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2131 matches for “Ghana” — showing 901–930
Pulmonary Medicine / Vascular · PE - risk stratification and anticoagulation strategy ★ HY difficulty 3/5

Adwoa, a 34-year-old woman, presents to the regional hospital A&E in Kumasi with a 3-day history of progressive dyspnoea and right-sided pleuritic chest pain. She delivered her first child 10 days ago…

Pulmonology / Vascular · Rescue therapy after failed systemic thrombolysis ★ HY difficulty 4/5

Ama, a 55-year-old woman, is admitted to the Komfo Anokye Teaching Hospital emergency centre after being referred from a district hospital in Brong-Ahafo. She received 5000 units IV heparin at the dis…

Renal · Rhabdomyolysis - AKI prevention and management ★ HY difficulty 3/5

Kofi, a 28-year-old male soldier, is brought to Tamale Teaching Hospital A&E after collapsing during a prolonged military exercise in intense heat. He reports severe muscle pain and weakness in his th…

Renal · Emergent RRT indications - AEIOU mnemonic ★ HY difficulty 3/5

Mohammed, a 45-year-old man with no known past medical history, is brought to a regional hospital A&E in the Northern Region after being found confused at home. His family reports he has had reduced u…

Renal · KDIGO staging - intrinsic AKI classification ★ HY difficulty 3/5

Akua, a 34-year-old woman with known HIV on antiretroviral therapy, presents to Komfo Anokye ED with two days of fever, rigors, and flank pain. She is found to have a temperature of 39.1°C, BP 110/70 …

Renal Emergencies · Drug-induced AKI and hyperkalaemia management ★ HY difficulty 4/5

Yaw, a 52-year-old man with type 2 diabetes and hypertension, is brought to Korle Bu emergency centre after three days of fever and reduced urine output. He has been taking ibuprofen 400 mg three time…

Renal Emergencies · Crush syndrome and myoglobinuria ★ HY difficulty 2/5

Kofi, a 34-year-old man, is brought to Komfo Anokye ED after being trapped under a collapsed building for six hours following a structural failure. He is conscious. Vitals: BP 100/70 mmHg, HR 110 bpm,…

Renal Emergencies · Crush syndrome fluid management ★ HY difficulty 3/5

Akosua, a 29-year-old woman, is brought to the district hospital A&E in Brong-Ahafo after being rescued from a building collapse. She was trapped for approximately eight hours. Vitals: BP 95/65 mmHg, …

Renal Emergencies · Pre-renal AKI and fluid resuscitation ★ HY difficulty 2/5

A 58-year-old man is brought to the regional hospital A&E after three days of vomiting and diarrhoea. He is oliguric. Vitals: BP 88/60 mmHg, HR 118 bpm, RR 18/min, Temp 37.2°C. Urine dipstick shows no…

Renal and Genitourinary · AKI - rhabdomyolysis mechanism and alkalinisation ★ HY difficulty 3/5

A 34-year-old man, Kwabena, is brought to the regional hospital A&E in Kumasi after being found unconscious following a building collapse at a construction site in Ashanti Region. He was trapped under…

Renal and Genitourinary · AKI - indications for emergent renal replacement therapy (AEIOU) ★ HY difficulty 4/5

A 52-year-old man, Mensah, with poorly controlled hypertension and no prior renal history, is referred from a district hospital in Northern Region to Tamale Teaching Hospital with a 5-day history of p…

Respiratory / Vascular · PE - massive PE classification and thrombolysis ★ HY difficulty 3/5

Kofi, a 72-year-old retired civil servant, presents to Korle Bu emergency centre with acute onset dyspnoea and near-syncope. He has no prior history of venous thromboembolism and is not on anticoagula…

Respiratory / Vascular · PE - Wells score and pre-test probability ★ HY difficulty 2/5

Adwoa, a 38-year-old teacher, presents to the regional hospital A&E in Kumasi with a 3-day history of progressive dyspnoea and right-sided pleuritic chest pain. She underwent an uncomplicated laparosc…

Respiratory / Vascular · Dead-space physiology in massive PE ★ HY difficulty 4/5

A 45-year-old woman, Ama, presents to the Komfo Anokye ED with sudden-onset chest pain and breathlessness that started 4 hours ago. She returned from Accra by overnight bus 3 days prior. She is on com…

Respiratory / Vascular · PE - sub-massive PE classification and district hospital management ★ HY difficulty 3/5

Ama, a 58-year-old market trader with known hypertension, is brought to a district hospital A&E in the Volta Region with 2 days of progressive dyspnoea and mild chest discomfort. She is haemodynamical…

