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2131 matches for “Ghana” — showing 871–900
Procedures - Thoracic · Tube thoracostomy - tube size selection for pneumothorax vs haemothorax ★ HY difficulty 3/5

Esi, a 22-year-old university student, presents to Komfo Anokye ED after a spontaneous left-sided pneumothorax confirmed on chest X-ray. The pneumothorax is large (>2 cm rim on CXR) and she is breathl…

Procedures - Thoracic · Tube thoracostomy - safe triangle insertion site ★ HY difficulty 2/5

Kofi, a 45-year-old teacher, presents to a district hospital in Brong-Ahafo with a 3-day history of progressive dyspnoea and right-sided pleuritic chest pain. Chest X-ray confirms a large right sponta…

Procedures - Thoracic · Tube thoracostomy - insertion site and safe triangle ★ HY difficulty 2/5

A 34-year-old male farmer, Kwame, is brought to a district hospital A&E in Brong-Ahafo following a road traffic collision. He is in moderate respiratory distress with a respiratory rate of 28/min, oxy…

Procedures - Vascular Access · Intraosseous access - proximal tibia technique in children ★ HY difficulty 2/5

A 4-year-old boy, Yaw, is brought to the A&E of a district hospital in the Northern Region in status epilepticus. He has been seizing for 20 minutes and has no peripheral venous access after three att…

Procedures - Wound Care · Wound irrigation pressure ★ HY difficulty 2/5

A 28-year-old man, Kwame, presents to a district hospital A&E in Brong-Ahafo with a 4 cm laceration to his right forearm sustained when he fell onto a broken bottle 3 hours ago. The wound is contamina…

Procedures - Wound Care and Regional Anaesthesia · Wound irrigation pressure - 5-8 psi technique ★ HY difficulty 3/5

Kofi, a 45-year-old farmer, is brought to Komfo Anokye ED with a heavily contaminated wound to his right thigh following a machete injury sustained while clearing farmland 2 hours ago. The wound is 8 …

Procedures - Wound Care and Regional Anaesthesia · Digital ring block - contraindication to adrenaline in end-arteries ★ HY difficulty 3/5

Akua, a 28-year-old market trader, presents to the district hospital A&E in Brong-Ahafo with a 4 cm laceration to her right index finger sustained from a broken bottle 45 minutes ago. The wound is cle…

Procedures - Wound Care and Regional Anaesthesia · Lidocaine maximum dose - plain vs adrenaline-containing ★ HY difficulty 2/5

Yaa, a 32-year-old seamstress, presents to a regional hospital A&E with a 3 cm laceration to her right forearm sustained from a sewing machine blade 30 minutes ago. The wound is clean, superficial, an…

Procedures – Orthopaedics · Backslab vs circumferential cast – acute fracture immobilisation principles ★ HY difficulty 3/5

Ama, a 52-year-old teacher, is brought to the plaster room at Tamale Teaching Hospital after sustaining a Colles-type fracture of the right wrist following a fall on an outstretched hand. The fracture…

Psychiatric Emergencies · Deliberate self-harm - medical stabilisation before psychiatric referral ★ HY difficulty 2/5

Akua, a 28-year-old woman, is brought to the A&E at Komfo Anokye Teaching Hospital by her sister after ingesting an unknown quantity of paracetamol tablets approximately 3 hours ago following an argum…

Psychiatric Emergencies · Suicide risk stratification and ED disposition ★ HY difficulty 3/5

Kwame, a 52-year-old farmer, presents to the district hospital A&E in the Brong-Ahafo region brought by police after he was found standing on a bridge stating he wanted to jump. He has a history of al…

Psychiatric Emergencies · Deliberate self-harm - medical stabilisation before psychiatric referral ★ HY difficulty 3/5

Akua, a 34-year-old teacher, is brought to the A&E at Komfo Anokye Teaching Hospital by her husband after he found her drowsy at home with an empty blister pack of paracetamol tablets nearby. She repo…

Psychiatric Emergencies · Suicide risk assessment and medical priority in self-poisoning ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the Korle Bu emergency centre by her sister after disclosing she has been thinking about killing herself. She took 20 tablets of paracetamol two hours ago. V…

Psychiatric Emergencies · Depot antipsychotic complications - NMS recognition and management ★ HY difficulty 4/5

Ama, a 78-year-old retired civil servant, is brought to the A&E at Korle Bu Teaching Hospital by her daughter. She has become acutely confused, aggressive, and is shouting and attempting to climb out …

Psychiatric Emergencies · Acute psychosis — first-line management ★ HY difficulty 3/5

