A 52-year-old man, Kofi, is brought to the Komfo Anokye ED in a confused state. He had a urinary catheter inserted 5 days ago following prostate surgery. His temperature is 39.4°C, heart rate 118 beat…
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A 38-year-old man, Kwabena, presents to UGMC with a 10-day history of fever, malaise, and a non-productive cough. He has no history of TB contact. His chest radiograph shows bilateral hilar lymphadeno…
A 28-year-old woman named Ama presents to the UGMC ED with fatigue, palpitations, and angular stomatitis. Her FBC shows haemoglobin 88 g/L, MCV 68 fL, MCH 20 pg, MCHC 290 g/L, and a reticulocyte count…
A 6-year-old girl named Akosua is brought to Korle Bu emergency centre with pallor, splenomegaly, and failure to thrive. Her FBC shows haemoglobin 62 g/L, MCV 58 fL, MCH 16 pg, and MCHC 220 g/L. Her r…
A 14-year-old boy, Kofi, is brought to Komfo Anokye ED with a two-week history of productive cough, low-grade fever, and night sweats. A chest X-ray shows a right upper lobe consolidation with a small…
A 34-year-old man, Kwame, presents to the Korle Bu emergency centre with a 3-week history of productive cough, drenching night sweats, and significant weight loss. A chest radiograph shows upper-lobe …
Yaa, a 22-year-old medical student, received equine anti-tetanus serum at a district hospital A&E following a deep puncture wound from a farm tool. Seven days later she presents to the same A&E with f…
During a teaching session at UGMC, the pathology consultant shows the residents two pleural fluid samples. Sample A is clear and straw-coloured with a protein content of 12 g/L and a specific gravity …
A 7-year-old boy named Kofi is brought to the district hospital A&E in Ashanti with jaundice, pallor, and dark urine. His mother reports he had been well until two days ago. FBC shows: haemoglobin 62 …
Kwame, a 52-year-old man, is seen in the regional hospital A&E with fatigue and a smooth, beefy-red tongue. His FBC shows: haemoglobin 74 g/L, MCV 118 fL, MCH 38 pg, white cell count 3.8 × 10⁹/L with …
A 34-year-old woman named Akua presents to Korle Bu emergency centre with progressive fatigue and pallor over three months. Her FBC reveals: haemoglobin 78 g/L, MCV 68 fL, MCH 21 pg, MCHC 290 g/L, and…
A 52-year-old woman, Adwoa, presents to the Komfo Anokye ED with a 3-week history of productive cough, low-grade fever, and a 4 kg weight loss. Chest X-ray shows a right upper lobe consolidation with …
A 60-year-old man, Kwabena, is admitted to the Korle Bu emergency centre with a two-week history of cough, haemoptysis, and weight loss. His chest radiograph shows bilateral hilar lymphadenopathy and …
Yaa, a 7-year-old girl, is brought to a district hospital A&E in northern Ghana. Her mother reports increasing pallor, fatigue, and poor feeding over 3 months. On examination she is pale with koilonyc…
A 19-year-old woman, Ama, presents to the UGMC emergency centre with fatigue, palpitations, and dyspnoea on exertion for three months. She has heavy menstrual periods and eats little meat. Her FBC sho…
Ama, a 28-year-old woman, is brought to the Korle Bu emergency centre after a seizure. She has a history of systemic lupus erythematosus and presents with frothy urine, bilateral leg oedema, and blood…
A 7-year-old boy, Yaw, is brought to the district hospital A&E in northern Ghana. He has been seizing continuously for 35 minutes. Despite two doses of IV diazepam, the seizures continue. His blood gl…
Yaa, a 6-year-old girl, is brought to the district hospital A&E in northern Ghana with a 20-minute history of generalised tonic-clonic seizures that have not stopped. She has no prior seizure history.…
A 7-year-old boy, Yaw, is brought to the district hospital A&E in northern Ghana having had continuous generalised tonic-clonic seizures for 35 minutes without recovery of consciousness. He was previo…
A 6-year-old boy, Kofi, weighing 20 kg, is brought to a district hospital in Brong-Ahafo with a generalised tonic-clonic seizure lasting 15 minutes. The doctor orders 'diazepam 10 mg IV stat.' The nur…
A 55-year-old man, Yaw, is admitted to the observation ward of a regional hospital A&E in Volta Region following a road traffic crash. At 06:00 the night nurse documents: respiratory rate 22 breaths/m…
During a busy night shift at Komfo Anokye ED, a medical officer hands over a 45-year-old man, Kwame, to the incoming registrar. The outgoing doctor verbally states 'the chest pain patient in bay 3 is …
A 38-year-old woman, Ama, presents to a district hospital A&E in Ashanti Region with fever, headache, and confusion. The triage nurse documents a temperature of 39.8°C, heart rate 118 bpm, respiratory…
Kofi, a 6-year-old boy weighing 20 kg, is brought to Korle Bu emergency centre with a generalised tonic-clonic seizure lasting 12 minutes. The nurse prepares IV diazepam and draws up 10 mg (2 mL of th…
A nurse at a regional hospital A&E reports to the medical officer that a 70-year-old woman, Adwoa, who was admitted six hours ago with a urinary tract infection, has become increasingly drowsy. Her cu…
A 34-year-old man, Yaw, presents to Korle Bu emergency centre with a two-day history of headache and fever. The first doctor who assessed him diagnosed malaria based on a positive RDT and commenced or…
A medical officer at Komfo Anokye ED is handing over a 58-year-old man, Kwame, to the night team. Kwame was admitted four hours ago with chest pain and has received aspirin and morphine. The handing-o…
A 19-year-old student, Mohammed, presents to a district hospital A&E in the Upper West Region with fever, neck stiffness, and a non-blanching petechial rash. The triage nurse assigns him a Category 3 …
A 45-year-old woman, Akua, presents to a regional hospital A&E with a three-day history of fever, cough, and right-sided pleuritic chest pain. The triage nurse records her observations: temperature 38…
Akua, a 26-year-old woman, presents to the regional hospital A&E in Kumasi with a 2-day history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. On examin…