A 9-year-old girl named Esi is brought to a district hospital in the Northern Region with a 4-day history of fever, progressive drowsiness, and two episodes of generalised seizures at home. On examina…
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A 34-year-old trader, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital after collapsing at the market. His wife reports he had three days of high fever, vomiting, and re…
A 45-year-old trader, Yaa, is admitted to the emergency department at Ho Teaching Hospital with a 3-day history of high fever, vomiting, and reduced urine output. She is confused and jaundiced. Her bl…
A 7-year-old boy, Kwabena, is carried into the emergency department of Tamale Teaching Hospital by his mother. She says he has had fever for 3 days and is now 'not waking up properly'. On assessment h…
A 29-year-old woman, Fatima, presents to a district hospital in the Northern Region with fever, rigors, and confusion for two days. She is 28 weeks pregnant. Vitals: BP 85/55 mmHg, HR 132 bpm, RR 28/m…
Yaw, a 28-year-old long-distance runner, arrives at Komfo Anokye Teaching Hospital ED 90 minutes after collapsing at the finish line of a road race in Kumasi. He received no cooling at the scene. He i…
Kofi, a 38-year-old fisherman, presents to a coastal district hospital in the Central Region after stepping on something in the sea while wading into shallow water. He describes immediate, excruciatin…
A 68-year-old retired teacher, Yaw, is assessed in the emergency centre at Komfo Anokye Teaching Hospital. His wife says he has been confused and agitated for three days. She confirms he had no cognit…
Abena, a 31-year-old HIV-positive woman, was started on a first-line ART regimen (tenofovir/lamivudine/dolutegravir) 5 weeks ago with a pre-treatment CD4 count of 38 cells/μL. She now presents to a re…
A 28-year-old woman, Afia, presents to a regional hospital ED in the Volta Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and lower back pain. She is a farmer who has not…
Akua, a 34-year-old woman, presents to a regional hospital A&E in the Ashanti region having been referred from a district facility. She underwent splenectomy five years ago following a road traffic co…
A 14-year-old boy, Yaw, is brought to a regional hospital emergency department in Ashanti by his father after 2 weeks of fever at home. Three days ago he developed mild periumbilical pain which has no…
You are the medical officer on duty at a district hospital in the Upper West Region of Ghana. A 52-year-old woman, Adwoa, is brought by her son with a 4-day history of fever, headache, and severe lowe…
A 34-year-old woman, Fatima, presents to the emergency centre at Korle Bu Teaching Hospital with a 6-day history of fever, severe sore throat, and progressive weakness. She is a nurse who was deployed…
A 45-year-old teacher, Yaw, presents to a district hospital in Brong-Ahafo with a 4-week history of generalised fatigue, urticarial rash, and recurrent abdominal discomfort. He gives a history of chil…
A 22-year-old male university student is admitted to a district hospital in the Northern Region with a 10-day history of fever, headache, and abdominal discomfort. On examination, temperature is 39.2 …
A 9-year-old boy, Kofi, is admitted to Korle Bu Teaching Hospital with a 5-day history of fever and headache followed by a single episode of generalised tonic-clonic convulsion. On examination, he is …
A 19-year-old man named Kofi presents to a district hospital in the Upper East Region with a 2-day history of severe pain and swelling in his right knee after a minor football injury. Temperature is 3…
A 19-year-old man named Yaw presents to a district hospital A&E in the Upper West Region. He has had three discrete tonic-clonic seizures over the past 2 hours, each lasting 2-3 minutes with full reco…
Kwabena, a 38-year-old male teacher with no significant past medical history, presents to the A&E of a regional hospital in the Ashanti Region with a severe unilateral left-sided periorbital headache …
Fatima, a 32-year-old gravida 2 para 1 at 30 weeks of gestation, is seen in the ANC clinic at Tamale Teaching Hospital. She is known to be HIV-positive and has been on cotrimoxazole prophylaxis (CPT) …
Abena, a 28-year-old G2P1 woman at 26 weeks gestation, presents to a district hospital in the Volta Region with a three-day history of fever, rigors, and headache. Her temperature is 38.9°C, blood pre…
Mary, a 31-year-old para 3 woman at 30 weeks of gestation, presents to her antenatal clinic at a district hospital in the Volta Region. She reports fever, rigors, and headache for two days. A rapid di…
A 2.5-year-old boy is brought to a district hospital in the Northern Region with 3 days of cough and fever. Temperature 38.6°C, RR 42 breaths/min, HR 132 bpm, SpO2 95% on room air, weight 12 kg. He is…
A mother brings her 14-month-old son, Kofi, to a district hospital in the Upper West Region. He has had cough and difficulty breathing for 2 days. He is alert and feeding, though less than usual. Temp…
Akua, a 5-year-old girl weighing 18 kg, is admitted to the regional hospital paediatric ward with cerebral malaria. She has been receiving IV artesunate for 18 hours and her GCS has improved from 8 to…
A 3-year-old boy, Mohammed, is referred from a health centre in Northern Region to a district hospital with a 3-day history of cough, fever, and fast breathing. The health centre had already started h…
A 9-year-old girl, Akua, weighing 28 kg, is in cardiac arrest in the Korle Bu paediatric resus bay. CPR is ongoing. The monitor shows pulseless electrical activity (PEA). She received one dose of adre…
Afia, a 20-month-old girl, is brought to the emergency unit of a regional hospital in Ashanti Region. Her mother says she has had cough for 4 days and stopped breastfeeding yesterday. On examination s…
Ama, a 7-year-old girl weighing 22 kg, is referred from a district hospital in the Upper East Region with 5 days of fever, inability to walk, and two witnessed seizures today. On arrival at the region…