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2131 matches for “Ghana” — showing 691–720
Ophthalmology · CRAO β€” immediate bedside management β˜… HY difficulty 2/5

A 70-year-old man, Yaw, is brought to a regional hospital emergency department by his daughter after she noticed he was bumping into objects on his right side. On arrival he reports sudden-onset painl…

Ophthalmology · Roper-Hall grading of chemical eye injury β˜… HY difficulty 3/5

A 35-year-old woman named Afia presents to the Komfo Anokye Teaching Hospital emergency centre after a domestic incident in which concentrated sodium hydroxide (drain cleaner) splashed into both eyes …

Ophthalmology · Central retinal artery occlusion β€” diagnosis β˜… HY difficulty 2/5

A 62-year-old woman, Akosua, presents to the Korle Bu emergency centre reporting that she woke up with complete loss of vision in her right eye approximately 45 minutes ago. She describes no pain, no …

Ophthalmology · Rhegmatogenous retinal detachment β€” diagnosis β˜… HY difficulty 2/5

Akosua, a 54-year-old seamstress with high myopia, presents to the Komfo Anokye ED with a 2-day history of sudden onset of dark floaters and flashing lights in her right eye, followed this morning by …

Ophthalmology · Alkali eye injury β€” immediate management β˜… HY difficulty 2/5

A 28-year-old construction worker named Kwame is brought to the district hospital emergency unit in Ashanti Region after cement powder splashed into his right eye at a building site 10 minutes ago. He…

Ophthalmology · Antibiotic prophylaxis for open globe injury β˜… HY difficulty 3/5

Adwoa, a 31-year-old market trader, is brought to the Tamale Teaching Hospital ED after sustaining a penetrating stab wound to her left eye with a broken wooden handle during a market dispute. The eye…

Ophthalmology · Cavernous sinus thrombosis β˜… HY difficulty 3/5

A 52-year-old man is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED with a 5-day history of left eye swelling, worsening left-sided headache, and fever. On…

Ophthalmology · Preseptal vs orbital cellulitis β€” clinical diagnosis β˜… HY difficulty 2/5

A 6-year-old boy, Mohammed, is brought to the Komfo Anokye ED by his mother with a 2-day history of right eyelid swelling and redness. He had an upper respiratory tract infection one week prior. On ex…

Orthopaedic Emergencies · Prosthetic hip dislocation β€” reduction urgency β˜… HY difficulty 3/5

A 72-year-old woman, Maame Adwoa, presents to the emergency centre at Komfo Anokye Teaching Hospital after a low-energy fall at home. She had a right total hip arthroplasty (THA) three years ago. She …

Orthopaedic Emergencies · Gustilo-Anderson Grade IIIA vs IIIB vs IIIC discrimination β˜… HY difficulty 3/5

Aisha, a 35-year-old female farmer, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital. She sustained a machete injury to her left forearm 3 hours ago during a far…

Orthopaedic Emergencies · Gustilo-Anderson open fracture grading β˜… HY difficulty 3/5

Kofi, a 28-year-old mechanic, is brought to the Komfo Anokye ED after his right forearm was caught in industrial machinery. On examination, he has a 6 cm wound over the mid-forearm with visible contam…

Orthopaedic Emergencies · Compartment syndrome diagnosis and management β˜… HY difficulty 3/5

Adwoa, a 19-year-old student, sustained a closed tibial shaft fracture after a road traffic collision near Sunyani. She was treated with a backslab at the district hospital and referred to the regiona…

Orthopaedic Emergencies · Elbow dislocation β€” neurovascular complications β˜… HY difficulty 3/5

Yaw, a 19-year-old student, falls off his motorcycle and is brought to a district hospital in Brong-Ahafo. He reports severe right elbow pain after the fall. On examination: BP 110/70 mmHg, HR 104 bpm…

Orthopaedic Emergencies · Native hip dislocation β€” AVN risk and 6-hour rule β˜… HY difficulty 2/5

Mohammed, a 45-year-old construction worker, is brought to Korle Bu emergency centre after falling from scaffolding. He has severe left hip pain and cannot bear weight. Examination: BP 100/60 mmHg, HR…

POCUS - Abdominal Aorta · AAA - Measurement technique outer-wall-to-outer-wall β˜… HY difficulty 3/5

Adwoa, a 71-year-old woman with a known history of hypertension and previous aortic stent-graft repair, attends the Korle Bu Emergency Centre with mild central abdominal discomfort. Observations are s…

POCUS - Aorta · AAA measurement technique - outer-wall to outer-wall, infrarenal definition β˜… HY difficulty 4/5

Akosua, a 65-year-old woman with hypertension, is referred from a district hospital in Brong-Ahafo to the Komfo Anokye ED with a 2-day history of intermittent peri-umbilical pain. On arrival, she is h…

