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1466 matches for “Mahadevan” — showing 811–840
Toxicologic emergencies · N-acetylcysteine initiation for paracetamol overdose ★ HY difficulty 2/5

A 19-year-old woman, Akua, is brought to a regional hospital A&E in the Volta Region after ingesting 30 paracetamol tablets (500 mg each) approximately 2 hours ago. She is alert and has no abdominal p…

Toxicologic emergencies · Organophosphate poisoning recognition ★ HY difficulty 1/5

A 45-year-old cocoa farmer, Kofi, is brought to a district hospital in Brong-Ahafo after collapsing in his field. Bystanders report he was spraying pesticide. On examination he is unconscious, with pr…

Toxicologic emergencies · Opioid re-sedation after naloxone ★ HY difficulty 2/5

A 32-year-old man, Kwabena, is brought to the Komfo Anokye ED after being found unresponsive. He responds to naloxone 0.4 mg IV and becomes alert with a respiratory rate of 14 breaths/min. Forty minut…

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

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED by his family after being found unresponsive at home. He is known to use street opioids. On examination he has a respiratory rate of 6 breat…

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

A 19-year-old woman, Akosua, is brought to a regional hospital A&E by her roommate after being found with an empty packet of paracetamol tablets. She reports taking approximately 20 tablets (500 mg ea…

Traumatic injuries — primary and secondary survey · Catastrophic haemorrhage - tourniquet application ★ HY difficulty 2/5

Kofi, a 42-year-old farmer, arrives at a regional hospital A&E after a motor vehicle collision. He has a deep laceration to his right thigh with bright red blood pulsing from the wound. His blood pres…

Traumatic injuries — primary and secondary survey · Tension pneumothorax - recognition ★ HY difficulty 1/5

A 22-year-old man, Kofi, is brought to Komfo Anokye ED after a stab wound to the left chest. He is in severe respiratory distress with a respiratory rate of 32 breaths per minute. On examination, ther…

Traumatic injuries — primary and secondary survey · Pelvic binder for unstable pelvic fracture ★ HY difficulty 2/5

A 22-year-old man named Kwabena is brought to a district hospital in the Northern Region after a motorcycle collision. He has a GCS of 15, blood pressure 100/65 mmHg, and heart rate 105 beats per minu…

Traumatic injuries — primary and secondary survey · Intra-abdominal haemorrhage and surgical activation ★ HY difficulty 2/5

A 42-year-old man named Kofi is brought to the Korle Bu emergency centre following a high-speed road traffic collision. He is pale, diaphoretic, and confused. His blood pressure is 80/50 mmHg, heart r…

Traumatic injuries — primary and secondary survey · Circulation - intra-abdominal haemorrhage recognition and management ★ HY difficulty 2/5

A 45-year-old man, Mensah, arrives at the regional hospital A&E in Tamale after a high-speed road traffic collision. He is pale, sweating, and confused. His blood pressure is 70/40 mmHg and heart rate…

Traumatic injuries — primary and secondary survey · Massive haemothorax - recognition ★ HY difficulty 2/5

Kwabena, a 22-year-old man, is brought to a district hospital A&E after a motorbike accident. He is conscious (GCS 15) and complaining of left-sided chest pain and shortness of breath. On examination,…

Traumatic injuries — primary and secondary survey · Airway with cervical spine protection - primary survey ★ HY difficulty 1/5

A 28-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo following a road traffic accident. He is unresponsive, with gurgling sounds on attempted breathing and blood visible in…

Traumatic injuries — primary and secondary survey · Tension pneumothorax — clinical diagnosis and immediate decompression ★ HY difficulty 3/5

A 35-year-old woman, Akosua, is brought to a district hospital in Brong-Ahafo after a motor vehicle collision. During the primary survey she is agitated and tachypnoeic (RR 32/min). Examination reveal…

Traumatic injuries — primary and secondary survey · Airway with C-spine protection - mechanism of airway compromise ★ HY difficulty 2/5

A 35-year-old woman, Akua, is brought to the district hospital A&E in Brong-Ahafo after being involved in a motor vehicle collision. She is unconscious with a GCS of 8. The paramedic team has applied …

Traumatic injuries — primary and secondary survey · Catastrophic haemorrhage control - <C>ABCDE ★ HY difficulty 1/5

A 28-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi following a road traffic collision. He is found lying on the roadside with blood pouring from a deep laceration to his right…

Traumatic injuries — primary and secondary survey · Tourniquet application for catastrophic extremity haemorrhage ★ HY difficulty 2/5

