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3996 matches for “Ghana” — showing 721–750
Electrolyte Emergencies · Hyponatraemia correction rate β˜… HY difficulty 3/5

A 72-year-old woman is referred from a district hospital in Northern Region with a 5-day history of vomiting and confusion. On arrival at Tamale Teaching Hospital ED, GCS is 12/15, BP 110/70 mmHg, HR …

Electrolyte Emergencies · SIADH vs cerebral salt wasting - diagnosis β˜… HY difficulty 3/5

Yaw, a 55-year-old man with a history of small-cell lung carcinoma, is brought to Korle Bu emergency centre with a three-day history of nausea, headache, and confusion. He is on no diuretics. On exami…

Electrolyte Emergencies · Hyperkalaemia treatment ladder β˜… HY difficulty 2/5

A 58-year-old man with known chronic kidney disease is brought to Komfo Anokye ED by relatives with generalised weakness and palpitations. Vitals: BP 95/60 mmHg, HR 38 bpm, RR 18/min, SpO2 97% on air.…

Electrolyte Emergencies · Hypercalcaemia of malignancy β˜… HY difficulty 3/5

Mohammed, a 62-year-old man, is referred to the Tamale Teaching Hospital ED from a district hospital in the Northern Region with two weeks of progressive confusion, polyuria, polydipsia, and severe co…

Electrolyte Emergencies · Salbutamol for hyperkalaemia β˜… HY difficulty 2/5

Yaw, a 29-year-old man with poorly controlled asthma, is admitted to the Korle Bu emergency centre with an acute severe asthma exacerbation. After initial treatment with salbutamol 5 mg nebulised and …

Electrolyte Emergencies · Winter formula β€” respiratory compensation in metabolic acidosis β˜… HY difficulty 3/5

A 19-year-old woman, Afia, with known type 1 diabetes is brought to the Korle Bu Emergency Centre after two days of vomiting and polyuria. She missed her insulin doses. Vitals: BP 100/66 mmHg, HR 122 …

Electrolyte Emergencies · Hypomagnesaemia and torsades de pointes β˜… HY difficulty 4/5

Mohammed, a 44-year-old man with a history of chronic alcohol use disorder, is brought to the regional hospital A&E in Tamale by friends after a witnessed generalised tonic-clonic seizure. He has had …

Electrolyte Emergencies · Hyperkalaemia ECG staging β˜… HY difficulty 2/5

A 62-year-old man with known chronic kidney disease is brought to the emergency centre at Komfo Anokye Teaching Hospital by his family. He complains of generalised weakness and palpitations for 6 hour…

Electrolyte Emergencies · Hyperkalaemia treatment ladder β˜… HY difficulty 4/5

A 45-year-old woman with chronic kidney disease is brought to Komfo Anokye ED after a collapse. She is alert. Vitals: BP 136/84 mmHg, HR 58 bpm, RR 16/min, SpO2 98%. ECG shows peaked T waves and a PR …

Electrolyte Emergencies · Hyperkalaemia ECG progression β˜… HY difficulty 4/5

Afia, a 72-year-old woman with type 2 diabetes mellitus and hypertension, presents to a district hospital in the Ashanti Region with generalised fatigue for one week and vague muscle cramps. She takes…

Electrolyte Emergencies · Hypomagnesaemia and torsades de pointes β˜… HY difficulty 3/5

Akua, a 34-year-old woman with no prior medical history, presents to a regional hospital A&E in Brong-Ahafo with palpitations, dizziness, and near-syncope. She delivered her first child three weeks ag…

Electrolyte Emergencies · Hyponatraemia correction rate β˜… HY difficulty 3/5

Kofi, a 34-year-old man, is brought to Korle Bu emergency centre in status epilepticus. He has no known medical history. Seizures began 2 hours ago. Vitals: BP 130/80 mmHg, HR 105 bpm, SpO2 94% on hig…

Electrolyte Emergencies · Hyperkalaemia - ECG progression and treatment ladder β˜… HY difficulty 3/5

Kofi, a 58-year-old man with end-stage renal disease on haemodialysis, is brought to the Komfo Anokye ED by relatives after missing two dialysis sessions. He is drowsy and complaining of generalised w…

Electrolyte Emergencies · Hyponatraemia - correction rate and osmotic demyelination β˜… HY difficulty 4/5

Ama, a 72-year-old woman with known hypertension and heart failure, is referred from a district hospital in Ashanti Region with a two-day history of progressive confusion and lethargy. Her medications…

Electrolyte Emergencies · Hypomagnesaemia and eclampsia β˜… HY difficulty 2/5

A 28-year-old woman at 34 weeks gestation is brought to Komfo Anokye ED by ambulance from a district hospital with generalised tonic-clonic seizures. She had no prior seizure history. Vitals: BP 175/1…

