A 55-year-old woman, Adwoa, is ventilated in the Komfo Anokye ICU for severe ARDS secondary to falciparum malaria with pulmonary involvement. She has been on ARDSnet ventilation for 72 hours: FiO2 1.0…
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A 58-year-old man, Kofi, is in the Komfo Anokye ED with septic shock from a perforated sigmoid colon. He has been on noradrenaline for 18 hours and the infusion rate has been titrated up to 0.30 mcg/k…
A 67-year-old man is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 3-day history of worsening chest pain and dyspnoea. He collapsed en route and arri…
Akosua, a 34-year-old woman, is brought to the Korle Bu Emergency Centre 36 hours after an emergency caesarean section performed at a regional hospital for abruptio placentae. She was referred because…
Kofi, a 7-year-old boy, is brought to the district hospital A&E in the Brong-Ahafo region by his mother with a 6-hour history of fever, vomiting, and a spreading rash. On examination, he is febrile at…
Ama, a 4-year-old girl, is brought to Tamale Teaching Hospital A&E by her mother with a 6-hour history of high fever and a spreading rash. On examination she is irritable with a temperature of 39.8°C,…
Mensah, a 52-year-old man with type 2 diabetes, presents to the regional hospital A&E in Tamale with a 2-day history of severe left thigh pain and swelling. He is febrile at 38.9°C, tachycardic at 118…
Yaw, a 58-year-old diabetic man, presents to a regional hospital A&E in the Ashanti region with a 24-hour history of severe left leg pain and swelling. He sustained a minor abrasion to the leg four da…
Mohammed, a 27-year-old man, presents to Korle Bu Teaching Hospital A&E after receiving his second dose of co-trimoxazole for a urinary tract infection. Within 20 minutes of the dose he develops swell…
A 19-year-old female student, Akua, presents to Korle Bu Teaching Hospital A&E with a 3-day history of fever, painful mouth ulcers, and a spreading blistering rash. She was started on phenytoin two we…
A 34-year-old woman, Afia, with known atopic dermatitis presents to the regional hospital emergency department in Kumasi with a three-day history of worsening diffuse redness, skin weeping, and shiver…
A 28-year-old primigravida, Abena, 32 weeks pregnant, presents to the Komfo Anokye Teaching Hospital emergency centre with a two-day history of widespread skin redness and blistering. She was started …
A 47-year-old woman named Afia is brought to the Korle Bu Emergency Centre by family members with rapidly progressive skin peeling over 2 days. She was started on co-trimoxazole (trimethoprim-sulfamet…
Akosua, a 34-year-old woman with newly diagnosed epilepsy, presents to the Komfo Anokye ED with a 5-day history of fever, facial swelling, and a widespread rash. She was started on carbamazepine 6 wee…
Yaw, a 28-year-old man with HIV on antiretroviral therapy, was started on abacavir 5 weeks ago after a resistance test confirmed susceptibility. He now presents to the Korle Bu emergency centre with f…
A 58-year-old man, Mohammed, is referred from a district hospital in Northern Region to Tamale Teaching Hospital ED with a 5-day history of worsening skin sloughing following initiation of allopurinol…
A 34-year-old woman named Abena presents to the Komfo Anokye ED with a 4-day history of fever, sore throat, and burning eyes, followed by a rapidly spreading rash. She was started on carbamazepine for…
A 28-year-old pregnant woman, Akosua (28 weeks gestation), is brought to a regional hospital ED in Brong-Ahafo with a 5-day history of fever, painful oral sores, bilateral eye redness, and a blisterin…
Fatima, a 45-year-old woman with rheumatoid arthritis, presents to the Korle Bu emergency centre. She was started on sulphasalazine 6 weeks ago. She reports 3 weeks of intermittent fevers and 10 days …
A fuel tanker overturns on the Accra–Kumasi highway near Nkawkaw, injuring 34 people. The regional hospital ED in the Eastern Region activates its mass casualty response. A 28-year-old man is found ly…
A gas cylinder explosion at a market in Tamale injures 22 people. The Tamale Teaching Hospital ED receives 11 casualties within 20 minutes. During field triage, a 7-year-old girl named Aisha is found …
A 6-year-old boy named Kofi is found unresponsive at the scene of a school bus crash in the Ashanti Region. He is apnoeic. A triage officer opens his airway with a head-tilt chin-lift; he still does n…
A 19-year-old student, Fatima, presents to a regional hospital ED in Northern Ghana 14 hours after being raped by a stranger. She is calm and cooperative. Vital signs are within normal limits. HIV sta…
A 22-year-old woman presents to a district hospital in the Volta Region 5 hours after a sexual assault. She is accompanied by a community health worker. The nurse has collected vaginal swabs, oral swa…
Akosua, a 28-year-old woman, is brought to the emergency centre at Korle Bu by her sister at 11 PM. She reports being sexually assaulted by an acquaintance approximately 3 hours ago. She is visibly di…
Mohammed, a 14-year-old boy, is brought to the emergency centre at a regional hospital by his mother. She states that she discovered two days ago that a male teacher at his school had been sexually ab…
Yaa, a 31-year-old woman, presents to the Korle Bu emergency centre 60 hours after a sexual assault. She is HIV-negative on rapid testing today. She requests HIV post-exposure prophylaxis. The treatin…
Akua, a 55-year-old market trader, is brought to the Komfo Anokye ED by her family after a witnessed syncopal episode at home. She has no prior cardiac history. On arrival she is alert, BP 110/74 mmHg…
Yaw, a 72-year-old retired civil servant, is brought to the regional hospital A&E in the Northern Region with sudden-onset presyncope and two witnessed near-collapse episodes at home. He is diaphoreti…
Akua, a 55-year-old market trader, is brought to the Komfo Anokye ED with nausea, vomiting, and mild chest discomfort for 6 hours. She is alert, BP 110/70 mmHg, heart rate 44 bpm. A 12-lead ECG is obt…