A 19-year-old man named Yaw is brought to a district hospital in Brong-Ahafo after a machete wound to his right thigh. There is pulsatile bright red bleeding from the wound that has soaked through two…

Traumatic injuries — primary and secondary survey · Massive haemothorax - recognition ★ HY difficulty 2/5

A 50-year-old man, Kwabena, is brought to Korle Bu emergency centre following a blunt chest trauma in an industrial accident. He is in respiratory distress. On examination, there is dullness to percus…

Traumatic injuries — primary and secondary survey · ABCDE order strict; C-spine protection from arrival ★ HY difficulty 2/5

A 28-year-old man, Kofi, is brought to the regional hospital A&E by relatives after a high-speed road traffic collision on the Accra–Kumasi highway. He is unconscious, with noisy, gurgling respiration…

Traumatic injuries — primary and secondary survey · Tension pneumothorax recognition ★ HY difficulty 1/5

A 35-year-old woman named Ama is brought to a regional hospital A&E after a stab wound to the left chest. She is in severe respiratory distress with a respiratory rate of 32 breaths per minute. On exa…

Traumatic injuries — primary and secondary survey · Tension pneumothorax - recognition ★ HY difficulty 1/5

Ama, a 35-year-old woman, is brought to the Komfo Anokye ED after being stabbed in the left chest. On examination she is in severe respiratory distress, with absent breath sounds on the left, tracheal…

Traumatic injuries — primary and secondary survey · Cardiac tamponade - recognition ★ HY difficulty 2/5

Akua, a 30-year-old woman, is brought to a district hospital A&E in the Northern Region after a stab wound to the anterior chest. She is hypotensive (BP 75/50 mmHg), tachycardic (HR 140 bpm), and has …

Traumatic injuries — primary and secondary survey · Airway management with cervical spine protection ★ HY difficulty 2/5

A 28-year-old man named Kwame is brought to the Komfo Anokye ED following a road traffic collision. He is unconscious and making gurgling sounds. There is visible blood in his mouth and his neck veins…

Vaginal bleeding · Ruptured ectopic pregnancy recognition ★ HY difficulty 2/5

Ama, a 28-year-old woman, is brought to Komfo Anokye ED with sudden-onset severe right iliac fossa pain and light vaginal bleeding. Her last menstrual period was 6 weeks ago. On examination, she is pa…

Vaginal bleeding · Ruptured ectopic pregnancy — immediate resuscitation ★ HY difficulty 2/5

A 28-year-old woman, Ama, is brought to the Komfo Anokye ED with severe lower abdominal pain and light vaginal bleeding. Her last menstrual period was eight weeks ago. On examination she is pale, her …

Vaginal bleeding · Postpartum haemorrhage - uterine atony management ★ HY difficulty 2/5

Adwoa, a 26-year-old primigravida, delivered a healthy baby vaginally at a district hospital in Brong-Ahafo one hour ago. The midwife calls the doctor urgently because Adwoa has soaked four pads in 30…

Vaginal bleeding · Pregnancy test first in reproductive-age women ★ HY difficulty 1/5

A 24-year-old woman, Akua, presents to the district hospital A&E in Ashanti Region with lower abdominal pain and vaginal bleeding for one day. Her last menstrual period was 8 weeks ago. On examination…

Vaginal bleeding · Ectopic until proven otherwise ★ HY difficulty 2/5

Fatima, a 28-year-old woman, is brought by relatives to the regional hospital A&E with sudden-onset severe right iliac fossa pain and one episode of fainting at home. Her LMP was six weeks ago. On exa…

Vaginal bleeding · Postpartum haemorrhage — uterine atony (Tone) ★ HY difficulty 2/5

A 30-year-old woman, Adwoa, delivered a healthy baby at a district hospital in Brong-Ahafo two hours ago. She now has heavy vaginal bleeding estimated at over 500 mL. On examination her uterus is palp…

Vaginal bleeding · Threatened miscarriage — classical presentation and closed os ★ HY difficulty 1/5

A 24-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with lower abdominal pain and vaginal bleeding for one day. She is sexually active and her last menstrual period was six week…

Vaginal bleeding · Postpartum haemorrhage 4 Ts ★ HY difficulty 2/5

Yaa, a 32-year-old woman, delivers a live baby at the district hospital in Northern Region. Thirty minutes after delivery, the midwife calls you urgently — the patient has soaked four pads in 20 minut…