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3996 matches for “Ghana” — showing 961–990
Gastroenterology · Cerebral oedema in acute liver failure ★ HY difficulty 3/5

Yaw, a 55-year-old man with no known medical history, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 6-day history of jaundice following ingestion of wi…

Gastroenterology · Gallstone vs alcohol aetiology in acute pancreatitis ★ HY difficulty 4/5

A 60-year-old man is referred from a district hospital in the Ashanti region to the Komfo Anokye ED with a 36-hour history of epigastric pain, vomiting, and jaundice. He has no history of alcohol use.…

Gastroenterology · BISAP vs Ranson severity scoring ★ HY difficulty 3/5

A 55-year-old man, Yaw, is brought to the Korle Bu emergency centre from a district hospital in the Brong-Ahafo Region with a 2-day history of acute pancreatitis. He is known to drink heavily. At pres…

Gastroenterology · Upper GI Bleeding - Rockall Score ★ HY difficulty 3/5

A 67-year-old woman, Adwoa, is brought to Korle Bu emergency centre by her daughter after two episodes of coffee-ground vomiting and melaena over 24 hours. She has a history of ischaemic heart disease…

Gastroenterology · Fluid resuscitation in acute pancreatitis ★ HY difficulty 2/5

A 47-year-old man, Kwesi, is admitted to the Tamale Teaching Hospital ED with moderate acute pancreatitis. He was diagnosed 6 hours ago. His vital signs on arrival were: temperature 38.2°C, pulse 112 …

Gastroenterology · Endoscopy timing in upper GI bleeding ★ HY difficulty 3/5

Mohammed, a 58-year-old man with known liver cirrhosis, is admitted to Korle Bu emergency centre with haematemesis. He is resuscitated and given terlipressin and IV ceftriaxone. He is haemodynamically…

Gastroenterology · Acute pancreatitis - initial resuscitation ★ HY difficulty 2/5

A 52-year-old man, Kwame, is brought to Komfo Anokye ED by relatives with a 12-hour history of severe epigastric pain radiating to the back, nausea, and vomiting. He drinks heavily. Vitals: BP 98/60 m…

Gastroenterology · Acute pancreatitis - Glasgow severity score ★ HY difficulty 3/5

A 47-year-old woman, Afia, presents to a regional hospital A&E with acute pancreatitis confirmed by raised amylase and epigastric tenderness. She is assessed at admission: WBC 16 × 10⁹/L, blood glucos…

Gastroenterology · Variceal Bleeding - Antibiotic Prophylaxis ★ HY difficulty 2/5

A 52-year-old man, Mensah, with liver cirrhosis and known oesophageal varices is admitted to Korle Bu emergency centre with acute variceal haemorrhage. He is stabilised with terlipressin and blood tra…

Genitourinary and Renal-Tract Emergencies · Testicular torsion - immediate management and theatre referral ★ HY difficulty 2/5

A 16-year-old boy, Kwame, is brought to the A&E at Komfo Anokye Teaching Hospital by his father at 02:00 with sudden-onset severe right scrotal pain that woke him from sleep 3 hours ago. On examinatio…

Genitourinary and Renal-Tract Emergencies · Ischaemic priapism - sickle cell association and emergency management ★ HY difficulty 3/5

A 19-year-old man with known sickle cell disease (HbSS), Yaw, presents to Korle Bu Teaching Hospital A&E with a painful erection that has been present for 6 hours. He has had no trauma. On examination…

Genitourinary and Renal-Tract Emergencies · Ischaemic priapism - aspiration and intracavernosal phenylephrine ★ HY difficulty 4/5

Kwabena, a 28-year-old man with known sickle cell disease (HbSS), presents to the A&E at Korle Bu Teaching Hospital with a painful erection lasting 5 hours. He has had no trauma. Examination reveals a…

Genitourinary and Renal-Tract Emergencies · Acute pyelonephritis — outpatient oral therapy; nitrofurantoin unsuitable ★ HY difficulty 3/5

Adwoa, a 30-year-old non-pregnant woman, presents with fever, rigors and right loin pain for 1 day. After 1 L of fluid, IV ceftriaxone and paracetamol in the emergency department, she is comfortable, …

Genitourinary and Renal-Tract Emergencies · Ureteric stones - admission criteria and disposition ★ HY difficulty 3/5

A 38-year-old woman, Ama, presents to Korle Bu Teaching Hospital A&E with severe right loin-to-groin pain of sudden onset 3 hours ago, associated with vomiting. She is afebrile (36.8°C), HR 104 bpm, B…

Genitourinary and Renal-Tract Emergencies · Testicular torsion - immediate management and theatre threshold ★ HY difficulty 3/5

