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1466 matches for “Mahadevan” — showing 781–810
Sudden onset weakness · Guillain-Barré syndrome recognition and respiratory monitoring ★ HY difficulty 2/5

Kofi, a 28-year-old man, presents to a district hospital in Brong-Ahafo with a 3-week history of progressive leg weakness that started in both feet and has now ascended to his thighs. He reports tingl…

Sudden onset weakness · Stroke recognition (FAST) and initial management ★ HY difficulty 2/5

A 58-year-old woman, Akosua, is brought to the regional hospital A&E by her family after developing sudden right-sided arm and leg weakness and slurred speech 90 minutes ago. Her BP is 178/102 mmHg, G…

Sudden onset weakness · Myasthenic crisis - airway and ICU management ★ HY difficulty 2/5

Adwoa, a 35-year-old woman with a known diagnosis of myasthenia gravis, is brought to the Korle Bu emergency centre with increasing difficulty swallowing and a weak voice over the past 24 hours. She n…

Sudden onset weakness · Spinal cord compression — immediate management ★ HY difficulty 3/5

A 45-year-old woman is referred from a peripheral facility to the regional hospital A&E in Tamale with a 5-day history of back pain followed by progressive leg weakness and inability to pass urine for…

Sudden onset weakness · Stroke recognition — FAST tool ★ HY difficulty 2/5

A 58-year-old woman named Akosua is brought to the regional hospital A&E by her family. They report she suddenly could not speak and her right arm became weak about 45 minutes ago. On examination her …

Syncope · Cardiac syncope red flags - ECG abnormality ★ HY difficulty 2/5

A 58-year-old man named Kwame is brought to Komfo Anokye Emergency Department after collapsing suddenly while climbing stairs. There was no prodrome; bystanders report he fell without warning and rega…

Syncope · Exertional syncope — cardiac until proven otherwise ★ HY difficulty 2/5

Kofi, a 55-year-old man with no known cardiac history, is brought to the regional hospital A&E in Tamale after a witnessed syncopal episode with no prodrome. He was playing football when he suddenly c…

Syncope · ECG findings — long QT syndrome ★ HY difficulty 3/5

A 62-year-old woman, Adwoa, is brought to Korle Bu emergency centre after a syncopal episode at home. Her ECG shows a corrected QT interval (QTc) of 520 ms with a normal sinus rhythm at 65 bpm. She ta…

Syncope · Exertional cardiac syncope — HCM recognition ★ HY difficulty 2/5

Kofi, a 22-year-old footballer, collapses on the pitch at a district hospital sports day in Brong-Ahafo. Witnesses say he suddenly fell without warning during a sprint; he was unconscious for about 15…

Syncope · Distinguishing syncope from seizure ★ HY difficulty 2/5

Yaa, a 35-year-old nurse, presents to the Korle Bu emergency centre after a witnessed collapse in the ward. Colleagues report she bit her tongue during the episode and was shaking both arms and legs f…

Syncope · San Francisco Syncope Rule - high-risk feature identification ★ HY difficulty 3/5

A 55-year-old man named Joseph presents to a regional hospital A&E after a witnessed blackout. He is 55 years old, has a history of ischaemic heart disease, and his ECG shows new left bundle branch bl…

Syncope · Cardiac syncope — new LBBB and immediate management ★ HY difficulty 2/5

Mensah, a 55-year-old civil servant with a history of ischaemic heart disease, presents to a regional hospital A&E after a sudden loss of consciousness at home with no warning. His wife reports he was…

Syncope · Cardiac syncope - complete heart block management ★ HY difficulty 2/5

A 65-year-old man named Yaw is brought to Komfo Anokye Emergency Department after collapsing at home. He has a history of heart failure and his ECG shows complete heart block with a ventricular rate o…

Syncope · Vasovagal syncope — classical presentation ★ HY difficulty 1/5

Akua, a 19-year-old female student, is brought to the A&E of a district hospital in Ashanti Region after collapsing in a crowded church service. Witnesses report she looked pale and sweaty before slum…

Syncope · San Francisco Syncope Rule — high-risk criteria ★ HY difficulty 3/5

Mohammed, a 72-year-old retired farmer with a history of heart failure and diabetes, is brought to the Komfo Anokye ED after a witnessed syncopal episode. He had no prodrome and was unconscious for ab…

