Ama, a 4-year-old girl, is brought to the Komfo Anokye ED by her mother. She has had six episodes of watery diarrhoea and three episodes of vomiting over the past 24 hours. On examination she is irrit…
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A 35-year-old fisherman, Kwame, presents to a district hospital in the Northern Region with a 12-hour history of profuse, painless, watery diarrhoea described as 'rice-water' in appearance. He has vom…
A 35-year-old fisherman, Kwame, is brought to a district hospital in the Northern Region after three days of profuse, watery diarrhoea described by his family as looking like 'rice-water'. He has vomi…
A 55-year-old man, Yaw, is referred from a peripheral clinic to the district hospital A&E with a two-day history of watery diarrhoea and vomiting. He is alert, his mucous membranes are dry, skin turgo…
A 35-year-old man, Kwame, is brought to a district hospital A&E in Brong-Ahafo by relatives after three days of profuse watery diarrhoea and vomiting. On examination he is drowsy, his eyes are sunken,…
A 3-year-old boy named Kofi is brought to a district hospital in the Northern Region by his mother. He has had profuse watery diarrhoea and vomiting for 2 days. On examination he is irritable, his eye…
Ama, a 28-year-old woman, presents to the Komfo Anokye ED with 3 days of frequent bloody diarrhoea, lower abdominal cramps, and fever of 38.8 °C. She returned from a rural farming community in the Upp…
A 2-year-old girl, Akua, is brought to the Komfo Anokye ED by her mother with a 2-day history of frequent watery diarrhoea and vomiting. On examination she is irritable, has sunken eyes and a sunken f…
Yaa, a 61-year-old hypertensive woman, is brought to the Komfo Anokye ED with sudden-onset severe vertigo, vomiting, and inability to walk. Her blood pressure is 178/104 mmHg. Examination reveals prom…
Kofi, a 45-year-old man, is brought to the Komfo Anokye ED with sudden-onset severe vertigo, vomiting, and inability to walk that began three hours ago. He has no ear pain or hearing loss. On examinat…
Adwoa, a 55-year-old woman, is brought to the Komfo Anokye ED with sudden-onset vertigo and a severe occipital headache that she describes as the worst of her life. Her blood pressure is 210/120 mmHg.…
A 67-year-old man, Kofi, is brought to the regional hospital A&E by his relatives after sudden onset of severe dizziness and vomiting that began 2 hours ago. On examination he has horizontal nystagmus…
Kofi, a 55-year-old hypertensive man, is brought to the regional hospital A&E by relatives after sudden-onset vertigo, double vision, and difficulty speaking. His BP is 188/110 mmHg. On examination, h…
A 52-year-old woman, Akua, presents to the district hospital A&E in Ashanti Region complaining of sudden-onset severe vertigo that began when she turned over in bed this morning. The episodes last les…
Kwabena, a 29-year-old man, attends the regional hospital A&E in the Volta Region with vertigo that started this morning when he got out of bed. The episodes last about 30 seconds and recur with posit…
Kwame, a 67-year-old diabetic man with atrial fibrillation, is brought to the Komfo Anokye ED with acute onset of severe vertigo, nausea, and vomiting that began 90 minutes ago. He is on warfarin but …
Afia, a 28-year-old woman, presents to the regional hospital A&E with brief episodes of vertigo lasting 10–20 seconds, triggered each time she turns over in bed or looks upward. There is no hearing lo…
A 58-year-old man presents to the A&E of Komfo Anokye Teaching Hospital with sudden-onset severe vertigo, vomiting, and inability to walk. He is hypertensive (BP 178/104 mmHg). On examination, he has …
A 62-year-old woman is referred from a peripheral clinic to the Korle Bu Emergency Centre with a 6-hour history of sudden-onset vertigo, left-sided facial numbness, and hoarseness. On examination, she…
Mohammed, a 70-year-old man with known ischaemic heart disease, presents to the district hospital A&E complaining of dizziness and feeling faint when he stands. He has no rotatory sensation. His lying…
Ama, a 67-year-old woman with known hypertension and type 2 diabetes, presents to Korle Bu emergency centre with sudden-onset vertigo, diplopia, and difficulty swallowing that began one hour ago. On e…
A 58-year-old woman, Akua, presents to the district hospital A&E in Ashanti Region complaining of sudden-onset severe rotatory dizziness that began when she turned over in bed this morning. Each episo…
Esi, a 34-year-old woman, presents to a regional hospital A&E in the Volta Region with vertigo that comes on when she lies down on her right side at night. Each episode lasts about 30 seconds and then…
Yaw, a 62-year-old hypertensive man, attends the Korle Bu emergency centre with sudden-onset vertigo, headache, and double vision that began two hours ago. He has a history of poorly controlled hypert…
A 52-year-old man, Kwame, is brought to the regional hospital A&E by relatives with chest pain and diaphoresis for 90 minutes. His BP is 100/70 mmHg, HR 88 bpm, RR 18/min, SpO2 96% on room air. You pe…
Akua, a 58-year-old woman with a history of ischaemic heart disease, is brought to the regional hospital A&E complaining of palpitations and dizziness. Her blood pressure is 80/50 mmHg and she is diap…
A 52-year-old man presents to the regional hospital A&E with a 2-hour history of central chest pain radiating to his left arm. His BP is 138/86 mmHg, HR 88 bpm, RR 18/min, SpO2 96% on room air. The EC…
Kofi, a 65-year-old man with known hypertension, presents to Komfo Anokye ED with 40 minutes of severe central chest pain radiating to the left arm. His ECG shows 3 mm ST elevation in leads II, III, a…
Fatima, a 45-year-old woman with chronic kidney disease, is brought to the district hospital A&E obtunded after missing dialysis for five days. Her ECG shows progressively widened QRS complexes (durat…
Akosua, a 34-year-old woman, is brought to the district hospital A&E by relatives with a 3-day history of progressive weakness, reduced urine output, and vomiting. She is known to have chronic kidney …