Akua, a 28-year-old woman, presents to the regional hospital A&E in Kumasi with a 5-day history of high fever, headache, and constipation. On examination she is febrile at 39.8 °C, has relative bradyc…
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Kwame, a 7-year-old boy, is brought to the district hospital A&E in Kumasi with sudden-onset profuse watery diarrhoea described as 'rice-water' stools, severe dehydration, and sunken eyes. His mother …
A 42-year-old HIV-positive man named Kofi with a recent CD4 count of 58 cells/µL presents to Korle Bu emergency centre with a 3-week history of productive cough, night sweats, and haemoptysis. A chest…
Kofi, a 45-year-old man with advanced HIV infection (CD4 count 55 cells/µL), is brought to the UGMC emergency centre with a two-week history of progressive dyspnoea on exertion, dry cough, and low-gra…
Adwoa, a 28-year-old nurse at a district hospital in the Ashanti Region, undergoes routine TB screening. She has no symptoms and a normal chest X-ray. A Mantoux (tuberculin skin test) is performed and…
A 28-year-old fisherman named Kofi from the Brong-Ahafo Region presents to the district hospital A&E with a 4-month history of bloody diarrhoea, mucus in stool, and progressive hepatosplenomegaly. He …
A 35-year-old farmer named Yaw presents to Komfo Anokye ED with a 6-month history of progressive fatigue, exertional dyspnoea, and pica (eating soil). He works barefoot on irrigated farmland in the As…
A 14-month-old boy, Kwame, is brought to the district hospital A&E in Kumasi by his mother. He has had profuse watery diarrhoea and vomiting for two days. On examination he is febrile at 38.4 °C, has …
Kofi, a 52-year-old man with known HIV infection, presents to Korle Bu emergency centre with a 5-day history of productive cough, weight loss, and night sweats. The ED doctor suspects pulmonary tuberc…
Kwame, a 62-year-old man, is brought to the Komfo Anokye ED by his wife at 09:15. She reports that at 08:30 he suddenly developed right-sided facial drooping and was unable to lift his right arm. On e…
A 34-year-old man is brought to the district hospital A&E after a witnessed generalised tonic-clonic seizure that has now been ongoing for 22 minutes. He has no prior epilepsy history. He has already …
A junior nurse at Komfo Anokye ED sustains a needlestick injury while drawing blood from a patient known to be HIV-positive. The needle was hollow-bore and visibly blood-stained. She reports the incid…
Dr Mensah, a 31-year-old medical officer at Komfo Anokye ED, sustains a needlestick injury from a patient later confirmed to be HIV-positive with a high viral load. He washes the wound appropriately a…
Kofi, a 28-year-old medical officer at a regional hospital A&E in the Volta Region, sustains a deep needlestick injury from a patient whose HIV status is unknown. The patient cannot be immediately tra…
Ama, a 30-year-old staff nurse at a regional hospital A&E in the Northern Region, is splashed with a large volume of blood across her face and into her mouth while assisting with an emergency intubati…
Akua, a 32-year-old staff nurse at a district hospital in Brong-Ahafo, sustains a superficial needlestick injury from a patient who is known to be hepatitis B surface antigen (HBsAg) positive. Akua ha…
Adwoa, a 27-year-old intern nurse at Komfo Anokye ED, cared for a patient who has been confirmed to have meningococcal meningitis. She had direct unprotected contact with the patient's respiratory sec…
Nurse Akua, 27 years old, is working in the A&E of a regional hospital in Ashanti Region when she sustains a needlestick injury from a hollow-bore needle used on an HIV-positive patient. The needle pe…
Dr Abena, a 28-year-old resident at a teaching hospital ED in Accra, performs a lumbar puncture on a patient with bacterial meningitis confirmed on CSF analysis. During the procedure she was not weari…
Staff nurse Ama, 24 years old, sustains a needlestick injury at a district hospital in Brong-Ahafo while drawing blood from a patient with known hepatitis B surface antigen positivity (HBsAg+). Ama ha…
A 12-day-old male neonate is brought to a regional hospital A&E in Northern Ghana, referred from a health centre. He has had bilious (green) vomiting since yesterday and has become increasingly lethar…
A 3-day-old neonate is brought to the Korle Bu emergency centre by his mother because he has not passed meconium since birth. He was born at term by normal vaginal delivery. On examination, his abdome…
A 6-year-old boy, Kwame, is brought to a regional hospital A&E in the Ashanti region with a 2-hour history of worsening breathlessness and wheeze. He has a known history of asthma and ran out of his i…
A 10-month-old boy, Kofi, is brought to a district hospital A&E in the Brong-Ahafo region by his mother. He has had a 3-day history of runny nose followed by increasing difficulty breathing and poor f…
A 2-year-old boy, Yaw, is brought urgently to the district hospital A&E in Brong-Ahafo after his mother witnessed him put a groundnut in his mouth and then suddenly start coughing and choking. He is n…
A 28-year-old man, Yaw, presents to the regional hospital A&E with a 2-hour history of severe right-sided loin-to-groin pain, rated 10/10, associated with nausea. He is writhing on the trolley and can…
Ama, a 34-year-old market trader, presents to the regional hospital A&E with a 2-hour history of severe right loin-to-groin pain rated 9/10 on the NRS. She is restless and cannot find a comfortable po…
A 7-year-old girl, Akua, is brought to the district hospital A&E in Brong-Ahafo after sustaining a burn to her right forearm. She is crying inconsolably, refusing to move her arm, and flinching away f…
A 35-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 2-hour history of severe right flank pain radiating to the groin, scoring 9 out of 10 on the numerical rating scale. He…
A 35-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a closed fracture of the right tibia following a road traffic accident. He is haemodynamically stable. On assessment, he …