Abena, a 32-year-old woman, presents to Komfo Anokye ED with a 3-day history of dysuria and frequency, now accompanied by high fever (38.9 °C), right-sided flank pain, and two episodes of vomiting. On…
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Esi, a 52-year-old obese woman with poorly controlled diabetes, presents to the district hospital A&E in the Upper East Region with 2 days of worsening perineal pain and swelling. She is febrile at 39…
A 28-year-old man, Kwame, is brought to the district hospital A&E in Ashanti Region after a motorbike collision. He opens his eyes to pain, makes incomprehensible sounds, and withdraws his arm from a …
A 45-year-old man, Yaw, presents to a regional hospital A&E in Brong-Ahafo 4 hours after a road traffic accident in which he struck his head on the windscreen. He had a brief loss of consciousness at …
A 28-year-old man, Kwame, is brought to a district hospital in the Upper East Region with a 6-hour history of severe headache, high fever, and neck stiffness. On examination his temperature is 39.8°C,…
A 28-year-old man, Kofi, attends a district hospital A&E in the Northern Region with a 2-day history of severe headache, high fever, and vomiting. On examination his temperature is 39.8°C, he has mark…
A 30-year-old HIV-positive man, Joseph, presents to the Korle Bu emergency centre with a 2-week history of progressive headache, low-grade fever, and neck stiffness. He is not on antiretroviral therap…
A 34-year-old woman, Akua, presents to the regional hospital A&E in Kumasi describing the worst headache of her life, which reached maximal intensity within seconds of onset while she was lifting a he…
Fatima, a 38-year-old woman at 36 weeks gestation, is brought to Komfo Anokye ED with a severe headache and visual blurring. Her BP is 172/115 mmHg and urine dipstick shows 2+ protein. She has not yet…
Fatima, a 67-year-old woman with hypertension and type 2 diabetes, presents to the Korle Bu emergency centre with a BP of 204/118 mmHg and a two-hour history of central chest pain. Her 12-lead ECG sho…
Akua, a 52-year-old market trader, is brought to the regional hospital A&E in Kumasi with a blood pressure of 210/120 mmHg recorded on two occasions. She has a mild headache but no visual disturbance,…
A 35-year-old woman, Afia, is 38 weeks pregnant and is brought to the regional hospital A&E by relatives. Her BP is 168/112 mmHg, she has 3+ proteinuria on urine dipstick, and she has just had a 90-se…
Kwame, a 35-year-old man, presents to the Komfo Anokye ED with a 2-day history of severe pain, swelling, and redness of his right knee. He has a temperature of 38.8°C, pulse 102 bpm, and is unable to …
Kofi, a 45-year-old man, presents to a district hospital in Brong-Ahafo with a 12-hour history of excruciating pain and swelling at the base of his right big toe. He attended a funeral feast the previ…
A 32-year-old woman, Ama, presents to the Korle Bu emergency centre with multiple contusions on her face, arms, and torso. She is accompanied by her husband. When he steps out of the room, she quietly…
A 34-year-old man, Kwame, is brought to the A&E of a district hospital in Northern Region after being shot in the abdomen during a robbery. He is haemodynamically stable and alert. The police have not…
A 40-year-old man, Yaw, is brought to the regional hospital A&E by police after being found wandering on the main road in Kumasi, speaking incoherently and appearing to respond to auditory hallucinati…
A 19-year-old man, Kofi, is brought to the A&E of a regional hospital in Ashanti by police after sustaining a gunshot wound to the right thigh. He is haemodynamically stable, alert, and oriented. He b…
A 7-year-old girl, Abena, is brought to the district hospital A&E in the Upper East Region by her stepfather. She has multiple bruises in different stages of healing over her back and buttocks, a spir…
A 29-year-old woman, Akua, is brought to the Komfo Anokye ED by her family. She is acutely psychotic, threatening to harm herself and others, and refusing all assessment and treatment. She has no know…
A 28-year-old woman, Akua, presents to the regional hospital A&E with palpitations. An ECG is performed and the attending doctor documents 'ECG done' in the notes without recording the findings or att…
A 5-year-old boy, Kofi, is brought to a regional hospital A&E in the Ashanti Region by his grandmother. She reports he 'fell off the bed.' Examination reveals multiple bruises in different stages of h…
A 34-year-old man, Kwame, is seen in the A&E of a district hospital in Brong-Ahafo following a road traffic accident. He is assessed, treated for minor lacerations, and discharged. Three days later he…
Mohammed, a 60-year-old man known to be HIV-positive and not on antiretroviral therapy, presents to Korle Bu Emergency Centre with 3 weeks of progressive thoracolumbar back pain and fever. He has lost…
Yaw, a 40-year-old farmer from the Volta Region, presents to the district hospital with a 3-week history of a painless ulcer on his right forearm. The ulcer has an undermined edge with a necrotic slou…
A 42-year-old man, Kofi, is seen in the UGMC emergency department after a blood transfusion-related query. He is asymptomatic but routine screening reveals: HBsAg negative, anti-HBs negative, anti-HBc…
Ama, a 6-month-old girl, is brought to the district hospital A&E in Northern Ghana with a three-day history of progressive weakness. Her mother reports she has been constipated and has become increasi…
Esi, a 28-year-old woman with HIV infection, presents to the UGMC emergency centre with oropharyngeal candidiasis and is commenced on oral fluconazole. Two days later, she returns with worsening sympt…
A 58-year-old man, Kwame, undergoes an elective right inguinal herniorrhaphy with mesh at a district hospital theatre in Ghana. The bowel is not entered and the operative field is clean. Forty-eight h…
Ama, a 28-year-old woman, is taken to the district hospital theatre for an emergency appendicectomy. Intra-operatively, the appendix is found to be gangrenous with a small perforation and localised pu…