A 72-year-old woman, Adwoa, presents to the regional hospital ED in Kumasi with painless passage of bright red blood per rectum for the past 12 hours. She has no prior history of inflammatory bowel di…
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A 55-year-old man presents to a district hospital in Brong-Ahafo region with a 24-hour history of sudden-onset crampy left-sided abdominal pain followed by the passage of bloody diarrhoea. He has a kn…
A 67-year-old man, Yaw, is referred from a district hospital to the regional hospital A&E with melaena and haematemesis. He takes aspirin 75 mg daily for ischaemic heart disease and has a background o…
Akosua, a 52-year-old market trader, is brought by her family to the regional hospital ED in Kumasi with a 3-day history of colicky central abdominal pain, abdominal distension, and multiple episodes …
Kofi, a 47-year-old man with known oesophageal varices secondary to alcohol-related cirrhosis, presents to Komfo Anokye ED actively vomiting blood. He is given terlipressin and IV ceftriaxone. Despite…
Yaw, a 62-year-old man with hepatitis B-related cirrhosis and chronic ascites, is brought to the Komfo Anokye ED by relatives with a 5-day history of progressive oliguria, worsening jaundice, and conf…
A 38-year-old woman, Abena, presents to a regional hospital ED in the Eastern Region with a 6-hour history of acute-onset epigastric pain and vomiting. She is 32 weeks pregnant. She denies alcohol use…
Mohammed, a 55-year-old fisherman with a history of alcohol-related liver cirrhosis, presents to the emergency centre at Korle Bu with acute haematemesis. He is resuscitated with IV fluids and blood, …
A 45-year-old man, Kofi, is admitted to Korle Bu emergency centre after haematemesis. He is haemodynamically stable after resuscitation, GBS 9, Hb 9.1 g/dL. He is not on anticoagulants and has no know…
A 39-year-old woman, Esi, with known oesophageal varices secondary to schistosomiasis-related portal hypertension presents to a district hospital in Brong-Ahafo after vomiting blood. Terlipressin is n…
Mohammed, a 34-year-old motor mechanic, is brought to a district hospital in the Northern Region following a road traffic crash 2 hours ago. He had no abdominal complaints before the accident. Paramed…
Afia, a 38-year-old woman, presents to the emergency centre at Komfo Anokye Teaching Hospital with a 10-hour history of severe epigastric pain radiating to the back, associated with nausea and three e…
A 62-year-old man, Mohammed, is brought to Komfo Anokye ED with a 4-day history of colicky central abdominal pain, bilious vomiting, and absolute constipation. He had an open appendicectomy 20 years a…
Ama, a 45-year-old seamstress, is referred from a district hospital in the Brong-Ahafo Region to the regional hospital ED with a 36-hour history of small bowel obstruction managed with nil by mouth an…
Mohammed, a 55-year-old man, is brought to the Korle Bu Emergency Centre from a private clinic after passing large amounts of bright red blood per rectum twice in the past six hours. He has no signifi…
A 52-year-old obese woman, Adwoa, presents to a district hospital in Brong-Ahafo with severe right upper quadrant pain radiating to the right shoulder tip, onset 3 hours ago after a fatty meal. She is…
Kofi, a 55-year-old man with known gallstones, presents to a district hospital A&E with a 6-hour history of severe epigastric pain, vomiting, and fever of 38.8°C. His BP is 88/55 mmHg, HR 130 bpm, RR …
A 29-year-old woman, Abena, with known oesophageal varices secondary to schistosomiasis-related portal hypertension presents to the Tamale Teaching Hospital ED with active haematemesis. She is intubat…
Ama, a 47-year-old woman with known oesophageal varices secondary to hepatitis B-related cirrhosis, is referred from a district hospital in Brong-Ahafo to a regional hospital A&E after two episodes of…
Kofi, a 67-year-old retired teacher with a history of osteoarthritis and hypertension, presents to the regional hospital ED in Kumasi after three days of melaena. He takes ibuprofen regularly and amlo…
A 60-year-old woman, Adwoa, with decompensated hepatitis B cirrhosis is admitted to a regional hospital A&E in the Ashanti Region with progressive confusion over 48 hours. Her relatives report she has…
A 24-year-old man, Kofi, presents to the regional hospital A&E in Tamale with a 2-day history of gradually worsening left scrotal pain and swelling. He reports dysuria and a urethral discharge earlier…
Ama, a 34-year-old woman, presents to the A&E at Tamale Teaching Hospital with left-sided loin-to-groin pain of 6 hours' duration, associated with vomiting and microscopic haematuria on dipstick. She …
A 35-year-old man, Mensah, presents to a district hospital A&E with a painful, swollen distal penis. He reports that his foreskin was retracted during sexual intercourse 4 hours ago and he has been un…
A 68-year-old man, Kwabena, is brought to the regional hospital A&E in Kumasi by his wife. He has been unable to pass urine for 14 hours and has suprapubic pain. He takes tamsulosin for benign prostat…
Mensah, a 68-year-old man with a known history of benign prostatic hyperplasia, presents to the district hospital A&E in the Ashanti Region with inability to pass urine for 14 hours, lower abdominal d…
During a teaching session at Tamale Teaching Hospital, an EM registrar presents the Edmonton Frail Scale (EFS) to the clinical team. A 75-year-old patient, Mohammed, is being assessed. He has had two …
Afia Boateng, a 71-year-old woman, attends the outpatient ED of a regional hospital in the Ashanti Region having fallen twice in the past month. She has no acute injuries. Her medications include amit…
A 69-year-old man, Mohammed, presents to the district hospital emergency unit in the Northern Region referred from a community clinic. He is accompanied by his nephew, who is also his designated carer…
A 69-year-old woman, Adwoa Mensah, is brought to the Korle Bu emergency centre by her son after she was found drowsy and unresponsive to her name at home. She has a history of anxiety, chronic low bac…