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2131 matches for “Ghana” — showing 841–870
Procedural Sedation and Pain Management · Etomidate in haemodynamic instability ★ HY difficulty 3/5

A 38-year-old man, Mohammed, is brought to a regional hospital emergency department from the scene of a motor vehicle crash. He is haemodynamically unstable: BP 78/50 mmHg, HR 132 bpm, RR 28/min, SpO2…

Procedural Sedation and Pain Management · WHO analgesic ladder — Step 1 ★ HY difficulty 2/5

A 34-year-old woman, Akosua, presents to a district hospital in Brong-Ahafo with moderate low back pain following a road traffic injury two days ago. She has no neurological deficits and plain X-ray s…

Procedural Sedation and Pain Management · Multimodal analgesia ★ HY difficulty 3/5

A 19-year-old student, Yaw, presents to a regional hospital ED at 11 PM with a closed midshaft femur fracture sustained in a motorcycle collision. He is haemodynamically stable: BP 124/78 mmHg, HR 98 …

Procedural Sedation and Pain Management · Propofol - respiratory depression and reversal ★ HY difficulty 2/5

Akosua, a 34-year-old woman, undergoes propofol sedation for cardioversion of atrial flutter in the resus bay at a regional hospital A&E. Two minutes after a 1.5 mg/kg IV bolus of propofol, she become…

Procedural Ultrasound Guidance · Suprapubic catheterisation — ultrasound-guided site selection ★ HY difficulty 3/5

A 72-year-old man is brought to the Korle Bu emergency centre by his family with a 3-day history of fever, rigors, and inability to void urine. He has a known history of benign prostatic hyperplasia. …

Procedural Ultrasound Guidance · Paracentesis — Doppler-guided vessel avoidance ★ HY difficulty 3/5

Adwoa, a 45-year-old woman with known alcoholic liver disease, presents to the regional hospital ED in Kumasi with abdominal distension, shortness of breath, and bilateral leg swelling for 2 weeks. Sh…

Procedural Ultrasound Guidance · Lumbar puncture — obesity and landmark failure ★ HY difficulty 3/5

A 62-year-old woman, Yaa, with morbid obesity (BMI 44 kg/m²) and chronic low back pain is brought to the Korle Bu emergency centre with a 2-hour history of sudden-onset severe headache described as 't…

Procedures - Abdominal · Paracentesis - landmark and vascular anatomy ★ HY difficulty 3/5

Kofi, a 58-year-old man with known liver cirrhosis secondary to hepatitis B, is brought to the emergency centre at Komfo Anokye Teaching Hospital with gross abdominal distension and respiratory distre…

Procedures - Airway · RSI drug pairs - ketamine and suxamethonium ★ HY difficulty 2/5

Kwame, a 34-year-old man, is brought to the Tamale Teaching Hospital A&E following a high-speed road traffic collision. He is combative, has a Glasgow Coma Scale score of 9, and has blood and vomitus …

Procedures - Airway · RSI drug selection - ketamine + suxamethonium vs alternatives ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision on the Kumasi-Accra highway. He is combative, with a GCS of 9 (E2V3M4), suspected closed…

Procedures - Airway · Pre-oxygenation strategies for RSI in resource-limited settings ★ HY difficulty 3/5

A 58-year-old woman, Akua, presents to a district hospital A&E in Brong-Ahafo with severe community-acquired pneumonia. Her SpO2 is 78% on room air and 84% on a 15 L/min non-rebreather mask. She is al…

Procedures - Airway · Pre-oxygenation strategies - apnoeic oxygenation and positioning ★ HY difficulty 3/5

Akua, a 28-year-old primigravida at 36 weeks gestation, presents to the Korle Bu Emergency Centre with a 2-hour history of severe headache, blurred vision, and three generalised tonic-clonic seizures.…

Procedures - Airway · Post-intubation hypotension - recognition and management ★ HY difficulty 4/5

Ama, a 52-year-old woman, is brought to the Komfo Anokye Teaching Hospital Emergency Department in cardiac arrest following a witnessed collapse in the waiting area. She was intubated with a size 7.5 …

Procedures - ENT · Peritonsillar abscess - aspiration landmark and internal carotid artery avoidance ★ HY difficulty 4/5

Kofi, a 28-year-old man, presents to the Tamale Teaching Hospital A&E with a 3-day history of progressively worsening right-sided sore throat, odynophagia, and muffled 'hot potato' voice. He has been …

Procedures - ENT · Anterior nasal packing - Merocel technique and nasal floor landmark ★ HY difficulty 3/5

A 34-year-old man, Kwabena, presents to the A&E of a regional hospital in the Ashanti Region with profuse right-sided epistaxis that has persisted for 40 minutes. He has a history of hypertension and …

