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635 matches for “Ghana” — showing 91–120
Cardiopulmonary and cerebral resuscitation · Shockable vs non-shockable rhythm recognition — ventricular fibrillation ★ HY difficulty 1/5

A 58-year-old man named Kwame collapses in the waiting area of a regional hospital A&E in Kumasi. He is unresponsive, not breathing, and has no palpable pulse. The resuscitation team arrives within on…

Cardiopulmonary and cerebral resuscitation · Amiodarone 300 mg after third shock in refractory VF ★ HY difficulty 2/5

A 55-year-old man named Kofi is in cardiac arrest in the resus bay at Korle Bu emergency centre. He has been in ventricular fibrillation. Three defibrillation shocks have been delivered and CPR has co…

Chest pain · STEMI immediate management ★ HY difficulty 2/5

Mensah, a 62-year-old man with known hypertension and type 2 diabetes, is brought to Korle Bu emergency centre with 30 minutes of severe central chest pressure radiating to his right arm. He is sweati…

Chest pain · STEMI classical presentation ★ HY difficulty 1/5

Kwame, a 58-year-old male trader, presents to Komfo Anokye ED with a 40-minute history of severe crushing central chest pain radiating to his left arm and jaw. He is sweating profusely and has vomited…

Chest pain · STEMI classical presentation ★ HY difficulty 2/5

Kwame, a 58-year-old male teacher, presents to the Komfo Anokye ED with a 45-minute history of severe crushing chest pain radiating to his left arm and jaw. He is diaphoretic and nauseated, with a blo…

Chest pain · STEMI classical presentation ★ HY difficulty 1/5

Kwame, a 58-year-old farmer, presents to the regional hospital A&E in Kumasi with a 40-minute history of severe crushing central chest pain radiating to his left arm and jaw. He is diaphoretic and nau…

Chest pain · STEMI classical presentation ★ HY difficulty 1/5

Kwame, a 58-year-old man, presents to the regional hospital A&E in Kumasi with a 45-minute history of severe crushing central chest pain radiating to his left arm and jaw. He is diaphoretic and nausea…

Constipation — emergency considerations · Red flags for colorectal malignancy in constipation ★ HY difficulty 2/5

A 65-year-old woman, Yaa, presents to the Komfo Anokye ED with a 6-week history of progressive constipation, unintentional weight loss of 6 kg, and one episode of rectal bleeding. She has no previous …

Constipation — emergency considerations · Hirschsprung disease - neonatal presentation ★ HY difficulty 2/5

A 3-week-old male infant, Joseph, is brought to the district hospital A&E in Brong-Ahafo. His mother reports he has never passed stool normally since birth and is now vomiting green fluid. On examinat…

Constipation — emergency considerations · Mechanical bowel obstruction - recognition and immediate management ★ HY difficulty 2/5

A 58-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 3-day history of absolute constipation — no flatus and no stool. He has central colicky abdominal pain and has vomited …

Constipation — emergency considerations · Faecal impaction in the elderly - classical presentation ★ HY difficulty 1/5

A 72-year-old woman, Akua, is brought to the district hospital A&E in Ashanti Region by her daughter. She has not passed stool for 10 days and complains of lower abdominal discomfort and bloating. On …

Crying and irritability in children · Non-accidental injury — recognition and safeguarding ★ HY difficulty 2/5

A 2-year-old boy named Kofi is brought to the Tamale Teaching Hospital A&E by his mother. She says he fell off the bed two days ago and has been crying whenever his right arm is moved. On examination …

Crying and irritability in children · Intussusception — classical recognition and immediate management ★ HY difficulty 2/5

A 9-month-old girl, Ama, is brought to Komfo Anokye ED by her father. He reports she has been crying intermittently for 6 hours, drawing her legs up to her abdomen during each episode, and has vomited…

Crying and irritability in children · Must-not-miss causes — non-accidental injury ★ HY difficulty 3/5

A 9-month-old boy named Mohammed is brought to a district hospital A&E by his aunt. She says he fell off the bed two days ago. He has been crying and not using his right arm since then. On examination…

Crying and irritability in children · Raised ICP infant signs and septic baby presentation ★ HY difficulty 3/5

Ama, a 3-month-old girl, is brought to a district hospital in Brong-Ahafo by her grandmother. She has been crying since yesterday and is 'not herself'. Examination reveals T 38.9°C, HR 192 bpm, RR 62/…

Dental emergencies · Dental avulsion management and storage medium ★ HY difficulty 2/5

