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2131 matches for “Ghana” — showing 721–750
POCUS - Soft Tissue and Musculoskeletal · Cellulitis - cobblestoning pattern ★ HY difficulty 2/5

Kwame, a 34-year-old fisherman, presents to the Komfo Anokye ED with a 5-day history of a painful, swollen, erythematous right forearm following a minor abrasion. He is afebrile and haemodynamically s…

POCUS - Soft Tissue and Musculoskeletal · Achilles tendon rupture - loss of fibrillar pattern ★ HY difficulty 3/5

Yaw, a 52-year-old teacher, presents to a regional hospital A&E in the Ashanti Region with acute onset severe right posterior heel pain and inability to plantar-flex his foot after lunging to play bad…

POCUS - Soft Tissue and Musculoskeletal · Foreign body detection - wood vs radiopaque materials ★ HY difficulty 3/5

Yaw, a 9-year-old boy, is brought to the regional hospital A&E in Ashanti by his mother after stepping on a piece of wood while playing barefoot 3 days ago. The wound has since become swollen and tend…

POCUS - Soft Tissue and Musculoskeletal · Cellulitis vs abscess - cobblestone pattern ★ HY difficulty 2/5

Akua, a 34-year-old market trader, presents to the Komfo Anokye ED with a five-day history of a painful, swollen, erythematous right forearm following a minor abrasion. She is afebrile and haemodynami…

POCUS - Trauma (eFAST) · Subxiphoid Pericardial View - Tamponade ★ HY difficulty 2/5

Yaw, a 28-year-old man, is brought to the Tamale Teaching Hospital A&E following a stab wound to the left chest at the 5th intercostal space, mid-clavicular line. He is anxious, BP 90/60 mmHg, HR 130 …

POCUS - Vascular · DVT - 2-point compression: popliteal fossa pitfall (Baker's cyst vs popliteal aneurysm) ★ HY difficulty 4/5

Kwabena, a 55-year-old man with known hypertension and a 30-pack-year smoking history, presents to the Korle Bu Emergency Centre with a three-day history of right leg swelling and erythema. His Wells …

Paediatric Emergency Medicine · Severe Malaria - IV Artesunate Dose and Schedule ★ HY difficulty 2/5

Abena, a 6-year-old girl weighing 20 kg, is brought to the district hospital A&E in Ashanti Region with confirmed severe falciparum malaria. She is drowsy but responsive to voice (GCS 12/15), HR 130 b…

Paediatric Emergency Medicine · Corticosteroid selection in croup ★ HY difficulty 3/5

A 19-month-old girl, Abena, is brought to a district hospital in the Volta Region at midnight. She has had two days of coryzal symptoms and tonight developed a barking cough and stridor. On examinatio…

Paediatric Emergency Medicine · Hypoglycaemia management in febrile young infants ★ HY difficulty 3/5

Kwame is a 7-week-old male infant weighing 4.6 kg, brought to Komfo Anokye paediatric resus bay with a 4-hour history of fever and poor feeding. Temperature is 38.2°C (rectal), HR 172 bpm, RR 52/min, …

Paediatric Emergency Medicine · Empirical Antibiotics - Meningococcal Sepsis ★ HY difficulty 2/5

A 7-month-old infant, weighing 7.5 kg, is brought to the regional hospital paediatric A&E with a 1-day history of fever, poor feeding, and a non-blanching petechial rash spreading across the trunk and…

Paediatric Emergency Medicine · Late-onset neonatal sepsis investigation ★ HY difficulty 4/5

A 10-day-old male neonate is referred from a district hospital in the Upper East Region to a regional hospital ED. He was born at 35 weeks gestation by normal vaginal delivery; birth weight was 2.1 kg…

Paediatric Emergency Medicine · Paediatric DKA - Initial Fluid Resuscitation ★ HY difficulty 3/5

Ama, a 7-year-old girl weighing 22 kg, is brought to the regional hospital paediatric A&E in Kumasi by her mother with a 3-day history of polyuria, polydipsia, and vomiting. She is drowsy but rousable…

Paediatric Emergency Medicine · Retinal haemorrhages in abusive head trauma ★ HY difficulty 4/5

A 3-month-old infant girl is brought to the Korle Bu emergency centre by her father, who says she has been 'not herself' for a day. He denies any trauma. She is limp and difficult to rouse. Vitals: HR…

Paediatric Emergency Medicine · Inotrope and vasopressor choice in paediatric septic shock ★ HY difficulty 3/5

A 4-year-old boy named Yaw is referred from a health centre in Northern Ghana to the Tamale Teaching Hospital ED. He presented with 4 days of fever, diarrhoea, and 6 hours of not walking. On arrival: …

Paediatric Emergency Medicine · Sickle Cell Crisis - Splenic Sequestration ★ HY difficulty 3/5

Ama, a 5-year-old girl with HbSS sickle cell disease, weighing 18 kg, is referred urgently from a CHPS compound to the district hospital with a 6-hour history of progressive lethargy and abdominal dis…