Procedures - Emergency Ultrasound (POCUS) · Lung ultrasound - B-lines and pulmonary oedema ★ HY difficulty 3/5

A 62-year-old woman, Akua, presents to a regional hospital A&E in the Ashanti Region with 3 days of worsening dyspnoea and orthopnoea. She has a history of hypertension and is on amlodipine. On examin…

Procedures - Neurological · Lumbar puncture - CSF opening pressure interpretation ★ HY difficulty 4/5

Ama, a 62-year-old woman with hypertension and type 2 diabetes, presents to the regional hospital A&E in Kumasi with a 12-hour history of severe headache described as 'the worst of her life', neck sti…

Procedures - Neurological · Lumbar puncture - contraindications and safety assessment ★ HY difficulty 3/5

Kofi, a 52-year-old man with known HIV, presents to the Komfo Anokye ED with a 2-week history of progressive headache, confusion, and blurred vision. His GCS is 13/15. Fundoscopy reveals bilateral pap…

Procedures - Neurological · Lumbar puncture - landmark and technique ★ HY difficulty 2/5

A 34-year-old woman named Akua presents to the A&E at a district hospital in Brong-Ahafo with a 3-day history of severe headache, fever, and neck stiffness. She has no focal neurological deficits and …

Procedures - Neurological · Lumbar puncture - CSF opening pressure measurement and interpretation ★ HY difficulty 3/5

Ama, a 28-year-old woman, undergoes a lumbar puncture at the Tamale Teaching Hospital A&E for suspected bacterial meningitis. The procedure is performed with the patient in the lateral decubent positi…

Procedures - Obstetric and Gynaecological · Postpartum haemorrhage - first-line uterotonic and haemostatic interventions ★ HY difficulty 2/5

Akua, a 32-year-old G3P2 woman, delivers a live infant at a district hospital in the Upper West Region. Fifteen minutes after delivery, she develops heavy vaginal bleeding. Estimated blood loss is 700…

Procedures - Ocular · Eye irrigation for chemical burns - pH endpoint and complication recognition ★ HY difficulty 4/5

Akua, a 22-year-old laboratory technician, presents to the Komfo Anokye Emergency Department after a splash of concentrated sodium hydroxide solution into both eyes while working without protective go…

Procedures - Orthopaedic · Compartment syndrome - recognition and management ★ HY difficulty 4/5

Kwabena, a 30-year-old carpenter, presents to a district hospital A&E in Northern Region after a crush injury to his right forearm from a falling timber beam two hours ago. His forearm is swollen, ten…

Procedures - POCUS / Emergency Ultrasound · Cardiac POCUS - tamponade recognition and RV diastolic collapse ★ HY difficulty 3/5

A 45-year-old man, Kofi, is brought to a district hospital in Brong-Ahafo following a stab wound to the left chest. He is hypotensive at 82/56 mmHg, tachycardic at 136 bpm, and his neck veins are dist…

Procedures - POCUS / Emergency Ultrasound · eFAST - RUQ Morison's pouch anatomy and positive finding ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED resus bay following a high-speed road traffic collision on the Kumasi–Accra highway. He is haemodynamically unstable with a blood pressure o…

Procedures - Procedural Sedation · Ketamine IM dosing - paediatric procedural sedation ★ HY difficulty 2/5

A 6-year-old boy, Kofi, is brought to the A&E of a district hospital in Brong-Ahafo with a displaced forearm fracture requiring closed reduction. He is extremely distressed and uncooperative. There is…

Procedures - Procedural Sedation · Ketamine dosing - IV dissociative dose and administration technique ★ HY difficulty 2/5

A 28-year-old woman, Akua, is brought to the Korle Bu Emergency Centre with a closed femur fracture following a road traffic collision. She is haemodynamically stable after fluid resuscitation. You pl…

Procedures - Procedural Sedation and Analgesia · Pre-procedure assessment - NPO status, Mallampati, ASA grade ★ HY difficulty 3/5

Akua, a 34-year-old woman, presents to the A&E at a regional hospital in the Ashanti Region with a dislocated right shoulder following a road traffic crash. She is otherwise healthy, has no known alle…

Procedures - Procedural Sedation and Analgesia · Ketamine dosing - IM route and dissociative endpoint ★ HY difficulty 2/5

Kwame, a 12-year-old boy, is brought to the district hospital A&E in Brong-Ahafo after sustaining a displaced forearm fracture during a football match. He weighs 30 kg. The attending physician decides…

Procedures - Thoracic · Needle decompression - updated site selection for tension pneumothorax ★ HY difficulty 4/5

Kofi, a 48-year-old man with a history of chronic obstructive pulmonary disease, is brought to a regional hospital A&E in the Northern Region in severe respiratory distress. His trachea is deviated to…