Syncope · Distinguishing syncope from seizure ★ HY difficulty 2/5

A 19-year-old student named Kofi is brought to Korle Bu Emergency Centre after a witnessed episode of shaking of all four limbs lasting two minutes, followed by confusion lasting 15 minutes. His frien…

Syncope · Vasovagal vs cardiac syncope — clinical features ★ HY difficulty 1/5

A 19-year-old woman, Akosua, collapses in a church in Kumasi after standing for two hours in the heat. Witnesses report she slumped slowly to the floor, was pale and sweaty beforehand, and regained fu…

Syncope · Vasovagal syncope classical presentation ★ HY difficulty 1/5

A 22-year-old woman named Akua presents to a district hospital A&E in the Ashanti Region after collapsing in a long queue at the bank. Witnesses report she looked pale and sweaty before slumping to th…

Syncope · Cardiac syncope — red flags and immediate management ★ HY difficulty 2/5

Kwame, a 68-year-old retired teacher with known hypertension, is brought to the Komfo Anokye ED after a witnessed collapse while walking to his car. There was no prodrome; he was unconscious for appro…

Syncope · Cardiac arrhythmia causing syncope — immediate management ★ HY difficulty 2/5

Yaw, a 68-year-old man with known heart failure, presents to a district hospital after a syncopal episode at home. On arrival his BP is 88/60 mmHg, HR 42 bpm, RR 22/min, and SpO2 88% on room air. His …

Toxicologic emergencies · Organophosphate poisoning — atropine titration ★ HY difficulty 2/5

A 35-year-old farmer, Yaw, is brought to a district hospital in the Northern Region after collapsing in his cocoa farm. His relatives report he was spraying pesticides without protective equipment. On…

Toxicologic emergencies · TCA overdose — sodium bicarbonate for QRS widening ★ HY difficulty 2/5

A 24-year-old man, Kofi, is brought to a regional hospital A&E after a deliberate overdose of amitriptyline (a tricyclic antidepressant). He is confused, hypotensive at 80/50 mmHg, and his ECG shows a…

Toxicologic emergencies · Paracetamol overdose risk stratification ★ HY difficulty 2/5

A 22-year-old woman, Ama, presents to a district hospital A&E in Ashanti Region six hours after deliberately swallowing 20 tablets of paracetamol 500 mg (total 10 g). She is alert and currently has no…

Toxicologic emergencies · Paracetamol overdose — Rumack-Matthew nomogram and NAC ★ HY difficulty 2/5

A 19-year-old woman, Akosua, is brought to the regional hospital A&E by her mother four hours after ingesting approximately 20 tablets of paracetamol 500 mg in a deliberate self-harm attempt. She is a…

Toxicologic emergencies · Opioid toxidrome recognition ★ HY difficulty 1/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED by friends after being found unresponsive at a party. On examination, he has a Glasgow Coma Scale (GCS) of 7, respiratory rate of 6 breaths …

Toxicologic emergencies · Paracetamol overdose — Rumack-Matthew nomogram and NAC ★ HY difficulty 2/5

A 19-year-old woman, Ama, presents to the Korle Bu emergency centre 6 hours after deliberately ingesting 20 tablets of paracetamol 500 mg (total 10 g). She feels mildly nauseated but is otherwise well…

Toxicologic emergencies · Organophosphate poisoning — atropine and pralidoxime ★ HY difficulty 2/5

A 28-year-old farmer, Yaw, is brought to Komfo Anokye ED after collapsing in a cocoa field. He is bradycardic at 42 bpm, has profuse salivation, lacrimation, urinary incontinence, and generalised musc…

Toxicologic emergencies · Opioid toxidrome — naloxone and airway priority ★ HY difficulty 2/5

A 35-year-old man, Kwame, is brought to a district hospital in Brong-Ahafo by relatives. He is unconscious, with a respiratory rate of 6 breaths per minute, pinpoint pupils, and cyanosis. His relative…

Toxicologic emergencies · Resuscitation-first principle in poisoning ★ HY difficulty 2/5

A 35-year-old man, Yaw, is brought to the Korle Bu emergency centre after ingesting an unknown quantity of tablets found at home. He is drowsy but rousable. Vital signs: BP 80/50 mmHg, HR 118 beats/mi…

Toxicologic emergencies · Organophosphate poisoning — antidote and pralidoxime ★ HY difficulty 2/5

A 40-year-old farmer, Fatima, is brought to a district hospital in the Upper West Region after being found collapsed in her field. Her family reports she was spraying crops. On examination, she is unc…