A 19-day-old female neonate, birth weight 3.4 kg (now 3.5 kg), is brought to a district hospital in the Northern Region by her parents. She developed fever three days ago and has been feeding poorly f…
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A 4-year-old boy, Kofi, presents to the Komfo Anokye ED after a fall from his own height while playing. His mother says he did not lose consciousness and cried immediately. He vomited once shortly aft…
Akua is an 8-month-old girl, 7 kg, referred from a CHPS compound to the district hospital with a 2-day history of vomiting and diarrhoea. She has been vomiting after every attempt at oral rehydration.…
A 2-year-old girl, Akosua, is brought to the emergency department of a regional hospital in the Ashanti Region by her mother after a witnessed fall from a chair (estimated height 50 cm) onto a tiled f…
A 6-year-old boy named Kwame, weighing 22 kg, is seen in a district hospital A&E in Brong-Ahafo after a road traffic collision. He was a restrained passenger. He is alert (GCS 15), complaining of head…
Abena, a 4-year-old girl, is brought to a district hospital in Brong-Ahafo Region with a 2-day history of cough and fever. She is eating and drinking normally. On examination: temperature 38.2°C, HR 1…
A 14-month-old infant, Ama, is brought to a regional hospital ED in Ashanti by her father after she was found limp and not breathing in her cot. There is no history of fever or preceding illness. She …
Afia, a 9-year-old girl, is brought to the Komfo Anokye paediatric emergency unit after her teacher noticed she appeared dizzy and "her heart was racing" during a school physical education class. The …
A 4-year-old boy named Mohammed is brought to the Tamale Teaching Hospital ED with a 2-day history of gradually worsening sore throat, fever, and now difficulty swallowing and muffled voice. He appear…
A 10-day-old male neonate is brought to Korle Bu emergency centre by his mother. He was born at home and has been feeding poorly since day 3. Today he is not waking for feeds. Vitals: temperature 36.0…
A community health officer in the Savannah Region identifies a 26-month-old boy, Yaw, during a routine growth-monitoring visit. His MUAC is 11.8 cm and his WHZ is −2.5. He has no bilateral pitting oed…
A 7-year-old boy, Kwame, weight 22 kg, is brought to the district hospital in Brong-Ahafo with a 24-hour history of central abdominal pain that has migrated to the right iliac fossa, associated with o…
A 2-month-old female infant is brought to the emergency centre at a regional hospital with a suspected dislocated hip identified on clinical examination after a nurse noticed asymmetric leg movements …
A 58-year-old man, Yaw, presents to Korle Bu emergency centre with a dislocated shoulder following a road traffic crash. He is in severe pain: HR 102, BP 138/88, SpO2 97%, GCS 15. You plan procedural …
A 25-year-old man presents to a district hospital A&E in Northern Region with a 4 cm laceration to his forearm requiring suturing. He is anxious but haemodynamically stable. No opioids are available a…
A 45-year-old woman, Abena, presents to a district hospital A&E in Brong-Ahafo with a closed tibial shaft fracture after a road traffic collision. She is haemodynamically stable. GCS 15. You have para…
Mohammed, a 28-year-old man, is brought to Tamale Teaching Hospital ED after a witnessed generalised seizure. He is postictal. A colleague has already administered 5 mg IV midazolam for the seizure. Y…
A 54-year-old woman, Adwoa, is brought by family to the emergency centre at Korle Bu Teaching Hospital with an acutely dislocated right shoulder after a road traffic crash. She is in moderate distress…
Mohammed, a 40-year-old man, presents to Korle Bu emergency centre for incision and drainage of a large gluteal abscess under procedural sedation. He is anxious and requests sedation. His observations…
Yaw, a 45-year-old man with known diabetes, presents to a regional hospital A&E in the Ashanti Region with stridor, drooling, and inability to swallow following a 3-day history of worsening sore throa…
Ama, a 17-year-old female student, presents to the Korle Bu Emergency Centre two days after a rugby match with a painful, fluctuant swelling of the right auricle. Examination reveals a tense haematoma…
A 71-year-old man, Yaw, presents to the Tamale Teaching Hospital ED with sudden-onset severe central abdominal pain radiating to the back, onset 2 hours ago. He is diaphoretic and hypotensive (BP 90/6…
Adwoa, a 24-year-old G1P1, has just delivered a healthy neonate at a regional hospital A&E in the Ashanti Region. The placenta has not delivered after 30 minutes of active management of the third stag…
Yaa, a 26-year-old primigravida, delivers a healthy male infant in the resus bay of a regional hospital A&E in the Ashanti Region. The placenta has not delivered after 30 minutes of expectant manageme…
A 28-year-old woman, Esi, is brought to a regional hospital A&E in the Volta Region following a motor vehicle collision. She is haemodynamically stable. You perform a suprapubic eFAST window to assess…
Yaw, a 55-year-old man with a BMI of 32 kg/m² and well-controlled hypertension (ASA Class II), presents to the Komfo Anokye Teaching Hospital ED with a painful anterior shoulder dislocation. The emerg…
Abena, a 55-year-old woman with a large right-sided pleural effusion secondary to hepatic hydrothorax, undergoes tube thoracostomy at Korle Bu Teaching Hospital emergency centre. A 20F drain is insert…
Akua, a 62-year-old woman with known COPD, is admitted to a regional hospital A&E in the Eastern Region with a right-sided spontaneous pneumothorax. A 20F chest tube is inserted in the right 4th ICS m…
Ama, a 4-year-old girl, is brought to a district hospital in the Northern Region in status epilepticus that has not responded to two doses of rectal diazepam administered by the community health offic…
Mohammed, a 55-year-old trader, presents to Tamale Teaching Hospital ED after a road traffic collision. He sustained a deep laceration to the anterior aspect of his left thigh, approximately 10 cm lon…