A 45-year-old man, Kofi, is referred from a district hospital in the Central Region to Korle Bu Teaching Hospital with a six-month history of a large, progressively destructive ulcer over his left low…
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A 10-year-old girl, Akua, is seen at the outpatient clinic of a district hospital in the Brong-Ahafo Region. Her parents have noticed a 3 cm painless firm nodule on her left forearm for the past four …
A 45-year-old cocoa farmer named Mensah presents to a district hospital in the Brong-Ahafo Region with a two-month history of a painless swelling on the dorsum of his right foot that has recently brok…
A 45-year-old fisherman, Kofi, presents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital with a 3-month history of a large, painless ulcer on his right lower leg. He was diagnosed w…
A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband with a 2-hour history of sudden-onset palpitations, mild chest tightness, and dizziness. She has no significant past medic…
A 72-year-old woman, Adwoa, presents to Korle Bu emergency centre with a 30-minute history of palpitations and lightheadedness. She has a history of hypertension and chronic kidney disease stage 3. He…
A 71-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital after a 6-hour history of severe interscapular back pain without radiation to the chest or…
Akosua, a 34-year-old woman, is brought to Komfo Anokye Emergency Department at 28 weeks gestation with a one-hour history of carpopedal spasm and perioral tingling. She has had no antenatal care. Vit…
Mensah, a 70-year-old retired civil servant with hypertension and hyperlipidaemia, received streptokinase 1.5 million units IV for an acute anterior STEMI at a district hospital in the Northern Region…
A 78-year-old woman, Yaa, is brought to Korle Bu Emergency Centre by her daughter with a 1-day history of profound fatigue, confusion, and two episodes of loss of consciousness. She has a history of c…
A 67-year-old woman, Yaa, is brought to the Korle Bu emergency centre by her children with a 12-hour history of palpitations, fatigue, and mild ankle swelling. She has known rheumatic mitral stenosis.…
A 58-year-old man, Mohammed, with known dilated cardiomyopathy is brought to the Komfo Anokye ED in severe respiratory distress. He is commenced on CPAP 7.5 cmH2O, IV frusemide 80 mg, and GTN infusion…
A 60-year-old man is brought to the Komfo Anokye ED with a two-day history of progressively worsening headache and blurred vision. His BP is 240/138 mmHg. Fundoscopy shows bilateral papilloedema and a…
A 45-year-old woman, Afia, is brought to Komfo Anokye ED with sudden-onset severe breathlessness and haemoptysis beginning 4 hours ago. She has a known history of rheumatic heart disease. Vitals: HR 1…
At Tamale Teaching Hospital ED, a registrar is reviewing ECGs during a busy evening shift. A 52-year-old man, Yaw, presents with chest discomfort and a HR of 110 bpm. His ECG shows sinus tachycardia. …
A 52-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after three days of progressive dyspnoea and a sensation of chest heaviness. He has a known history of pu…
Afia, a 61-year-old retired teacher with hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 2 hours of epigastric pain, nausea, and vomiting. She initially believed it was her 'sto…
A 27-year-old man, Kwesi, is brought to a district hospital in the Brong-Ahafo Region following a generalised tonic-clonic seizure lasting 2 minutes, which has now stopped. He has a history of epileps…
A 34-year-old woman presents to a district hospital in Ashanti Region with 3 days of sharp chest pain and mild dyspnoea. She had a flu-like illness 2 weeks ago. Vitals: BP 118/80 mmHg, HR 88 bpm, RR 1…
A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family after the sudden onset of severe chest pain that he describes as 'tearing' and radiating directly to his back betwee…
A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband after a sudden onset of palpitations and mild chest tightness for 45 minutes. She has no prior cardiac history and takes n…
Kofi, a 45-year-old bus driver, presents to a regional hospital ED in Brong-Ahafo with a two-hour history of rapid palpitations and mild dizziness. He has no prior cardiac history and takes no medicat…
Kofi, a 55-year-old man with a history of alcohol use disorder, presents to the regional hospital ED in Cape Coast with a 3-week history of progressive dyspnoea, weight gain, and bilateral leg oedema.…
A 62-year-old woman, Akosua, is brought to the Komfo Anokye ED by her family at 02:00 with a 3-hour history of severe breathlessness. She has known hypertension treated with amlodipine 10 mg daily. On…
A 34-year-old woman, Afia, is brought to the Komfo Anokye ED by her family after a witnessed syncopal episode at home. She has no significant past medical history but reports two prior episodes of sud…
A 29-year-old woman, Aisha, presents to the Korle Bu Emergency Centre with carpopedal spasm and perioral tingling for 2 hours following a subtotal thyroidectomy performed 3 days ago. She also reports …
A 54-year-old woman, Abena, presents to a regional hospital ED in the Northern Region with a 2-day history of progressive dizziness and exertional presyncope. She has no chest pain. Her medications in…
A 70-year-old man, Yaw, a known hypertensive and heavy smoker, is brought to a regional hospital ED in Northern Ghana with severe, sudden-onset tearing back pain and mild lower limb weakness that bega…
Afia, a 70-year-old woman with a history of ischaemic heart disease, presents to the Komfo Anokye ED with palpitations and mild chest discomfort for 2 hours. Vitals: BP 130/82 mmHg, HR 136 bpm, RR 18,…
A 61-year-old woman, Yaa, presents to the Korle Bu Emergency Centre with a 3-week history of progressive fatigue, palpitations, and two near-syncopal episodes that occurred at rest. She is not on any …