Ama, a 35-year-old woman, is brought to the Komfo Anokye ED with a 2-day history of worsening jaw pain and difficulty swallowing. On examination she has bilateral submandibular swelling, the floor of …
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Fatima, a 14-year-old girl, is brought to a district hospital A&E after a road traffic accident. Her upper left central incisor was knocked out 45 minutes ago. The tooth was placed in a cup of fresh m…
A 32-year-old man, Kwame, is brought to a regional hospital A&E after a road traffic accident. He has bilateral submandibular swelling, trismus, and a 'woody' induration of the floor of his mouth exte…
Kofi, a 10-year-old boy, is brought to a regional hospital A&E by his mother after falling from a bicycle 45 minutes ago. His upper left central incisor has been completely knocked out. The tooth is c…
Kofi, a 45-year-old man with poorly controlled diabetes, presents to the Korle Bu emergency centre with a 4-day history of worsening toothache that has now spread to cause swelling of his right cheek …
A 32-year-old woman, Adwoa, presents to a regional hospital A&E with a three-day history of worsening jaw pain and swelling. She is febrile, drooling, and speaks with a muffled 'hot potato' voice. Exa…
A 22-year-old man named Yaw is admitted to the regional hospital A&E with confirmed diabetic ketoacidosis. His initial serum potassium is 3.2 mmol/L. The nurse asks whether to start the insulin infusi…
Yaa, a 45-year-old known type 1 diabetic, is admitted to the regional hospital A&E in Brong-Ahafo with confirmed diabetic ketoacidosis. Her initial serum potassium is 3.2 mmol/L and glucose is 24 mmol…
Kofi, a 28-year-old type 1 diabetic, is brought unconscious to the Korle Bu emergency centre. His wife reports he has been vomiting and refusing food all day. He has no IV access and is unresponsive t…
A 25-year-old man named Kofi with known type 1 diabetes is admitted to the regional hospital A&E with confirmed DKA. His observations are: BP 96/60 mmHg, HR 124 bpm, RR 28 breaths/min, SpO2 98%. His s…
Kwame, a 34-year-old known type 1 diabetic, is brought to the district hospital A&E in Ashanti Region by his wife. She reports he became confused and sweaty about 30 minutes after his morning insulin …
Ama, a 28-year-old type 1 diabetic, is found unresponsive at home and brought to Korle Bu emergency centre. She is GCS 6/15 and IV access cannot be established rapidly. Her capillary glucose is 1.4 mm…
Ama, a 68-year-old woman with known type 2 diabetes, is brought to the district hospital A&E in Brong-Ahafo by her family after 4 days of progressive confusion, excessive thirst, and decreased urine o…
Kofi, a 19-year-old known type 1 diabetic, presents to Komfo Anokye ED with a 2-day history of vomiting, diffuse abdominal pain, and increasing drowsiness. On examination he is deeply and rapidly brea…
Akua, a 19-year-old with known type 1 diabetes, presents to the Komfo Anokye ED with a 2-day history of vomiting, diffuse abdominal pain, and increasing thirst. She has been unable to keep her insulin…
Yaw, a 22-year-old type 1 diabetic, is admitted to the regional hospital A&E in the Volta Region with confirmed diabetic ketoacidosis. His initial serum potassium is 3.2 mmol/L. He has been commenced …
Akosua, a 34-year-old woman with known type 1 diabetes, is brought to the regional hospital A&E by her husband. She is vomiting, breathing rapidly, and has a blood glucose of 28 mmol/L. Her serum pota…
A 28-year-old woman named Ama is found unresponsive at home by her husband and brought to the Korle Bu emergency centre. She is a known type 1 diabetic on insulin. On examination, she is unconscious (…
A 72-year-old woman named Adwoa is brought to the district hospital in the Upper East Region by her family with a 5-day history of increasing confusion, excessive urination, and poor oral intake. She …
Kwabena, a 16-year-old boy with newly diagnosed type 1 diabetes, presents to the regional hospital A&E in Central Region with a 3-day history of vomiting and weakness. He is breathing deeply and rapid…
A 34-year-old man named Kwame is brought to the district hospital A&E in Brong-Ahafo by his wife. He is known to have type 1 diabetes mellitus and was found confused and sweating profusely at home. On…
Adwoa, a 24-year-old known type 1 diabetic, presents to the regional hospital A&E in Greater Accra with a 1-day history of polyuria, polydipsia, and abdominal pain. She has not taken her insulin for 2…
Mensah, a 72-year-old man with known type 2 diabetes, is brought to the district hospital A&E in Upper East Region by his family after 3 days of polyuria, polydipsia, and progressive confusion. On exa…
A 19-year-old woman named Akua presents to the Komfo Anokye ED with a 2-day history of vomiting, abdominal pain, and increased thirst. She is a known type 1 diabetic who ran out of insulin 3 days ago.…
Akua, a 34-year-old known type 1 diabetic, is brought to the district hospital A&E in Ashanti Region by her husband. She is confused and sweating profusely, and her husband reports she skipped a meal …
A 45-year-old fisherman named Kwame presents to a district hospital in the Volta Region with sudden-onset profuse watery diarrhoea described as 'rice-water' in appearance, accompanied by severe leg cr…
A 4-year-old girl, Afia, is brought to the regional hospital A&E in Kumasi with five days of bloody diarrhoea. Her mother reports she has passed very little urine over the past 24 hours. On examinatio…
A 28-year-old man, Kofi, attends the A&E of a regional hospital three weeks after completing a course of amoxicillin for a dental abscess. He has had six episodes of watery, foul-smelling diarrhoea pe…
Akua, a 3-year-old girl, is brought to a district hospital in the Volta Region by her father. She has had 8 episodes of watery diarrhoea and 4 episodes of vomiting over the past 18 hours. She is letha…
A 2-year-old girl named Abena is brought to a district hospital in Brong-Ahafo by her father. She has had watery diarrhoea 8 times today with two episodes of vomiting. On examination she is lethargic,…