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3996 matches for “Ghana” — showing 871–900
Fluid and Electrolyte Balance in the Surgical Patient · Fluid resuscitation in septic shock — typhoid perforation ★ HY difficulty 3/5

Ama, a 19-year-old female student, is brought to the district hospital surgical ward in the Northern Region with a 5-day history of fever, diffuse abdominal pain, and two episodes of melaena. She has …

Fluid and Electrolyte Balance in the Surgical Patient · Post-operative hyponatraemia ★ HY difficulty 3/5

A 52-year-old man, Yaw, is on day 3 following an elective Hartmann's procedure for perforated sigmoid diverticulitis at Korle Bu Teaching Hospital. He is afebrile and haemodynamically stable. His naso…

Fluid and Electrolyte Balance in the Surgical Patient · Postoperative dilutional hyponatraemia and SIADH ★ HY difficulty 4/5

A 47-year-old man, Kofi, is reviewed on the ICU at the University of Ghana Medical Centre (UGMC) on the third postoperative day following a right hemicolectomy for caecal carcinoma. He received 7.5 li…

Fluid and Electrolyte Balance in the Surgical Patient · Metabolic alkalosis from nasogastric drainage ★ HY difficulty 4/5

A 48-year-old woman, Akua, is reviewed on the third postoperative day following a Whipple's pancreaticoduodenectomy at Korle Bu Teaching Hospital for a periampullary carcinoma. She has a nasogastric t…

Fluid and Electrolyte Balance in the Surgical Patient · Haemorrhagic shock resuscitation ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the resus bay of Komfo Anokye Teaching Hospital by relatives after a road traffic accident on the Kumasi–Accra highway. He was a restrained front-seat passenger…

Fluid and Electrolyte Balance in the Surgical Patient · Burns fluid resuscitation — Parkland formula ★ HY difficulty 3/5

Yaa, a 7-year-old girl, is brought to the district hospital surgical ward in Brong-Ahafo by her mother with a 12-hour history of severe burns sustained when a kerosene lamp overturned. On examination,…

Fluid and Electrolyte Balance in the Surgical Patient · Typhoid perforation fluid management ★ HY difficulty 4/5

A 19-year-old man, Yaw, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital surgical unit with a 5-day history of fever, diffuse abdominal pain, and diarrhoea t…

Fluid and Electrolyte Balance in the Surgical Patient · Typhoid perforation — preoperative resuscitation ★ HY difficulty 3/5

A 22-year-old man, Yaw, is brought by relatives to the emergency department of a regional hospital in the Brong-Ahafo region with a 5-day history of fever, central abdominal pain, and two episodes of …

Fluid and Electrolyte Balance in the Surgical Patient · Post-operative septic shock and electrolyte disturbance ★ HY difficulty 4/5

A 34-year-old man, Kwame, is admitted to the surgical ward at Komfo Anokye Teaching Hospital following an emergency laparotomy for typhoid perforation performed 18 hours ago. He received 4 litres of H…

Fluid and Electrolyte Balance in the Surgical Patient · Sickle-cell peri-op fluid and transfusion management ★ HY difficulty 4/5

Adwoa, a 28-year-old woman with known sickle-cell disease (HbSS), is scheduled for elective laparoscopic cholecystectomy for symptomatic gallstones at the UGMC surgical firm. Pre-operative bloods show…

Fluid and Electrolyte Balance in the Surgical Patient · Postoperative hypokalaemia with ECG changes ★ HY difficulty 3/5

A 58-year-old woman, Akua, is reviewed on the surgical ward at Korle Bu Teaching Hospital on the second postoperative day following a Hartmann's procedure for perforated sigmoid diverticulitis. She re…

Fluid and Electrolyte Balance in the Surgical Patient · Hyperchloraemic metabolic acidosis from 0.9% saline ★ HY difficulty 3/5

A 48-year-old man, Yaw, is reviewed on the general surgical ward at a regional hospital in the Ashanti Region on post-operative day 3 following a Hartmann's procedure for perforated diverticulitis. He…

Fluid and Electrolyte Balance in the Surgical Patient · Sickle-cell perioperative fluid and haematological management ★ HY difficulty 4/5

A 19-year-old man, Kofi, with known sickle-cell disease (HbSS) is admitted to the general surgical unit at the University of Ghana Medical Centre (UGMC) with a 6-hour history of severe right iliac fos…

Fluid and Electrolyte Balance in the Surgical Patient · Hypokalaemic hypochloraemic metabolic alkalosis ★ HY difficulty 4/5

A 52-year-old woman, Akua, is on the general surgical ward at Korle Bu Teaching Hospital on the third postoperative day following a Hartmann's procedure for perforated sigmoid diverticulitis. She has …

Fluid and Electrolyte Balance in the Surgical Patient · Hypochloraemic metabolic alkalosis in gastric outlet obstruction ★ HY difficulty 4/5

