WPW with atrial fibrillation ★ HY difficulty 4/5

A 28-year-old man, Mohammed, is brought to a district hospital in Northern Ghana by family after two episodes of near-syncope associated with palpitations. He has no past medical history and takes no …

Cardiology · Hypomagnesaemia and Torsades de Pointes ★ HY difficulty 3/5

A 44-year-old woman, Adwoa, is referred from a district hospital in the Ashanti Region to the Komfo Anokye ED with recurrent palpitations and near-syncope over 48 hours. She has a history of chronic a…

Cardiology · HEART score and ACS risk stratification ★ HY difficulty 3/5

Fatima, a 62-year-old woman with hypertension, hyperlipidaemia, and a previous PCI three years ago, presents to the Korle Bu Emergency Centre with 6 hours of intermittent chest pressure at rest, now p…

Cardiology · Modified Sgarbossa criteria for LBBB ★ HY difficulty 4/5

Adwoa, a 62-year-old woman with a known history of hypertension and previous inferior MI, is referred from a district hospital in the Upper East Region to the regional hospital ED with a 90-minute his…

Cardiology · Cardiogenic Shock - Haemodynamic Classification ★ HY difficulty 3/5

Adwoa, a 55-year-old woman with known ischaemic cardiomyopathy (ejection fraction 28%), presents to the Komfo Anokye ED with worsening dyspnoea over 48 hours. She is on carvedilol, spironolactone, and…

Cardiology · AV block in inferior STEMI — risk stratification ★ HY difficulty 4/5

A 60-year-old woman, Afia, is brought to the Korle Bu Emergency Centre with sudden-onset severe chest pain radiating to the left arm for 90 minutes, associated with diaphoresis. She has a history of h…

Cardiology · Complete heart block complicating inferior MI ★ HY difficulty 3/5

A 72-year-old man, Joseph, is referred from a district hospital in Brong-Ahafo to the regional hospital ED following an inferior STEMI managed 18 hours earlier with streptokinase. He now complains of …

Cardiology · Hyperacute T waves — earliest STEMI sign ★ HY difficulty 3/5

A 55-year-old woman, Akosua, presents to a regional hospital emergency department in the Volta Region with a 40-minute history of severe central chest tightness radiating to the left arm, diaphoresis,…

Cardiology · SVT – vagal manoeuvres ★ HY difficulty 2/5

A 28-year-old man, Kofi, is brought to a regional hospital A&E in Ashanti Region with sudden-onset palpitations and dizziness for 45 minutes. He has no cardiac history. Vitals: BP 118/74 mmHg, HR 178 …

Cardiology · Torsades de Pointes Management ★ HY difficulty 3/5

Kofi is a 58-year-old man admitted to the medical ward of a regional hospital in the Ashanti Region after a week of profuse diarrhoea. He has type 2 diabetes managed with metformin and is also taking …

Cardiology · Atrial fibrillation rate vs rhythm control ★ HY difficulty 3/5

Kofi, a 67-year-old man with known hypertension, is brought to the Korle Bu Emergency Centre by his family with a 10-hour history of palpitations and mild breathlessness. He is on amlodipine 10 mg dai…

Cardiology · Posterior MI on standard 12-lead ECG ★ HY difficulty 3/5

A 67-year-old retired fisherman from the Central Region is brought to a regional hospital emergency department by his family with a 90-minute history of severe central chest pain, sweating, and dizzin…

Cardiology · Acute Heart Failure - Frank-Starling / preload-afterload pathophysiology ★ HY difficulty 3/5

A 62-year-old man, Kwame, is brought to the Korle Bu emergency centre by his wife with a 3-hour history of severe breathlessness and inability to lie flat. He has a background of hypertensive heart di…

Cardiology · Brugada pattern ECG ★ HY difficulty 4/5

A 48-year-old man is brought to a district hospital in Brong-Ahafo Region with sudden onset of severe chest pain that began 90 minutes ago while he was at rest. He has no prior cardiac history. Vitals…

Cardiology · STEMI reperfusion decision-making ★ HY difficulty 4/5

Kofi, a 52-year-old hypertensive farmer, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 90-minute history of severe crushing central chest pain radiatin…

Cardiology · Wellens syndrome Type A vs Type B ECG pattern ★ HY difficulty 4/5

Afia, a 47-year-old woman with no known cardiac history, presents to a regional hospital ED in the Ashanti Region with a 2-day history of intermittent left-sided chest pain at rest. She denies exertio…

Cardiology · Torsades de Pointes — Multi-Drug QT Prolongation ★ HY difficulty 4/5

A 47-year-old man, Kwesi, is brought by family to the Tamale Teaching Hospital ED following a cardiac arrest at home. Return of spontaneous circulation was achieved after 8 minutes of CPR. He is now s…

Cardiology · Wellens syndrome ECG patterns ★ HY difficulty 3/5

Kofi, a 47-year-old male teacher, is brought to a regional hospital ED in the Northern Region by his colleagues after a single episode of severe retrosternal chest pain lasting 20 minutes that resolve…

Cardiology · Torsades de pointes - mechanism and magnesium ★ HY difficulty 4/5

A 34-year-old woman, Esi, presents to a district hospital A&E in the Volta Region with syncope and is found to have a prolonged QT interval of 560 ms on her ECG. She is on haloperidol for schizophreni…

Cardiology · Mobitz I / Wenckebach AV block ★ HY difficulty 3/5

Adwoa, a 72-year-old woman, is brought to the regional hospital ED by her family with a 2-hour history of progressive light-headedness and one episode of near-syncope. She is known to have hypertensio…

Cardiology · RUSH protocol — tamponade and pericardiocentesis ★ HY difficulty 3/5

Kofi, a 72-year-old retired civil servant, is brought to a regional hospital ED with a 4-hour history of worsening dyspnoea and hypotension. He had a pericardiocentesis 3 weeks ago at a tertiary centr…

Cardiology · Dissection vs STEMI - clinical discrimination and management ★ HY difficulty 4/5

A 45-year-old woman, Yaa, is referred from a district hospital in the Upper East Region with a two-hour history of acute-onset severe chest pain radiating to her jaw and left arm. BP is 160/95 mmHg bi…

Cardiology · De Winter T-wave pattern ★ HY difficulty 4/5

Mohammed, a 44-year-old long-distance truck driver, is brought to a regional hospital ED in Northern Ghana by his co-driver after 40 minutes of severe anterior chest pain, nausea, and sweating. His pa…

Cardiology · Complete AV block – emergency management ★ HY difficulty 3/5

A 70-year-old woman, Yaa, is referred from a district hospital in Northern Region with a 2-day history of progressive dizziness and near-syncope. Vitals: HR 38 bpm, BP 96/60 mmHg, SpO2 96% on air, RR …

Cardiology · Right ventricular infarction — V4R ST elevation ★ HY difficulty 3/5

A 58-year-old man, Mohammed, is brought by family to the Komfo Anokye ED after 2 hours of severe crushing chest pain radiating to the left arm. He is diaphoretic and anxious. Vitals: BP 88/60 mmHg, HR…

Cardiology · Beta-blockade for electrical storm ★ HY difficulty 4/5

A 44-year-old man, Yaw, is brought to a regional hospital ED in Brong-Ahafo by family. He has known ischaemic cardiomyopathy (EF 25%) and has had three separate episodes of defibrillated VF in the pas…