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3996 matches for “Ghana” — showing 631–660
Deep Vein Thrombosis and Pulmonary Embolism · Post-operative proximal DVT management ★ HY difficulty 3/5

A 58-year-old woman, Akua, is reviewed on the surgical ward at Korle Bu Teaching Hospital on the fifth post-operative day following an elective left hemicolectomy for sigmoid adenocarcinoma. She repor…

Deep Vein Thrombosis and Pulmonary Embolism · DVT in pregnancy — anticoagulant choice ★ HY difficulty 3/5

Yaa, a 34-year-old primigravida at 28 weeks of gestation, presents to the Korle Bu antenatal-surgical combined clinic with a 3-day history of progressive left leg swelling, pain, and redness extending…

Deep Vein Thrombosis and Pulmonary Embolism · Massive pulmonary embolism — thrombolysis decision ★ HY difficulty 4/5

Kwame, a 42-year-old bank clerk, is brought by relatives to the resus bay of a regional hospital in the Volta Region with sudden-onset breathlessness and pleuritic right-sided chest pain that began 2 …

Deep Vein Thrombosis and Pulmonary Embolism · Massive pulmonary embolism — reperfusion decision in postoperative sickle-cell patient ★ HY difficulty 5/5

Kofi, a 38-year-old civil servant with known homozygous sickle-cell disease (HbSS), is brought to the Korle Bu Teaching Hospital resus bay by relatives after collapsing at his workplace. He underwent …

Deep Vein Thrombosis and Pulmonary Embolism · Post-operative proximal DVT management ★ HY difficulty 3/5

Ama, a 52-year-old woman, is reviewed on the fourth post-operative day on the general surgical ward at Komfo Anokye Teaching Hospital following an elective left hemicolectomy for sigmoid carcinoma. Sh…

Deep Vein Thrombosis and Pulmonary Embolism · DVT in pregnancy — anticoagulation ★ HY difficulty 4/5

A 34-year-old woman, Ama, presents to the surgical outpatient clinic at a regional hospital in the Eastern Region with a three-week history of progressive right leg swelling, pain, and skin discoloura…

Deep Vein Thrombosis and Pulmonary Embolism · Massive pulmonary embolism management ★ HY difficulty 3/5

Kwabena, a 67-year-old retired teacher with known hypertension and atrial fibrillation, is admitted to the Korle Bu emergency surgical unit following sudden cardiovascular collapse. His relatives repo…

Dermatological Emergencies · Purpuric Rashes - Meningococcal Sepsis ★ HY difficulty 2/5

Kofi, a 7-year-old boy, is brought to the district hospital A&E in the Brong-Ahafo region by his mother with a 6-hour history of fever, vomiting, and a spreading rash. On examination, he is febrile at…

Dermatological Emergencies · Erythroderma — secondary bacterial infection ★ HY difficulty 3/5

A 34-year-old woman, Afia, with known atopic dermatitis presents to the regional hospital emergency department in Kumasi with a three-day history of worsening diffuse redness, skin weeping, and shiver…

Dermatological Emergencies · Purpuric rash - meningococcal sepsis immediate management ★ HY difficulty 2/5

Ama, a 4-year-old girl, is brought to Tamale Teaching Hospital A&E by her mother with a 6-hour history of high fever and a spreading rash. On examination she is irritable with a temperature of 39.8°C,…

Dermatological Emergencies · Necrotising Fasciitis Recognition and Immediate Management ★ HY difficulty 4/5

Mensah, a 52-year-old man with type 2 diabetes, presents to the regional hospital A&E in Tamale with a 2-day history of severe left thigh pain and swelling. He is febrile at 38.9°C, tachycardic at 118…

Dermatological Emergencies · Necrotising fasciitis - recognition and immediate surgical referral ★ HY difficulty 3/5

Yaw, a 58-year-old diabetic man, presents to a regional hospital A&E in the Ashanti region with a 24-hour history of severe left leg pain and swelling. He sustained a minor abrasion to the leg four da…

Dermatological Emergencies · Angioedema with airway compromise - immediate management ★ HY difficulty 2/5

Mohammed, a 27-year-old man, presents to Korle Bu Teaching Hospital A&E after receiving his second dose of co-trimoxazole for a urinary tract infection. Within 20 minutes of the dose he develops swell…

Dermatological Emergencies · Stevens-Johnson Syndrome / TEN - immediate management and disposition ★ HY difficulty 3/5

A 19-year-old female student, Akua, presents to Korle Bu Teaching Hospital A&E with a 3-day history of fever, painful mouth ulcers, and a spreading blistering rash. She was started on phenytoin two we…

Dermatological Emergencies · Erythroderma — drug-induced TEN management ★ HY difficulty 4/5

A 28-year-old primigravida, Abena, 32 weeks pregnant, presents to the Komfo Anokye Teaching Hospital emergency centre with a two-day history of widespread skin redness and blistering. She was started …

