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2131 matches for “Ghana” — showing 781–810
Paediatric Emergency Medicine · Necrotising Enterocolitis - Emergency Management ★ HY difficulty 4/5

A 28-day-old preterm infant, now weighing 1.85 kg (born at 28 weeks, corrected age 32 weeks), is brought to the Korle Bu neonatal unit step-down area with a 12-hour history of abdominal distension, bl…

Paediatric Emergency Medicine · Bronchiolitis — apnoea risk under 3 months ★ HY difficulty 3/5

In December, a 7-week-old male infant is brought to the Korle Bu emergency centre after his mother noticed he stopped breathing for approximately 15 seconds during a feed, then resumed spontaneously. …

Paediatric Emergency Medicine · Paediatric weight-based benzodiazepine dosing for status epilepticus ★ HY difficulty 3/5

A 4-year-old boy, Yaw, weighing approximately 16 kg, is brought to the Komfo Anokye paediatric ED by his mother after a generalised tonic-clonic seizure that began about 12 minutes ago. He has a histo…

Paediatric Emergency Medicine · PECARN CT decision rule — children under 2 ★ HY difficulty 3/5

A 2-year-old boy, Kwame, is brought to the Komfo Anokye ED by his mother after she reports he fell from a bed approximately 60 cm high onto a tiled floor 3 hours ago. He cried immediately after the fa…

Paediatric Emergency Medicine · Croup - Nebulised Adrenaline in Severe Disease ★ HY difficulty 3/5

A 2.5-year-old boy, Kwame, weighing 12 kg, is brought to Komfo Anokye paediatric resus bay with severe croup. He has marked inspiratory stridor at rest, severe suprasternal and intercostal retractions…

Paediatric Emergency Medicine · Head injury - CT decision tool (PECARN/NICE) ★ HY difficulty 3/5

A 3-year-old boy, weighing 14 kg, is brought to the regional hospital paediatric A&E by his mother after he fell from a bunk bed (estimated height 1.2 m) and struck his head. He cried immediately, had…

Paediatric Emergency Medicine · Westley Croup Score ★ HY difficulty 2/5

A 2-year-old boy, Kofi, is brought to the outpatient department of a district hospital in the Bono East Region by his mother. He has had a barking cough, hoarse voice, and low-grade fever for 18 hours…

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

Mohammed, a 6-year-old boy, is brought to a regional hospital ED in Tamale. He has had fever for 5 days with progressive lethargy. Vitals: temperature 40.1°C, heart rate 154 bpm, respiratory rate 38 b…

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

A 6-year-old boy named Kofi, weighing 22 kg, is brought to a regional hospital A&E after a bee sting. He has generalised urticaria, vomiting, and audible wheeze. Vitals: BP 78/46 mmHg, HR 148 bpm, SpO…

Paediatric Emergency Medicine · Non-accidental injury - abusive head trauma recognition ★ HY difficulty 3/5

A 5-week-old male neonate, weighing 4.2 kg, is brought to Korle Bu paediatric ED after his mother noticed he was irritable and not feeding well. She reports he fell off the changing table two days ago…

Paediatric Emergency Medicine · Iron ingestion - investigation and activated charcoal inefficacy ★ HY difficulty 3/5

Kwame, a 3-year-old boy weighing 14 kg, is brought to a district hospital in Brong-Ahafo after swallowing an unknown number of his grandmother's ferrous sulphate tablets (200 mg each). Ingestion occur…

Paediatric Emergency Medicine · SAM stabilisation phase — rehydration ★ HY difficulty 3/5

Kofi, a 22-month-old boy weighing 6.8 kg (WHZ −3.6, MUAC 10.9 cm), is admitted to the paediatric emergency ward at Tamale Teaching Hospital with SAM. He is alert, clinically dehydrated after 3 days of…

Paediatric Emergency Medicine · Gastroenteritis - Cautious fluid resuscitation in malnutrition ★ HY difficulty 4/5

Mohammed is a 10-month-old boy, 6.2 kg, brought to a district hospital in the Northern Region. He has had diarrhoea for 5 days. On examination he has severe wasting with loose skin folds, bilateral pi…

Paediatric Emergency Medicine · Status Epilepticus - Neonatal seizure and glucose correction ★ HY difficulty 3/5

A 3-week-old neonate weighing 3.4 kg is brought to the regional hospital paediatric A&E by his mother with jerky movements of all four limbs for 10 minutes. He is febrile at 38.2°C, HR 168 bpm, RR 52/…

Paediatric Emergency Medicine · First-line benzodiazepine for status epilepticus ★ HY difficulty 2/5

A 3-year-old boy, Kwame, is brought to the district hospital in Brong-Ahafo by his mother. He has been having generalised tonic-clonic seizures for the past 12 minutes and is still actively convulsing…

