Afia, a 55-year-old woman with no known medical history, presents to a district hospital in the Bono Region with severe neck swelling, inability to open her mouth fully, a muffled voice, and difficult…
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A 19-year-old man, Mohammed, is brought by family to the district hospital emergency room in the Northern Region during the dry harmattan season. He has had fever, severe headache, and neck stiffness …
A 55-year-old woman, Akosua, presents to a regional hospital A&E with 6 hours of fever and worsening headache. GCS is 15. Vitals: HR 100, BP 128/78 mmHg, Temp 38.9°C. She has neck stiffness and a posi…
A 28-year-old man, Kwame, is brought by relatives to the Komfo Anokye ED with a 12-hour history of fever, severe headache, and neck stiffness. He is confused (GCS 13). Vitals: HR 118, BP 94/60 mmHg, R…
A 19-year-old student, Yaw, presents to Korle Bu emergency centre with a 3-day history of fever, behavioural change, and two witnessed generalised seizures. His GCS is 11/15. Vitals: temp 38.6°C, HR 1…
A 19-year-old man, Mohammed, is brought by family to a district hospital in the Northern Region during the dry season (February). He has had fever, severe headache, and neck stiffness for 18 hours. He…
A 6-year-old boy, Kofi, is brought to a district hospital in the Upper East Region with a 6-hour history of fever, neck stiffness, and vomiting. He is alert but irritable. Vitals: temp 39.1°C, HR 136 …
A 34-year-old HIV-positive man, Kofi, is brought to Korle Bu emergency centre with 3 days of fever, confusion, and behavioural change. GCS is 11. Vitals: HR 110, BP 106/70 mmHg, Temp 38.6°C. CT head s…
A 52-year-old man is referred to a regional hospital ED from a peripheral clinic with a 6-day history of headache, night sweats, and low-grade fever. He has a background of type 2 diabetes on metformi…
A 65-year-old man, Kwame, is brought to a regional hospital A&E in Brong-Ahafo with 2 days of worsening headache and confusion. He has no focal neurological deficit, no papilloedema on fundoscopy, and…
A 45-year-old woman, Adwoa, presents to Korle Bu emergency centre with fever, severe headache, and confusion for 24 hours. GCS is 12. Vitals: HR 116, BP 110/72 mmHg, Temp 39.4°C. CT head is normal. Lu…
A 7-year-old boy, Kwesi, is brought to the Komfo Anokye paediatric emergency unit with 18 hours of fever, neck stiffness, and photophobia. GCS is 14. Vitals: HR 130, BP 96/58 mmHg, Temp 40.1°C, RR 28.…
A 28-year-old woman, Akosua, is brought to Komfo Anokye ED by relatives with a 12-hour history of severe headache, fever, and neck stiffness. She is drowsy but rousable. Vitals: temp 39.4°C, HR 118 bp…
Kofi, a 62-year-old man with hypertension and chronic kidney disease stage 3, is admitted to the Korle Bu emergency centre with suspected gram-negative bacteraemia following an infected diabetic foot …
A 58-year-old man, Kwame, is brought by relatives to the regional hospital A&E in Kumasi after three days of productive cough, fever, and worsening confusion. He has no known chronic illness and takes…
Akosua, a 34-year-old woman, is brought to the Komfo Anokye Teaching Hospital emergency department with a 6-hour history of rigors, right-sided flank pain, and dysuria. She is 28 weeks pregnant. Vital…
A 34-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to the regional A&E with a 24-hour history of high fever, rigors, and right flank pain. She is 28 weeks pregnant. On exam…
Ama, a 34-year-old woman, is brought to a district hospital in Brong-Ahafo by her family. She delivered a baby 48 hours ago at home and has developed high fever, rigors, and lower abdominal pain. On e…
Kofi is a 55-year-old man with type 2 diabetes who presents to a regional hospital emergency department in the Ashanti Region with a 2-day history of dysuria, right flank pain, and high-grade fever. H…
Aisha, a 45-year-old woman, presented to Korle Bu emergency centre 90 minutes ago with septic shock secondary to an infected diabetic foot ulcer. She has received 30 mL/kg of intravenous 0.9% normal s…
A 68-year-old man, Kwabena, presents to a district hospital A&E in the Upper East Region brought by relatives with a 3-day history of confusion, reduced oral intake, and one episode of vomiting. He ha…
Akua, a 45-year-old woman with type 2 diabetes, presents to a regional hospital A&E in the Ashanti Region with two days of dysuria, rigors, and right flank pain. She is febrile at 39.4°C, hypotensive …
A 58-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after three days of productive cough, fever, and progressive confusion. On arrival, he is disoriented, tachypnoeic at 28 breath…
A 67-year-old man is brought to the Korle Bu emergency centre by his family with a 1-day history of fever, rigors, and worsening shortness of breath. He had a laparotomy for perforated sigmoid colon 5…
A 6-year-old boy, Kwesi, is brought to a district hospital in the Northern Region with a 2-day history of fever and refusal to weight-bear on his right leg. T 38.9°C, HR 128 bpm, BP 96/60 mmHg. There …
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…
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 …
A 52-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives with a 2-day history of severe left leg pain and swelling. He is febrile (39.8°C), HR 118 bpm, BP 94/60 mmHg, RR 22/min, SpO2 9…
A 14-year-old girl, Adwoa, is brought to the district hospital emergency room in the Volta Region. Her parents report three weeks of progressive fever treated with paracetamol at home. Today she devel…
A 19-year-old male student, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital by his family. He has had two weeks of high-grade fever, headache, and abdominal discomfort trea…