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2131 matches for “Ghana” — showing 991–1020
Sexual Assault, Forensic, and Safeguarding · Paediatric safeguarding - abusive head trauma recognition ★ HY difficulty 3/5

A 10-month-old girl, Esi, is brought to Tamale Teaching Hospital A&E by her father after a reported 'shaking episode'. On fundoscopy, the paediatric registrar identifies bilateral retinal haemorrhages…

Skin, Soft Tissue and Bone Infections · Necrotising fasciitis - LRINEC score and high-risk features ★ HY difficulty 4/5

A 67-year-old man presents to the Korle Bu emergency centre with a 3-day history of worsening right leg redness, swelling, and pain. He has type 2 diabetes poorly controlled on metformin. Vitals: HR 1…

Skin, Soft Tissue and Bone Infections · Septic arthritis - paediatric recognition and management ★ HY difficulty 3/5

A 9-year-old boy, Kofi, is brought to a district hospital in the Ashanti Region with a 4-day history of right knee swelling, pain, and refusal to weight-bear. He is febrile at 38.9°C, HR 118 bpm. The …

Thoracic Trauma · Massive haemothorax - operative criteria ★ HY difficulty 3/5

A 35-year-old woman, Akua, is brought to Korle Bu Emergency Centre after a motor vehicle crash. She was the driver and sustained significant anterior chest trauma from the steering wheel. Her blood pr…

Thoracic Trauma · Pericardial tamponade - Beck triad and mechanism ★ HY difficulty 2/5

A 52-year-old man, Mensah, is brought to a district hospital A&E in Brong-Ahafo following a pedestrian versus vehicle collision. He is confused and diaphoretic. His blood pressure is 80/60 mmHg and he…

Thoracic Trauma · Traumatic aortic injury - CT angiography diagnosis ★ HY difficulty 3/5

A 45-year-old man, Yaw, is brought to the A&E of a regional hospital in the Volta Region after a high-speed head-on collision. He was the driver and the airbag deployed. He complains of interscapular …

Thoracic Trauma · Tension pneumothorax - needle decompression site ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the A&E of a regional hospital in Ashanti after a high-speed road traffic collision. He was an unrestrained front-seat passenger. On arrival, he is agitated and…

Toxicology · Serotonin syndrome – diagnosis and cyproheptadine pharmacology ★ HY difficulty 4/5

Abena, a 28-year-old woman with a history of major depressive disorder, is brought to the Komfo Anokye ED in Kumasi after her family found her agitated and trembling at home. She was recently commence…

Toxicology · Paracetamol toxicity - fulminant hepatic failure transfer criteria (King's College) ★ HY difficulty 4/5

A 22-year-old woman, Yaa, is admitted to the Korle Bu emergency centre 36 hours after ingesting approximately 25 g of paracetamol in a deliberate overdose. She did not seek medical attention initially…

Toxicology · Paracetamol overdose - NAC mechanism and protocol ★ HY difficulty 3/5

A 28-year-old woman, Esi, presents to the Korle Bu emergency centre 18 hours after ingesting 25 paracetamol 500 mg tablets (12.5 g) in a deliberate self-harm attempt. She reports nausea and right uppe…

Toxicology · Cyanide mechanism of toxicity ★ HY difficulty 3/5

A 34-year-old male carpenter is brought to the Komfo Anokye ED after escaping a house fire in Kumasi. The building contained large quantities of foam furniture and synthetic carpeting. He is confused …

Toxicology · Polyvalent antivenom indications and resource-limited management ★ HY difficulty 4/5

A 55-year-old woman, Abena, is brought by family to a district hospital in the Brong-Ahafo Region after a snakebite to her left leg while farming, one hour ago. She is conscious. Vitals: BP 95/60 mmHg…

Toxicology · Serotonin syndrome - diagnosis and drug interaction ★ HY difficulty 3/5

A 28-year-old woman, Akua, is brought to a district hospital A&E in Brong-Ahafo after being found unresponsive. She was recently started on tramadol for back pain and sertraline for depression by a vi…

Toxicology · NMS vs serotonin syndrome - distinguishing features and treatment ★ HY difficulty 4/5

A 45-year-old man, Yaw, with a known diagnosis of schizophrenia is referred from a district hospital in Northern Ghana to Tamale Teaching Hospital. He has been on haloperidol for three weeks. Over the…