Paediatric Emergency Medicine · Rhythm-specific algorithm - SVT adenosine dosing ★ HY difficulty 3/5

A 6-week-old male neonate, Mohammed, weighing 4.2 kg, is brought to the district hospital A&E in Brong-Ahafo by his mother. He is pale, floppy, and not feeding. HR 188 bpm, RR 62 breaths/min, SpO₂ 88%…

Paediatric Emergency Medicine · Neonatal Sepsis - Empirical Antibiotics ★ HY difficulty 3/5

A 12-day-old neonate, weighing 3.2 kg, is brought to the district hospital A&E by his mother. He has been feeding poorly for 24 hours, is irritable, and has developed a bulging fontanelle. Vitals: HR …

Paediatric Emergency Medicine · Bronchiolitis — RSV epidemiology ★ HY difficulty 4/5

During a ward round at Korle Bu Teaching Hospital's paediatric emergency centre in December, the registrar notices a cluster of five infants aged 6 weeks to 4 months admitted within a 10-day period, a…

Paediatric Emergency Medicine · WHO criteria for severe acute malnutrition ★ HY difficulty 2/5

A 14-month-old girl, Akosua, is brought to the outpatient department of a district hospital in the Upper West Region by her mother. She has had progressive loss of appetite and reduced activity over s…

Paediatric Emergency Medicine · NAI - Abusive Head Trauma and Retinal Haemorrhages ★ HY difficulty 3/5

A 6-week-old neonate, weighing 4.1 kg, is brought to the paediatric A&E at Korle Bu by his mother after a generalised seizure lasting approximately 3 minutes. On examination he is drowsy (GCS 9), font…

Paediatric Emergency Medicine · Congenital long QT presenting as syncope/seizure ★ HY difficulty 4/5

Yaa, a 16-year-old girl, is brought to a regional hospital emergency department in the Ashanti region after a witnessed collapse during Sunday church service. Eyewitnesses report she fell suddenly wit…

Paediatric Emergency Medicine · Stepwise management of paediatric status epilepticus ★ HY difficulty 3/5

A 4-year-old boy, Kofi, is brought to Komfo Anokye ED by his mother after a generalised tonic-clonic seizure that has been ongoing for 12 minutes. IV access is established. He weighs approximately 16 …

Paediatric Emergency Medicine · Adrenaline IM dose in paediatric anaphylaxis ★ HY difficulty 3/5

A 6-year-old boy, Kofi, weighing 22 kg is brought to the Komfo Anokye ED after a bee sting. He has generalised urticaria, vomiting, and audible wheeze. His BP is 74/40 mmHg, HR 148 bpm, SpO2 93% on ai…

Paediatric Emergency Medicine · Early recognition and management of meningococcal sepsis ★ HY difficulty 3/5

A 5-year-old boy is referred to the Komfo Anokye ED from a district hospital with a 6-hour history of sudden-onset high fever, severe headache, and refusal to walk. He has no prior illness. On arrival…

Paediatric Emergency Medicine · PECARN CT decision rule — children 2 years and older ★ HY difficulty 2/5

A 7-year-old girl, Afia, is brought to a regional hospital ED after being struck by a car while crossing a road in Kumasi. Her father reports a brief loss of consciousness of approximately 30 seconds …

Paediatric Emergency Medicine · Croup - Dexamethasone Dosing ★ HY difficulty 2/5

A 3-year-old girl, Ama, weighing 14 kg, presents to a district hospital in Brong-Ahafo with a 12-hour history of barking cough, stridor at rest, and moderate subcostal and intercostal retractions. HR …

Paediatric Emergency Medicine · Paediatric cardiac arrest — antiarrhythmic drugs ★ HY difficulty 3/5

A 7-year-old boy, Kwesi, collapses during a school football match in Accra and is brought to Korle Bu Emergency Centre by bystanders. CPR was initiated on the field by a teacher who had first aid trai…

Paediatric Emergency Medicine · Paracetamol ingestion - dose threshold and 4-hour level ★ HY difficulty 3/5

A 2-year-old girl, Ama, weighing 12 kg, is brought to the paediatric A&E at Komfo Anokye Teaching Hospital by her mother after being found with an open bottle of paracetamol syrup (120 mg/5 mL). The e…

Paediatric Emergency Medicine · Paediatric head injury - NICE CT criteria ★ HY difficulty 3/5

A 7-year-old girl, Abena, is brought to the paediatric emergency unit at Komfo Anokye by her mother after falling off a bicycle. She has a GCS of 13 on arrival, improving to 14 within 15 minutes. She …

Paediatric Emergency Medicine · Anaphylaxis - IM adrenaline dose and concentration ★ HY difficulty 2/5

Ama, a 4-year-old girl weighing 16 kg, is brought to the regional hospital paediatric A&E by her mother 10 minutes after eating groundnut stew at a naming ceremony. She has generalised urticaria, lip …