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A 55-year-old man with chronic lymphocytic leukaemia (CLL) presents to the regional hospital ED in Kumasi with progressive fatigue over 3 weeks. He is about to start his first cycle of fludarabine-bas…

Mohammed, a 52-year-old man with non-Hodgkin lymphoma, is referred from a district hospital in Brong-Ahafo to the regional hospital emergency department. He is on cycle 3 of CHOP chemotherapy and deve…

A 63-year-old man presents to a regional hospital ED with a 10-day history of worsening dyspnoea, facial swelling, and headaches. CT scan (available here) confirms SVC obstruction from a biopsy-proven…

A 45-year-old man, Kwesi, presents to the Komfo Anokye ED with a 6-hour history of fever and rigors. He is on cycle 2 of carboplatin and paclitaxel for non-small-cell lung cancer. He has no known drug…

Mohammed, a 67-year-old man with a history of treated prostate cancer (PSA last checked 18 months ago), presents to a regional hospital ED in the Northern Region with a 5-day history of worsening lowe…

Akosua is a 45-year-old woman with a three-week history of progressive abdominal swelling and weight loss. She presents to the Korle Bu emergency centre where a bone marrow biopsy report confirms acut…

Kofi, a 34-year-old man with a newly diagnosed Burkitt lymphoma, is admitted to the Korle Bu emergency centre for initiation of chemotherapy. Before treatment, his laboratory results show: uric acid 5…

A 62-year-old woman is referred from a district hospital in the Brong-Ahafo Region to Komfo Anokye Teaching Hospital with a diagnosis of clinical TLS following initiation of treatment for CLL. On arri…

A 61-year-old man, Yaw, is referred from a district hospital in Ashanti Region to the Komfo Anokye ED. He is on cycle 3 of FOLFOX chemotherapy for metastatic colorectal cancer. He presents with a 12-h…

A 52-year-old woman, Akosua, presents to the Komfo Anokye ED brought by her family. She was diagnosed with diffuse large B-cell lymphoma three weeks ago and completed her first cycle of CHOP chemother…

Kofi, a 55-year-old man with known multiple myeloma, presents to the Korle Bu emergency centre with symptomatic hypercalcaemia. After correction for albumin 18 g/L, his corrected calcium is 3.72 mmol/…

Afia, a 48-year-old woman with metastatic breast cancer (diagnosed 18 months ago, currently on second-line chemotherapy), presents to the Komfo Anokye ED with a 4-day history of lower back pain and 24…

Yaa, a 61-year-old woman with breast cancer on dose-dense AC chemotherapy, presents to a regional hospital emergency department with febrile neutropenia (temperature 38.7°C, ANC 0.31 × 10⁹/L). She is …

Kofi, a 61-year-old man with no known prior malignancy, presents to the Korle Bu Emergency Centre with a 10-day history of thoracic back pain. He reports no trauma. He smokes one pack of cigarettes pe…

Abena, a 9-year-old girl, is brought to Komfo Anokye Teaching Hospital A&E by her mother with a 4-day history of swelling and redness around the left eye, fever (38.9°C), and the child appears unwell.…

Kofi, a 34-year-old man, attends the regional hospital A&E in Kumasi with a 6-hour history of sudden, painless loss of vision in his left eye. He describes the vision as having 'gone dark' immediately…

A 42-year-old woman, Adwoa, presents to the A&E at a regional hospital in Cape Coast with a 6-hour history of sudden, complete, painless loss of vision in the right eye. She has a background of hypert…

Yaw, a 19-year-old student, is brought to the district hospital A&E in Brong-Ahafo after a laboratory accident in which he splashed an unknown alkaline cleaning solution into both eyes. He is in signi…

A 34-year-old woman, Ama, is brought to the A&E at a regional hospital in Tamale after a laboratory chemical splash to both eyes while working in an industrial facility. She is in significant distress…

A 58-year-old woman, Akua, presents to Korle Bu Teaching Hospital A&E with a 4-hour history of severe right-sided headache, nausea, and vomiting. She reports seeing coloured halos around lights. On ex…

A 58-year-old man, Kwame, presents to the A&E at Komfo Anokye Teaching Hospital with a 3-hour history of severe right-sided headache, nausea, and blurred vision with coloured halos around lights. On e…

Aisha, a 19-year-old student, is brought to a regional hospital ED in the Volta Region after being struck in the right eye by a broken bottle during a street altercation. She has pain and cannot open …

A 42-year-old farmer named Mohammed is brought to a district hospital in Northern Region after anhydrous ammonia from a fertiliser tank sprayed into both eyes. He arrived 8 minutes after the injury. H…

A 70-year-old man, Yaw, is brought to a regional hospital emergency department by his daughter after she noticed he was bumping into objects on his right side. On arrival he reports sudden-onset painl…

A 35-year-old woman named Afia presents to the Komfo Anokye Teaching Hospital emergency centre after a domestic incident in which concentrated sodium hydroxide (drain cleaner) splashed into both eyes …

A 62-year-old woman, Akosua, presents to the Korle Bu emergency centre reporting that she woke up with complete loss of vision in her right eye approximately 45 minutes ago. She describes no pain, no …

Akosua, a 54-year-old seamstress with high myopia, presents to the Komfo Anokye ED with a 2-day history of sudden onset of dark floaters and flashing lights in her right eye, followed this morning by …

A 28-year-old construction worker named Kwame is brought to the district hospital emergency unit in Ashanti Region after cement powder splashed into his right eye at a building site 10 minutes ago. He…

Adwoa, a 31-year-old market trader, is brought to the Tamale Teaching Hospital ED after sustaining a penetrating stab wound to her left eye with a broken wooden handle during a market dispute. The eye…

A 52-year-old man is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED with a 5-day history of left eye swelling, worsening left-sided headache, and fever. On…