A 29-year-old primigravida, Ama, delivered at a district hospital in the Ashanti Region after augmentation with oxytocin for slow progress. Thirty minutes after delivery she develops sudden heavy vagi…
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Adwoa, a 38-year-old G5P4 woman with three prior caesarean sections, presents at 32 weeks gestation to Komfo Anokye ED with painless vaginal bleeding. Pelvic USS shows an anterior placenta covering th…
A 26-year-old primigravida at 27 weeks gestation is admitted to the Korle Bu Emergency Centre with BP 166/112 mmHg, severe frontal headache, and 2+ proteinuria. She has no abdominal pain, and her live…
A 26-year-old primigravida, Fatima, is referred from a district hospital in Northern Ghana at 41 weeks gestation after 24 hours of obstructed labour. She is febrile (38.9°C), BP 90/60 mmHg, HR 132 bpm…
A 30-year-old woman at 33 weeks gestation is admitted to the Komfo Anokye ED with severe epigastric pain and malaise for 12 hours. Her BP on arrival is 162/108 mmHg and is confirmed at 164/110 mmHg 15…
Akosua, a 28-year-old primigravida, delivers vaginally at a regional hospital ED after a prolonged second stage with instrumental assistance. The placenta delivers spontaneously. Thirty minutes later …
A 48-year-old man, Mohammed, with multiple myeloma on bortezomib-dexamethasone therapy, is admitted to the Komfo Anokye haematology ward and develops febrile neutropenia (ANC 0.10 × 10⁹/L, temperature…
A 58-year-old man, Mohammed, is brought to the Komfo Anokye ED by his family with a 3-week history of progressive facial swelling, worsening headache, and increasing breathlessness. He was diagnosed w…
A 52-year-old man, Kwame, is referred from a district hospital in Brong-Ahafo with a 6-week history of progressive lower back pain. He has no prior cancer diagnosis. Over the past week he has develope…
Mohammed, a 67-year-old man with known metastatic prostate cancer, is brought to the Korle Bu Emergency Centre by his family. He reports sudden onset bilateral leg weakness and difficulty walking over…
A 58-year-old man, Kofi, is brought to the Komfo Anokye ED by his family with a 3-week history of progressive facial swelling and headache that worsens when he bends forward. He was diagnosed with lun…
Adwoa, a 19-year-old woman with Burkitt lymphoma and a uric acid of 680 μmol/L, is brought to the Korle Bu emergency centre. She started chemotherapy 36 hours ago at a peripheral facility and now has …
Akosua, a 58-year-old woman with known metastatic breast cancer on hormonal therapy, is brought to the Komfo Anokye ED by her daughter. She reports a 3-week history of progressive mid-thoracic back pa…
Ama, a 27-year-old woman, presents to Tamale Teaching Hospital A&E with a 3-day history of worsening pain in her right eye, photophobia, and blurred vision. She has had a similar episode in the same e…
Adwoa, a 32-year-old woman, attends Korle Bu Teaching Hospital A&E with a 5-day history of progressive blurring of vision in her right eye, mild aching pain behind the eye worsened by eye movement, an…
A 27-year-old man, Kofi, presents to Korle Bu Teaching Hospital A&E with a 5-day history of swelling around the right eye, fever, and worsening headache. He gives a history of right-sided sinusitis tr…
A 55-year-old woman named Adwoa is reviewed in the Korle Bu emergency centre 72 hours after being discharged following a lime (calcium hydroxide) splash injury to her left eye. She received 45 minutes…
A 72-year-old man is brought to a regional hospital ED in the Volta Region 2 days after right eye cataract surgery performed at a district surgical outreach camp. He reports worsening right eye pain s…
Mohammed, a 42-year-old security guard, is brought to a district hospital in Brong-Ahafo Region after being shot in the face with a locally fabricated shotgun. He is conscious with a GCS of 14. Vitals…
Abena, a 48-year-old woman with no significant past medical history, presents to a regional hospital ED with sudden-onset painless complete blindness in the right eye that she noticed 20 minutes after…
A 4-year-old girl, Yaa, is brought to a district hospital in Brong-Ahafo Region with right eyelid swelling and fever for 2 days following an insect bite to the right cheek. Her Hib vaccination status …
Kofi, a 55-year-old man with a history of hypertension and hyperlipidaemia, is referred from a district hospital in Ashanti Region to Komfo Anokye ED with a 5-hour history of painless right monocular …
A 31-year-old male laboratory technician named Joseph presents to the Komfo Anokye ED after hydrofluoric acid (40% concentration) splashed onto his right hand and into his right eye during an industri…
Yaw, a 29-year-old student, presents to the Korle Bu emergency centre after sustaining blunt trauma to his right eye from an elbow during a football match 3 hours ago. He describes multiple dark float…
A 52-year-old man with known type 2 diabetes on insulin presents to the Komfo Anokye ED with a 3-day history of right eye pain, blurred vision, and increasing redness. He has no recent eye surgery or …
A 9-year-old boy named Yaw is brought to a district hospital in the Eastern Region by his father after a nail from a catapult struck his right eye while playing. He is crying and holding his hand over…
Kofi, a 62-year-old farmer with a 15-year history of poorly controlled type 2 diabetes mellitus, is brought to the regional hospital ED in Tamale by his wife because he noticed sudden worsening of alr…
Mohammed, a 55-year-old government driver, sustained bilateral closed femur fractures in a head-on collision on the Accra-Kumasi highway. He was haemodynamically stabilised with IV fluids and referred…
Mohammed, a 44-year-old security officer, sustained a Grade IIIB open tibial fracture in a motor vehicle collision 18 hours ago. He was operated on at a district hospital in Brong-Ahafo where debridem…
Akosua, a 16-year-old girl, is brought to the regional hospital ED after twisting her left knee during a school netball game. She felt a 'pop' and saw her kneecap shift laterally. On examination: BP 1…