A 45-year-old man, Mohammed, is admitted to the emergency department at a regional hospital in Northern Ghana with a large laceration to the right thigh following a farming accident. He has lost an es…
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A 3-year-old boy named Kofi is brought to the emergency department of Komfo Anokye Teaching Hospital by his mother. She says he had a sudden jerking of all four limbs lasting about two minutes, which …
A 28-year-old primigravida, Akua, at 34 weeks of gestation is brought to the emergency department at Cape Coast Teaching Hospital by ambulance after collapsing at home. Bystanders report she had a gen…
A 4-year-old boy named Kofi is brought to the emergency department after his parents witnessed him convulsing for about 3 minutes at home. He stopped convulsing before arrival. He has had a fever for …
A 35-year-old fisherman, Yaw, is brought to a regional hospital in the Northern Region after being bitten on the right foot by a snake while working near a river at dusk. He did not see the snake clea…
A 19-year-old student, Akosua, is brought to the emergency department at Korle Bu Teaching Hospital after her roommate found her confused and agitated. She had been at a party earlier that evening. On…
A 28-year-old man, Yaw, is brought to the emergency department in Tamale after being bitten on the right ankle by a snake described by witnesses as brown with a triangular head, approximately 1.2 metr…
Ama, a 28-year-old primigravida at 34 weeks gestation, is brought to the emergency department at Cape Coast Teaching Hospital with a 2-day history of fever, rigors, and right loin pain. On examination…
A 34-year-old trader, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital after collapsing at the market. His wife reports he had three days of high fever, vomiting, and re…
A 60-year-old man, Joseph, with known type 2 diabetes mellitus and hypertension, presents to the emergency department at a regional hospital with a 2-hour history of confusion, vomiting, and generalis…
Kwabena, a 7-year-old boy, is brought to the district hospital after spilling boiling water on his chest and abdomen. The burns appear red, moist, and extremely painful, with no blistering visible yet…
The emergency department of a regional hospital in Ghana uses a three-colour triage system. Yaw, a 55-year-old man, walks in complaining of chest pain that started 2 hours ago. He is alert, speaking i…
A 7-year-old boy, Kwabena, is carried into the emergency department of Tamale Teaching Hospital by his mother. She says he has had fever for 3 days and is now 'not waking up properly'. On assessment h…
Kwame, a 19-year-old student, presents to a district hospital in Brong-Ahafo with a 5 cm scalp laceration from a fall. He is alert, GCS 15, and haemodynamically stable: BP 122/78 mmHg, HR 92 bpm. The …
Afia, a 35-year-old market trader, presents to a regional hospital ED with a 3 cm laceration over the dorsum of her right hand sustained from a broken bottle 2 hours ago. The wound is clean and involv…
A 58-year-old man, Kwesi, presents to the Korle Bu emergency centre with acute-onset right-sided pleuritic chest pain and mild dyspnoea for 6 hours. He underwent surgery for a perforated duodenal ulce…
Mohammed, a 61-year-old fisherman, is referred from a district hospital to the Tamale Teaching Hospital ED with a 3-week history of fevers, night sweats, weight loss, and worsening left-sided pleuriti…
A 52-year-old woman, Abena, known to have breast cancer, presents to the Korle Bu Emergency Centre with progressive dyspnoea over 2 weeks. Vitals: HR 98 bpm, BP 124/80 mmHg, RR 24/min, SpO2 91% on roo…
A 7-month-old boy, Emmanuel, is brought to the paediatric emergency area of a regional hospital in Ashanti Region during the harmattan season. His mother reports 4 days of runny nose, low-grade fever,…
A 67-year-old man, Joseph, with a 10-year history of chronic obstructive pulmonary disease (COPD) and smoking presents to the Komfo Anokye ED with acute worsening of dyspnoea. Vitals: HR 110 bpm, BP 1…
A 29-year-old woman, Fatima, presents to a district hospital in the Northern Region with fever, rigors, and confusion for two days. She is 28 weeks pregnant. Vitals: BP 85/55 mmHg, HR 132 bpm, RR 28/m…
A 42-year-old man is brought to a regional hospital ED following a road traffic accident with suspected blunt abdominal trauma. He is alert but anxious. Vitals: BP 96/60 mmHg, HR 128 bpm, RR 24/min, S…
Akosua, a 58-year-old woman with a 12-year history of type 2 diabetes mellitus, presents to the regional hospital ED in Kumasi with a 3-day history of pain and swelling over the plantar surface of her…
A 16-year-old boy, Kwesi, is in the resus bay at Komfo Anokye ED with DKA. He weighs 52 kg. After 2 hours of 0.9% sodium chloride resuscitation, his glucose has fallen to 13.8 mmol/L but his pH remain…
A 52-year-old woman, Adwoa, with type 2 diabetes is referred from a district hospital in Brong-Ahafo to the regional hospital ED. She had been on IV insulin infusion for 18 hours. Current vitals: HR 8…
A 55-year-old man, Kofi, is brought to Tamale Teaching Hospital ED having intentionally ingested an unknown quantity of glibenclamide tablets 3 hours ago. He is currently alert, GCS 15, with a blood g…
A 72-year-old man, Mensah, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED with a 5-day history of progressive confusion, polyuria, and reduced oral intake. He has a background …
A 29-year-old woman, Afia, is 34 weeks pregnant and presents to a regional hospital A&E with a sudden hypertensive crisis, BP 240/140 mmHg, HR 136 bpm, and diaphoresis. She has no proteinuria on dipst…
A 61-year-old man, Yaw, with a history of hypertension and type 2 diabetes is found at home confused and brought to the Komfo Anokye ED. His wife reports he has been unwell for a week with fatigue, na…
A 72-year-old woman is brought to Tamale Teaching Hospital ED from a rural health post. She has been increasingly drowsy for five days. Her daughter reports she has hypothyroidism but has not collecte…