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Ama, a 45-year-old seamstress, is referred from a district hospital in the Brong-Ahafo Region to the regional hospital ED with a 36-hour history of small bowel obstruction managed with nil by mouth an…

Mohammed, a 55-year-old man, is brought to the Korle Bu Emergency Centre from a private clinic after passing large amounts of bright red blood per rectum twice in the past six hours. He has no signifi…

A 52-year-old obese woman, Adwoa, presents to a district hospital in Brong-Ahafo with severe right upper quadrant pain radiating to the right shoulder tip, onset 3 hours ago after a fatty meal. She is…

Kofi, a 55-year-old man with known gallstones, presents to a district hospital A&E with a 6-hour history of severe epigastric pain, vomiting, and fever of 38.8°C. His BP is 88/55 mmHg, HR 130 bpm, RR …

A 29-year-old woman, Abena, with known oesophageal varices secondary to schistosomiasis-related portal hypertension presents to the Tamale Teaching Hospital ED with active haematemesis. She is intubat…

Ama, a 47-year-old woman with known oesophageal varices secondary to hepatitis B-related cirrhosis, is referred from a district hospital in Brong-Ahafo to a regional hospital A&E after two episodes of…

Kofi, a 67-year-old retired teacher with a history of osteoarthritis and hypertension, presents to the regional hospital ED in Kumasi after three days of melaena. He takes ibuprofen regularly and amlo…

Yaw, a 62-year-old man with hepatitis B-related cirrhosis and chronic ascites, is brought to the Komfo Anokye ED by relatives with a 5-day history of progressive oliguria, worsening jaundice, and conf…

A 60-year-old woman, Adwoa, with decompensated hepatitis B cirrhosis is admitted to a regional hospital A&E in the Ashanti Region with progressive confusion over 48 hours. Her relatives report she has…

A 24-year-old man, Kofi, presents to the regional hospital A&E in Tamale with a 2-day history of gradually worsening left scrotal pain and swelling. He reports dysuria and a urethral discharge earlier…

Ama, a 34-year-old woman, presents to the A&E at Tamale Teaching Hospital with left-sided loin-to-groin pain of 6 hours' duration, associated with vomiting and microscopic haematuria on dipstick. She …

A 35-year-old man, Mensah, presents to a district hospital A&E with a painful, swollen distal penis. He reports that his foreskin was retracted during sexual intercourse 4 hours ago and he has been un…

A 68-year-old man, Kwabena, is brought to the regional hospital A&E in Kumasi by his wife. He has been unable to pass urine for 14 hours and has suprapubic pain. He takes tamsulosin for benign prostat…

Mensah, a 68-year-old man with a known history of benign prostatic hyperplasia, presents to the district hospital A&E in the Ashanti Region with inability to pass urine for 14 hours, lower abdominal d…

During a teaching session at Tamale Teaching Hospital, an EM registrar presents the Edmonton Frail Scale (EFS) to the clinical team. A 75-year-old patient, Mohammed, is being assessed. He has had two …

Afia Boateng, a 71-year-old woman, attends the outpatient ED of a regional hospital in the Ashanti Region having fallen twice in the past month. She has no acute injuries. Her medications include amit…

A 69-year-old woman, Adwoa Mensah, is brought to the Korle Bu emergency centre by her son after she was found drowsy and unresponsive to her name at home. She has a history of anxiety, chronic low bac…

Kofi Acheampong, a 76-year-old man, is seen in the Korle Bu emergency centre after his third fall in six months. He has no acute fractures on plain X-ray. He has well-controlled hypertension and mild …

Kofi, an 82-year-old retired teacher, is admitted to the emergency centre at Korle Bu Teaching Hospital after being brought by his family for three days of confusion and agitation. He lives alone; his…

A 65-year-old market trader, Yaa, is seen at a district hospital in Brong-Ahafo for breathlessness. Her daughter reports that over the past year Yaa has become slower on her feet. To screen for frailt…

A 68-year-old retired teacher, Yaw, is assessed in the emergency centre at Komfo Anokye Teaching Hospital. His wife says he has been confused and agitated for three days. She confirms he had no cognit…

A 78-year-old woman, Maame Adwoa, is brought to the emergency department of Komfo Anokye Teaching Hospital after her daughter found her on the floor at home. She cannot recall how she fell. Her past m…

A 78-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her daughter following a fall at home. Her past medical history includes heart failure, type 2 diabetes, and mild cognitive impairment.…

A 76-year-old woman, Aisha, is brought to a regional hospital emergency department in Northern Ghana after a witnessed fall at home. She was walking to the toilet at night when she fell; there was no …

Abena, an 80-year-old woman with chronic atrial fibrillation and a previous ischaemic stroke, is brought to the emergency department of a regional hospital in the Ashanti Region after falling down thr…

Yaw, a 71-year-old hypertensive man, presents to the emergency centre at Korle Bu Teaching Hospital after an unwitnessed fall at home. His wife found him on the bathroom floor approximately one hour a…

Kofi Barimah, a 45-year-old man with end-stage renal disease on maintenance haemodialysis, is brought to a regional hospital ED after missing three sessions due to financial constraints. He is anuric …

A 55-year-old man named Yaw Asante is brought to a regional hospital ED from a peripheral facility with a 3-day history of progressive confusion and inability to swallow. He has end-stage hepatocellul…

Abena, a 31-year-old HIV-positive woman, was started on a first-line ART regimen (tenofovir/lamivudine/dolutegravir) 5 weeks ago with a pre-treatment CD4 count of 38 cells/μL. She now presents to a re…

Akosua, a 34-year-old woman, is brought to the Komfo Anokye ED by her husband with a 3-week history of progressive dyspnoea on exertion, dry cough, and low-grade fever. She was diagnosed with HIV 6 mo…