A 29-year-old house officer, Yaw, is working in the medical ward at a regional hospital in the Volta Region when he sustains a splash of blood into his right eye from a patient whose HIV and hepatitis…
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Kwabena, a 29-year-old medical officer at a regional hospital A&E in the Ashanti Region, is exposed to a needlestick injury from a patient whose HIV, hepatitis B, and hepatitis C status are all unknow…
Yaw, a 31-year-old ED doctor at a district hospital in Volta Region, sustains a splash of blood to his intact forearm skin while performing a procedure on a patient with known HIV. He washes the area …
Mensah, a 35-year-old medical officer at a district hospital in the Upper East Region, is notified that he spent over an hour in a small poorly ventilated consultation room examining a patient who has…
Adwoa, a 26-year-old nurse at Korle Bu Emergency Centre, sustains a needlestick injury from a patient with known hepatitis C infection. She washes the wound appropriately and presents for occupational…
A 4-year-old boy named Kofi is brought to Korle Bu emergency centre with a 3-day history of fever, anorexia, and periumbilical pain that has migrated to the right iliac fossa. He is febrile (39.1°C), …
A 3-year-old boy named Kwame is referred from a peripheral clinic to a regional hospital A&E with a 3-day history of abdominal pain and fever. On arrival, he is lying still and crying when moved. His …
A 3-year-old girl named Akosua is brought to a regional hospital A&E by her father with a 2-day history of fever, vomiting, and abdominal pain. She has been refusing to walk and lies still on the trol…
A 5-week-old male infant is brought to a district hospital by his mother. He has had one week of projectile vomiting after feeds; the vomit is never green. On examination, he is lethargic with sunken …
A 3-year-old girl named Akosua is brought to Komfo Anokye ED with a 2-day history of fever, irritability, and refusal to walk. Her mother reports she has not been eating. On examination temperature is…
A 2-year-old girl named Afia is brought to a regional hospital A&E with a 36-hour history of colicky abdominal pain and vomiting. Her mother noticed a small amount of blood in her nappy 4 hours ago. O…
A 5-week-old male infant is brought to a district hospital A&E in Brong-Ahafo. His mother reports that over the past week he has been vomiting forcefully after every feed. He is hungry immediately aft…
An 8-month-old girl is brought to a district hospital A&E with a 12-hour history of colicky abdominal pain and vomiting. On examination, she is pale and lethargic; her abdomen is soft but a mass is pa…
A 5-week-old male infant is brought to a district hospital A&E in the Volta Region. His mother reports that he vomits forcefully after every feed, immediately after feeding, and is always hungry. The …
A 6-week-old female infant is brought to a district hospital A&E in the Upper West Region. She has been vomiting after feeds for 10 days; the vomiting is described as forceful and non-bilious. She wei…
A 4-year-old girl named Abena is brought to Komfo Anokye ED by her mother with a 2-day history of fever, poor appetite, and vomiting. On examination, she is febrile at 38.9°C, has diffuse abdominal te…
A 4-year-old boy named Kofi is referred from a peripheral clinic to a regional hospital A&E with a 3-day history of abdominal pain and fever. He has been treated for malaria at the clinic with no impr…
A 4-year-old boy called Kofi is brought to a district hospital A&E in Upper West Region. He is unconscious after a road traffic collision. No weight is available and the child is too ill to be moved t…
A 5-year-old boy called Kwame is brought to a district hospital A&E in Brong-Ahafo. He is unconscious and apnoeic following a witnessed drowning in a farm pond. The Broselow tape reads 110 cm. His wei…
A 2-month-old girl, Fatima, is brought to the Komfo Anokye ED by her mother. She received her first set of routine immunisations (DPT-HepB-Hib, OPV, PCV) at the health centre 8 hours ago. She has been…
During a busy shift at a regional hospital A&E in Ashanti, you are triaging four children simultaneously. Child 1: 2-year-old with a 2-cm laceration on the forearm, crying vigorously, HR 110, RR 24. C…
A 4-month-old boy, Kwabena, is brought to a district hospital A&E in the Central Region. His mother reports he has been crying excessively after feeds for the past 3 weeks and arches his back during f…
A 6-week-old male infant is brought to a district hospital A&E in the Northern Region by his mother. He has been feeding poorly for 24 hours and is now 'floppy'. On examination he is hypotonic, has a …
A 6-week-old male infant is brought to a regional hospital A&E in Volta Region. His mother says he has been feeding poorly and 'not himself' for 24 hours. On examination he is afebrile (temperature 36…
A 3-year-old boy, Yaw, is brought to a district hospital A&E in the Northern Region by his grandmother. She says he has been crying and rubbing his right eye since waking up. He is photophobic and has…
A 2-year-old girl, Adwoa, is brought to a district hospital A&E after her mother found her unresponsive in the compound. She is apnoeic and pulseless. The nurse asks you what rate to deliver ventilati…
A 14-month-old boy, Kofi, is brought to a regional hospital A&E in the Volta Region. His mother says he has been crying and pulling at his right ear for 2 days, and has had a fever of 38.8 °C. On otos…
A 14-month-old boy is brought to the district hospital A&E in Brong-Ahafo by his mother with a two-day history of coryza followed by progressive wheeze and difficulty feeding. On examination he is afe…
A 3-year-old girl, Yaa, is brought to the district hospital A&E in Northern Region with a 2-day history of fever, cough, and fast breathing. Her temperature is 38.9 °C, respiratory rate is 50 breaths …
An 8-year-old boy, Kwame, is being managed in a regional hospital A&E for acute asthma. He received three back-to-back salbutamol nebulisations with ipratropium and oral prednisolone 40 mg 45 minutes …