Akua, a 28-year-old woman who recently returned from a long bus journey from Accra to Tamale, presents to Komfo Anokye ED with sudden-onset right-sided pleuritic chest pain and breathlessness. Her hea…
Primaries bank · search
Find any question
Type a keyword, drug name, syndrome, or chapter reference. Searches across topic, stem, teaching point, and source citation. Showing results only from the Primaries bank.
Kwame, a 58-year-old man, presents to the regional hospital A&E in Kumasi with a 45-minute history of severe crushing central chest pain radiating to his left arm and jaw. He is diaphoretic and nausea…
An 80-year-old man, Mensah, is brought to the district hospital A&E in the Volta Region by his family. He has been constipated for 2 weeks and is now confused and incontinent of liquid stool. He is be…
A 65-year-old woman, Yaa, presents to the Komfo Anokye ED with a 6-week history of progressive constipation, unintentional weight loss of 6 kg, and one episode of rectal bleeding. She has no previous …
A 3-week-old male infant, Joseph, is brought to the district hospital A&E in Brong-Ahafo. His mother reports he has never passed stool normally since birth and is now vomiting green fluid. On examinat…
A 58-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 3-day history of absolute constipation — no flatus and no stool. He has central colicky abdominal pain and has vomited …
A 72-year-old woman, Akua, is brought to the district hospital A&E in Ashanti Region by her daughter. She has not passed stool for 10 days and complains of lower abdominal discomfort and bloating. On …
Kofi, a 14-year-old boy, is brought to the Komfo Anokye ED by his father at 02:00 with a 4-hour history of sudden-onset right scrotal pain and vomiting. On examination the right testis is high-riding …
A 2-year-old boy named Kofi is brought to the Tamale Teaching Hospital A&E by his mother. She says he fell off the bed two days ago and has been crying whenever his right arm is moved. On examination …
A 13-year-old boy, Kwabena, is brought to Korle Bu emergency centre by his mother because he has been crying and holding his right groin for 4 hours. He is afebrile and denies any trauma. On examinati…
A 4-month-old boy is brought to a district hospital A&E in the Northern Region by his mother. She reports he has been crying inconsolably for 3 hours and drawing up his legs. On examination he is afeb…
A 9-month-old girl, Akua, is brought to Komfo Anokye ED with episodes of sudden severe crying lasting 2–3 minutes, during which she draws her knees to her chest, then becomes calm and lethargic betwee…
A 7-month-old boy is brought to the district hospital A&E in Brong-Ahafo by his mother, Akua, who reports he has been crying inconsolably for the past 3 hours. On examination, the nurse removes his na…
A 3-month-old boy is referred from a peripheral facility to Korle Bu emergency centre. He has been irritable and feeding poorly for 24 hours. On arrival his temperature is 38.9 °C, heart rate 178 beat…
A 5-week-old male infant, Joseph, is brought to Korle Bu emergency centre with inconsolable crying for 6 hours. His mother reports he has been feeding poorly and seems pale. On examination he is tachy…
A 14-year-old boy named Kwame is brought to the Komfo Anokye ED by his father at 02:00. Kwame reports sudden-onset severe left scrotal pain that woke him from sleep 2 hours ago. On examination the lef…
A 4-week-old male infant, Yaw, is brought to a regional hospital A&E by his father. The baby has been crying inconsolably for 2 hours and will not feed. On examination the infant is afebrile and the a…
A 4-month-old boy is brought to a district hospital A&E in the Ashanti Region by his mother. She reports he has been crying inconsolably for the past 3 hours and drawing up his legs intermittently. On…
A 6-week-old girl is brought to a regional hospital A&E because she has been crying continuously for 2 hours. Her mother reports she was well until this evening. Vitals: T 37.1°C, HR 175 bpm, RR 44/mi…
A 9-month-old girl, Ama, is brought to Komfo Anokye ED by her father. He reports she has been crying intermittently for 6 hours, drawing her legs up to her abdomen during each episode, and has vomited…
A 9-month-old boy named Mohammed is brought to a district hospital A&E by his aunt. She says he fell off the bed two days ago. He has been crying and not using his right arm since then. On examination…
A 2-year-old boy, Mensah, is brought to a regional hospital A&E by his mother. She says he has been crying and refusing to walk since yesterday afternoon. On examination he is afebrile, not in obvious…
Ama, a 3-month-old girl, is brought to a district hospital in Brong-Ahafo by her grandmother. She has been crying since yesterday and is 'not herself'. Examination reveals T 38.9°C, HR 192 bpm, RR 62/…
Akua, a 35-year-old woman, is brought to the Komfo Anokye ED by her husband. She has a 2-day history of worsening jaw pain and now has marked swelling of the floor of her mouth and upper neck. She is …
Mensah, a 40-year-old man, presents to the Korle Bu emergency centre with a 5-day history of worsening left lower jaw pain. He now has swelling of the left side of his neck extending below the angle o…
A 10-year-old boy, Yaw, is brought to a regional hospital A&E in the Ashanti region by his mother after falling from a bicycle 45 minutes ago. His upper left central incisor has been completely knocke…
Yaw, a 10-year-old boy, is brought to a regional hospital A&E by his mother after falling off his bicycle. His upper right central incisor has been completely knocked out. The tooth is brought in wrap…
A 50-year-old man, Joseph, presents to the Komfo Anokye ED with a five-day history of a painful lower left tooth and progressive swelling of the left side of his face. He is now febrile at 39.3°C, has…
Joseph, a 45-year-old man, presents to the Korle Bu emergency centre with a 6-day history of right lower jaw pain. He now has a swollen right cheek, right submandibular swelling, and a temperature of …
A 35-year-old woman, Akua, is brought to the Komfo Anokye ED with progressive jaw swelling and difficulty swallowing for 24 hours following a tooth extraction three days ago. On examination she is feb…