Kofi, a 16-year-old student, is brought to the A&E at Komfo Anokye Teaching Hospital by his father at 02:00 with a 3-hour history of sudden-onset severe right scrotal pain and vomiting. Examination re…

Geriatric Emergency Medicine · STRATIFY fall risk scoring ★ HY difficulty 2/5

Maame Akua, a 78-year-old woman, is brought to the district hospital in Brong-Ahafo by her son after she slipped on the wet floor of her bathroom and fell. She has no loss of consciousness, no chest p…

Geriatric Emergency Medicine · CPR outcomes and frailty ★ HY difficulty 3/5

A 72-year-old man, Kwesi, is admitted to the regional hospital ED in the Northern Region following an out-of-hospital cardiac arrest witnessed by his wife. Bystander CPR was initiated immediately, and…

Geriatric Emergency Medicine · 4AT scoring tool ★ HY difficulty 3/5

A 72-year-old man, Mohammed, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a one-week history of progressive confusion. His family says he was 'always a …

Geriatric Emergency Medicine · Cardiac syncope vs mechanical fall distinction ★ HY difficulty 3/5

A 74-year-old woman named Adwoa Mensah is seen in the emergency centre at Korle Bu after a fall whilst walking to the market. She denies any warning symptoms. Her daughter, who witnessed the event, sa…

Geriatric Emergency Medicine · Physical abuse red flags ★ HY difficulty 3/5

An 82-year-old woman, Adwoa, is brought to the emergency centre at Korle Bu by her adult son after a fall at home. She has a laceration over the right eyebrow and bruising over both forearms. Her son …

Geriatric Emergency Medicine · Polypharmacy - Beers criteria and anticholinergic delirium ★ HY difficulty 3/5

A 74-year-old woman, Akua, presents to Korle Bu emergency centre with a 2-day history of increased confusion, reduced appetite, and one episode of urinary incontinence. Her daughter reports she was in…

Geriatric Emergency Medicine · Sexual abuse and mandatory reporting ★ HY difficulty 3/5

A 73-year-old woman, Abena, is brought to the emergency centre of a district hospital in the Brong-Ahafo Region by her granddaughter. She presents with a three-week history of vaginal bleeding and per…

Geriatric Emergency Medicine · Ceiling-of-treatment documentation ★ HY difficulty 3/5

A 83-year-old retired teacher, Joseph, is brought to the Korle Bu emergency centre in Accra from a nursing home after developing fever and confusion. He has a known history of Parkinson's disease, chr…

Geriatric Emergency Medicine · Frailty as prognostic indicator superior to age ★ HY difficulty 3/5

A 69-year-old woman, Afia, and an 82-year-old man, Mr Asante, are simultaneously assessed in the Komfo Anokye ED following separate falls. Afia has no chronic illness, lives independently, walks 5 km …

Geriatric Emergency Medicine · Anticoagulation reversal in fall-related head injury ★ HY difficulty 3/5

Mohammed Alhassan, a 79-year-old man from Tamale, is referred from a district hospital to the regional hospital ED after a fall at home. He takes warfarin 5 mg daily for AF. On arrival, his GCS is 13 …

Geriatric Emergency Medicine · Capacity assessment and self-neglect management ★ HY difficulty 4/5

A 65-year-old man, Joseph, is seen at a regional hospital emergency department in the Volta Region. He was brought by a community health nurse who found him at home following a visit triggered by a ne…

Geriatric Emergency Medicine · Anticholinergic burden and Beers Criteria — first-generation antihistamines ★ HY difficulty 2/5

Alhaji Mohammed Issah, a 74-year-old retired teacher with type 2 diabetes and hypertension, is seen at a district hospital in the Northern Region after his family noticed he had become increasingly co…

Geriatric Emergency Medicine · Beers Criteria — anticholinergic burden in elderly ★ HY difficulty 3/5

Maame Akua, a 78-year-old woman with type 2 diabetes, hypertension, and osteoarthritis, is brought to the Komfo Anokye ED by her daughter after a witnessed fall at home. Her medications include gliben…

Geriatric Emergency Medicine · Self-neglect and capacity assessment ★ HY difficulty 4/5

Kofi is a 78-year-old retired teacher brought to the emergency department of a regional hospital in the Ashanti Region by neighbours who became concerned after not seeing him for several days. He live…

Geriatric Emergency Medicine · Confusion Assessment Method (CAM) criteria ★ HY difficulty 2/5

Abena, a 78-year-old woman with known hypertension, is brought to the regional hospital ED by her daughter who reports that her mother 'has not been herself' for the past two days. The daughter notes …