A 24-year-old woman is referred from a district hospital in the Upper West Region to Tamale Teaching Hospital. She has had recurrent episodes of painless, non-itchy swelling of her lips and hands over…
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Abena, a 41-year-old woman with known asthma, was treated for anaphylaxis to latex at Komfo Anokye ED 4 hours ago. She received IM adrenaline, hydrocortisone, and chlorphenamine and was asymptomatic o…
A 19-year-old man, Kwesi, is brought to a district hospital A&E in the Brong-Ahafo Region after eating at a street food stall. He develops stridor, severe bronchospasm, and a BP of 60/30 mmHg. He rece…
Fatima, a 33-year-old woman, presented to a district hospital A&E with anaphylaxis to a wasp sting. She received IM adrenaline 500 micrograms, chlorphenamine, and hydrocortisone. Her symptoms resolved…
Kofi, a 38-year-old fisherman, presents to a coastal district hospital in the Central Region after stepping on something in the sea while wading into shallow water. He describes immediate, excruciatin…
A 7-year-old boy named Kwame is brought to a district hospital in the Northern Region after being stung by a scorpion while playing near a woodpile. His mother reports he screamed immediately and has …
A group of five secondary school students are brought to Korle Bu Emergency Centre after swimming at a beach near Accra. One of them, Yaa, a 16-year-old girl, complains of immediate burning pain, prur…
Aisha, a 24-year-old market trader, is brought to the Komfo Anokye ED 15 minutes after multiple bee stings while working outdoors. She reports prior bee stings with local swelling only. She is acutely…
A 50-year-old man, Mohammed, is admitted to the Korle Bu burns unit 12 hours after sustaining circumferential full-thickness burns to his left lower limb. On review in the ED, he now reports numbness …
A 28-year-old woman, Akosua, is brought to a regional hospital ED after a house fire. She has burns to the entirety of her back, the back of both arms, and the back of both legs. She is screaming in p…
A 35-year-old man, Kwame, is brought to the Komfo Anokye ED after a gas cylinder explosion at a welding workshop. He sustained burns to his entire right arm, entire chest and abdomen (front only), and…
A 38-year-old woman, Akosua, arrives at a district hospital in the Western Region having sustained burns in a kerosene fire. She has burns to her entire left arm, both anterior and posterior, and to t…
A 42-year-old man is brought to the Korle Bu emergency centre following a building fire. He has full-thickness circumferential burns to his entire right lower leg. On arrival, he was conscious and mov…
A 4-year-old girl, Afia, weighing 16 kg, is brought to a regional hospital ED after pulling a pot of boiling water off a stove. She has blistered, moist, painful burns to her entire right arm, the ent…
A 52-year-old man, Joseph, is brought to the Komfo Anokye ED after being rescued from a burning warehouse where he was trapped for approximately 20 minutes. He is agitated and hoarse. On examination: …
A 45-year-old man is referred to Tamale Teaching Hospital ED from a district facility with a 10-day history of progressive headache, low-grade fever, and right arm weakness. He had a dental extraction…
A 38-year-old woman, Afia, presents to Korle Bu emergency centre with a 2-week history of worsening headache, photophobia, and intermittent low-grade fever. She is known to be HIV-positive and not on …
A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband with a 2-hour history of sudden-onset palpitations, mild chest tightness, and dizziness. She has no significant past medic…
A 72-year-old woman, Adwoa, presents to Korle Bu emergency centre with a 30-minute history of palpitations and lightheadedness. She has a history of hypertension and chronic kidney disease stage 3. He…
Akosua, a 34-year-old woman, is brought to Komfo Anokye Emergency Department at 28 weeks gestation with a one-hour history of carpopedal spasm and perioral tingling. She has had no antenatal care. Vit…
Mensah, a 70-year-old retired civil servant with hypertension and hyperlipidaemia, received streptokinase 1.5 million units IV for an acute anterior STEMI at a district hospital in the Northern Region…
A 78-year-old woman, Yaa, is brought to Korle Bu Emergency Centre by her daughter with a 1-day history of profound fatigue, confusion, and two episodes of loss of consciousness. She has a history of c…
A 67-year-old woman, Yaa, is brought to the Korle Bu emergency centre by her children with a 12-hour history of palpitations, fatigue, and mild ankle swelling. She has known rheumatic mitral stenosis.…
A 58-year-old man, Mohammed, with known dilated cardiomyopathy is brought to the Komfo Anokye ED in severe respiratory distress. He is commenced on CPAP 7.5 cmH2O, IV frusemide 80 mg, and GTN infusion…
A 60-year-old man is brought to the Komfo Anokye ED with a two-day history of progressively worsening headache and blurred vision. His BP is 240/138 mmHg. Fundoscopy shows bilateral papilloedema and a…
A 45-year-old woman, Afia, is brought to Komfo Anokye ED with sudden-onset severe breathlessness and haemoptysis beginning 4 hours ago. She has a known history of rheumatic heart disease. Vitals: HR 1…
At Tamale Teaching Hospital ED, a registrar is reviewing ECGs during a busy evening shift. A 52-year-old man, Yaw, presents with chest discomfort and a HR of 110 bpm. His ECG shows sinus tachycardia. …
A 52-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after three days of progressive dyspnoea and a sensation of chest heaviness. He has a known history of pu…
Afia, a 61-year-old retired teacher with hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 2 hours of epigastric pain, nausea, and vomiting. She initially believed it was her 'sto…
A 27-year-old man, Kwesi, is brought to a district hospital in the Brong-Ahafo Region following a generalised tonic-clonic seizure lasting 2 minutes, which has now stopped. He has a history of epileps…