Toxicology · Opioid overdose and naloxone ★ HY difficulty 2/5

A 28-year-old man is brought to the Korle Bu emergency centre by friends who found him unresponsive. He has a GCS of 6, respiratory rate of 6 breaths/min, and pinpoint pupils. SpO2 is 78% on room air.…

Toxicology · Organophosphate poisoning - atropine titration ★ HY difficulty 3/5

A 34-year-old cocoa farm worker named Kwame is brought to a district hospital A&E in Brong-Ahafo by relatives after collapsing in the field. He is unconscious with profuse sweating, copious oral secre…

Toxicology · NMS — management and drug withdrawal ★ HY difficulty 3/5

Kwame, a 55-year-old man with schizophrenia, is brought to a regional hospital ED in Kumasi by his family 5 days after his haloperidol dose was doubled by a clinic doctor. He is minimally responsive, …

Toxicology · Staggered paracetamol overdose management ★ HY difficulty 3/5

Adwoa, a 28-year-old woman, presents to Komfo Anokye ED stating she has been taking 6-8 paracetamol tablets (500 mg each) every 4-6 hours over the past 3 days for severe toothache. She cannot recall t…

Toxicology · Opioid overdose naloxone dosing ★ HY difficulty 3/5

A 28-year-old man is brought to the Komfo Anokye ED by bystanders after being found unresponsive in a gutter near a known drug-use area in Kumasi. He has no identifiable documents. Vitals: BP 102/66 m…

Toxicology · Beta-blocker overdose - glucagon therapy ★ HY difficulty 3/5

Kwabena, a 62-year-old man with hypertension and ischaemic heart disease, is brought to the Tamale Teaching Hospital ED by his family after he was found unresponsive at home. His medications include a…

Toxicology · Ethylene glycol - metabolic pathway and organ toxicity ★ HY difficulty 3/5

A 28-year-old woman, Ama, presents to a regional hospital A&E in the Volta Region after ingesting an unknown quantity of antifreeze (ethylene glycol) approximately 4 hours ago in a suspected deliberat…

Toxicology · Methanol - mechanism of visual toxicity and acidosis ★ HY difficulty 3/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED by his brother after being found confused and complaining of blurred vision approximately 18 hours after drinking a locally brewed spirit at…

Toxicology · Salicylate urinary alkalinisation ★ HY difficulty 3/5

Fatima, a 32-year-old woman, presents to a regional hospital ED in Ashanti Region with headache, nausea, and hearing a ringing sound in both ears. She took aspirin for a severe headache over the past …

Toxicology · Paracetamol toxicity - Rumack-Matthew nomogram interpretation ★ HY difficulty 3/5

Akua, a 19-year-old university student, is brought to the Komfo Anokye ED by her roommate at 06:00 after being found with an empty blister pack of paracetamol tablets. She admits to taking approximate…

Toxicology · Organophosphate poisoning - atropine titration ★ HY difficulty 3/5

A 34-year-old farmer, Kwame, is brought to the district hospital A&E in Ashanti Region after collapsing in his cocoa farm. His relatives report he was spraying pesticides without protective equipment.…

Toxicology · Rumack-Matthew nomogram interpretation ★ HY difficulty 2/5

A 19-year-old woman, Akosua, is brought to Korle Bu emergency centre by her roommate after ingesting an unknown quantity of paracetamol tablets approximately 4 hours ago following an argument with her…

Toxicology · Paracetamol toxicity - Rumack-Matthew nomogram interpretation ★ HY difficulty 2/5

A 19-year-old woman, Akua, is brought to the Korle Bu emergency centre by her roommate after ingesting an unknown quantity of paracetamol tablets approximately 6 hours ago following a relationship dis…

Toxicology · Empirical NAC in resource-limited setting ★ HY difficulty 3/5

Mohammed, a 19-year-old student, is brought to the district hospital in the Northern Region after taking an unknown quantity of paracetamol tablets 10 hours ago following an argument. He is conscious,…

Toxicology · Beta-blocker overdose - glucagon and HIET ★ HY difficulty 4/5

A 55-year-old man, Kwabena, with known hypertension and ischaemic heart disease is brought to a regional hospital A&E in the Ashanti Region after his wife found him unresponsive. She reports he had ac…

Toxicology · Sympathomimetic toxidrome - benzodiazepines and cooling ★ HY difficulty 3/5

A 19-year-old man is brought to the Korle Bu emergency centre at 02:00 after collapsing at a nightclub. Bystanders say he had been 'taking something' and was dancing vigorously before the collapse. Vi…