Kofi, a 19-year-old student, presents to a regional hospital emergency department 2 hours after falling from a construction scaffold. He has a transverse mid-shaft femoral fracture with a 3 cm wound o…
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Kwame, a 28-year-old footballer, is brought to the regional hospital ED in Kumasi after a collision on the pitch. He holds his right arm abducted and externally rotated and is unable to bring it to hi…
Yaw, a 72-year-old retired teacher with known hypertension, is brought to a district hospital in the Northern Region after a fall from a standing height at home. He complains of left hip pain and inab…
Akosua, a 34-year-old market trader, is brought to Komfo Anokye ED following a high-speed road traffic collision in Kumasi. She is restless and complains of severe pelvic pain. Vitals: BP 82/54 mmHg, …
Ama, a 69-year-old woman with a history of hypertension and obesity (BMI 36 kg/m²), is evaluated at Tamale Teaching Hospital A&E for acute-onset lower back pain. The on-call resident performs aortic P…
Yaw, a 64-year-old male with poorly controlled hypertension and a 40 pack-year smoking history, presents to the Korle Bu Emergency Centre with vague periumbilical discomfort. Vital signs are stable. A…
Yaw, a 72-year-old male ex-smoker, attends the regional hospital A&E in the Ashanti Region with vague central abdominal discomfort. His blood pressure is 142/88 mmHg and he is haemodynamically stable.…
Kofi, a 47-year-old man with no known cardiac history, presents to a regional hospital A&E in the Ashanti Region with sudden onset central chest tightness, diaphoresis, and dyspnoea for two hours. His…
Kwabena, a 55-year-old man with chronic kidney disease, presents to the Komfo Anokye ED with worsening dyspnoea and bilateral ankle swelling. His blood pressure is 95/65 mmHg and HR is 102 bpm. You pe…
Mohammed, a 62-year-old man with known osteoarthritis, presents to a regional hospital A&E in Ashanti Region with left knee pain and posterior calf swelling for three days. The clinician suspects DVT …
Yaa, a 72-year-old woman with a 2-week history of lower urinary tract symptoms and difficulty voiding, is assessed in the A&E of a regional hospital in the Ashanti Region. She has no fever and her cre…
Yaa, a 44-year-old woman, presents to a regional hospital A&E in the Ashanti Region with fever (38.6°C), right upper quadrant pain, and mild jaundice. The attending doctor performs hepatobiliary POCUS…
Ama, a 67-year-old woman with a history of smoking and recent productive cough with fever, presents to a regional hospital A&E in the Ashanti Region with 5 days of worsening breathlessness and pleurit…
Kwabena, a 70-year-old retired teacher, presents to the Korle Bu Emergency Centre with progressive breathlessness over two weeks, reduced breath sounds at the right base, and dullness to percussion. H…
Kofi, a 58-year-old male with known hypertension and type 2 diabetes, presents to the Komfo Anokye ED with acute onset breathlessness and orthopnoea. His oxygen saturation is 84% on room air and he ha…
Yaa, a 24-year-old woman with an uncertain last menstrual period, presents to a regional hospital A&E in the Ashanti Region with mild nausea and light spotting. She is haemodynamically stable. A trans…
Yaa, a 29-year-old woman, presents to the Korle Bu emergency centre following a fall from height with a comminuted fracture of the right femoral shaft requiring urgent procedural analgesia before mani…
Ama, a 34-year-old woman, is brought to the Korle Bu emergency centre following a road traffic collision with suspected haemothorax. After initial resuscitation, the emergency physician decides to per…
Kofi, a 45-year-old man, is brought to a regional hospital A&E in Ashanti with left loin discomfort. He reports a previous ultrasound showing 'cysts on the kidney.' His vital signs are normal and urin…
Yaa, a 32-year-old primigravida at 28 weeks gestation, presents to the Korle Bu Emergency Centre with bilateral loin discomfort but no fever, dysuria, or haematuria. Urinalysis shows trace protein onl…
Kwabena, a 19-year-old apprentice carpenter, presents to the Korle Bu emergency centre with a laceration on the plantar surface of his right foot sustained three days ago while working barefoot. The w…
Ama, a 19-year-old female university student, is brought to a regional hospital A&E in the Ashanti Region after being struck by a vehicle as a pedestrian. She is haemodynamically stable (BP 118/76 mmH…
Yaa, a 47-year-old woman, is assessed in a regional hospital A&E in the Ashanti Region with a five-day history of left leg swelling and mild breathlessness. Her Wells DVT score is 1 (low probability) …
Kwabena, a 6-year-old boy weighing 20 kg, is brought to the paediatric A&E at a regional hospital after eating berries from a plant in the family compound. He has been vomiting for 2 hours and now has…
A 6-week-old female infant, weighing 4.2 kg, is referred from a CHPS compound to a district hospital in Brong-Ahafo with fever of 38.6°C (rectal) for 12 hours. HR is 155 bpm, RR 42/min, SpO₂ 97% in ai…
A 2.5-year-old boy is brought to a district hospital in the Northern Region with 3 days of cough and fever. Temperature 38.6°C, RR 42 breaths/min, HR 132 bpm, SpO2 95% on room air, weight 12 kg. He is…
A 6-week-old male infant is brought to the emergency unit of a regional hospital in the Ashanti Region by his mother. She reports a 2-day history of runny nose, cough, and poor feeding. He was born at…
A mother brings her 14-month-old son, Kofi, to a district hospital in the Upper West Region. He has had cough and difficulty breathing for 2 days. He is alert and feeding, though less than usual. Temp…
A 4-month-old male infant is brought to a district hospital in the Upper West Region by his mother. She reports he has been feeding poorly for two days and became 'limp and unresponsive' this morning.…
An 18-month-old girl, Abena, is assessed in the Tamale Teaching Hospital ED. She has had bloody diarrhoea with mucus for 3 days, fever (temperature 39.1°C), and 4–5 stools per day. She is alert and ac…