A 38-year-old man presents to a district hospital A&E with sudden onset weakness of his right arm and leg that began 2 hours ago. He has no facial droop and his speech is normal. BP is 160/95 mmHg, HR…
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Kwame, a 22-year-old man, wakes at 04:00 unable to move his legs. He is brought to Korle Bu Emergency Centre. He has no pain, no sensory loss, and his reflexes are intact. He ate a large carbohydrate-…
A 45-year-old woman named Afia presents to a regional hospital A&E with a 3-day history of bilateral leg weakness, urinary retention, and a band-like tightness around her abdomen. She had an upper res…
Akua, a 48-year-old woman, presents to the Komfo Anokye ED with sudden onset of left-sided facial droop, left arm weakness, and difficulty finding words, which began 2 hours ago. On examination, she h…
Mensah, a 72-year-old man, presents to a district hospital in Northern Region with a 20-minute episode of right leg weakness and right-sided visual loss that resolved completely. He has a history of h…
A 22-year-old male student named Kofi is brought to Komfo Anokye ED at 06:00 by his roommate. He woke unable to move his legs. He had a large carbohydrate-heavy meal and consumed alcohol the night bef…
Ama, a 29-year-old woman with known myasthenia gravis, presents to Komfo Anokye ED with increasing difficulty swallowing and a weak voice over 24 hours. She takes pyridostigmine regularly. On examinat…
Afia, a 52-year-old market trader, is brought to the regional hospital A&E after collapsing and hitting her head on a concrete floor. Witnesses say she was unconscious for about 45 seconds before reco…
Ama, a 45-year-old market trader, presents to a regional hospital A&E after standing up from a seated position and immediately feeling dizzy before collapsing briefly. She has been on treatment for pu…
A 17-year-old girl named Abena is seen at a district hospital A&E in the Central Region after briefly losing consciousness during a school assembly. She had been standing for 45 minutes in the heat. W…
A 30-year-old woman named Ama is seen in a regional hospital A&E after fainting during a blood draw. She reports feeling warm, nauseated, and lightheaded for about 30 seconds before losing consciousne…
A 70-year-old woman named Yaa is brought to a regional hospital A&E in Brong-Ahafo after fainting when she stood up from bed in the morning. She reports feeling dizzy immediately on standing. Her lyin…
A 45-year-old man named Mensah presents to a district hospital A&E in the Upper East Region after a brief blackout. He reports no warning before losing consciousness, which lasted about 30 seconds, an…
A 45-year-old man presents to a district hospital in Brong-Ahafo after a syncopal episode. He has a history of hypertension on amlodipine. His ECG shows right bundle branch block with ST elevation in …
Five patients present to the Komfo Anokye ED following syncopal episodes. Patient A: 70-year-old man with shortness of breath and haematocrit 28%. Patient B: 25-year-old woman with classic vasovagal f…
Mohammed, a 17-year-old student, is seen in the A&E of a regional hospital after collapsing during a 100-metre sprint at a school athletics event. His father reports that Mohammed's elder brother died…
Adwoa, a 28-year-old pregnant woman at 32 weeks gestation, attends the A&E of a district hospital in the Upper East Region after fainting while standing in a queue at the antenatal clinic. She felt wa…
A 17-year-old girl, Abena, is brought to a district hospital in the Northern Region after her mother found her unconscious. An empty bottle of paracetamol syrup is found nearby. The ingestion time is …
A 45-year-old man is brought to a regional hospital A&E after drinking a substance he purchased as 'cheap spirits' at a local market. He complains of blurred vision and severe headache. On examination…
A 55-year-old man is referred from a peripheral clinic to a regional hospital after drinking what his family describe as 'ogogoro' (locally-distilled spirits) the previous evening. He now has worsenin…
A 16-year-old girl, Abena, is brought to a district hospital in Ashanti Region after ingesting an unknown substance found in the kitchen. She is conscious but agitated, with a heart rate of 52 bpm, bl…
A 50-year-old rice farmer, Mensah, is admitted to a district hospital in Northern Ghana after collapsing while applying pesticide. He has been treated with atropine 2 mg IV twice for profuse secretion…
A 30-year-old man, Kofi, presents to the Komfo Anokye ED 2 hours after ingesting a large amount of paracetamol tablets. He is conscious, GCS 15, with normal vital signs and no abdominal tenderness. A …
A 32-year-old woman, Aisha, is brought to Korle Bu emergency centre after ingesting antifreeze (ethylene glycol) approximately 2 hours ago. She is drowsy but rousable, GCS 12, with a respiratory rate …
A 17-year-old girl, Abena, presents to a regional hospital A&E in the Western Region after swallowing several tablets of an unknown medication from her mother's handbag one hour ago. She is alert. You…
A 22-year-old woman, Akua, presents to the Korle Bu emergency centre 1 hour after intentionally swallowing 30 tablets of amitriptyline. She is drowsy (GCS 11), her heart rate is 130 bpm, and her ECG s…
A 45-year-old man, Mensah, is brought to a regional hospital A&E after ingesting an unknown quantity of rat poison. He is conscious and alert, GCS 15, with a heart rate of 110 bpm and blood pressure o…
Adwoa, a 45-year-old market trader, is brought to a regional hospital A&E after a road traffic collision. She is unconscious (GCS 8), airway has been secured with an oropharyngeal airway, and she is b…
A 55-year-old man named Mensah is brought to the Komfo Anokye ED after a road traffic collision in which he was a restrained front-seat passenger. He is alert and complaining of chest pain. His blood …
Mohammed, a 19-year-old student, is brought to the Komfo Anokye ED after a fall from a second-floor balcony. He is conscious and speaking but complains of neck pain. His GCS is 15. Airway is patent. H…