A 52-year-old farmer, Yaw, is brought to a district hospital in Northern Region after his machete slipped and caused a 6 cm laceration across the dorsum of his right hand while clearing farmland. The …
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Kwame, a 35-year-old farmer, is brought to a district hospital in the Northern Region by his family after being bitten on the left calf by a stray dog while working on his farm 3 days ago. He cleaned …
Fatima, a 35-year-old market trader, is brought to the Komfo Anokye ED after sustaining a deep puncture wound to her right foot from a rusty nail while walking in a construction site. The wound is app…
A 28-year-old man named Kwame presents to the district hospital in Brong-Ahafo region after sustaining a small clean laceration on his palm while slicing plantain. The wound is approximately 1.5 cm, w…
Mohammed, a 44-year-old man with HIV infection (not on ART, CD4 count 180 cells/μL obtained 3 months ago), presents to the Korle Bu Emergency Centre after sustaining a deep laceration on his right han…
A 19-year-old primigravida named Afia at 32 weeks gestation attends the antenatal clinic at a district hospital in the Upper East Region. During review of her antenatal card, the midwife notes that sh…
Mohammed, a 22-year-old man, is brought to a district hospital in Northern Region following a stab wound to the right upper quadrant. He is conscious and oriented. Vital signs: BP 110/70 mmHg, HR 104/…
Yaw, a 31-year-old man, is brought to the Korle Bu emergency centre after sustaining a stab wound to the left flank. He is haemodynamically stable: BP 122/78 mmHg, HR 92/min, RR 18/min, SpO2 99%. The …
A 40-year-old man, Mohammed, arrives at the regional hospital A&E following a crush injury to the pelvis from a collapsing building. BP is 60/40 mmHg despite two large-bore IVs and 1 litre of crystall…
A 34-year-old woman, Akua, is brought to the Komfo Anokye ED by relatives after a 3-day history of profuse vomiting and inability to tolerate oral fluids. She has a background of hyperemesis gravidaru…
A 28-year-old man named Kofi is seen in the A&E of a regional hospital in the Ashanti Region following a road traffic collision. He has a suspected closed head injury and is intubated for airway prote…
A 44-year-old woman, Abena, presents to a regional hospital A&E with a 4-hour history of severe colicky right upper quadrant pain radiating to the right shoulder tip, associated with nausea and vomiti…
Kofi, a 45-year-old man with a history of gallstones, presents to a district hospital A&E in Brong-Ahafo with a 2-day history of right upper quadrant pain, fever, and jaundice. He was initially treate…
A 67-year-old man is brought by relatives to a district hospital A&E in Brong-Ahafo with sudden-onset severe generalised abdominal pain of two hours duration. He has a history of peptic ulcer disease.…
A 6-month-old infant, weighing 7 kg, is brought to the Tamale Teaching Hospital paediatric emergency bay in respiratory failure secondary to severe bronchiolitis. The intern has selected a size 2 infa…
Mohammed, a 55-year-old man with known morbid obesity (BMI 42), is brought to the Korle Bu Emergency Centre with an acute asthmatic attack that has progressed to respiratory failure. He is sedated wit…
Yaw, a 60-year-old farmer, is brought to the Komfo Anokye ED by family after being found unresponsive at home. He is suspected to have organophosphate poisoning from pesticide exposure on his farm. He…
A 55-year-old man, Yaw, with known carcinoma of the larynx is brought to the Komfo Anokye ED in Kumasi with acute respiratory distress. He is known to radiotherapy services and was last reviewed 3 wee…
A 38-year-old woman, Akosua, presents to the Korle Bu emergency centre with a 3-day history of progressively worsening sore throat and difficulty swallowing. Today she cannot swallow her own saliva. V…
A 38-year-old woman, Aisha, is being prepared for awake fibreoptic nasal intubation at the Komfo Anokye ED. She has a fractured mandible from a road traffic collision with significant intraoral haemat…
A 38-year-old woman, Aisha, is brought to the Komfo Anokye ED with acute severe asthma. Her SpO2 is 82% on 15 L/min oxygen via non-rebreather mask. She is in severe respiratory distress with a RR of 3…
A 44-year-old obese man, Kwesi, is seen in a regional hospital ED in the Eastern Region. He is scheduled for procedural sedation for a dislocated shoulder. His BMI is 38 kg/m². His wife reports he sno…
Yaw, a 42-year-old man with Ludwig's angina, is seen at the Tamale Teaching Hospital ED. He has progressive floor-of-mouth swelling, trismus (mouth opening 1.5 cm), and drooling. SpO2 is 90% on room a…
A 78-kg male construction worker, Kwesi, aged 45, is brought to a district hospital in the Bono East region after a fall from scaffolding. He has an open femur fracture and a GCS of 14. His SpO2 is 94…
A 55-year-old man with known morbid obesity (weight 130 kg, BMI 46) presents to the Korle Bu Emergency Centre in respiratory failure due to acute exacerbation of COPD. He requires positive-pressure ve…
A 42-year-old woman presents to a regional hospital ED in the Western Region with severe colicky central abdominal pain, vomiting, and abdominal distension for 18 hours. She denies diarrhoea or fever.…
A 35-year-old man, Yaw, presents to the Korle Bu emergency centre after receiving IV contrast dye during an elective CT scan. He develops flushing, urticaria, lip swelling, and wheezing. He is treated…
A 19-year-old woman named Abena is brought to a regional hospital A&E after eating peanuts at a party. She has urticaria, periorbital swelling, and vomiting. Vitals: BP 104/68 mmHg, HR 110 bpm, RR 18/…
A 32-year-old nurse, Adwoa, presents to the Korle Bu emergency centre 2 hours after receiving her first-ever yellow fever vaccine at a travel clinic. She reports throat tightness, generalised urticari…
A 45-year-old woman is referred from a district hospital in the Volta Region to the regional hospital with a 2-hour history of generalised urticaria, angioedema of the lips and tongue, and difficulty …