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1466 matches for “Mahadevan” — showing 721–750
Seizures · Status epilepticus — second-line phenytoin ★ HY difficulty 2/5

A 30-year-old man, Mensah, is brought to a district hospital in the Eastern Region in active status epilepticus. He has already received IV diazepam 10 mg twice over the past 20 minutes without cessat…

Seizures · First-line benzodiazepine for active seizure ★ HY difficulty 1/5

A 28-year-old woman, Akosua, is brought to the A&E of a regional hospital in Ashanti by relatives after a witnessed generalised tonic-clonic seizure that began 6 minutes ago and is still ongoing. She …

Seizures · Refractory status epilepticus definition and management ★ HY difficulty 3/5

A 25-year-old man, Mohammed, is brought to Tamale Teaching Hospital ED actively convulsing. He has been seizing for approximately 45 minutes. He received lorazepam 4 mg IV twice in the ambulance and t…

Seizures · Status epilepticus — first-line benzodiazepine ★ HY difficulty 1/5

A 35-year-old woman, Akua, is brought to the Komfo Anokye ED by bystanders. She has been convulsing continuously for the past 8 minutes and shows no signs of stopping. She has a known history of epile…

Seizures · Eclampsia — magnesium sulphate ★ HY difficulty 2/5

A 32-year-old primigravida, Ama, at 36 weeks gestation is brought to the regional hospital A&E in Tamale after a witnessed generalised tonic-clonic seizure at home. She has had no antenatal care. On e…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame presents to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and worsening confusion. On examination, his temperature is 38.9°C, he…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame is brought to the regional hospital A&E in Kumasi with a 2-day history of productive cough, fever, and confusion. On examination, his temperature is 39.2°C, heart rate is…

Sepsis and septic shock · Hour-1 bundle immediate management ★ HY difficulty 2/5

A 27-year-old woman named Akua is brought to Komfo Anokye ED with a 1-day history of high fever, rigors, and confusion following a recent dental extraction. Her temperature is 40.1°C, heart rate is 13…

Sepsis and septic shock · qSOFA bedside scoring ★ HY difficulty 2/5

Kofi, a 67-year-old retired teacher, is assessed in the Komfo Anokye ED after being found confused at home. His respiratory rate is 24 breaths/min, blood pressure is 96/60 mmHg, and he is not oriented…

Sepsis and septic shock · Septic shock recognition from classical presentation ★ HY difficulty 2/5

Kwame, a 58-year-old farmer, is brought to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and increasing confusion. On examination, his temperature is 39.2°C, …

Sepsis and septic shock · Hour-1 bundle — simultaneous initiation ★ HY difficulty 3/5

Kofi, a 55-year-old man with known diabetes, presents to the Komfo Anokye ED with two days of dysuria, rigors, and confusion. Observations: BP 82/50 mmHg, HR 118/min, RR 26/min, temperature 39.4°C, Sp…

Sepsis and septic shock · qSOFA bedside screening ★ HY difficulty 2/5

A 32-year-old woman named Akua is brought to the regional hospital A&E in Kumasi with a 3-day history of dysuria, rigors, and right loin pain. Her temperature is 39.2°C, heart rate is 124 bpm, respira…

Sepsis and septic shock · qSOFA bedside risk stratification ★ HY difficulty 2/5

A 32-year-old woman named Ama presents to a district hospital in Brong-Ahafo with a 3-day history of dysuria, loin pain, and rigors. Her temperature is 38.8°C, respiratory rate is 24 breaths per minut…

Sepsis and septic shock · Hour-1 bundle — immediate management ★ HY difficulty 2/5

A 55-year-old woman named Yaa is brought to a regional hospital A&E with a 1-day history of fever, rigors, and right upper quadrant pain following a known history of gallstones. Her temperature is 39.…

Sepsis and septic shock · Noradrenaline as first-line vasopressor ★ HY difficulty 2/5

A 38-year-old woman named Ama is admitted to a district hospital A&E in the Northern Region with a 2-day history of fever, vomiting, and reduced urine output. Her temperature is 39.1°C, heart rate is …

Sepsis and septic shock · Noradrenaline as first-line vasopressor ★ HY difficulty 2/5

