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3995 matches for “Ghana” — showing 61–90
Acute Abdomen · Mesenteric ischaemia - recognition ★ HY difficulty 3/5

A 72-year-old woman with known atrial fibrillation is brought to Komfo Anokye ED by her family with a 3-hour history of severe central abdominal pain disproportionate to her examination findings, and …

Acute Abdomen · Ruptured AAA - recognition and management ★ HY difficulty 3/5

A 67-year-old man, Kwame, is brought by relatives to the Komfo Anokye ED with sudden-onset, severe periumbilical pain radiating to his back that began 2 hours ago. He has a history of hypertension and…

Acute Abdomen · Ruptured AAA - immediate management ★ HY difficulty 3/5

Yaw, a 68-year-old hypertensive man, is brought by relatives to Korle Bu emergency centre with sudden-onset severe back and abdominal pain. Vitals: HR 124 bpm, BP 82/50 mmHg, RR 26/min, SpO2 94% on ai…

Acute Abdomen · Appendicitis - initial management ★ HY difficulty 2/5

A 28-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He is febrile at 38.4°C, HR 102 bpm, …

Acute Abdomen · Cholangitis - Reynolds pentad recognition ★ HY difficulty 3/5

Akua, a 45-year-old obese woman, presents to a district hospital A&E in Brong-Ahafo with a 6-hour history of right upper quadrant pain radiating to her right shoulder tip, fever (38.9°C), jaundice, an…

Acute Abdomen · Appendicitis - Alvarado score and management pathway ★ HY difficulty 2/5

Yaw, a 28-year-old male university student, presents to the Korle Bu emergency centre with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He has anorexia, nausea, …

Acute Abdomen · Perforated viscus - sepsis and surgical management ★ HY difficulty 2/5

Kofi, a 55-year-old man with a background of peptic ulcer disease, presents to the Korle Bu emergency centre with sudden-onset, severe epigastric pain that began 3 hours ago and has since spread to in…

Acute Abdomen · Mesenteric ischaemia - pathophysiology and lactate ★ HY difficulty 4/5

A 68-year-old man, Mensah, is brought by relatives to the regional hospital A&E in Kumasi after sudden onset of severe, diffuse abdominal pain beginning 3 hours ago. He has a history of atrial fibrill…

Acute Appendicitis · Appendix mass — Ochsner-Sherren regimen ★ HY difficulty 3/5

Akua, a 28-year-old woman, is referred from a district hospital to the Komfo Anokye emergency theatre with a 5-day history of right iliac fossa pain that has partially settled over the last 48 hours. …

Acute Appendicitis · Appendix mass (phlegmon) — conservative management and interval appendicectomy ★ HY difficulty 3/5

A 45-year-old man, Yaw, presents to the Korle Bu general surgical unit with a 5-day history of right iliac fossa pain that has now partially settled. He reports no vomiting today, is able to tolerate …

Acute Appendicitis · Acute appendicitis in sickle-cell disease ★ HY difficulty 4/5

A 16-year-old girl, Ama, is referred from a district hospital in the Upper East Region to the regional hospital with a 48-hour history of central abdominal pain that has shifted to the right iliac fos…

Acute Appendicitis · Acute appendicitis in sickle-cell disease — peri-operative haematological management ★ HY difficulty 4/5

A 16-year-old boy, Kofi, with known sickle-cell disease (HbSS) is admitted to the Korle Bu general surgical unit with a 24-hour history of periumbilical pain migrating to the right iliac fossa, vomiti…

Acute Appendicitis · Appendicitis in pregnancy ★ HY difficulty 3/5

A 28-year-old woman, Ama, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital at 26 weeks gestation with a 2-day history of right-sided abdominal pain, fever, and v…

Acute Appendicitis · Alvarado scoring and operative decision-making ★ HY difficulty 3/5

A 19-year-old male student, Kwame, presents to the district hospital surgical ward in Brong-Ahafo with a 30-hour history of periumbilical pain that has migrated to the right iliac fossa. He has vomite…

Acute Appendicitis · Appendix mass — Ochsner-Sherren conservative management ★ HY difficulty 3/5

A 45-year-old man, Mensah, is brought to the emergency department of a regional hospital in the Ashanti Region with a 5-day history of right iliac fossa pain that has now partially settled. He reports…

