A 35-year-old man, Mohammed, presents to the regional hospital A&E in Tamale. He is brought in by his brother who says he has been 'acting mad' for two days. On examination he is febrile at 39.1°C, ha…
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Kofi, a 72-year-old retired teacher, is brought to Komfo Anokye ED by his son. The son reports that his father, who was well yesterday, has become confused, restless, and is pulling at his IV line ins…
A 60-year-old woman, Adwoa, is brought to the district hospital A&E in Northern Region by her son. She has been behaving strangely for six hours — she is confused, picking at her bedclothes, and alter…
A 28-year-old woman, Akua, is brought to the Komfo Anokye ED by police. She is shouting, throwing objects, and refusing examination. Her oxygen saturation on room air is 88%, respiratory rate 32/min, …
A 22-year-old woman, Akua, is brought to Komfo Anokye ED by police after being found wandering in traffic, speaking incoherently. She has no known medical history. On examination she is febrile (38.9 …
A 45-year-old man, Mensah, presents to the regional hospital A&E in the Ashanti Region with a 2-day history of progressive confusion and agitation. He has a productive cough, fever (39.2 °C), and oxyg…
A 3-year-old boy, Kwame, is brought to a regional hospital A&E by his grandmother. She says he accidentally sat on a hot cooking pot two days ago. On examination, there are sharply demarcated, symmetr…
A 14-month-old boy, Kofi, is brought to the district hospital A&E in Ashanti Region by his mother, who says he 'fell off the bed' this morning. On examination, you find multiple bruises over his butto…
A 2-year-old boy, Yaw, is brought to Korle Bu emergency centre by his parents after a 'fall down the stairs.' On examination, he has a spiral fracture of the right femur and a healing bruise over the …
A 2-year-old boy, Yaw, is brought to the Korle Bu emergency centre. His mother says he fell down three steps two days ago. On examination, he has a mid-shaft spiral fracture of the right femur on plai…
A 5-year-old boy presents to a district hospital in the Northern Region with a spiral fracture of the femur. His grandmother states he 'fell while playing'. He is pre-ambulatory and has not yet starte…
A 28-year-old woman, Esi, presents to a regional hospital A&E in Greater Accra with a swollen, tender right eye and a laceration to her lower lip. She initially says she 'walked into a door.' When the…
A 16-year-old girl, Afia, is brought to the Komfo Anokye ED by a school teacher after disclosing that she was sexually assaulted by a family member last night. She is distressed but haemodynamically s…
A 28-year-old woman, Akosua, presents to the Korle Bu Emergency Centre with a fractured right radius. She states she slipped on wet tiles. Her partner is present and answers questions on her behalf. T…
A 3-year-old boy, Kofi, is brought to a regional hospital A&E in Volta Region. His grandmother states he 'sat on the stove.' On examination, there are well-demarcated, symmetrical scald burns to both …
A 3-year-old boy is brought to the district hospital A&E in the Ashanti Region by his mother, who says he 'fell off the bed' two days ago. On examination, he has bruising over his lower back, buttocks…
A 14-month-old boy, Kwame, is brought to a district hospital A&E in Ashanti Region by his mother. She reports he 'fell off the sofa' this morning. On examination, he has multiple bruises over his back…
A 28-year-old woman, Esi, presents to a regional hospital A&E in the Greater Accra Region with a swollen, tender right eye and a laceration to her lower lip. She initially says she 'fell.' When the nu…
A 7-year-old girl, Abena, is brought to the Korle Bu Emergency Centre by her father. She has a retinal haemorrhage on fundoscopy and a bulging anterior fontanelle. The father states she fell from a ch…
A 6-month-old girl, Akua, is brought to the Komfo Anokye ED by her father after he says she became 'suddenly floppy and unresponsive.' On examination, she is irritable and has a tense anterior fontane…
A 9-month-old girl, Ama, is brought to Komfo Anokye ED by her father, who reports she became 'floppy and unresponsive' while in his care. On examination, she has a bulging anterior fontanelle, retinal…
Aisha, a 28-year-old woman with known type 1 diabetes, is brought to Komfo Anokye ED in Kumasi with vomiting for two days. Her ABG shows: pH 7.18, pCO2 2.8 kPa, HCO3 9 mmol/L. Serum electrolytes: Na 1…
A 34-year-old man, Kwame, is brought to the regional hospital A&E by relatives after being found confused at home. His ABG on air shows: pH 7.22, pCO2 3.1 kPa, HCO3 12 mmol/L, lactate 6.8 mmol/L. His …
A 34-year-old man, Kwame, is brought to the regional hospital A&E by relatives after a seizure. He is drowsy with a GCS of 12. ABG on room air: pH 7.22, pCO2 28 mmHg, HCO3 11 mmol/L, PaO2 94 mmHg. Ser…
A 58-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo with suspected severe sepsis. Her ABG at the regional hospital A&E shows: pH 7.30, pCO2 32 mmHg, HCO3 15 mmol/L. Serum e…
A 19-year-old student, Afia, is brought to Korle Bu emergency centre after ingesting an unknown quantity of aspirin tablets. She is anxious, tachypnoeic (RR 28/min), and vomiting. ABG: pH 7.48, pCO2 2…
Yaw, a 23-year-old man, presents to the district hospital A&E with severe acute asthma. He has been using his salbutamol inhaler every 30 minutes for six hours without relief. He is too breathless to …
A 34-year-old man, Kwame, is brought to the regional hospital A&E by relatives after a witnessed generalised tonic-clonic seizure. He is drowsy but rousable. Bedside glucose is 4.8 mmol/L. An ABG is o…
Fatima, a 19-year-old student, is brought to the Korle Bu emergency centre after ingesting an unknown quantity of aspirin tablets approximately two hours ago. She is anxious, hyperventilating, and com…
A 28-year-old man, Yaw, is brought to a district hospital A&E in the Northern Region after a road traffic collision. He is tachycardic (HR 128/min), hypotensive (BP 84/50 mmHg), and has a distended ab…