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A 28-year-old man, Kwame, is involved in a high-speed road traffic collision on the outskirts of Tamale. On scene, he is unconscious with a Glasgow Coma Scale (GCS) of 6, has a distended abdomen, and …

A 34-year-old farmer, Kwame, is brought to a district hospital A&E in Brong-Ahafo after collapsing in the fields during a hot afternoon. He is confused and agitated, unable to give a history. On exami…

A 9-year-old boy, Kwabena, is brought to a district hospital A&E in the Upper East Region after being bitten on the right hand by a stray dog 2 hours ago. The wound is a deep puncture with surrounding…

A 34-year-old farmer, Kwame, is brought to a district hospital in Brong-Ahafo after collapsing in his field during a hot afternoon. On arrival he is confused and agitated, unable to follow commands. H…

A 14-year-old girl, Abena, is brought to a district hospital in the Volta Region after being bitten on the hand by a stray dog that was behaving erratically. The wound is a deep puncture with surround…

A 45-year-old woman, Akosua, presents to the district hospital A&E with a severe headache and is found to have a blood pressure of 210/130 mmHg. After initial assessment, the doctor explains the need …

Kofi, a 19-year-old footballer, attends the regional hospital A&E in Kumasi after twisting his wrist during a match. He has no visible deformity and wrist X-rays are reported as normal. However, he ha…

Yaw, a 35-year-old motorcyclist, is brought to Korle Bu Emergency Centre after a road traffic crash. He has a large wound over his right tibia through which bone is visibly protruding. The limb is neu…

Akua, a 28-year-old woman, is brought to the Komfo Anokye ED unconscious. Her family reports 5 days of fever and she was found unrousable at home. Temperature is 40.1°C, GCS is 8/15, blood glucose is …

Mohammed, a 38-year-old teacher, presents to a district hospital in the Northern Region with a 7-day history of stepwise fever, severe headache, abdominal pain, and constipation. He appears toxic and …

Kwabena, a 25-year-old student, returns from a 3-week trip to a rural area in the Upper East Region and presents to a regional hospital A&E 10 days later with high fever, confusion, and jaundice. His …

Yaa, a 52-year-old market trader, is brought to a regional hospital A&E in the Ashanti region with a 4-day history of high fever, productive cough, and right-sided pleuritic chest pain. Temperature is…

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 no cough, dysuria, or neck stiffness. On examination, tempe…

A 5-year-old boy, Yaw, is brought to Korle Bu emergency centre with a 2-day history of fever. His mother says he looks pale and has been sleeping excessively. On examination, he is febrile at 39.2°C, …

A 14-month-old girl, Ama, is brought to a district hospital in the Upper East Region with fever and a bulging anterior fontanelle. She is irritable and cries inconsolably when handled. Her temperature…

A 5-year-old boy, Kofi, is brought to a regional hospital A&E with 4 days of fever, poor feeding, and progressive weakness. On examination he is febrile (38.9°C), pale, and deeply jaundiced. His conju…

A 3-year-old boy, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his mother who says he has had fever for 3 days and 'is not himself'. On examination he is febrile (39.2°C), lethargi…

Ama, a 58-year-old woman with a long history of NSAID use for knee pain, presents to a regional hospital A&E with three episodes of black, tarry, foul-smelling stool over the past 24 hours. She denies…

Yaa, a 60-year-old woman with known liver cirrhosis from hepatitis B, presents to Korle Bu emergency centre with haematemesis and melaena. Her blood pressure is 80/50 mmHg and pulse is 126 beats per m…

Kwabena, a 55-year-old man with a history of heartburn and dysphagia, presents to a district hospital in Brong-Ahafo with haematemesis and epigastric pain. He takes no regular medications. Examination…

Kofi, a 52-year-old man with known alcohol-related liver cirrhosis, is brought to the regional hospital A&E by relatives after two episodes of haematemesis. On examination he is jaundiced, has visible…

Kwame, a 45-year-old man, is brought to the Komfo Anokye ED after vomiting two large volumes of bright red blood. He has a history of heavy alcohol use and his abdomen shows dilated superficial veins …

Yaw, a 58-year-old man, attends the Korle Bu emergency centre reporting three episodes of painless macroscopic haematuria over the past month. He is a non-smoker with no dysuria, frequency, or fever. …

Akua, a 24-year-old woman, presents to a district hospital A&E in the Ashanti Region with a 2-day history of burning dysuria, urinary frequency, and urgency. She has no fever, no flank pain, and no va…

Abena, a 32-year-old woman, presents to Komfo Anokye ED with a 3-day history of dysuria and frequency, now accompanied by high fever (38.9 °C), right-sided flank pain, and two episodes of vomiting. On…

Esi, a 52-year-old obese woman with poorly controlled diabetes, presents to the district hospital A&E in the Upper East Region with 2 days of worsening perineal pain and swelling. She is febrile at 39…

A 28-year-old man, Kwame, is brought to the district hospital A&E in Ashanti Region after a motorbike collision. He opens his eyes to pain, makes incomprehensible sounds, and withdraws his arm from a …

A 45-year-old man, Yaw, presents to a regional hospital A&E in Brong-Ahafo 4 hours after a road traffic accident in which he struck his head on the windscreen. He had a brief loss of consciousness at …

A 28-year-old man, Kwame, is brought to a district hospital in the Upper East Region with a 6-hour history of severe headache, high fever, and neck stiffness. On examination his temperature is 39.8°C,…

A 28-year-old man, Kofi, attends a district hospital A&E in the Northern Region with a 2-day history of severe headache, high fever, and vomiting. On examination his temperature is 39.8°C, he has mark…