Electrolyte Emergencies · Hyperkalaemia in DKA β€” insulin timing and potassium replacement β˜… HY difficulty 4/5

Mohammed, a 52-year-old man with poorly controlled type 2 diabetes, is brought by family to the district hospital emergency unit in Ashanti. He is confused (GCS 11) and has been vomiting for 12 hours.…

Electrolyte Emergencies · Hypomagnesaemia and torsades de pointes β˜… HY difficulty 3/5

A 67-year-old woman with known alcohol dependency is brought to Korle Bu emergency centre by her daughter after two days of vomiting and diarrhoea. She is alert but anxious and tremulous. ECG shows a …

Emergency Medicine: Shock & Sepsis · Early sepsis recognition β˜… HY difficulty 2/5

Ama, a 52-year-old market trader, presents to the emergency department at Korle Bu Teaching Hospital with a two-day history of fever, rigors, and confusion. Her daughter reports she had a urinary trac…

Emergency Medicine: Triage & the Undifferentiated Patient · Disposition β€” STEMI reperfusion strategy when PCI is not immediately available β˜… HY difficulty 3/5

A 45-year-old trader, Kwame, is assessed in the emergency department of a regional hospital after presenting with sudden onset severe central chest pain radiating to the left arm, onset 90 minutes ago…

Emergency Procedures · Suture material selection β€” face β˜… HY difficulty 2/5

A 28-year-old man, Kofi, is brought to the emergency centre at Komfo Anokye Teaching Hospital after a road traffic crash. He has a 4 cm laceration over his left cheek with clean, well-defined edges an…

Emergency Procedures · Suture removal timing β€” joint wounds β˜… HY difficulty 2/5

Yaw, a 40-year-old mechanic, presents to the Komfo Anokye ED with a 5 cm laceration over his right knee following a direct blow from a car jack. The wound crosses the anterior knee joint surface. Vita…

Emergency Procedures · Lumbar puncture - CSF opening pressure interpretation β˜… HY difficulty 4/5

Ama, a 62-year-old woman with hypertension and type 2 diabetes, presents to the regional hospital A&E in Kumasi with a 12-hour history of severe headache described as 'the worst of her life', neck sti…

Emergency Procedures · Suture removal timing β˜… HY difficulty 2/5

A 45-year-old man, Joseph, is seen in the Korle Bu emergency centre following a road traffic crash 6 hours ago. He has a 6 cm linear laceration over his upper back, parallel to the spine. The wound is…

Emergency Procedures · Lumbar puncture - landmark and technique β˜… HY difficulty 2/5

A 34-year-old woman named Akua presents to the A&E at a district hospital in Brong-Ahafo with a 3-day history of severe headache, fever, and neck stiffness. She has no focal neurological deficits and …

Emergency Procedures · Absorbable suture β€” deep dermal layer β˜… HY difficulty 2/5

A 52-year-old woman, Adwoa, is seen in the emergency centre at Korle Bu after elective incision and drainage of a gluteal abscess. The cavity has been packed and will require delayed primary closure i…

Emergency Procedures · Lumbar puncture - CSF opening pressure measurement and interpretation β˜… HY difficulty 3/5

Ama, a 28-year-old woman, undergoes a lumbar puncture at the Tamale Teaching Hospital A&E for suspected bacterial meningitis. The procedure is performed with the patient in the lateral decubent positi…

Emergency Procedures · Paracentesis - landmark and vascular anatomy β˜… HY difficulty 3/5

Kofi, a 58-year-old man with known liver cirrhosis secondary to hepatitis B, is brought to the emergency centre at Komfo Anokye Teaching Hospital with gross abdominal distension and respiratory distre…

Emergency Ultrasound · Lung point as pathognomonic for pneumothorax β˜… HY difficulty 3/5

Kofi, a 42-year-old male motorcycle accident victim, is managed at the Korle Bu Emergency Centre. Primary survey reveals trachea midline, equal air entry bilaterally on auscultation, and SpO2 94%. Lun…

Emergency Ultrasound · DVT compression ultrasound β€” 2-point technique β˜… HY difficulty 2/5

A 52-year-old woman, Akosua, presents to the Komfo Anokye ED with a 3-day history of right calf swelling and pain. She recently returned from a long bus journey from Accra to Kumasi. Her Wells score i…

Emergency Ultrasound · Lung sliding excludes pneumothorax β˜… HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after a road traffic accident. He complains of right-sided chest pain and shortness of breath. Vitals: HR 118 bpm, BP 102/68 mmHg, RR 26/min…