A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband after she was witnessed having a generalised tonic-clonic seizure at home. Her husband states she has a known history of e…
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A 67-year-old man, Yaw, is brought to a regional hospital A&E after sudden onset of severe vertigo, vomiting, and inability to walk. He has no limb weakness or sensory loss. On examination: BP 172/96 …
Kwabena, a 38-year-old male teacher with no significant past medical history, presents to the A&E of a regional hospital in the Ashanti Region with a severe unilateral left-sided periorbital headache …
A 45-year-old man named Yaw is admitted to the intensive care unit at Komfo Anokye Teaching Hospital with super-refractory status epilepticus. He has had continuous seizure activity for 90 minutes des…
Aisha, a 49-year-old market trader with no prior medical history, presents to a district hospital in the Upper West Region with sudden onset right-sided weakness and slurred speech that began 3 hours …
Yaw, a 62-year-old man with known hypertension on hydrochlorothiazide, presents to the Tamale Teaching Hospital ED with a 3-hour history of progressively worsening headache, confusion, and one episode…
A 28-year-old woman, Afia, presents to the Korle Bu Emergency Centre with sudden-onset severe headache ('worst of my life'), photophobia, and vomiting for 4 hours. She is afebrile. Temperature 37.0°C,…
A 44-year-old woman with a history of systemic lupus erythematosus on immunosuppression presents to the Korle Bu emergency centre with headache, confusion, and visual disturbances developing over 48 h…
A 72-year-old man, Mensah, presents to the regional hospital A&E in Kumasi after a ground-level fall. He takes warfarin 5 mg daily for atrial fibrillation and has been compliant with his medication. H…
Afia, a 28-year-old woman, attends the A&E of a regional hospital in the Volta Region after being struck on the head by a falling object at work. She had no loss of consciousness, no vomiting, GCS 15,…
A 76-year-old woman, Yaa, is brought to Korle Bu emergency centre after a mechanical fall at home. She is on warfarin for a mechanical heart valve (INR target 2.5-3.5) and takes atenolol 50 mg daily, …
A 19-year-old student, Yaw, is assessed at a district hospital A&E in the Northern Region after a road traffic collision. He was a restrained passenger. GCS is 15, no loss of consciousness, no amnesia…
Yaa, a 27-year-old nurse, presents to the Korle Bu A&E with a two-day history of severe headache behind her left eye. The pain is excruciating, rated 10/10, lasts 45-90 minutes per episode, and has oc…
Mohammed, a 34-year-old man, presents to the A&E at Korle Bu Teaching Hospital with a severe right-sided periorbital headache that has woken him from sleep three nights in a row. Each episode lasts ap…
Akosua, a 32-year-old G3P2 at 38 weeks gestation, is brought to the Komfo Anokye ED by her family after collapsing at home. She was 2 hours into her third stage of labour at a district facility and wa…
A 34-year-old woman, Fatima, G4P3, delivers at term via normal vaginal delivery at a district hospital in the Upper West Region. The placenta delivers spontaneously. Active management of the third sta…
A 34-year-old woman, Yaa, G3P2 at 41 weeks gestation is referred to a regional hospital from a peripheral clinic in the Bono East Region after a routine antenatal scan showed polyhydramnios. On arriva…
A 29-year-old primigravida, Aisha, delivers at a district hospital in Brong-Ahafo. She has a history of hypertension in pregnancy (BP was 158/104 mmHg antenatally, on methyldopa). Delivery is uneventf…
Yaa, a 24-year-old G1P0 at 39 weeks, presented to Korle Bu emergency centre after two eclamptic seizures at home. She has been on the Pritchard magnesium sulphate regimen for 90 minutes. Over the last…
A 31-year-old woman, Ama, is in the resuscitation bay of Korle Bu Emergency Centre. She delivered 2 hours ago at a peripheral clinic and was brought by family with ongoing heavy vaginal bleeding. She …
A 28-year-old woman, Ama, who is 34 weeks pregnant, is brought to the Korle Bu emergency centre by her husband. She has had sudden-onset severe epigastric pain and agitation for 1 hour, and collapsed …
Ama, a 32-year-old G3P2 woman at 34 weeks gestation, is referred from a district hospital in the Northern Region with a 6-hour history of severe epigastric and right upper quadrant pain, nausea, and h…
A 31-year-old woman, G2P1, is brought to a district hospital in the Upper East Region 6 hours after a vaginal delivery. Her husband reports she had a generalised convulsion at home lasting about 3 min…
A 35-year-old G4P3 at 33 weeks gestation is in the Komfo Anokye obstetric unit when she suddenly develops severe chest pain, profound dyspnoea, and cyanosis followed within minutes by cardiac arrest. …
A 34-year-old woman, 10 days postpartum after a vaginal delivery at a district hospital in the Volta Region, presents to the regional hospital ED with a 3-day history of right breast pain, swelling, a…
Adwoa, a 38-year-old G5P4, delivers at a regional hospital in the Northern Region. Despite oxytocin, ergometrine, misoprostol, and carboprost, bimanual compression, and IV tranexamic acid, the uterus …
Fatima, a 31-year-old G1P0 at 38 weeks, is referred from a district hospital in the Upper East Region to the Tamale Teaching Hospital following cardiorespiratory arrest in the labour ward during induc…
A 38-year-old woman, Adwoa, is brought to a district hospital in the Eastern Region at 2 AM. She is 34 weeks pregnant and complains of sudden-onset breathlessness and chest tightness that woke her fro…
Abena, a 32-year-old primigravida at 34 weeks gestation, is brought to the Korle Bu emergency centre by her husband with a 2-day history of vomiting, right upper quadrant pain, and jaundice. She has n…
Fatima, a 30-year-old woman, G2P1, at 38 weeks gestation, is brought to the district hospital A&E in Brong-Ahafo by relatives after sudden onset of severe dyspnoea, cyanosis, and loss of consciousness…