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A 62-year-old woman, Akua, presents to a regional hospital A&E in the Ashanti Region with 3 days of worsening dyspnoea and orthopnoea. She has a history of hypertension and is on amlodipine. On examin…

Mensah, a 68-year-old man with known benign prostatic hyperplasia, presents to the Komfo Anokye ED with suprapubic discomfort and inability to void for 12 hours. His abdomen is distended and he is in …

Kwame, a 38-year-old male, presents to the Komfo Anokye ED with acute right-sided loin pain radiating to the groin and haematuria. Vital signs are stable. A POCUS scan is performed using a curvilinear…

Kofi, a 45-year-old security guard, presents to the Komfo Anokye ED after suddenly feeling a 'snap' in his left heel while sprinting during a workplace emergency. He is now unable to plantarflex the f…

Kwame, a 34-year-old fisherman, presents to the Komfo Anokye ED with a 5-day history of a painful, swollen, erythematous right forearm following a minor abrasion. He is afebrile and haemodynamically s…

Yaw, a 52-year-old teacher, presents to a regional hospital A&E in the Ashanti Region with acute onset severe right posterior heel pain and inability to plantar-flex his foot after lunging to play bad…

Yaw, a 9-year-old boy, is brought to the regional hospital A&E in Ashanti by his mother after stepping on a piece of wood while playing barefoot 3 days ago. The wound has since become swollen and tend…

Akua, a 34-year-old market trader, presents to the Komfo Anokye ED with a five-day history of a painful, swollen, erythematous right forearm following a minor abrasion. She is afebrile and haemodynami…

Yaw, a 28-year-old man, is brought to the Tamale Teaching Hospital A&E following a stab wound to the left chest at the 5th intercostal space, mid-clavicular line. He is anxious, BP 90/60 mmHg, HR 130 …

Kwabena, a 55-year-old man with known hypertension and a 30-pack-year smoking history, presents to the Korle Bu Emergency Centre with a three-day history of right leg swelling and erythema. His Wells …

Abena, a 6-year-old girl weighing 20 kg, is brought to the district hospital A&E in Ashanti Region with confirmed severe falciparum malaria. She is drowsy but responsive to voice (GCS 12/15), HR 130 b…

A 19-month-old girl, Abena, is brought to a district hospital in the Volta Region at midnight. She has had two days of coryzal symptoms and tonight developed a barking cough and stridor. On examinatio…

Kwame is a 7-week-old male infant weighing 4.6 kg, brought to Komfo Anokye paediatric resus bay with a 4-hour history of fever and poor feeding. Temperature is 38.2°C (rectal), HR 172 bpm, RR 52/min, …

A 7-month-old infant, weighing 7.5 kg, is brought to the regional hospital paediatric A&E with a 1-day history of fever, poor feeding, and a non-blanching petechial rash spreading across the trunk and…

A 10-day-old male neonate is referred from a district hospital in the Upper East Region to a regional hospital ED. He was born at 35 weeks gestation by normal vaginal delivery; birth weight was 2.1 kg…

Ama, a 7-year-old girl weighing 22 kg, is brought to the regional hospital paediatric A&E in Kumasi by her mother with a 3-day history of polyuria, polydipsia, and vomiting. She is drowsy but rousable…

A 3-month-old infant girl is brought to the Korle Bu emergency centre by her father, who says she has been 'not herself' for a day. He denies any trauma. She is limp and difficult to rouse. Vitals: HR…

A 4-year-old boy named Yaw is referred from a health centre in Northern Ghana to the Tamale Teaching Hospital ED. He presented with 4 days of fever, diarrhoea, and 6 hours of not walking. On arrival: …

Ama, a 5-year-old girl with HbSS sickle cell disease, weighing 18 kg, is referred urgently from a CHPS compound to the district hospital with a 6-hour history of progressive lethargy and abdominal dis…

A 6-week-old male neonate, Mohammed, weighing 4.2 kg, is brought to the district hospital A&E in Brong-Ahafo by his mother. He is pale, floppy, and not feeding. HR 188 bpm, RR 62 breaths/min, SpO₂ 88%…

A 12-day-old neonate, weighing 3.2 kg, is brought to the district hospital A&E by his mother. He has been feeding poorly for 24 hours, is irritable, and has developed a bulging fontanelle. Vitals: HR …

During a ward round at Korle Bu Teaching Hospital's paediatric emergency centre in December, the registrar notices a cluster of five infants aged 6 weeks to 4 months admitted within a 10-day period, a…

A 14-month-old girl, Akosua, is brought to the outpatient department of a district hospital in the Upper West Region by her mother. She has had progressive loss of appetite and reduced activity over s…

A 6-week-old neonate, weighing 4.1 kg, is brought to the paediatric A&E at Korle Bu by his mother after a generalised seizure lasting approximately 3 minutes. On examination he is drowsy (GCS 9), font…

Yaa, a 16-year-old girl, is brought to a regional hospital emergency department in the Ashanti region after a witnessed collapse during Sunday church service. Eyewitnesses report she fell suddenly wit…

A 4-year-old boy, Kofi, is brought to Komfo Anokye ED by his mother after a generalised tonic-clonic seizure that has been ongoing for 12 minutes. IV access is established. He weighs approximately 16 …

A 6-year-old boy, Kofi, weighing 22 kg is brought to the Komfo Anokye ED after a bee sting. He has generalised urticaria, vomiting, and audible wheeze. His BP is 74/40 mmHg, HR 148 bpm, SpO2 93% on ai…

A 5-year-old boy is referred to the Komfo Anokye ED from a district hospital with a 6-hour history of sudden-onset high fever, severe headache, and refusal to walk. He has no prior illness. On arrival…

A 7-year-old girl, Afia, is brought to a regional hospital ED after being struck by a car while crossing a road in Kumasi. Her father reports a brief loss of consciousness of approximately 30 seconds …

A 3-year-old girl, Ama, weighing 14 kg, presents to a district hospital in Brong-Ahafo with a 12-hour history of barking cough, stridor at rest, and moderate subcostal and intercostal retractions. HR …