A 52-year-old man, Joseph, is seen in a regional hospital A&E after a road traffic crash. He is haemodynamically stable but is noted to have a BP of 88/60 mmHg that has not responded to 1 litre of nor…
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A 34-year-old woman, Afia, presents to Korle Bu emergency centre with episodic severe headache, diaphoresis, and palpitations over the past two months. Today she is brought in after a collapse. BP is …
A 44-year-old man, Kwame, presents to the Komfo Anokye ED with a severe throbbing headache, profuse sweating, and palpitations that began abruptly 30 minutes ago. BP is 228/136 mmHg, heart rate 108 bp…
A 48-year-old man, Yaw, presents to a regional hospital A&E with confusion, hypothermia (34.8°C), and a heart rate of 48 bpm. Examination reveals dry, thickened skin, a hoarse voice, and non-pitting o…
A 55-year-old man, Kofi, is referred from a district hospital to Komfo Anokye ED with a three-day history of worsening thyrotoxic symptoms. He has been started on propranolol 40 mg orally eight-hourly…
A 44-year-old man, Kwame, presents to the Komfo Anokye ED with a severe headache and palpitations that started suddenly 30 minutes ago. His BP is 218/130 mmHg, heart rate 110 bpm, and he is sweating h…
A 45-year-old man, Kofi, presents to the Komfo Anokye ED with fever (38.9°C), severe agitation, heart rate 156 bpm in atrial fibrillation, and a palpable goitre. His Burch-Wartofsky score is calculate…
Adwoa, a 50-year-old woman with a history of Hashimoto's thyroiditis, is brought to the district hospital A&E in the Volta Region. She is obtunded (GCS 9/15), bradycardic at 36 bpm, and hypothermic at…
Fatima, a 42-year-old woman known to have hypothyroidism, is brought to Komfo Anokye ED with a three-day history of confusion and increasing drowsiness. Her temperature is 33.5°C, BP 80/50 mmHg, HR 38…
Ama, a 35-year-old woman, presents to the Komfo Anokye ED with a three-week history of constipation, weight gain, and fatigue. She reports feeling cold all the time and her hair has been falling out. …
A 29-year-old man, Kwesi, presents to a district hospital A&E with a severe headache, diaphoresis, and palpitations that started suddenly 30 minutes ago. BP is 210/130 mmHg, HR 122 bpm, and he is visi…
A 19-year-old woman, Afia, is retrieved from a flooded gutter in Accra after heavy rains. Bystanders report she was submerged for approximately 3 minutes. She is now conscious and breathing spontaneou…
A 19-year-old student, Esi, is brought to a district hospital in the Northern Region after being found unconscious in a cold storage facility. Her core temperature is 32°C, she is drowsy but responds …
A 55-year-old woman, Adwoa, is brought to a regional hospital A&E in the Northern Region after being found unresponsive in a cold harmattan night. Her core temperature is 30°C. She is breathing sponta…
A 35-year-old electrician, Kofi, is brought to a regional hospital A&E after accidentally contacting a live 240 V domestic supply. He is conscious with a small entry wound on his right palm and an exi…
A 30-year-old woman, Akua, presents to the Korle Bu emergency centre after being struck by lightning during a storm in Accra. She was thrown 2 metres and was briefly unconscious. She is now awake but …
A 22-year-old man, Mohammed, is retrieved from a river near Tamale after being submerged for approximately 5 minutes. He is unresponsive with no palpable pulse and is not breathing. Bystanders had alr…
A 60-year-old fisherman is brought to a district hospital in the Northern Region after being found unconscious in a cold storage facility. His core temperature (rectal) is 30°C. He is bradycardic at 3…
A 10-year-old girl, Adwoa, is brought to a district hospital in the Volta Region after falling into a river. She was submerged for approximately 8 minutes before rescue. On arrival she is unresponsive…
A 45-year-old fisherman, Mensah, is rescued from Lake Volta after his canoe capsized. He was submerged for an estimated 8 minutes and is unresponsive when pulled from the water. He has no palpable pul…
A 45-year-old fisherman, Yaw, is rescued from the Volta Lake after his boat capsized during a cold harmattan night. He is brought to a regional hospital A&E unresponsive, with barely palpable pulses a…
Adwoa, a 45-year-old woman with advanced cervical cancer, presents to the Korle Bu emergency centre in severe pain, rated 9/10. She is alert and oriented. Her husband says she 'should not be given mor…
A 78-year-old man, Mohammed, with severe dementia is brought to the regional hospital A&E from a nursing home in respiratory failure. He has no documented advance directive. His daughter, who holds no…
Mensah, a 75-year-old man with metastatic lung cancer, is admitted to the Korle Bu emergency centre with increasing breathlessness at rest. He is on a recognised palliative pathway. His oxygen saturat…
A 30-year-old woman, Fatima, is brought to the district hospital A&E following a large paracetamol overdose. She is conscious and tearful, saying she took the tablets deliberately and does not want tr…
A 60-year-old man, Kofi, is admitted to Komfo Anokye ED with advanced hepatocellular carcinoma and is in obvious distress. His son insists on full resuscitation including CPR if his heart stops, stati…
The emergency physician at a district hospital in the Eastern Region is about to inform Mohammed, a 55-year-old man, that his CT scan has revealed a large inoperable brain tumour. Mohammed is accompan…
Kofi, a 62-year-old man with end-stage hepatocellular carcinoma, is brought to a district hospital in Brong-Ahafo. He is agitated, with noisy, gurgling respirations ('death rattle') and is unresponsiv…
Fatima, a 65-year-old woman with end-stage cervical cancer, is in the resus bay at a regional hospital A&E. She is unconscious and actively dying. Her family report she had previously expressed a wish…
A 72-year-old man, Joseph, has end-stage renal disease and metastatic prostate cancer. He is admitted to Korle Bu emergency centre in respiratory distress and is intubated by the night team before his…