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3996 matches for “Ghana” — showing 811–840
Environmental Emergencies · Animal bites and rabies post-exposure prophylaxis — category III exposure ★ HY difficulty 3/5

A 14-year-old girl, Abena, is brought to a regional hospital A&E in the Brong-Ahafo region after being bitten on the right hand by a stray dog three days ago. The wound was washed briefly at home but …

Environmental Emergencies · Electrical injury — rhabdomyolysis, cardiac monitoring, disposition ★ HY difficulty 3/5

A 28-year-old construction worker, Kofi, is brought to Komfo Anokye Teaching Hospital A&E after touching a live 240 V cable. He was thrown back 2 metres and was briefly unconscious. On arrival he is a…

Environmental Emergencies · Osborn waves in hypothermia ★ HY difficulty 3/5

A 28-year-old male construction worker, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after being found unconscious on a harmattan morning in the Ashanti Region. Bystande…

Environmental Emergencies · Hypothermia — moderate (28–32°C): active external rewarming ★ HY difficulty 2/5

A 68-year-old fisherman, Mensah, is brought to a district hospital A&E after being found collapsed on his boat on the Volta Lake on a cold harmattan night. His core temperature (rectal) is 29°C. He is…

Environmental Emergencies · Severe hypothermia — cardiac arrest, prolonged CPR, ECMO consideration ★ HY difficulty 4/5

A 35-year-old market trader, Akua, is brought to a regional hospital A&E after being pulled unconscious from a flooded storm drain. Bystanders performed no CPR. On arrival she is apnoeic, pulseless, a…

Environmental Emergencies · Heatstroke — immediate cooling and disposition ★ HY difficulty 2/5

A 24-year-old soldier, Kwabena, collapses during a physical training exercise at a military camp near Tamale in the dry season. Bystanders report he was confused and combative before losing consciousn…

Environmental Emergencies · Drowning — initial resuscitation sequence ★ HY difficulty 2/5

A 7-year-old boy named Kwame is pulled unresponsive from a backyard well in a village near Techiman. Bystanders carried him to a nearby health post. On arrival, he is apnoeic and pulseless. The nurse …

Environmental Emergencies · High-voltage injury — rhabdomyolysis management ★ HY difficulty 3/5

A 35-year-old female, Ama, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED after sustaining a high-voltage injury (estimated 11,000 V industrial line) at…

Environmental Emergencies · Hypothermia association in drowning ★ HY difficulty 4/5

A 28-year-old fisherman named Mohammed is brought to the Korle Bu Emergency Centre after being pulled from the Volta Lake following a canoe capsize. He was submerged for approximately 10 minutes. On a…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 2/5

A 34-year-old man, Kwame, presents to the emergency department of a regional hospital in Ashanti Region with a 45-minute history of spontaneous left-sided nasal bleeding. He has no prior history of ep…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 4/5

A 62-year-old woman, Adwoa, is referred from a district hospital in the Volta Region to the regional hospital with a 3-hour history of severe right-sided nasal bleeding that has not responded to 20 mi…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 4/5

A 62-year-old woman, Akua, is referred from a district hospital in the Northern Region to the regional hospital with a 3-hour history of profuse right-sided nasal bleeding. She has a background of hyp…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 4/5

A 62-year-old woman, Adwoa, with known hypertension managed on amlodipine and warfarin (for paroxysmal atrial fibrillation) presents to the Korle Bu Teaching Hospital ENT-surgical unit with profuse bi…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 4/5

Kofi, a 28-year-old man with known sickle-cell disease (HbSS), is admitted to the Komfo Anokye surgical ward following a painful vaso-occlusive crisis. On day 3 of admission he develops sudden-onset r…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 2/5

A 34-year-old man, Kwame, presents to the emergency department of a regional hospital in the Ashanti Region with a 45-minute history of spontaneous left-sided nasal bleeding. He has no significant pas…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the emergency department of a regional hospital in the Ashanti Region by his relatives after 40 minutes of continuous bleeding from his right nostril. He has no…

