Mohammed, a 52-year-old man with no known comorbidities, is brought to the emergency department of a regional hospital in the Northern Region by family. He has had fever and right upper quadrant pain …
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Yaa is a 72-year-old woman with hypertension and chronic kidney disease (baseline creatinine 180 μmol/L) who is brought to Korle Bu Emergency Centre by her son. She has a 5-day history of worsening lo…
Aisha is a 29-year-old primigravida at 34 weeks gestation, referred from a district hospital in the Northern Region to Tamale Teaching Hospital with fever, productive cough, and 12 hours of confusion.…
Kofi, a 29-year-old man living with HIV (CD4 count 48 cells/μL, not on ART), is admitted to the Komfo Anokye ED with a 4-day history of worsening left forearm swelling after a cat scratch. He denied a…
Kofi, a 47-year-old man with poorly controlled diabetes (known HbA1c 11%), is brought to Korle Bu Emergency Centre by his family with a 5-day history of swelling and pain of the left foot and lower le…
Yaw, a 61-year-old man with hypertension and type 2 diabetes, is referred from a district facility to the Komfo Anokye Teaching Hospital ED with a 4-day history of right lower limb pain and swelling. …
A 19-year-old male student, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital by his family after 3 weeks of intermittent fever, headache, and abdominal discomfort managed at…
Adwoa, a 35-year-old nurse at Korle Bu Teaching Hospital, was vaccinated against rabies as part of her pre-exposure prophylaxis (PrEP) programme three years ago and received a full three-dose primary …
Fatima, a 28-year-old woman, presents to the Komfo Anokye ED 6 hours after being bitten by an unprovoked stray dog in Kumasi. The bite has produced two deep puncture wounds on the right hand with acti…
A 42-year-old cocoa farmer named Kwame is referred from a district hospital in Brong-Ahafo to the regional ED after developing agitation, hydrophobia, hypersalivation, and episodes of inspiratory spas…
A 38-year-old man presents to a regional hospital in Wa, Upper West Region, after being scratched on the hand by his pet cat. He reports the cat scratched him while he was feeding it; the scratch brok…
A 9-year-old boy named Kwesi is brought to a district hospital in the Upper West Region by his mother after a stray dog licked an open abrasion on his forearm while he was playing outside. There is no…
Mohammed, a 22-year-old university student, presents to a district hospital in the Northern Region after being bitten on the left ear by a bat while sleeping in his dormitory the previous night. He is…
Yaw, a 7-year-old boy, is brought to a district hospital in the Upper West Region after being bitten on the face by a domestic dog that appeared well but was unvaccinated. The dog belongs to a neighbo…
A 28-year-old man, Kwesi, is brought to the emergency department of Tamale Teaching Hospital by family with a 5-day history of fever, myalgia, and vomiting. He is a trader who regularly travels betwee…
A 44-year-old woman, Adwoa, is seen at a regional hospital ED in Brong-Ahafo with a 6-week history of bloody diarrhoea, colicky lower abdominal pain, and progressive abdominal distension. She is a sub…
A 45-year-old man, Mohammed, is brought to the emergency centre at Korle Bu from a private hospital where he died unexpectedly after 3 days of undifferentiated febrile illness. He had recently returne…
A 45-year-old male trader, Kwame, is referred from a district hospital in Brong-Ahafo to the regional hospital ED. He has had fever and myalgia for 5 days. The referring notes document: temperature 40…
A 28-year-old woman, Abena, presents to the Korle Bu Emergency Centre with a 2-week history of intermittent colicky lower abdominal pain, alternating diarrhoea and constipation, and two episodes of br…
You are the medical officer on duty at a district hospital in the Upper West Region of Ghana. A 52-year-old woman, Adwoa, is brought by her son with a 4-day history of fever, headache, and severe lowe…
A 34-year-old woman, Fatima, presents to the emergency centre at Korle Bu Teaching Hospital with a 6-day history of fever, severe sore throat, and progressive weakness. She is a nurse who was deployed…
A 34-year-old fisherman, Mohammed, is referred from a district hospital in the Volta Region to a regional hospital ED with a 3-month history of progressive dysuria, terminal haematuria, and now acute …
A 45-year-old teacher, Yaw, presents to a district hospital in Brong-Ahafo with a 4-week history of generalised fatigue, urticarial rash, and recurrent abdominal discomfort. He gives a history of chil…
A 19-year-old woman, Aisha, is admitted to the isolation ward at Komfo Anokye Teaching Hospital (KATH) with suspected Lassa fever. She was referred from a district hospital in the Northern Region with…
A 19-year-old woman, Afia, is brought to a regional hospital ED in the Northern Region with a 5-day history of worsening headache, vomiting, and focal right-sided weakness that began acutely this morn…
During a yellow fever outbreak response in the Oti Region, the Ghana Health Service district team asks the emergency physician to counsel health workers on the yellow fever vaccine. A 32-year-old midw…
A 34-year-old woman, Fatima, is brought to a regional hospital ED in the Northern Region after 6 days of fever, sore throat, and progressive weakness. She works as a nurse in a rural district hospital…
A 24-year-old agricultural student, Kwame, presents to the Komfo Anokye ED with a 3-week history of fever, urticarial rash, dry cough, and diarrhoea. He returned from a rice-farming project in the Vol…
A 28-year-old fisherman, Kwame, presents to a regional hospital ED in the Volta Region with a 3-week history of fever, rigors, dry cough, urticarial rash, and myalgia. He returned from wading in Lake …
A 19-year-old student, Yaw, presents to Korle Bu Emergency Centre with a sudden-onset generalised tonic-clonic seizure followed by left arm weakness and headache. He has no prior history of epilepsy. …