Fatima, a 28-year-old woman, presents to the regional hospital A&E in Tamale with right iliac fossa pain, nausea, and anorexia for 18 hours. Her urine beta-hCG is negative. On examination, she is afeb…
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Fatima, a 22-year-old woman at 8 weeks gestation, is referred from a peripheral clinic to the regional hospital A&E with persistent vomiting for five days. She cannot tolerate oral fluids. On examinat…
Esi, a 19-year-old woman, attends the district hospital A&E in the Upper East Region with a 2-day history of dysuria, urinary frequency, and suprapubic discomfort. She is afebrile with a temperature o…
Adwoa, a 19-year-old university student, presents to the Korle Bu emergency centre with a 2-day history of lower abdominal pain, dysuria, and frequency. She has no vaginal discharge and her last menst…
Abena, a 28-year-old woman, is seen at the Korle Bu emergency centre with a 3-hour history of sudden-onset right-sided lower abdominal pain radiating to the right shoulder tip. She is diaphoretic and …
A 19-year-old woman, Aisha, presents to the regional hospital A&E with lower abdominal pain and a purulent vaginal discharge for four days. She is sexually active with multiple partners. Temperature i…
Fatima, a 25-year-old woman, presents to the district hospital A&E in the Northern Region with a 1-day history of right lower abdominal pain, nausea, and anorexia. Her temperature is 37.9°C and pulse …
Akosua, a 32-year-old woman with no significant past medical history, presents to the regional hospital A&E in Sunyani with a 5-day history of bilateral lower abdominal pain, fever, and an offensive v…
Esi, a 25-year-old woman, presents to a district hospital in the Eastern Region with a 5-day history of lower abdominal pain, fever, and a foul-smelling vaginal discharge. She had an intrauterine devi…
A 28-year-old woman, Abena, presents to a district hospital A&E with sudden right-sided pelvic pain that began during exercise and has partially settled over two hours. She has no fever, urine pregnan…
A 40-year-old woman, Adwoa, presents to the district hospital in Brong-Ahafo with a 2-day history of a painful, rapidly spreading redness of her left lower leg following an insect bite. The affected s…
A 12-year-old girl, Abena, is brought to a district hospital A&E by her mother with a 2-day history of fever and a rash. On examination, she is alert and well-looking, temperature 37.8°C, HR 92 bpm, B…
A 22-year-old man, Kofi, is seen in the Komfo Anokye ED with a 5-day history of fever, sore throat, and a generalised maculopapular rash that appeared after he was given amoxicillin. He also has poste…
A 19-year-old student named Yaw is seen in the Korle Bu emergency centre with a 3-day history of fever, malaise, and a spreading rash. He started phenytoin 3 weeks ago for newly diagnosed epilepsy. Ex…
A 19-year-old woman, Esi, is brought to the regional hospital A&E in Cape Coast with a 2-day history of fever, malaise, and a rapidly spreading painful rash on her face. The rash began as vesicles on …
A 45-year-old man presents to a regional hospital A&E with a 5-day history of fever, a widespread morbilliform rash, and facial oedema. He was started on cotrimoxazole for a urinary tract infection 4 …
Mohammed, a 38-year-old man, presents to the Komfo Anokye ED with a 3-day history of an expanding circular red rash on his left calf following a camping trip in a forested area. The rash is 8 cm in di…
A 3-year-old girl, Abena, is brought to a district hospital in the Volta Region. Her mother reports she had a 12-minute generalised seizure associated with a fever of 39.2°C, and has now stopped convu…
A 22-year-old woman, Yaa, is brought to the district hospital in the Upper East Region. She has been convulsing for 20 minutes despite receiving diazepam 10 mg IV twice at 5-minute intervals. She is s…
A 19-year-old student, Abena, is brought to a district hospital A&E in Brong-Ahafo after a first-ever generalised tonic-clonic seizure that self-terminated at home. She is now fully alert and orientat…
A 50-year-old man, Kwabena, is brought to Komfo Anokye Emergency Department after 40 minutes of continuous generalised seizure activity. He has received diazepam 10 mg IV twice and phenytoin 18 mg/kg …
A 45-year-old man, Kwame, is brought to the A&E of a regional hospital after a witnessed tonic-clonic seizure. He is now lying still on the trolley, eyes closed, unresponsive to voice but withdrawing …
A 70-year-old man, Yaw, is brought to the A&E of a regional hospital by his family. He had a 3-minute generalised tonic-clonic seizure at home — his first ever. He is now post-ictal. He takes warfarin…
A 28-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a witnessed generalised tonic-clonic seizure lasting approximately 2 minutes. He has no prior history of seizures and …
A 22-year-old man, Kwabena, presents to the Komfo Anokye ED having had two generalised tonic-clonic seizures in the past 40 minutes with no recovery of consciousness between episodes. He has been give…
A 28-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a witnessed episode of generalised tonic-clonic convulsions lasting approximately 3 minutes. He has no prior history o…
A 3-year-old girl, Abena, is brought to the regional hospital A&E in Sunyani. She has been having a generalised tonic-clonic seizure for 8 minutes. She has a fever of 39.2 °C. No IV access has been es…
A 48-year-old man named Kofi presents to the Korle Bu emergency centre with a 3-day history of high fever, cough, and increasing breathlessness. His temperature is 38.8°C, heart rate is 116 bpm, respi…
A 58-year-old man named Mensah is brought to Korle Bu emergency centre with fever, chills, and right upper quadrant pain for 2 days. His temperature is 39.5°C, heart rate is 124 bpm, respiratory rate …
Akua, a 29-year-old nurse, presents to a regional hospital A&E with fever, chills, and burning micturition for 2 days. Her temperature is 38.9°C, heart rate 102 bpm, respiratory rate 21 breaths/min, a…