Dermatology / Toxicology · TEN fluid resuscitation ★ HY difficulty 3/5

A 47-year-old woman named Afia is brought to the Korle Bu Emergency Centre by family members with rapidly progressive skin peeling over 2 days. She was started on co-trimoxazole (trimethoprim-sulfamet…

Dermatology / Toxicology · DRESS syndrome — diagnosis and recognition ★ HY difficulty 2/5

Akosua, a 34-year-old woman with newly diagnosed epilepsy, presents to the Komfo Anokye ED with a 5-day history of fever, facial swelling, and a widespread rash. She was started on carbamazepine 6 wee…

Dermatology / Toxicology · DRESS syndrome — myocarditis and mortality ★ HY difficulty 3/5

Yaw, a 28-year-old man with HIV on antiretroviral therapy, was started on abacavir 5 weeks ago after a resistance test confirmed susceptibility. He now presents to the Korle Bu emergency centre with f…

Dermatology / Toxicology · SCORTEN prognostic score ★ HY difficulty 3/5

A 58-year-old man, Mohammed, is referred from a district hospital in Northern Region to Tamale Teaching Hospital ED with a 5-day history of worsening skin sloughing following initiation of allopurinol…

Dermatology / Toxicology · SJS/TEN — trigger drug withdrawal ★ HY difficulty 2/5

A 34-year-old woman named Abena presents to the Komfo Anokye ED with a 4-day history of fever, sore throat, and burning eyes, followed by a rapidly spreading rash. She was started on carbamazepine for…

Dermatology / Toxicology · SJS — ophthalmology referral ★ HY difficulty 3/5

A 28-year-old pregnant woman, Akosua (28 weeks gestation), is brought to a regional hospital ED in Brong-Ahafo with a 5-day history of fever, painful oral sores, bilateral eye redness, and a blisterin…

Dermatology / Toxicology · DRESS syndrome — pharmacological treatment ★ HY difficulty 3/5

Fatima, a 45-year-old woman with rheumatoid arthritis, presents to the Korle Bu emergency centre. She was started on sulphasalazine 6 weeks ago. She reports 3 weeks of intermittent fevers and 10 days …

Domestic Violence and Sexual Assault · HIV PEP and hepatitis B prophylaxis ★ HY difficulty 4/5

A 19-year-old student, Fatima, presents to a regional hospital ED in Northern Ghana 14 hours after being raped by a stranger. She is calm and cooperative. Vital signs are within normal limits. HIV sta…

Domestic Violence and Sexual Assault · Evidence preservation and chain of custody ★ HY difficulty 3/5

A 22-year-old woman presents to a district hospital in the Volta Region 5 hours after a sexual assault. She is accompanied by a community health worker. The nurse has collected vaginal swabs, oral swa…

Domestic Violence and Sexual Assault · History-taking in a safe environment and consent ★ HY difficulty 3/5

Akosua, a 28-year-old woman, is brought to the emergency centre at Korle Bu by her sister at 11 PM. She reports being sexually assaulted by an acquaintance approximately 3 hours ago. She is visibly di…

Domestic Violence and Sexual Assault · Mandatory reporting in Ghana ★ HY difficulty 3/5

Mohammed, a 14-year-old boy, is brought to the emergency centre at a regional hospital by his mother. She states that she discovered two days ago that a male teacher at his school had been sexually ab…

Domestic Violence and Sexual Assault · HIV PEP — timing and regimen selection ★ HY difficulty 4/5

Yaa, a 31-year-old woman, presents to the Korle Bu emergency centre 60 hours after a sexual assault. She is HIV-negative on rapid testing today. She requests HIV post-exposure prophylaxis. The treatin…

ECG - Arrhythmias and Conduction · Atrial flutter with 2:1 block - rate 150, sawtooth in inferior leads ★ HY difficulty 3/5

Ama, a 52-year-old woman with known hypertension, presents to a district hospital A&E in Brong-Ahafo with a 3-hour history of palpitations and mild dyspnoea. Her BP is 124/80 mmHg and she is not in di…

ECG - Arrhythmias and Conduction · Mobitz type II second-degree AV block - fixed PR, sudden dropped beat, high-risk ★ HY difficulty 4/5

Akua, a 55-year-old market trader, is brought to the Komfo Anokye ED by her family after a witnessed syncopal episode at home. She has no prior cardiac history. On arrival she is alert, BP 110/74 mmHg…

ECG - Arrhythmias and Conduction · Third-degree AV block with junctional escape - narrow QRS, haemodynamically unstable ★ HY difficulty 3/5

Yaw, a 72-year-old retired civil servant, is brought to the regional hospital A&E in the Northern Region with sudden-onset presyncope and two witnessed near-collapse episodes at home. He is diaphoreti…