Kwame, a 22-year-old man, presents to the regional hospital A&E in Cape Coast with a 4-day history of gradually worsening right scrotal swelling and pain. He has had a urethral discharge for 10 days a…
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A 15-year-old boy, Yaw, is brought to the regional hospital A&E in Northern Region with sudden right scrotal pain of one hour's duration. His mother reports he had a similar but milder episode last mo…
Ama, a 28-year-old woman, is admitted to a district hospital ward in the Northern Region with a fractured femur and has had an indwelling urethral catheter in situ for 5 days. She develops fever (38.4…
Mensah, a 65-year-old man, presents to the district hospital A&E in Central Region with sudden-onset inability to pass urine for 8 hours. He has no previous urological history. On examination, the abd…
Fatima, a 22-year-old woman who is 10 weeks pregnant, presents to a regional hospital A&E in the Upper West Region with a 2-day history of dysuria and frequency. She has no fever, no flank pain, and n…
A 38-year-old man, Mohammed, presents to the Tamale Teaching Hospital ED after an assault. He has a haematoma over the right mastoid process noticed on examination, though he reports no ear pain. His …
A 19-year-old woman, Akosua, is seen in the Tamale Teaching Hospital A&E after a motorcycle accident. She opens her eyes spontaneously, obeys commands, but is confused about the date and where she is.…
Afia, a 34-year-old teacher, presents to the A&E of a district hospital in Northern Region after a fall from a motorcycle. She is alert and oriented (GCS 15), complains of headache, and vomited once o…
A 19-year-old student, Yaw, is brought to the district hospital A&E after being struck on the head by a football. He had a brief loss of consciousness of under one minute. He is now alert, GCS 15, wit…
Yaw, a 19-year-old student, is assessed in the A&E of a regional hospital after a head injury sustained during a football match. He had a brief witnessed loss of consciousness of approximately one min…
A 42-year-old woman, Adwoa, is seen in the A&E of a regional hospital after a fall down stairs. She is alert and oriented with a GCS of 15. On examination she has bilateral periorbital bruising and cl…
Mohammed, a 55-year-old farmer, is brought to a district hospital in Brong-Ahafo Region after a tractor rollover. He is confused (GCS 12), has a boggy scalp haematoma over the right parietal area, and…
Yaw, a 45-year-old market trader, is brought to the Komfo Anokye ED after being assaulted with a blunt object. He is alert with GCS 15. The nurse notes bruising behind his left ear and periorbital bru…
Kofi, a 38-year-old driver, is assessed at Korle Bu Emergency Centre after a road traffic accident. He is GCS 14 (E4 V4 M6), complains of headache, and had one episode of vomiting. CT head is availabl…
A 22-year-old student, Abena, attends the regional hospital A&E after a heading collision during football. She was not knocked out, has no amnesia, and her GCS is 15. She has a mild frontal headache b…
Fatima, a 24-year-old woman, is discharged from a regional hospital A&E after a mild head injury (GCS 15 throughout, no CT criteria met). The on-call doctor is preparing written head injury advice for…
A 31-year-old woman, Afia, presents to the Korle Bu emergency centre with a 3-hour history of severe unilateral right-sided headache with nausea and photophobia. She has had three similar episodes ove…
A 24-year-old woman, Ama, presents to the Komfo Anokye ED with a 12-hour history of throbbing left-sided headache, nausea, and vomiting. She reports that she had 30 minutes of flashing zigzag lights i…
A 38-year-old man, Kwabena, presents to the Komfo Anokye ED with recurrent episodes of severe right periorbital pain occurring nightly for the past three weeks, each lasting approximately 45 minutes. …
A 45-year-old woman, Yaa, presents to the Korle Bu emergency centre with a 4-hour history of severe right-sided headache preceded by a 20-minute episode of flashing zigzag lights in her left visual fi…
A 38-year-old man, Kofi, presents to a district hospital A&E in the Volta Region with recurrent episodes of severe right-sided periorbital pain lasting about 45 minutes each, occurring once or twice d…
A 52-year-old man, Kwame, presents to a district hospital in Brong-Ahafo with a 6-hour history of severe headache, vomiting, and blurred vision. On examination: BP 218/126 mmHg, HR 88 bpm, papilloedem…
A 25-year-old woman, Ama, is brought to a district hospital A&E in the Volta Region following a road traffic accident. She was a front-seat passenger and struck her head on the dashboard. She was brie…
A 29-year-old woman, Abena, attends the district hospital A&E with a sudden-onset severe occipital headache that began 2 hours ago during exercise. She describes it as 'like something exploded in my h…
A 19-year-old student, Mohammed, presents to the regional hospital A&E with a 2-day history of progressive headache, fever, and photophobia. He is alert (GCS 15), temperature 38.8°C, HR 102 bpm, BP 11…
Fatima, a 30-year-old woman at 38 weeks gestation, is brought to a district hospital in the Northern Region by her mother following a generalised seizure. Her blood pressure is 172/116 mmHg and urine …
A 48-year-old woman, Adwoa, presents to the district hospital A&E with a BP of 200/120 mmHg and acute severe headache. She is 28 weeks pregnant. IV labetalol is unavailable at this facility.
Mohammed, a 50-year-old man, presents to the Korle Bu emergency centre with a BP of 210/125 mmHg, acute onset shortness of breath, and pink frothy sputum. Chest auscultation reveals bilateral basal cr…
Abena, a 45-year-old woman, is seen in the A&E of a district hospital in the Northern Region. She has a blood pressure of 195/118 mmHg on two readings taken 30 minutes apart. She feels well, has no he…
A 44-year-old woman, Akosua, presents to the district hospital A&E with a BP of 196/118 mmHg measured on two occasions, 30 minutes apart. She has a mild occipital headache but no visual changes, no fo…