Mohammed, a 55-year-old man with no prior cardiac history, is brought to a regional hospital ED after collapsing at the mosque. Bystanders report he was unresponsive for approximately 45 seconds and t…
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A 45-year-old woman, Abena, is brought to the Korle Bu Emergency Centre after collapsing at home. She is conscious but drowsy. Bystanders state she had no prior complaints. Vitals: heart rate 28 bpm, …
A 67-year-old woman, Adwoa, is referred from a district hospital in the Brong-Ahafo region to the regional hospital with a 3-day history of progressive breathlessness and leg swelling. She has known h…
Akosua, a 54-year-old woman with diabetes and hypertension, is brought to a district hospital in Brong-Ahafo with a 5-hour history of epigastric pain, nausea, and vomiting. She initially attributed it…
Fatima, a 48-year-old woman with known ischaemic cardiomyopathy (last known EF 25%), presents to the Korle Bu emergency centre with a 2-day history of worsening dyspnoea and reduced urine output. She …
Abena, a 45-year-old woman with no prior medical history, is brought to the regional hospital ED in Kumasi by her husband after she complained of sudden-onset severe chest pain radiating to her back, …
A 61-year-old man, Kwame, is referred from a district hospital in Ashanti Region with a two-week history of severe headache, blurred vision, and progressive dyspnoea. BP on arrival at the regional hos…
A 71-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital after a 6-hour history of severe interscapular back pain without radiation to the chest or…
A 67-year-old woman, Ama, is brought to the Korle Bu emergency centre with a 4-hour history of sudden-onset severe chest pain. She is haemodynamically stable. The emergency physician considers CT angi…
A 55-year-old man, Yaw, is referred from a district hospital in the Upper East Region to the Tamale Teaching Hospital ED with a 6-hour history of sudden severe chest pain and progressive dyspnoea. His…
A 67-year-old man is brought to the Tamale Teaching Hospital emergency department after being struck by a motorcycle. He complains of right-sided chest pain worsening with inspiration. Vitals: BP 138/…
A 67-year-old man is brought to the Korle Bu emergency centre by family. He has a 3-day history of fever, productive cough, and worsening breathlessness. He looks toxic. Vitals: BP 82/50 mmHg, HR 134/…
Mohammed, a 28-year-old man, presents to a district hospital A&E in the Northern Region with a one-day history of fever, neck stiffness, and photophobia. Vitals: temp 39.8°C, HR 128 bpm, BP 84/50 mmHg…
Yaw, a 45-year-old farmer, is referred from a district hospital in Brong-Ahafo with a three-day history of right leg cellulitis and systemic sepsis. On arrival at the regional A&E, he has a MAP of 58 …
A 55-year-old man, Mohammed, is in the ED-ICU at Tamale Teaching Hospital following a severe road traffic injury with bilateral rib fractures and pulmonary contusions. He is mechanically ventilated, R…
A 28-year-old woman, Adwoa, is in the Korle Bu ICU following a road traffic collision causing traumatic brain injury (GCS 7) and bilateral femur fractures. She was intubated in the emergency centre an…
A 72-year-old woman, Adwoa, is in the resus bay at Tamale Teaching Hospital ED with sepsis secondary to pneumonia. She has received 30 mL/kg IV crystalloid over two hours. Her current vitals are: BP 1…
A 48-year-old woman is mechanically ventilated in the Korle Bu emergency centre for severe ARDS (PaO2/FiO2 ratio 98) secondary to gram-negative bacteraemia. She is on TV 6 mL/kg PBW, RR 22, PEEP 16, F…
Mohammed, a 71-year-old man with COPD, is mechanically ventilated in the ICU at the regional hospital in Brong-Ahafo following a severe exacerbation with type 2 respiratory failure. He has been ventil…
A 67-year-old man is referred from a district hospital in Brong-Ahafo to the regional hospital ED with a diagnosis of severe sepsis secondary to urinary tract infection. He is intubated en route due t…
Mohammed, a 44-year-old schoolteacher, is admitted to Korle Bu emergency centre with septic shock secondary to community-acquired pneumonia. He has been on noradrenaline at 0.25 micrograms/kg/min for …
Yaw, a 70-year-old man with known ischaemic heart disease and COPD, presents to the Korle Bu emergency centre with three days of worsening dyspnoea, productive cough, and fever. He is febrile at 38.7°…
Kofi is a 52-year-old man admitted to the Komfo Anokye ED with severe sepsis secondary to an abdominal source following bowel perforation. He was intubated 36 hours ago and is now receiving ARDSnet ve…
Mohammed, a 48-year-old man with no known comorbidities, presents to a regional hospital ED in northern Ghana with sudden-onset generalised pruritus, throat tightness, and collapse 15 minutes after a …
Ama, a 29-year-old woman, presents to Korle Bu Teaching Hospital A&E with a 3-week history of a widespread erythematous rash, facial swelling, and fever. She was commenced on phenytoin 6 weeks ago for…
Abena, a 32-year-old woman, presents to a district hospital A&E with a 5-day history of fever, facial swelling, and a widespread morbilliform rash. She was started on carbamazepine six weeks ago for t…
Kofi, a 45-year-old man with known psoriasis, presents to Komfo Anokye Teaching Hospital A&E with a 48-hour history of generalised redness and scaling covering his entire body. He stopped his methotre…
A 67-year-old retired teacher, Joseph, is referred from a district hospital in the Bono Region to the regional hospital in Sunyani. He has a six-week history of generalised itching, progressive rednes…
A 61-year-old woman, Yaa, presents to a district hospital in the Upper East Region with a five-day history of diffuse skin redness and shedding after starting carbamazepine three weeks ago for newly d…
A 62-year-old man with leprosy is brought to a district hospital in Brong-Ahafo. He was started on dapsone 5 weeks ago. He has a 2-week history of progressive rash, swollen face, high fever, and malai…