A 45-year-old woman, Akua, presents to the Komfo Anokye emergency theatre with a 3-day history of persistent vomiting and inability to tolerate any oral intake. She has a background of peptic ulcer di…

Fluid and Electrolyte Balance in the Surgical Patient · Resuscitation in septic shock from typhoid perforation ★ HY difficulty 3/5

Kofi, a 19-year-old male student, is brought to the district hospital surgical unit in Brong-Ahafo by relatives with a three-day history of worsening abdominal pain, fever, and watery diarrhoea. He wa…

Fluid and Electrolyte Balance in the Surgical Patient · Fluid resuscitation in bowel obstruction ★ HY difficulty 3/5

A 45-year-old man, Kofi, is admitted to the surgical unit of a regional hospital in the Ashanti Region with a 4-day history of colicky central abdominal pain, vomiting, and absolute constipation. He h…

Fluid and Electrolyte Balance in the Surgical Patient · Hypovolaemic hyponatraemia and hypokalaemia ★ HY difficulty 4/5

A 62-year-old woman, Adwoa, with a known history of hypertension managed with hydrochlorothiazide is brought to the surgical emergency unit at Korle Bu after two days of profuse watery diarrhoea and v…

Fluid and Electrolyte Balance in the Surgical Patient · Perioperative fluid management in typhoid perforation ★ HY difficulty 4/5

A 19-year-old man, Yaw, is brought to a district hospital surgical unit in Brong-Ahafo region by relatives. He has a 5-day history of high fever, generalised abdominal pain, and two days of watery dia…

Fluid and Electrolyte Balance in the Surgical Patient · Resuscitation fluid choice in surgical sepsis ★ HY difficulty 3/5

A 34-year-old man, Kwame, is admitted to the Komfo Anokye emergency theatre with a 3-day history of generalised abdominal pain, vomiting, and fever. He was referred from a district hospital in Ashanti…

Fluid and Electrolyte Balance in the Surgical Patient · Acid-base disturbance from GI losses ★ HY difficulty 3/5

A 28-year-old woman, Ama, is referred from a district hospital in the Northern Region to the regional hospital surgical unit with a 5-day history of profuse watery diarrhoea and vomiting. She has been…

Fluid and Electrolyte Balance in the Surgical Patient · Postoperative oliguria and pre-renal AKI ★ HY difficulty 3/5

A 34-year-old man, Kwame, is admitted to the surgical ward at Komfo Anokye Teaching Hospital following a high-speed road traffic collision. He has sustained blunt abdominal trauma and is taken to thea…

Fluid and Electrolyte Balance in the Surgical Patient · Hypochloraemic metabolic alkalosis from vomiting ★ HY difficulty 3/5

Kwame, a 34-year-old male farmer, is admitted to a district hospital surgical ward in the Brong-Ahafo Region with a 5-day history of colicky central abdominal pain, absolute constipation, and bilious …

Fluid and Electrolyte Balance in the Surgical Patient · Post-operative oliguria management ★ HY difficulty 3/5

Ama, a 28-year-old primigravida at 32 weeks gestation, is referred from a district hospital in the Upper East Region to the regional hospital with a 48-hour history of severe abdominal pain, fever, an…

Fluid and Electrolyte Balance in the Surgical Patient · ERAS postoperative fluid management ★ HY difficulty 3/5

A 65-year-old woman, Adwoa, with known hypertension on amlodipine undergoes an elective right hemicolectomy for a caecal adenocarcinoma at the UGMC surgical unit. She is enrolled in the Enhanced Recov…

Fluid and Electrolyte Balance in the Surgical Patient · Postoperative fluid overload ★ HY difficulty 3/5

Ama, a 62-year-old woman with known hypertension on amlodipine, undergoes an elective sigmoid colectomy for diverticular disease at Komfo Anokye Teaching Hospital. Intraoperatively, she receives 3.5 l…

Fluid and Electrolyte Balance in the Surgical Patient · Fluid resuscitation in typhoid perforation with septic shock ★ HY difficulty 4/5

Kofi, a 28-year-old male, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 10-day history of fever, diarrhoea, and sudden severe generalised abdominal pai…

Fluid and Electrolyte Balance in the Surgical Patient · Sickle-cell peri-operative fluid and haematological management ★ HY difficulty 4/5

Ama, a 52-year-old woman with known sickle-cell disease (HbSS), presents to the regional hospital surgical unit in Tamale with a four-day history of right upper quadrant pain, fever (38.9°C), and jaun…

Gallstone Disease · Acute calculous cholecystitis ★ HY difficulty 3/5

A 42-year-old woman, Akua, presents to the Komfo Anokye emergency unit with a 6-hour history of severe right hypochondrial pain radiating to the right shoulder tip, associated with nausea and two epis…

Gallstone Disease · Acute cholecystitis — Tokyo Grade II management ★ HY difficulty 3/5

Abena, a 55-year-old woman with a history of type 2 diabetes mellitus on metformin, presents to the Korle Bu general surgical unit with a 48-hour history of right upper quadrant pain, fever (38.7°C), …