A 25-year-old woman, Akosua, presents to a district hospital A&E with a 5-day history of low back pain and right-sided sciatica radiating to the foot. She has no fever, no urinary symptoms, and no sad…
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A 35-year-old construction worker, Kwame, presents to a district hospital A&E in Brong-Ahafo with a two-day history of low back pain after lifting heavy materials at work. The pain is localised to the…
Esi, a 45-year-old woman, presents to a district hospital A&E with low back pain for 6 weeks that is worse at night and does not improve with rest. She has no history of trauma or cancer. Examination …
Adwoa, a 29-year-old woman, presents to a regional hospital A&E with low back pain of 5 days' duration that started after moving furniture. The pain is worse on movement and relieved partially by rest…
Kofi, a 70-year-old man with known osteoporosis on long-term prednisolone for rheumatoid arthritis, presents to a district hospital A&E after a minor fall from standing height. He complains of acute m…
Mensah, a 55-year-old man, is brought to the Komfo Anokye ED after a road traffic collision in which he was a restrained front-seat passenger. He complains of severe lumbar back pain. He is haemodynam…
A 45-year-old woman, Afia, presents to a district hospital A&E with a 2-day history of acute low back pain after lifting a heavy load. She has no fever, no urinary symptoms, and no leg weakness or num…
A 38-year-old woman, Abena, known to be HIV-positive and not on antiretroviral therapy, presents to the Komfo Anokye ED with a 3-week history of worsening thoracic back pain, weight loss, and low-grad…
Mensah, a 72-year-old man with known osteoporosis on long-term prednisolone for rheumatoid arthritis, presents to a district hospital A&E after a minor fall from standing height. He complains of sudde…
A 68-year-old woman, Adwoa, is brought by relatives to a district hospital in Brong-Ahafo after a fall from standing height. She complains of severe mid-lumbar back pain and is unable to walk. She is …
Ama, a 29-year-old woman with HIV on antiretroviral therapy, presents to a regional hospital A&E with a three-week history of back pain associated with fever and night sweats. She has lost 5 kg over o…
Adwoa, a 44-year-old office worker, presents to a district hospital A&E with a two-day history of low back pain radiating down the right leg to the foot, with tingling in the right great toe. Straight…
A 29-year-old man is brought to the A&E of a regional hospital in the Northern Region by friends. He has a 2-week history of progressive low back pain with fever and night sweats. He is known to injec…
A 38-year-old woman, Fatima, is brought to the Tamale Teaching Hospital ED by her family. She was started on haloperidol for a psychiatric illness one week ago. For the past two days she has had a tem…
A 72-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E. She had a stroke-like episode three days ago but was not brought in at the time. On arriva…
A 45-year-old man is brought to the regional hospital A&E with a GCS of 8/15 following a road traffic collision. His right pupil is 6 mm and unreactive. BP is 88/60 mmHg and RR 28/min. His left pupil …
A 28-year-old man, Kofi, is brought to Korle Bu emergency centre by friends. He was started on haloperidol for a psychiatric admission 5 days ago. Today he developed high fever (39.8°C), severe muscle…
A 26-year-old man, Kofi, presents to the regional hospital A&E with agitation, confusion, and tremor one hour after taking an overdose of tramadol and sertraline. On examination he has a temperature o…
Kofi, a 48-year-old man, presents to the Korle Bu emergency centre. He had a 20-minute episode of right arm weakness and slurred speech this morning which fully resolved before arrival. He is now neur…
A 70-year-old man is brought to the district hospital A&E by relatives with a 2-hour history of sudden-onset severe headache described as 'the worst of his life', followed by vomiting and neck stiffne…
Adwoa, a 67-year-old woman, presents to the Komfo Anokye ED with sudden onset of right-sided weakness and difficulty speaking. Her husband reports symptoms began 3 hours ago. She has a history of atri…
A 45-year-old man, Yaw, presents to the regional hospital A&E with a 6-hour history of continuous generalised seizures despite receiving IV diazepam 10 mg twice in the referring clinic. On arrival he …
Fatima, a 42-year-old woman with known myasthenia gravis, presents to the Korle Bu emergency centre with increasing difficulty swallowing and shortness of breath over 24 hours. She reports that her do…
A 24-year-old woman, Abena, presents to the regional hospital A&E with agitation, tremor, and profuse sweating 2 hours after taking an overdose of her antidepressant (sertraline) combined with tramado…
A 38-year-old female healthcare assistant at a regional hospital A&E in Brong-Ahafo is found to have been caring for a patient later confirmed to have open pulmonary tuberculosis. She was not wearing …
During a busy night shift at Korle Bu Emergency Centre, a nursing student reports that a colleague did not perform hand hygiene before inserting a peripheral cannula in a patient. The student asks the…
Kwame, a 30-year-old medical officer working in the TB ward of a district hospital in the Northern Region, reports that he spent over 2 hours unmasked in a poorly ventilated room with a patient later …
Yaw, a 26-year-old house officer at Korle Bu Emergency Centre, is splashed in the eye with blood from a patient during a resuscitation procedure. The patient is known to be hepatitis C antibody positi…
Fatima, a 26-year-old healthcare worker at a regional hospital A&E, sustains a deep needlestick injury from a hollow-bore needle used on a patient with known HIV and a high viral load. She is unvaccin…
A 34-year-old medical officer, Kofi, sustains a needlestick injury from a patient whose HIV status is unknown. After appropriate first aid, he presents for risk assessment. The source patient is a 45-…