Esi, a 72-year-old woman with type 2 diabetes, is brought to the Komfo Anokye ED after her family noticed she had been drowsy and drinking large amounts of water for 5 days. She takes glibenclamide on…
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Yaw, a 22-year-old type 1 diabetic, is brought to Komfo Anokye ED with vomiting, abdominal pain, and drowsiness. His blood pressure is 88/60 mmHg, heart rate is 118 bpm, respiratory rate is 32 breaths…
A 45-year-old woman named Abena presents to the district hospital in the Volta Region with a 3-day history of polyuria, polydipsia, and generalised weakness. She is known to have type 2 diabetes and t…
A 19-year-old woman, Fatima, presents to a district hospital A&E with two days of bloody diarrhoea, fever of 38.8°C, and lower abdominal cramps. She has no significant past medical history. On examina…
Yaw, a 60-year-old man, presents to a regional hospital A&E with watery diarrhoea for 5 days that began 4 days after completing a 10-day course of amoxicillin-clavulanate for a dental abscess. He has …
Kofi, a 28-year-old man, presents to the regional hospital A&E in Tamale with a 3-day history of frequent, small-volume, bloody, mucoid stools associated with fever, lower abdominal cramping, and pain…
Adwoa, a 45-year-old woman known to have HIV infection with a low CD4 count, presents to Korle Bu emergency centre with a 2-week history of profuse, watery, non-bloody diarrhoea causing significant we…
Mensah, a 55-year-old man with no known medical history, presents to the regional hospital A&E in Kumasi with a 2-day history of watery diarrhoea following a community feast. Twelve other people who a…
Fatima, a 22-year-old woman, returns to Korle Bu emergency centre after a 3-week trip to Southeast Asia with a 1-week history of offensive, greasy, non-bloody diarrhoea associated with significant blo…
A 7-year-old boy, Kwesi, is brought to the Komfo Anokye ED three days after developing bloody diarrhoea. His mother says he is now passing very little urine and looks pale. Investigations show: haemog…
Yaw, a 32-year-old man, presents to a district hospital A&E in Brong-Ahafo with a 5-day history of watery diarrhoea that began 2 days after completing a 10-day course of amoxicillin for a dental absce…
Mohammed, a 32-year-old man, presents to the Korle Bu emergency centre after returning from a 3-week business trip to India. He reports 4 days of watery, non-bloody diarrhoea with nausea, bloating, an…
Four patients present to a regional hospital A&E over one afternoon. Patient 1: a 2-year-old with watery diarrhoea, sunken fontanelle, and no urine output for 12 hours. Patient 2: a 30-year-old with t…
A 60-year-old woman, Adwoa, presents to the Korle Bu emergency centre with profuse watery diarrhoea described as 'rice-water' stool for 18 hours, associated with leg cramps. She is from a coastal comm…
Akua, a 35-year-old woman known to be HIV-positive, presents to the Korle Bu emergency centre with 10 days of watery, non-bloody diarrhoea, weight loss, and low-grade fever. She is not on antiretrovir…
Ama, a 38-year-old woman, presents to a regional hospital A&E in Brong-Ahafo with a three-day history of constant vertigo, nausea, and vomiting following an upper respiratory tract infection one week …
Mensah, a 48-year-old man, presents to the district hospital A&E in the Central Region with dizziness that he describes as a feeling of light-headedness and nearly fainting when he stands up. He has b…
Mohammed, a 55-year-old man with hypertension, presents to the Korle Bu emergency centre with sudden-onset vertigo, left-sided facial droop, and difficulty swallowing that began one hour ago. He also …
Kofi, a 38-year-old man, attends the regional hospital A&E in Brong-Ahafo with a 3-day history of continuous severe vertigo, nausea, and vomiting. He reports no positional trigger and the vertigo has …
Adwoa, a 52-year-old woman, presents to a district hospital A&E in the Northern Region with recurrent attacks of vertigo, each lasting 20 to 30 minutes, associated with a sensation of fullness in the …
Kwame, a 47-year-old man, is brought to the district hospital A&E after a brief episode of dizziness and near-collapse while standing up from a chair. He is on amlodipine and atenolol for hypertension…
Akosua, a 34-year-old woman, attends the regional hospital A&E with a 2-day history of constant, severe rotatory vertigo, nausea, and vomiting following an upper respiratory tract infection last week.…
Mohammed, a 45-year-old man, presents to the district hospital A&E in the Upper East Region with recurrent episodes of vertigo, each lasting 30–60 minutes. He reports associated low-pitched tinnitus a…
A 45-year-old woman presents to the Tamale Teaching Hospital ED with a 3-week history of intermittent episodes of vertigo lasting 20–30 minutes, associated with right-sided hearing loss, tinnitus, and…
A 70-year-old woman is brought to the Korle Bu emergency centre with a two-hour history of palpitations and mild dizziness. Her BP is 130/80 mmHg and she is haemodynamically stable. The ECG shows a re…
A medical student asks you to supervise their systematic ECG interpretation on a 45-year-old man admitted with palpitations. The ECG shows a regular rhythm at 75 bpm, normal P waves before each QRS, a…
A 48-year-old man with severe COPD and a three-day exacerbation is brought to the regional hospital A&E. His oxygen saturation is 82% on air. The ECG shows an irregularly irregular rhythm at 110 bpm w…
Kwame, a 28-year-old man, presents to the Komfo Anokye ED with a 5-day history of sharp central chest pain that is worse on lying flat and relieved by sitting forward. He had a flu-like illness 10 day…
Yaw, a 29-year-old man, presents to the regional hospital A&E with sharp central chest pain that worsens when he lies flat and improves when he leans forward. He had a flu-like illness two weeks ago. …
Kofi, a 55-year-old man with COPD on home oxygen, presents to Korle Bu emergency centre with worsening breathlessness and palpitations. His ECG shows a rapid narrow-complex tachycardia at 150 bpm with…