Respiratory Emergencies · PERC Rule ★ HY difficulty 2/5

A 28-year-old man, Kwesi, presents to a district hospital A&E in Brong-Ahafo with two days of mild dyspnoea and chest tightness. He has no past medical history, takes no medications, and has not trave…

Respiratory Emergencies · CURB-65 severity scoring ★ HY difficulty 2/5

Akosua, a 68-year-old woman with type 2 diabetes, presents to the regional hospital ED in Kumasi with a 3-day history of productive cough, fever, and confusion. Her daughter says she has been unable t…

Respiratory Emergencies · Severe asthma - IV magnesium sulphate ★ HY difficulty 3/5

Kofi, a 45-year-old man with a 10-year history of severe asthma, presents to the Korle Bu emergency centre after 4 hours of progressive wheeze and dyspnoea unresponsive to his home salbutamol inhaler.…

Respiratory Emergencies · Corticosteroid dosing in COPD exacerbation ★ HY difficulty 2/5

A 61-year-old woman, Afia, with known COPD is brought to the A&E of a district hospital in Northern Region with increasing breathlessness over 48 hours. Vitals: RR 26/min, SpO2 86% on room air, HR 104…

Respiratory Emergencies · Foreign body aspiration — diagnostic pitfall vs asthma ★ HY difficulty 4/5

A 4-year-old boy named Kofi is brought to Komfo Anokye ED. His mother reports that he had a choking episode while eating groundnuts four weeks ago, and since then has had a persistent cough that has n…

Respiratory Emergencies · COPD exacerbation — controlled oxygen ★ HY difficulty 2/5

A 68-year-old man, Kwame, is brought to the emergency department of a regional hospital in the Ashanti Region by his family. He has a 20-year smoking history and known COPD on salbutamol and ipratropi…

Respiratory Emergencies · Age-Adjusted D-Dimer ★ HY difficulty 3/5

A 74-year-old woman, Adwoa, is referred from a peripheral clinic to the Komfo Anokye ED with a two-week history of progressive exertional dyspnoea. She had a total knee replacement six weeks ago. Vita…

Respiratory Emergencies · Corticosteroid dosing in COPD exacerbation ★ HY difficulty 2/5

Adwoa, a 58-year-old woman with COPD, presents to a district hospital in Brong-Ahafo with a 4-day history of worsening breathlessness and increased cough. She is alert with RR 22/min, SpO2 88% on air,…

Respiratory Emergencies · COPD — antibiotic indications ★ HY difficulty 3/5

Akosua, a 66-year-old woman with COPD and cor pulmonale, is referred from a district hospital in Brong-Ahafo to the regional hospital ED. She has had 3 days of worsening dyspnoea and increased sputum …

Respiratory Emergencies · NIV indications in COPD ★ HY difficulty 3/5

A 68-year-old man with known COPD is brought to the A&E at Komfo Anokye Teaching Hospital by relatives with worsening breathlessness over 3 days. He is alert and cooperative. Observations: RR 28/min, …

Respiratory Emergencies · COPD exacerbation — bronchodilators ★ HY difficulty 2/5

Yaw, a 65-year-old retired miner, presents to Korle Bu Emergency Centre with a 5-day history of increasing cough, wheeze, and dyspnoea. He has known COPD (on tiotropium and salbutamol) and hypertensio…

Respiratory Emergencies · Magnesium sulphate in asthma ★ HY difficulty 2/5

Kofi, a 19-year-old male student, presents to a regional hospital A&E in Brong-Ahafo with an acute asthma attack. Despite 60 minutes of continuous salbutamol nebulisation, ipratropium, and IV hydrocor…

Respiratory Emergencies · Magnesium sulphate in acute severe asthma ★ HY difficulty 3/5

Kofi, a 35-year-old man with a 10-year history of asthma, is brought to Komfo Anokye ED by family with severe breathlessness for 3 hours. He has received three back-to-back salbutamol nebulisations (2…

Respiratory Emergencies · Type 1 vs Type 2 respiratory failure - shunt physiology ★ HY difficulty 3/5

A 58-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives with a 3-day history of progressive dyspnoea, productive cough, and fever. He has no prior lung disease and takes no regular me…

Respiratory Emergencies · NIV indications in COPD exacerbation ★ HY difficulty 3/5

A 68-year-old man, Kofi, is brought to the regional hospital A&E in Kumasi by his son with a 3-day history of worsening breathlessness and productive cough. He has known COPD. Vitals: RR 28/min, SpO2 …