Paediatric Emergency Medicine · WPW pattern recognition ★ HY difficulty 2/5

A 7-year-old girl, Akosua, is brought to the regional hospital ED in Kumasi by her parents after two episodes of sudden-onset rapid palpitations that self-terminated. She has no known heart disease. A…

Paediatric Emergency Medicine · Congenital long QT presenting as syncope ★ HY difficulty 3/5

A 14-year-old girl, Afia, presents to the Korle Bu Emergency Centre after a witnessed syncopal episode during a school sports day. There is no prodrome of nausea or dizziness; she simply collapsed. Sh…

Paediatric Emergency Medicine · Intussusception — contraindications to enema reduction ★ HY difficulty 3/5

A 2-year-old girl, Afia, is brought to the regional hospital emergency department in Tamale with a 12-hour history of intermittent abdominal pain and one episode of vomiting. She is alert and playful …

Paediatric Emergency Medicine · Age-specific aetiology and antibiotic choice in neonatal sepsis ★ HY difficulty 3/5

A 14-day-old male neonate named Kwesi is brought to the Korle Bu emergency centre by his parents. He was born at term via normal vaginal delivery at a district hospital with no complications but has h…

Paediatric Emergency Medicine · Paediatric airway differences ★ HY difficulty 4/5

A 7-year-old boy, Kofi, is brought to a district hospital in the Northern Region by his parents after accidentally ingesting a button battery approximately 2 hours ago. He is drooling, unable to swall…

Paediatric Emergency Medicine · Paediatric Trauma - Non-accidental injury recognition ★ HY difficulty 3/5

A 3-year-old girl, Adwoa, weighing 14 kg, is brought to the district hospital A&E by her father, who says she fell down the stairs at home. Examination reveals a healing bruise over the left cheek, a …

Paediatric Emergency Medicine · Bronchiolitis — supportive care only (no bronchodilators) ★ HY difficulty 3/5

Yaw is a 5-month-old male infant brought to the Komfo Anokye Teaching Hospital emergency centre with a 2-day history of cough, nasal congestion, and increased work of breathing. He was born at term wi…

Paediatric Emergency Medicine · Second-line anticonvulsant — levetiracetam loading dose ★ HY difficulty 3/5

A 5-year-old boy, Kofi, is brought to the Korle Bu Emergency Centre after two doses of lorazepam (0.1 mg/kg IV each, 5 minutes apart) have failed to terminate his generalised tonic-clonic seizure, whi…

Paediatric Emergency Medicine · Head injury - epidural haematoma recognition ★ HY difficulty 3/5

A 9-year-old girl named Ama, weighing 28 kg, presents to the regional hospital paediatric A&E with severe headache and vomiting after a cricket ball struck her in the right temporal region 2 hours ago…

Paediatric Emergency Medicine · Burns - NAI suspicion and safeguarding ★ HY difficulty 3/5

A 14-month-old girl, Akua, weighing 10 kg, is brought to Korle Bu paediatric ED by her mother. She has a well-demarcated scald burn to both buttocks and the perineum, described as occurring when the c…

Paediatric Emergency Medicine · Acute Asthma - MDI-Spacer vs Nebuliser ★ HY difficulty 3/5

Kofi is a 5-year-old boy weighing 18 kg with moderate acute asthma presenting to a district hospital in Brong-Ahafo. SpO2 is 94% on room air, RR 28/min, HR 118/min. He is speaking in short sentences. …

Paediatric Emergency Medicine · Paediatric Trauma - Weight-based fluid resuscitation ★ HY difficulty 3/5

An 8-year-old boy, Kwame, weighing 26 kg, is referred from a district hospital in Brong-Ahafo following a fall from a mango tree. On arrival at the regional hospital paediatric A&E: HR 158 bpm, RR 30 …

Paediatric Emergency Medicine · Intubation threshold in severe croup ★ HY difficulty 4/5

A 22-month-old boy, Kofi, is brought to Korle Bu Emergency Centre by his father at 3 am. He has had a 2-day history of upper respiratory tract infection followed by sudden onset of barking cough, hoar…

Paediatric Emergency Medicine · Septic Shock - Fluid Bolus Strategy ★ HY difficulty 4/5

Kwame is a 3-year-old boy weighing 14 kg, brought to the Komfo Anokye paediatric resus bay with 3 days of fever, vomiting, and progressive drowsiness. Vitals: HR 158 bpm, RR 38 breaths/min, BP 72/40 m…

Paediatric Emergency Medicine · Severe Malaria - Hypoglycaemia Management ★ HY difficulty 3/5

Kwame, a 4-year-old boy weighing 16 kg, is brought to the regional hospital paediatric A&E in Brong-Ahafo by his mother after 3 days of fever and vomiting. On arrival: HR 138 bpm, RR 28/min, temperatu…