Abena, a 48-year-old teacher, presents to a district hospital in the Eastern Region with a blood pressure of 176/108 mmHg found incidentally during a school health screening. She has no headache, ches…
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Yaw, a 55-year-old man with known hypertension, is brought to the regional hospital A&E confused and agitated. His BP is 230/140 mmHg, GCS is 12/15, and he has no focal neurological deficit. His relat…
Kofi, a 55-year-old man with known hypertension, presents to the regional hospital A&E in Tamale with a three-hour history of crushing central chest pain and diaphoresis. His BP is 195/115 mmHg and hi…
Mensah, a 55-year-old man on warfarin for atrial fibrillation, presents to the Komfo Anokye ED with a 6-hour history of left knee pain and swelling following a minor knock against a table. He is afebr…
Abena, a 72-year-old woman on warfarin for atrial fibrillation, presents to the district hospital A&E in the Volta Region with acute swelling and pain of her left knee after bumping it on a chair. The…
Yaw, a 68-year-old man, presents to the Korle Bu emergency centre with acute pain and swelling of his left knee that started 12 hours ago. He is afebrile, his WBC is 9.5 × 10⁹/L, and X-ray of the knee…
A 45-year-old man, Kofi, presents to a regional hospital A&E with acute swelling and pain in his right knee for 18 hours. He is febrile at 39.2°C, the knee is markedly swollen with a large effusion, a…
A 26-year-old woman, Afia, presents to the Korle Bu emergency centre with a three-day history of migratory polyarthralgia that has now settled as a monoarthritis of the right wrist. She also has two p…
Akua, a 10-year-old girl with known haemophilia A, is brought to a district hospital A&E in the Ashanti region with sudden onset of severe right knee pain and swelling after a minor fall in the playgr…
Aisha, a 24-year-old woman, is brought to the Korle Bu emergency centre with a 3-day history of pain and swelling in her left ankle, followed by right wrist pain that began yesterday. She also reports…
A 70-year-old woman, Adwoa, is brought to the Komfo Anokye ED with acute severe pain and swelling of her right knee. She is afebrile, has a history of osteoarthritis, and plain X-ray shows chondrocalc…
Yaw, a 28-year-old man, presents to the Korle Bu emergency centre with a 3-week history of right knee pain and swelling that developed 2 weeks after an episode of urethral discharge and dysuria. He al…
Ama, a 62-year-old woman with known hypertension, presents to a regional hospital A&E with sudden onset of severe pain and swelling of her right knee overnight. She takes hydrochlorothiazide daily. On…
A 19-year-old man, Mohammed, presents to a district hospital with a two-week history of right knee swelling following an episode of bloody diarrhoea three weeks ago. He is afebrile, the knee is warm w…
A 62-year-old man, Yaw, with known hypertension on thiazide diuretics presents to a district hospital in Brong-Ahafo with sudden-onset severe pain and swelling of his right first metatarsophalangeal j…
Mensah, a 19-year-old man with known haemophilia A, presents to the Komfo Anokye ED with sudden-onset severe pain and swelling of his right knee following a minor fall 2 hours ago. The knee is tense, …
Akua, a 28-year-old woman, presents to a regional hospital A&E in Accra with a 3-week history of pain and swelling of her right knee. She reports that 4 weeks ago she had a diarrhoeal illness that res…
A 45-year-old man, Mensah, is seen in the A&E of a regional hospital in the Eastern Region with chest pain. An ECG shows ST-elevation in leads II, III, and aVF. He is given aspirin and referred for th…
A 62-year-old woman, Adwoa, is seen at the Korle Bu emergency centre with a 2-day history of fever and dysuria. A urine dipstick is positive for nitrites and leucocytes. She is prescribed oral antibio…
A 19-year-old woman, Esi, is brought to the Korle Bu emergency centre after a road traffic accident. She is conscious and orientated. She refuses blood transfusion on religious grounds, despite haemog…
A 22-year-old man, Yaw, is treated at Korle Bu emergency centre for a stab wound sustained during an assault. He is stable and cooperative. After treatment, a police officer approaches the treating do…
A 55-year-old man, Joseph, presents to a regional hospital A&E with central crushing chest pain radiating to his left arm for 2 hours. An ECG shows anterior ST-elevation. He is assessed, given aspirin…
A 45-year-old man, Kofi, is seen at Komfo Anokye ED with chest pain. The night team assesses him, starts treatment, and hands over verbally to the morning team without written documentation of the pla…
A 28-year-old man, Kofi, presents to the district hospital A&E after a fight, with a laceration to his forearm. He is alert, oriented, and clearly intoxicated with alcohol. He refuses suturing and say…
A 16-year-old girl, Fatima, presents alone to the regional hospital A&E requesting treatment for a sexually transmitted infection. She is alert, articulate, and demonstrates clear understanding of her…
A 38-year-old man, Yaw, presents to a district hospital A&E in the Northern Region with a 3-day history of productive cough, fever, and haemoptysis. Sputum microscopy confirms acid-fast bacilli. The c…
A 55-year-old man, Mensah, is seen at a district hospital A&E after a witnessed generalised tonic-clonic seizure. He is treated and recovers fully. He tells the doctor he is a commercial bus driver an…
A 40-year-old woman, Akosua, is brought to the regional hospital A&E by police after being found wandering on a highway, confused and agitated. She has no identification. She is threatening to harm he…
A 35-year-old man, Kwame, presents to a district hospital A&E in Brong-Ahafo with a 2-day history of low back pain after lifting heavy bags of cocoa. He has no radiation of pain to the legs, no fever,…
Joseph, a 58-year-old man, presents to Korle Bu emergency centre with acute low back pain after a road traffic accident in which his vehicle was struck from behind. He was ambulant at the scene but no…