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 2/5

A 34-year-old man, Kwame, presents to the emergency department of a regional hospital in the Ashanti Region with a 45-minute history of spontaneous left-sided nasal bleeding that has not responded to …

Epistaxis — Anterior and Posterior Management · ENT ★ HY difficulty 3/5

A 19-year-old man, Kofi, is admitted to the emergency department of a regional hospital in the Northern Region with a 2-hour history of profuse right-sided nasal haemorrhage following a road traffic a…

Ethics, Capacity and End-of-Life Care · Terminal restlessness and agitation ★ HY difficulty 3/5

Fatima, a 64-year-old woman with squamous cell carcinoma of the lung, is brought to the Korle Bu emergency centre by her family. She was previously on oral morphine 30 mg every 12 hours for pain. Over…

Ethics, Capacity and End-of-Life Care · Dyspnoea management in advanced malignancy ★ HY difficulty 3/5

Adwoa, a 55-year-old woman with metastatic cervical cancer, is seen in the Korle Bu emergency centre for increasing shortness of breath over the past week. She has a pleural effusion confirmed on ches…

Ethics, Capacity and End-of-Life Care · Comfort medication during withdrawal of life-sustaining treatment ★ HY difficulty 3/5

A 58-year-old woman, Afia, is admitted to the Komfo Anokye ED with massive haemorrhagic stroke. CT scan shows a right-sided intracerebral haemorrhage of 80 mL with intraventricular extension and midli…

Ethics, Capacity and End-of-Life Care · Best-interests decision process when lacking capacity ★ HY difficulty 3/5

A 78-year-old man, Joseph, is referred from a peripheral clinic to the regional hospital ED in the Northern Region with a two-day history of worsening confusion. He lives alone; no family is contactab…

Ethics, Capacity and End-of-Life Care · Presumption of capacity and right to refuse ★ HY difficulty 3/5

A 68-year-old woman, Afia, is brought to the emergency centre at Korle Bu by her son after she refused to go to the theatre for an elective hernia repair scheduled that morning. She has no prior psych…

Ethics, Capacity and End-of-Life Care · Brainstem death testing prerequisites ★ HY difficulty 3/5

A 19-year-old man, Mohammed, was involved in a road traffic crash on the Accra–Kumasi highway. He was brought by ambulance to the Komfo Anokye ED with a severe traumatic brain injury. CT head shows di…

Ethics, Capacity and End-of-Life Care · Medical futility and termination of resuscitation ★ HY difficulty 3/5

A 72-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family after a witnessed out-of-hospital cardiac arrest. He received 45 minutes of advanced cardiac life support with no re…

Ethics, Capacity and End-of-Life Care · Palliative opioid use and principle of double effect ★ HY difficulty 3/5

Mohammed Alhassan is a 60-year-old man with metastatic lung carcinoma admitted to the Tamale Teaching Hospital ED with acute respiratory failure. After a goals-of-care discussion with the patient and …

Ethics, Capacity and End-of-Life Care · Patient capacity and treatment refusal ★ HY difficulty 4/5

Akosua Mensah is a 72-year-old woman with known dilated cardiomyopathy (ejection fraction 15%), NYHA class IV heart failure, and stage 3 chronic kidney disease. She is brought to Korle Bu Emergency Ce…

Femoral Hernia and Incisional Hernia · Femoral hernia anatomy and strangulation risk ★ HY difficulty 3/5

A 58-year-old woman, Akua, presents to the Korle Bu general surgical unit with a 12-hour history of a painful, irreducible swelling in the right groin. She first noticed the swelling three weeks ago a…

Femoral Hernia and Incisional Hernia · Femoral hernia anatomy and clinical distinction ★ HY difficulty 2/5

A 52-year-old market woman, Akua, is brought to the surgical outpatient clinic at Komfo Anokye Teaching Hospital by her daughter. She complains of a painful swelling in her right groin that appeared s…

Femoral Hernia and Incisional Hernia · Strangulated femoral hernia — emergency management ★ HY difficulty 3/5

Yaa, a 62-year-old retired teacher, is brought to the Korle Bu general surgical emergency unit with a 24-hour history of colicky central abdominal pain, absolute constipation, and vomiting. She underw…