A 50-year-old man named Kofi is admitted to the regional hospital A&E in Tamale with fever, hypotension, and a suspected urinary tract infection. Blood cultures are drawn and IV ceftriaxone is commenc…

Sepsis and septic shock · Vasopressor therapy in fluid-unresponsive septic shock ★ HY difficulty 2/5

Yaw, a 52-year-old civil servant, is brought to Korle Bu emergency centre with a 2-day history of fever and productive cough. His observations are: temperature 38.6°C, heart rate 114 bpm, respiratory …

Sepsis and septic shock · Hour-1 bundle initiation ★ HY difficulty 2/5

Ama, a 45-year-old market trader, presents to a district hospital A&E in the Northern Region with fever, rigors, and abdominal pain for 4 days. Her temperature is 39.0°C, heart rate 122 bpm, respirato…

Sepsis and septic shock · Serum lactate as a confirmatory marker of septic shock ★ HY difficulty 2/5

Mensah, a 71-year-old retired teacher, is brought to the Komfo Anokye ED by his family with 3 days of fever, decreased urine output, and increasing weakness. His blood pressure is 78/46 mmHg, heart ra…

Sepsis and septic shock · Recognition — qSOFA criteria ★ HY difficulty 2/5

A 38-year-old woman, Akosua, is brought to the district hospital A&E in Brong-Ahafo by relatives. She has had fever and productive cough for four days. On assessment: RR 24/min, SpO₂ 91% on air, BP 98…

Shock · Distributive shock — anaphylaxis, adrenaline first-line ★ HY difficulty 1/5

A 19-year-old woman, Afia, is seen in the district hospital A&E after a bee sting 20 minutes ago. She has generalised urticaria, stridor, and is in respiratory distress. BP is 80/50 mmHg and HR is 130…

Shock · Obstructive shock — tension pneumothorax recognition ★ HY difficulty 2/5

A 35-year-old man, Yaw, is brought to the Korle Bu emergency centre after a stab wound to the right chest. On examination he has absent breath sounds on the right, distended neck veins, and tracheal d…

Shock · Cardiogenic shock - mechanism and recognition ★ HY difficulty 2/5

Kofi, a 60-year-old man with known ischaemic heart disease, presents to the regional hospital A&E with a 2-hour history of severe central chest pain, diaphoresis, and breathlessness. His blood pressur…

Shock · Haemorrhagic shock classification - Class II recognition ★ HY difficulty 2/5

A 35-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo following a road traffic accident. He is anxious and complaining of abdominal pain. His pulse is 108 bpm, blood pressur…

Shock · Distributive shock — fluid resuscitation priority ★ HY difficulty 2/5

Mohammed, a 28-year-old man, is referred from a peripheral clinic to Komfo Anokye ED with a 3-day history of fever and rigors. On arrival he is drowsy, BP 76/50 mmHg, HR 136 bpm, temperature 39.8°C, a…

Shock · Distributive shock - anaphylaxis immediate management ★ HY difficulty 1/5

Mensah, a 45-year-old farmer, is brought to the Korle Bu emergency centre by family after a bee swarm attack. He is distressed, with generalised urticaria, facial swelling, and audible stridor. His bl…

Shock · Distributive shock - severe malaria management ★ HY difficulty 2/5

Ama, a 28-year-old woman, presents to Komfo Anokye ED with a 2-day history of high fever, rigors, and vomiting. She has just returned from a farming community in the Northern Region. Her temperature i…

Shock · Distributive shock — distinguishing features ★ HY difficulty 2/5

A 45-year-old woman, Akua, presents to the Komfo Anokye ED with a 2-day history of fever, rigors, and productive cough. On examination she is febrile at 39.4°C, heart rate 124 bpm, blood pressure 88/5…

Shock · Anaphylactic shock — immediate management ★ HY difficulty 1/5

A 22-year-old student, Esi, is brought to the district hospital A&E after a bee sting 20 minutes ago. She has generalised urticaria, stridor, and is in obvious respiratory distress. Her blood pressure…

Shock · Cardiogenic shock — immediate management ★ HY difficulty 2/5

A 60-year-old man, Mensah, is brought to the regional hospital A&E in the Ashanti Region with sudden onset central chest pain radiating to the left arm for 2 hours. He is diaphoretic, with a blood pre…