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A 34-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after falling from a ladder at a construction site. He had a brief loss of consciousness witnessed by a colleague and now ha…

A 72-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED after a fall from standing. She is on warfarin for atrial fibrillation. GCS is 15, no focal neurology…

A 72-year-old woman, Adwoa, is brought from a district hospital in Brong-Ahafo to Komfo Anokye ED after a ground-level fall. She is on warfarin for atrial fibrillation. On arrival her GCS is 15, she h…

A 28-year-old footballer, Yaw, presents to the Korle Bu emergency centre after a collision during a match. He has a GCS of 8 (E2V2M4) and a CT brain shows a right temporal contusion with surrounding o…

A 19-year-old man is brought to Korle Bu emergency centre after being assaulted. He is drowsy (GCS 10, E3V3M4), with a dilated and sluggishly reactive right pupil. BP 168/94 mmHg, HR 54 bpm, RR 8 and …

Ama, a 52-year-old woman with known myasthenia gravis, is brought to the regional hospital A&E in Tamale with a 12-hour history of worsening dysphagia, nasal speech, and difficulty lifting her head fr…

Adwoa, a 41-year-old market trader, is brought to the Komfo Anokye A&E by her family with progressive weakness of both legs over the past week. She had a Campylobacter gastroenteritis five weeks ago. …

Kofi, a 27-year-old male soldier, is brought to the A&E at 37 Military Hospital, Accra, with a five-day history of progressive leg weakness and tingling that has now spread to his hands. He had a diar…

A 38-year-old teacher, Akosua, presents to the A&E at Komfo Anokye Teaching Hospital with a two-day history of right-sided facial weakness. She is unable to raise her right eyebrow, cannot close her r…

Ama, a 32-year-old seamstress, is brought to the regional hospital A&E in Tamale with a four-day history of progressive leg weakness. She had a diarrhoeal illness three weeks ago. On examination she h…

Mohammed, a 19-year-old student, presents to a district hospital A&E with a 36-hour history of back pain, bilateral leg weakness, and inability to pass urine. He had a viral upper respiratory tract in…

A 45-year-old teacher, Kwabena, presents to Komfo Anokye Teaching Hospital A&E with a two-day history of right-sided facial weakness. He cannot raise his right eyebrow, cannot fully close his right ey…

Mary, a 27-year-old gravida 1, is newly diagnosed HIV-positive at her booking visit at 16 weeks of gestation at Korle Bu Teaching Hospital. Her CD4 count is 480 cells/microlitre and she has no WHO cli…

Akosua, a 26-year-old primigravida, attends for her first antenatal visit at 11 weeks of gestation at a district hospital in the Ashanti Region. Her booking blood pressure is 110/70 mmHg, haemoglobin …

Fatima, a 22-year-old primigravida at 14 weeks of gestation, is found to be HIV-positive at her booking visit at Tamale Teaching Hospital. She is antiretroviral therapy (ART)-naive. Her CD4 count is 4…

Fatima, a 22-year-old primigravida from Tamale, attends her first antenatal visit at 14 weeks of gestation. She is asymptomatic and her malaria rapid diagnostic test is negative. The nurse asks the do…

Yaa, a 26-year-old primigravida at 28 weeks of gestation, attends the ANC clinic at a regional hospital in the Northern Region. She is asymptomatic. The midwife notes that she has not yet received any…

Esi, a 28-year-old HIV-positive woman on tenofovir/lamivudine/efavirenz (TDF/3TC/EFV), attends the antenatal clinic at 32 weeks of gestation. Her viral load at 28 weeks was 850 copies/mL. She is plann…

Fatima, a 24-year-old primigravida, delivered vaginally at a district hospital five days ago. She now presents to the emergency department at Ho Teaching Hospital with fever (temperature 39.2°C), rigo…

Fatima, a 30-year-old woman, is brought to the emergency department at Tamale Teaching Hospital in a confused state 4 days after a home delivery conducted by a traditional birth attendant. Her husband…

Akua, a 28-year-old primigravida at 38 weeks gestation, is brought to the regional hospital A&E by her husband after a witnessed generalised tonic-clonic seizure lasting approximately 90 seconds at ho…

Abena, a 26-year-old woman, G1P0, at 39 weeks gestation, delivers vaginally at Korle Bu. The placenta is delivered 10 minutes later. At 30 minutes post-delivery, the midwife calls for emergency assist…

Akua, a 28-year-old primigravida at 37 weeks gestation, is brought to the regional hospital A&E by her husband after a witnessed generalised tonic-clonic seizure lasting approximately 90 seconds. She …

Fatima, a 26-year-old woman in her 30th week of pregnancy, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital emergency department. She has had 18 days of feve…

Akosua, a 26-year-old primigravida at 36 weeks gestation, is brought by family to the Komfo Anokye ED after a witnessed tonic-clonic seizure at home lasting approximately 2 minutes. On arrival she is …

A 29-year-old woman, Adwoa, G2P1 at 39 weeks is delivering at a district hospital in the Oti Region. After an apparently uncomplicated vaginal delivery of the fetal head, the anterior shoulder becomes…

Adwoa, a 32-year-old G3P2 woman at 38 weeks, is receiving the Pritchard magnesium sulphate regimen at a regional hospital following an eclamptic seizure 3 hours ago. She received a 4 g IV loading dose…

A resuscitation simulation drill is being conducted at a regional hospital in Brong-Ahafo to prepare staff for maternal cardiac arrest. The facilitator asks the team to correctly identify the minimum …

Akosua, a 28-year-old primigravida at 38 weeks gestation, is brought to the Komfo Anokye ED by her husband with a 24-hour history of fever, lower abdominal pain, and reduced fetal movements. She deliv…

Ama, a 32-year-old woman, G3P2, at 34 weeks gestation, presents to Komfo Anokye ED referred from a district hospital with worsening epigastric pain, nausea, and jaundice for 36 hours. She was treated …