A 22-year-old university student, Ama, is brought to the Komfo Anokye ED by her roommates. She has been awake for four days, speaking rapidly about receiving divine messages, and spent all her money i…

Psychiatric Emergencies · Deliberate self-harm - psychosocial assessment and disposition ★ HY difficulty 2/5

Ama, a 19-year-old student, presents to the A&E at Korle Bu Teaching Hospital with multiple superficial lacerations to both forearms, which she inflicted herself with a razor blade 2 hours ago. The wo…

Psychiatric Emergencies · Agitated patient sedation - stepped pharmacological approach ★ HY difficulty 3/5

Kwame, a 45-year-old man with a known history of schizophrenia, is brought to the district hospital A&E by police after being found wandering on the Accra-Kumasi highway at night, stating he wants to …

Psychiatric Emergencies · Suicide risk assessment and ED disposition ★ HY difficulty 3/5

A 35-year-old man, Kofi, is brought to a regional hospital A&E in Ashanti by police after being found on a bridge stating he intended to jump. He has no physical injuries. He denies suicidal intent no…

Psychiatric Emergencies · Chemical restraint - rapid tranquillisation ★ HY difficulty 3/5

A 35-year-old man, Yaw, is brought to Korle Bu emergency centre by security staff after becoming violently agitated in the waiting area. He is shouting, throwing objects, and has punched a nurse. He c…

Psychiatric Emergencies · Depot antipsychotic side effects - NMS recognition and management ★ HY difficulty 3/5

Yaw, a 52-year-old man with a 20-year history of schizophrenia managed on depot fluphenazine decanoate, is brought to the regional hospital A&E in Tamale by his family. Over the past 48 hours he has d…

Psychiatric Emergencies · Chemical restraint — first-line regimen ★ HY difficulty 2/5

A 30-year-old man, Yaw, is brought to the Korle Bu emergency centre by police after assaulting a family member. He is acutely agitated, shouting incoherently, and has attempted to bite a nurse. Verbal…

Psychiatric Emergencies · Suicide risk assessment ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after he was found standing on a rooftop saying he wanted to 'end everything.' He is now calm and cooperative. He has no prior …

Psychiatric Emergencies · Acute psychosis - organic exclusion ★ HY difficulty 3/5

A 22-year-old woman, Afia, is brought to a regional hospital A&E in Northern Ghana by police after she was found running in traffic, shouting incoherently, and undressing in public. She is agitated an…

Pulmonary Embolism · Massive PE thrombolysis ★ HY difficulty 3/5

A 47-year-old woman is referred from a district hospital in the Northern Region to Tamale Teaching Hospital ED in haemodynamic collapse. She was admitted 3 days ago post-elective hysterectomy for fibr…

Pulmonary Embolism · Management in resource-limited settings ★ HY difficulty 3/5

Mohammed, a 28-year-old male footballer, is seen at a district hospital in the Brong-Ahafo region with a 3-day history of right calf swelling and mild breathlessness that started after a long road tri…

Pulmonary Embolism · Wells score and pretest probability ★ HY difficulty 3/5

Akosua, a 34-year-old woman, presents to the Komfo Anokye ED with a 2-day history of left-sided pleuritic chest pain and mild dyspnoea. She delivered her second child 6 weeks ago and has been taking c…

Pulmonary Medicine / Cardiology · Massive PE definition and thrombolysis ★ HY difficulty 3/5

A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family after collapsing at home. He had complained of sudden-onset breathlessness and right-sided chest discomfort for two …

Pulmonary Medicine / Respiratory Emergencies · Massive PE Thrombolysis in Resource-Limited Setting ★ HY difficulty 4/5

Yaw, a 58-year-old retired civil servant with known hypertension and type 2 diabetes, is brought to Korle Bu Emergency Centre by his family in a state of severe respiratory distress. He had sudden-ons…

Pulmonary Medicine / Respiratory Emergencies · Anticoagulation Choice in Cancer-Associated PE ★ HY difficulty 4/5

Adwoa, a 67-year-old woman with known breast cancer on chemotherapy, is reviewed in the Komfo Anokye Teaching Hospital emergency department after presenting with progressive left leg swelling and shor…

Pulmonary Medicine / Vascular · Massive PE - systemic thrombolysis indications and pharmacology ★ HY difficulty 4/5

Kwabena, a 58-year-old man with a history of hypertension and type 2 diabetes mellitus, is brought by relatives to the Korle Bu emergency centre after collapsing at home. He was found unresponsive for…