A 48-year-old woman named Adwoa is brought to the Korle Bu emergency centre after a road traffic collision. During the secondary survey, she is found to have bruising over the left flank, left-sided r…
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A 30-year-old woman, Esi, is brought to the regional hospital A&E in Ho after a stab wound to the chest. She is alert but anxious. On examination, her blood pressure is 80/60 mmHg, heart rate is 120 b…
A 19-year-old man, Yaw, is brought to the district hospital A&E in the Upper East Region after a fall from a motorcycle. He is alert and oriented. His GCS is 15, pupils are equal and reactive. Examina…
Yaw, a 50-year-old man, is brought to the Korle Bu emergency centre after a high-speed road traffic collision. He is confused (GCS 11), blood pressure 85/55 mmHg, and pulse 130 bpm. His abdomen is dis…
A 30-year-old woman named Akua is brought to a regional hospital A&E after falling from a second-floor balcony. She is responsive to voice only (GCS 10: E3V3M4). Her pupils are equal and reactive, and…
Akosua, a 35-year-old woman with known uterine fibroids, presents to Korle Bu emergency centre with heavy vaginal bleeding for 48 hours. She is not pregnant. Vital signs: BP 100/68 mmHg, HR 108 bpm. H…
A 22-year-old woman, Yaa, presents to a district hospital in the Northern Region with vaginal bleeding and passage of tissue for two hours. Her last menstrual period was ten weeks ago. On speculum exa…
Ama, a 38-year-old woman, presents to the regional hospital A&E with heavy, irregular vaginal bleeding for three months. She is not pregnant. Vital signs: BP 118/76 mmHg, HR 90 bpm. She appears pale. …
Abena, a 22-year-old woman, presents to a regional hospital A&E with heavy vaginal bleeding and mild lower abdominal cramping for 3 days. Her urine pregnancy test is negative. She reports soaking more…
A 19-year-old woman, Esi, presents to the regional hospital A&E in Tamale with vaginal bleeding and crampy lower abdominal pain. Her last menstrual period was nine weeks ago. A urine pregnancy test is…
A 38-year-old woman, Abena, presents to the Korle Bu emergency centre with heavy, prolonged menstrual bleeding for the past five days. She is not pregnant (urine pregnancy test negative). Her haemoglo…
Abena, a 22-year-old woman at 10 weeks gestation, presents to the district hospital A&E with heavy vaginal bleeding and crampy lower abdominal pain for three hours. On examination, the cervical os is …
Yaa, a 32-year-old woman, presents to a regional hospital A&E with vaginal bleeding and mild lower abdominal cramps for 12 hours. Her LMP was 10 weeks ago and the urine pregnancy test is positive. On …
A 30-year-old woman, Esi, delivered her third child vaginally 2 hours ago at Korle Bu emergency centre. She now has heavy vaginal bleeding. On examination, the uterus is well-contracted and firm. Insp…
Fatima, a 19-year-old woman, presents to a district hospital A&E with vaginal bleeding and mild pelvic cramps for 6 hours. Her LMP was 9 weeks ago. Urine pregnancy test is positive. On speculum examin…
Adwoa, a 30-year-old woman, delivers a healthy baby at Komfo Anokye Teaching Hospital. One hour later she develops heavy vaginal bleeding. The uterus is well-contracted and firm. Inspection reveals a …
Akosua, a 35-year-old woman (G4P3), is brought to Komfo Anokye ED 30 minutes after delivery of her fourth child. She has heavy vaginal bleeding and the uterus is firm on palpation. The placenta was de…
Yaw, a 19-year-old male student, is brought to the Korle Bu Emergency Centre by friends after being found confused. His friends report he took 'a lot of paracetamol tablets' about 3 hours ago followin…
A 22-year-old woman, Ama, was given IV metoclopramide 20 mg at a peripheral clinic for persistent vomiting and was then referred to the regional hospital A&E. On arrival she has an involuntary sustain…
A 28-year-old woman, Abena, presents to the regional hospital A&E in the Volta Region at 10 weeks of gestation with a 3-week history of persistent nausea and vomiting. She has been unable to keep any …
A 4-week-old male infant is brought to the district hospital A&E by his mother in Brong-Ahafo. She reports three days of forceful vomiting after every feed — the vomit shoots across the room and conta…
A 45-year-old man, Mensah, presents to the district hospital in Northern Region with a 2-day history of vomiting, polydipsia, and polyuria. He is a known type 1 diabetic who ran out of insulin 3 days …
A 19-year-old male student, Kwesi, is brought to the district hospital A&E after a sudden-onset severe headache ('worst of my life') followed by two episodes of effortless projectile vomiting. He is a…
Ama, a 28-year-old woman at 8 weeks of gestation, presents to the regional hospital A&E in Kumasi with a 3-week history of persistent nausea and vomiting. She cannot tolerate oral fluids and has lost …
A 45-year-old man, Mohammed, presents to the district hospital A&E with nausea and vomiting after chemotherapy three days ago. He is haemodynamically stable and tolerating sips of water. The attending…
A 55-year-old woman, Yaa, is brought to the Komfo Anokye ED from a district hospital in Ashanti Region. She has had three days of vomiting and has not passed stool or flatus for four days. On examinat…