Adwoa, a 35-year-old woman, is brought to the Korle Bu emergency centre after a road traffic crash. She has a severe head injury with a Glasgow Coma Scale score of 6. The neurosurgical team determines…
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Akua, a 55-year-old woman, is involved in a road traffic crash and is brought to Komfo Anokye ED. She has a swollen, painful left knee after a dashboard injury. X-ray of the knee shows a fracture exte…
Mensah, a 45-year-old farmer, sustains a deep laceration to his right foot from a cutlass while working in the fields in the Eastern Region. He is brought to the district hospital A&E. The wound is he…
Abena, a 22-year-old woman, presents to the district hospital A&E eight hours after sustaining a compound fracture of her right tibia in a farming accident. The wound is heavily contaminated with soil…
Yaw, a 30-year-old man, is brought to Korle Bu Emergency Centre after a road traffic collision. He has a compound fracture of the left tibia with bone protruding through a 4 cm wound. The wound is con…
Mensah, a 45-year-old farmer, presents to the district hospital A&E in Northern Region with a 2 cm wound over the anterior tibia after being struck by a hoe. Plain X-ray confirms a mid-shaft tibial fr…
Ama, a 55-year-old woman, presents to the regional hospital A&E after falling onto her outstretched right hand while walking to market. She has pain and swelling at the wrist. Plain X-ray shows a dist…
Akua, a 35-year-old woman, is brought to Komfo Anokye ED following a road traffic collision. She has sustained a closed fracture of the right femur. On examination of the right lower limb, the foot is…
Maame Ama, an 80-year-old woman, is brought to the district hospital in Brong-Ahafo after a simple fall from standing at home. She is unable to weight-bear and complains of right hip and groin pain. O…
Akosua, a 16-year-old girl, presents to the regional hospital A&E with a two-day history of a progressively swollen, red, and painful right knee. She stepped on a thorn one week ago while walking bare…
Kofi, a 35-year-old man, presents to Komfo Anokye ED with a suspected dislocated right shoulder after a fall. Neurovascular examination before reduction documents intact radial pulse and normal sensat…
Mohammed, a 50-year-old man with hypertension, is brought to the regional hospital A&E after being struck by a vehicle. He has a closed fracture of his right femur. On examination, the right leg is sh…
A 9-year-old boy is brought to a district hospital A&E by his mother with a two-day history of right eyelid swelling, redness, and low-grade fever. On examination there is periorbital oedema and eryth…
A 55-year-old hypertensive woman, Adwoa, presents to Korle Bu emergency centre with sudden painless loss of vision in her left eye that she noticed on waking. Visual acuity in the left eye is 6/60. Fu…
A 35-year-old man, Kwabena, with known ankylosing spondylitis presents to the Korle Bu emergency centre with a 3-day history of painful, red left eye and blurred vision. He reports photophobia and tea…
A 35-year-old man, Kwabena, presents to a district hospital in Brong-Ahafo with a 3-day history of bilateral eye redness, itching, and profuse yellowish-green discharge. Both eyes are crusted shut on …
A 55-year-old woman, Yaa, presents to the Korle Bu emergency centre with a sudden onset of painless floaters and a 'dark curtain' descending from above in her left eye, starting two hours ago. She is …
A 40-year-old man, Mohammed, presents to the regional hospital A&E in Tamale with a 1-day history of redness in his right eye. He reports mild discomfort but no significant pain, no discharge, and no …
A 14-year-old boy, Mohammed, is brought to a regional hospital A&E with right eye pain, photophobia, and redness for 18 hours after his older brother accidentally poked his eye. On examination: visual…
A 30-year-old woman, Ama, presents to the regional hospital A&E in Accra with a 2-day history of red, itchy eyes with a mucopurulent discharge that has caused her eyelids to stick together in the morn…
A 55-year-old woman, Adwoa, with rheumatoid arthritis presents to the regional hospital A&E in Tamale with a 5-day history of severe, deep, boring pain in her right eye that is worse at night and wake…
A 47-year-old woman, Adwoa, is diagnosed with acute angle closure glaucoma at a regional hospital A&E. Her intraocular pressure is measured at 54 mmHg. She has no contraindications to systemic medicat…
A 28-year-old woman, Ama, presents to the regional hospital A&E in Tamale with a 2-day history of right eye redness, mild aching discomfort, and photophobia. She has no discharge. On examination, ther…
A 28-year-old man, Yaw, presents to the Komfo Anokye ED with a 1-day history of mild redness and a dull aching sensation in his right eye. He has no discharge, no photophobia, and his visual acuity is…
Kofi, a 45-year-old man, presents to the Korle Bu emergency centre with a 5-day history of fever, dysuria, and right loin pain. Temperature is 38.9°C, heart rate 104 bpm, and there is marked right cos…
Four patients are triaged simultaneously at a district hospital A&E. Patient 1: 30-year-old man, fever 38.2°C, mild headache, alert, vital signs normal. Patient 2: 55-year-old woman, fever 39.0°C, RR …
Adwoa, a 40-year-old nurse, presents to the Komfo Anokye ED with a 2-day history of fever, right knee pain, and swelling. She has no history of trauma. Temperature is 38.7°C, and the right knee is hot…
Kofi, a 58-year-old man with diabetes, is brought to the Korle Bu emergency centre with a 2-day history of fever, productive cough, and right-sided pleuritic chest pain. On examination, temperature is…
Yaw, a 45-year-old civil servant, presents to a regional hospital A&E with a 7-day history of gradually worsening fever, frontal headache, and abdominal discomfort. He has not travelled outside Accra …
Yaw, a 34-year-old man, presents to the regional hospital A&E with a 6-day history of fever, dry cough, and progressive breathlessness. He has no chest pain. Chest X-ray shows bilateral patchy infiltr…