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A 38-year-old woman, Akua, presents to the Komfo Anokye ED having drunk a large amount of locally brewed spirits at a funeral. She is drowsy but rousable, smells strongly of alcohol, and has slurred s…

Kofi, a 50-year-old man with a long history of heavy alcohol use, is brought to the regional hospital A&E by police. He was found on the street with a laceration to his scalp. He is drowsy, smells of …

Akua, a 28-year-old woman, is brought to the regional hospital A&E in Kumasi 10 minutes after eating groundnuts at a party. She has generalised urticaria, swelling of her lips and tongue, and is strug…

Akua, a 28-year-old woman, is brought to the Komfo Anokye ED five minutes after receiving an intramuscular penicillin injection at a nearby clinic. She is agitated, with generalised urticaria and angi…

Yaw, a 40-year-old farmer, presents to a district hospital in the Upper East Region with severe urticaria and wheezing after a bee sting. He is treated promptly with IM adrenaline, high-flow oxygen, I…

A 28-year-old woman, Akua, is brought to the Komfo Anokye ED five minutes after receiving an intramuscular injection of penicillin at a nearby clinic. She is distressed, with generalised urticaria, sw…

Kofi, a 34-year-old man, develops generalised flushing, urticaria, stridor, and difficulty breathing at a district hospital in Brong-Ahafo, thirty seconds after the nurse begins an IV infusion of ampi…

A 30-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of fever, severe headache, and neck stiffness. On examination she has a GCS of 13, temperature 39.4°C, …

A 60-year-old man, Mensah, is brought to the Korle Bu emergency centre by his wife. He is found to have a GCS of 7 after a sudden-onset severe headache followed by rapid deterioration. His BP is 210/1…

A 19-year-old student, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of severe headache, fever, and neck stiffness. On examination, her temperature is 39.4°C, HR 118 bpm,…

A 22-year-old woman, Abena, is brought to the Komfo Anokye ED by her flatmates after they found her unconscious in her room. The flatmates report she had been at a party and may have taken unknown sub…

A 35-year-old woman, Fatima, presents to the regional hospital A&E in Tamale with a 3-day history of fever, headache, and progressive confusion. She returned from a rural farming area 5 days ago. Her …

A 40-year-old man, Kofi, presents to the regional hospital A&E in Tamale with a 2-day history of fever, headache, and progressive confusion. He lives in a malaria-endemic area and has not taken any pr…

A 22-year-old man, Yaw, is brought to the Komfo Anokye ED by friends who found him unresponsive at a party. His GCS is 6 (E1V2M3). Respiratory rate is 6 breaths per minute, pupils are bilaterally pinp…

A 52-year-old farmer, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family. He is found unresponsive on the examination couch. His vital signs show BP 110/70 mmHg, HR 98 bpm, RR…

A 34-year-old man, Kofi, is brought to the district hospital A&E in Ashanti Region by his colleagues who found him unresponsive at his workstation. He has a known history of type 1 diabetes mellitus. …

A 45-year-old woman, Ama, is brought to the district hospital A&E in Northern Region by her husband. She has been increasingly confused over the past 2 hours. Her bedside glucose is 1.8 mmol/L, and sh…

A 28-year-old man, Yaw, is brought to the Komfo Anokye ED by police after being found collapsed on the roadside. He is deeply unconscious with a GCS of 5. His respiratory rate is 6 breaths/min with sh…

Abena, a 7-year-old girl, is brought to the district hospital A&E in cardiac arrest following severe burns. Intravenous access cannot be obtained after two attempts. The team decides to establish intr…

A 28-year-old man, Yaw, presents to a district hospital A&E in Northern Ghana with a severe headache, photophobia, and neck stiffness for 18 hours. The doctor decides to perform a lumbar puncture. The…

Kwame, a 34-year-old man, is brought to the Korle Bu emergency centre following a road traffic crash. He has severe maxillofacial injuries and cannot be intubated by direct laryngoscopy. The team deci…

Ama, a 28-year-old woman, is brought to the regional hospital A&E after a stab wound to the left chest. She is in severe respiratory distress with absent breath sounds on the left, tracheal deviation …

Kofi, a 45-year-old man with known pulmonary tuberculosis, arrives at the Komfo Anokye ED with increasing breathlessness and a right-sided empyema confirmed on chest X-ray. The consultant requests ins…

Mensah, a 50-year-old farmer, is brought to a district hospital A&E in the Ashanti Region by his family. He is pale, sweating, and barely responsive to voice. His blood pressure is 80/50 mmHg, heart r…

A 45-year-old man named Kwame is brought to the district hospital A&E in Brong-Ahafo by bystanders after being found unresponsive on the roadside. He does not respond to voice or painful stimuli. His …

A 40-year-old man, Kwabena, is brought to Korle Bu Emergency Centre by colleagues after collapsing at work. He is unresponsive, with no spontaneous breathing and no palpable carotid pulse. You are the…

Four patients arrive simultaneously at the regional hospital A&E in Kumasi following a road traffic collision. Patient 1 (Yaa, 30 years) has a closed femur fracture, is in pain, but is talking and has…

A 19-year-old student, Yaa, presents to the district hospital A&E in northern Ghana with three days of fever, severe vomiting, and progressive confusion. She is hypotensive (BP 80/50 mmHg), tachycardi…

A 34-year-old security guard, Kwame, is brought to the Korle Bu emergency centre after being found unconscious in a locked generator room. Bystanders report the generator had been running for several …

Kofi, a 45-year-old man, presents to the Komfo Anokye ED with a goitre and symptoms of hypothyroidism. His TSH is markedly elevated at 42 mIU/L (reference 0.4–4.0 mIU/L) and his free T4 is very low. T…