Fatima, a 29-year-old woman, presents to Komfo Anokye ED having returned from a 3-week visit to a rural area of Burkina Faso 10 days ago. She has a 4-day history of daily spiking fevers, headache, and…
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A 22-year-old man is brought to a district hospital A&E with trismus, neck stiffness, and intermittent painful muscle spasms following a deep puncture wound to his foot sustained 10 days ago while far…
Esi, a 26-year-old woman, presents to the Korle Bu emergency centre with a 5-day history of fever and a painful, swollen right knee. She has no cough, urinary symptoms, or headache. On examination, te…
Kwame, a 34-year-old farmer, presents to a district hospital in Brong-Ahafo with a 3-day history of high fever, rigors, and headache. He has been working in a rice field. On examination, temperature i…
Ama, a 22-year-old student, presents to the district hospital A&E in the Upper East Region with a 2-day history of fever, dysuria, and frequency. She has lower abdominal pain and right loin tenderness…
A 3-year-old girl, Ama, is seen at a district hospital in Northern Region with a 4-day history of fever and cough. Her mother reports she has not been eating or drinking. On examination, her temperatu…
A 2-year-old girl, Abena, is brought to a district hospital A&E in the Volta Region with fever and a generalised convulsion that lasted 3 minutes and stopped spontaneously before arrival. She is now p…
A 6-week-old infant, Joseph, is brought to the Komfo Anokye ED by his parents with a 1-day history of fever (38.4°C), poor feeding, and excessive crying. On examination he appears pale and lethargic. …
A 4-year-old boy, Yaw, is brought to the Korle Bu emergency centre with 2 days of fever and rapid breathing. On examination he is febrile (39.0°C), has nasal flaring, subcostal recessions, and a respi…
A 7-year-old boy, Mensah, is seen at the Komfo Anokye ED with a 5-day history of fever and headache. His mother reports he had a convulsion at home. On examination, he is unresponsive to voice, has a …
A 9-month-old girl, Akosua, is brought to the A&E of a regional hospital in Eastern Region with a 2-day history of fever and poor feeding. Her mother is very anxious. On examination, the infant is dro…
Mensah, a 50-year-old man, presents to a regional hospital A&E with fresh bright red blood per rectum for the past two hours. He denies any vomiting or epigastric pain. He has a history of constipatio…
Fatima, a 48-year-old woman with a known history of peptic ulcer disease, presents to a regional hospital A&E with a single episode of haematemesis. She is haemodynamically stable with a blood pressur…
A 55-year-old man presents to the Korle Bu emergency centre with haematemesis and is resuscitated. His haemoglobin is 8.4 g/dL, urea 14.2 mmol/L, and BP 118/76 mmHg after resuscitation. The medical re…
Kofi, a 32-year-old man, presents to a district hospital in Ashanti Region after an episode of vomiting bright red blood following a night of heavy alcohol consumption and repeated forceful vomiting. …
A 68-year-old man, Kofi, is brought to the regional hospital A&E with fresh red blood per rectum for 6 hours. He has no abdominal pain, no haematemesis, and no known liver disease. Observations: BP 13…
A 55-year-old man, Yaw, presents to the district hospital A&E in the Upper East Region with passage of large amounts of bright red blood per rectum for the past 3 hours. He has no abdominal pain, no v…
A 34-year-old woman, Ama, presents to Korle Bu emergency centre with a 2-week history of heartburn, odynophagia, and occasional small amounts of blood-streaked vomit. She is HIV-positive and not curre…
A 49-year-old woman, Akosua, presents to the Komfo Anokye ED with haematemesis and is resuscitated. She is now haemodynamically stable with BP 118/78 mmHg. Her Glasgow-Blatchford Score is 9. The gastr…
A 38-year-old woman, Afia, presents to the district hospital A&E in Brong-Ahafo with a 2-day history of passing black, tarry stools. She has no haematemesis. Observations: BP 112/74 mmHg, HR 96 bpm, R…
A 29-year-old man, Kofi, presents to Komfo Anokye ED after several episodes of vomiting. He reports that the first few episodes contained only food, but the last two contained fresh blood. He had been…
Esi, a 19-year-old female university student, attends the regional hospital A&E in Volta Region with a 1-day history of dysuria, urinary frequency, and mild suprapubic discomfort. She is afebrile, sex…
A 45-year-old man, Kwabena, presents to a district hospital A&E in Brong-Ahafo with a four-hour history of right groin pain and a tender, irreducible lump in the right groin extending into the scrotum…
Kwabena, a 14-year-old boy, is brought to the Korle Bu emergency centre with sudden onset left scrotal pain that started 2 hours ago during football training. He is nauseated and the pain is rated 9/1…
A 28-year-old man, Yaw, presents to a regional hospital A&E in the Volta Region with a three-day history of gradually worsening left scrotal pain and swelling. He reports dysuria and a urethral discha…
Yaw, a 28-year-old man, attends the district hospital A&E in Brong-Ahafo with a 3-day history of gradually worsening right scrotal pain and swelling. He reports dysuria and a urethral discharge for th…
Adwoa, a 28-year-old pregnant woman (16 weeks gestation), is seen at the district hospital A&E in Northern Region with a 2-day history of dysuria and urinary frequency. She is afebrile with no flank p…
Adwoa, a 35-year-old woman, presents to a district hospital A&E in the Volta Region with a 4-day history of dysuria and frequency that has not improved despite 2 days of self-prescribed oral trimethop…
Kofi, a 45-year-old man, presents to Korle Bu emergency centre with sudden-onset severe left loin pain radiating to the left groin, associated with nausea and restlessness. He is afebrile and normoten…
Akua, a 45-year-old woman, presents to the regional hospital A&E in Tamale with a 12-hour history of right groin pain and a tender lump at the right groin that appeared suddenly. She has vomited three…