Acute Appendicitis · Appendicitis in sickle-cell disease ★ HY difficulty 4/5

A 14-year-old boy, Kofi, is brought by his parents to the district hospital surgical ward in the Upper West Region with a 24-hour history of central abdominal pain that has shifted to the right iliac …

Acute Appendicitis · Alvarado scoring and management decision ★ HY difficulty 2/5

Kwame, a 19-year-old male student, presents to the district hospital surgical ward in Brong-Ahafo with a 30-hour history of periumbilical pain that has migrated to the right iliac fossa. He has vomite…

Acute Appendicitis · Appendicitis in sickle-cell disease — peri-operative management ★ HY difficulty 4/5

A 14-year-old girl, Ama, with known homozygous sickle-cell disease (HbSS) is admitted to the UGMC paediatric surgical ward with a 20-hour history of right iliac fossa pain, fever, and vomiting. She ha…

Acute Appendicitis · Diagnosis and immediate management of acute appendicitis ★ HY difficulty 2/5

A 19-year-old male student, Kwame, presents to the district hospital surgical ward in Ashanti Region with a 30-hour history of periumbilical pain that has migrated to the right iliac fossa. He has vom…

Acute Appendicitis · Appendix mass / phlegmon ★ HY difficulty 3/5

A 45-year-old man, Yaw, presents to the Korle Bu general surgical unit with a 5-day history of right iliac fossa pain and fever. He reports that the pain was initially severe but has now partially set…

Acute Appendicitis · Diagnosis and initial management of acute appendicitis ★ HY difficulty 2/5

A 19-year-old male student, Kwame, presents to the district hospital surgical ward in Brong-Ahafo with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He has vomite…

Acute Appendicitis · Alvarado scoring and management decision ★ HY difficulty 2/5

A 19-year-old male student, Kwame, presents to the emergency department of Komfo Anokye Teaching Hospital with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He ha…

Acute Appendicitis · Appendicitis in pregnancy ★ HY difficulty 3/5

A 28-year-old woman, Akua, is referred from a district hospital to Komfo Anokye Teaching Hospital at 32 weeks of gestation with a 48-hour history of right-sided abdominal pain, fever, and vomiting. Sh…

Acute Appendicitis · Alvarado score and operative decision ★ HY difficulty 2/5

A 19-year-old male student, Kwame, presents to the district hospital surgical ward in Brong-Ahafo with a 30-hour history of periumbilical pain that has migrated to the right iliac fossa. He has vomite…

Acute Appendicitis · Operative anatomy of appendicectomy ★ HY difficulty 3/5

A surgical registrar at Korle Bu Teaching Hospital is performing an open appendicectomy through a Lanz incision in a 22-year-old man, Kofi, with a 36-hour history of right iliac fossa pain and an Alva…

Acute Appendicitis · Appendix mass and phlegmon management ★ HY difficulty 3/5

A 34-year-old woman, Akua, is brought to the Komfo Anokye Teaching Hospital emergency theatre with a 5-day history of right iliac fossa pain that has partially improved over the last 24 hours. She rep…

Acute Appendicitis · Alvarado scoring and operative decision ★ HY difficulty 2/5

A 19-year-old male student, Kwame, presents to the district hospital surgical ward in the Bono East Region with a 30-hour history of periumbilical pain that has migrated to the right iliac fossa. He r…

Acute Appendicitis · Appendicitis in pregnancy — anatomical displacement and operative decision ★ HY difficulty 4/5

A 28-year-old woman, Akua, 24 weeks pregnant, is referred from a district hospital to the Komfo Anokye Teaching Hospital with a 48-hour history of right-sided abdominal pain, vomiting, and fever. Her …

Acute Cholecystitis and Cholangitis · Laparoscopic cholecystectomy — critical view of safety ★ HY difficulty 3/5

During a laparoscopic cholecystectomy at the Komfo Anokye regional theatre, the surgical registrar is dissecting in the hepatocystic triangle. The patient is a 48-year-old woman, Adwoa, with acute-on-…

Acute Cholecystitis and Cholangitis · Diagnostic criteria — acute cholecystitis ★ HY difficulty 2/5

Akua, a 42-year-old market trader, presents to the Komfo Anokye emergency surgical unit with a 3-day history of severe right upper quadrant pain radiating to the right shoulder tip, fever, and vomitin…