POCUS - Cardiac · Parasternal Short Axis - Regional Wall Motion Abnormality β˜… HY difficulty 3/5

Kofi, a 67-year-old man with a history of smoking and ischaemic heart disease, presents to the regional hospital A&E in Kumasi with sudden-onset central chest pain radiating to the jaw, diaphoresis, a…

POCUS - Cardiac · Subxiphoid - Pericardial Effusion and Tamponade Physiology β˜… HY difficulty 4/5

Akua, a 34-year-old woman with known HIV, is brought to the Korle Bu Emergency Centre with progressive dyspnoea, muffled heart sounds, raised jugular venous pressure, and a blood pressure of 76/52 mmH…

POCUS - Hepatobiliary · WES sign - pitfall of stone-filled gallbladder mimicking absent visualisation β˜… HY difficulty 4/5

Ama, a 52-year-old obese woman, presents to the Korle Bu emergency centre with acute right upper quadrant pain. You perform hepatobiliary POCUS using a curvilinear probe (3–5 MHz). In the subcostal lo…

POCUS - Hepatobiliary · Gallstones - posterior acoustic shadowing + sonographic Murphy sign β˜… HY difficulty 2/5

Akua, a 38-year-old woman, presents to the Komfo Anokye ED with a 6-hour history of right upper quadrant pain radiating to the right shoulder, nausea, and low-grade fever. Her vital signs are: BP 118/…

POCUS - Lung Ultrasound · BLUE protocol algorithm - A+PLAPS profile and pneumonia β˜… HY difficulty 4/5

Mohammed, a 52-year-old man with no known medical history, is brought to the Korle Bu Emergency Centre by ambulance with acute severe breathlessness of 2 hours' duration. He has no fever, no chest pai…

POCUS - Lung Ultrasound · Absent lung sliding - barcode sign - pneumothorax β˜… HY difficulty 3/5

Yaw, a 34-year-old male, is brought to a regional hospital A&E in the Northern Region following a road traffic collision. He is hypotensive (BP 80/50 mmHg) and tachycardic. On examination, breath soun…

POCUS - Lung Ultrasound · B-lines - comet-tail artefact and interstitial syndrome β˜… HY difficulty 2/5

Akua, a 58-year-old woman with known hypertension and heart failure, presents to the Komfo Anokye ED with acute onset breathlessness and orthopnoea for 6 hours. Her oxygen saturation is 84% on room ai…

POCUS - Obstetric First Trimester · Ruptured ectopic - haemodynamic instability + haemoperitoneum β˜… HY difficulty 2/5

Mohammed, a 28-year-old man, brings his wife Fatima (22 years old) to the regional hospital A&E. She is 6 weeks pregnant by last menstrual period and presents with sudden-onset severe lower abdominal …

POCUS - Obstetrics and Gynaecology · Ectopic pregnancy - false-negative POCUS below discriminatory zone β˜… HY difficulty 4/5

Fatima, a 31-year-old woman with 8 weeks of amenorrhoea and a serum beta-hCG of 980 mIU/mL, presents to the Tamale Teaching Hospital ED with mild left adnexal discomfort and no vaginal bleeding. She i…

POCUS - Procedural Guidance · Peripheral IV access - vein vs artery identification β˜… HY difficulty 2/5

Akua, a 34-year-old woman with sickle cell disease, presents to the Komfo Anokye ED in vaso-occlusive crisis requiring IV analgesia. Her veins are heavily scarred from multiple previous admissions and…

POCUS - Procedural Guidance · Paracentesis - site confirmation and real-time guidance β˜… HY difficulty 3/5

Kofi, a 58-year-old man with decompensated heart failure and massive ascites, presents to the Komfo Anokye ED in Kumasi with severe abdominal distension and respiratory distress. The emergency physici…

POCUS - Renal and Bladder · Bladder volume estimation - prolate ellipsoid formula β˜… HY difficulty 2/5

Mensah, a 68-year-old man with known benign prostatic hyperplasia, presents to the Komfo Anokye ED with suprapubic discomfort and inability to void for 12 hours. His abdomen is distended and he is in …

POCUS - Renal and Bladder · Hydronephrosis grading - mild (pelvic dilatation only) β˜… HY difficulty 2/5

Kwame, a 38-year-old male, presents to the Komfo Anokye ED with acute right-sided loin pain radiating to the groin and haematuria. Vital signs are stable. A POCUS scan is performed using a curvilinear…

POCUS - Soft Tissue and Musculoskeletal · Achilles tendon rupture - fibrillar pattern loss β˜… HY difficulty 3/5

Kofi, a 45-year-old security guard, presents to the Komfo Anokye ED after suddenly feeling a 'snap' in his left heel while sprinting during a workplace emergency. He is now unable to plantarflex the f…