A 10-year-old boy, Yaw, is brought to a regional hospital A&E in the Ashanti region by his mother after falling from a bicycle 45 minutes ago. His upper left central incisor has been completely knocke…

Dental emergencies · Dental avulsion management ★ HY difficulty 2/5

Yaw, a 10-year-old boy, is brought to a regional hospital A&E by his mother after falling off his bicycle. His upper right central incisor has been completely knocked out. The tooth is brought in wrap…

Dental emergencies · Dental avulsion — reimplantation and storage ★ HY difficulty 2/5

Kofi, a 10-year-old boy, is brought to a regional hospital A&E by his mother after falling from a bicycle 45 minutes ago. His upper left central incisor has been completely knocked out. The tooth is c…

Diabetes-related emergencies · Hypoglycaemia recognition ★ HY difficulty 1/5

Akua, a 34-year-old known type 1 diabetic, is brought to the district hospital A&E in Ashanti Region by her husband. She is confused and sweating profusely, and her husband reports she skipped a meal …

Diarrhoea — acute · Antibiotic indication in invasive bacterial dysentery ★ HY difficulty 2/5

Ama, a 28-year-old woman, presents to the Komfo Anokye ED with 3 days of frequent bloody diarrhoea, lower abdominal cramps, and fever of 38.8 °C. She returned from a rural farming community in the Upp…

Dizziness and vertigo · Central vertigo — cerebellar stroke recognition and urgent imaging ★ HY difficulty 2/5

Yaa, a 61-year-old hypertensive woman, is brought to the Komfo Anokye ED with sudden-onset severe vertigo, vomiting, and inability to walk. Her blood pressure is 178/104 mmHg. Examination reveals prom…

Dizziness and vertigo · Central vertigo - anticoagulated patient, urgent imaging ★ HY difficulty 2/5

Kwame, a 67-year-old diabetic man with atrial fibrillation, is brought to the Komfo Anokye ED with acute onset of severe vertigo, nausea, and vomiting that began 90 minutes ago. He is on warfarin but …

ECG basics · Monomorphic VT with a pulse (synchronised cardioversion if unstable) ★ HY difficulty 2/5

Akua, a 58-year-old woman with a history of ischaemic heart disease, is brought to the regional hospital A&E complaining of palpitations and dizziness. Her blood pressure is 80/50 mmHg and she is diap…

ECG basics · AF with rapid ventricular response ★ HY difficulty 2/5

Adwoa, a 72-year-old woman with known hypertension, presents to the Komfo Anokye ED with palpitations and breathlessness. Her blood pressure is 105/70 mmHg. The ECG shows an irregularly irregular rhyt…

ECG basics · Complete heart block (AV dissociation, ventricular escape) ★ HY difficulty 2/5

Mohammed, a 68-year-old man with hypertension, is brought to the Komfo Anokye ED with syncope and progressive exertional dyspnoea. His pulse is 38 beats per minute and regular. The ECG shows P waves o…

ECG basics · VF and pulseless VT (shockable rhythms) ★ HY difficulty 1/5

A 60-year-old man, Yaw, collapses in the waiting area of the Korle Bu emergency centre. He is unresponsive, has no palpable pulse, and is not breathing. The cardiac monitor shows a chaotic, high-ampli…

ENT emergencies · Peritonsillar abscess (quinsy) - classical recognition ★ HY difficulty 1/5

A 28-year-old woman named Adwoa presents to a district hospital A&E with a 3-day history of worsening sore throat, difficulty opening her mouth, and drooling. She has a muffled 'hot potato' voice. On …

ENT emergencies · Button battery oesophageal foreign body - emergency management ★ HY difficulty 2/5

A 4-year-old girl named Akosua is brought to a district hospital in Volta Region after her mother found her playing with a coin-sized silver disc battery from a wall clock. The child is drooling and g…

Emergency medical services and pre-hospital care · Communication with receiving ED – STEMI pre-notification ★ HY difficulty 2/5

A pre-hospital crew is transporting a 60-year-old man, Mensah, with crushing central chest pain and diaphoresis to Komfo Anokye Teaching Hospital. The crew has performed a 12-lead ECG showing ST eleva…

Emergency medical services and pre-hospital care · Scene safety ★ HY difficulty 1/5

A driver is found unresponsive at the roadside following a road traffic collision on the Accra–Kumasi highway. A passerby calls for help and a district hospital ambulance team arrives on scene. Broken…