A 28-year-old woman, Ama, presents to the Korle Bu surgical outpatient clinic with a raised, firm, shiny scar on her anterior chest wall following a median sternotomy performed 14 months earlier. The …
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A 52-year-old woman, Adwoa, presents to the Komfo Anokye ED with a 3-week history of productive cough, low-grade fever, and a 4 kg weight loss. Chest X-ray shows a right upper lobe consolidation with …
A 60-year-old man, Kwabena, is admitted to the Korle Bu emergency centre with a two-week history of cough, haemoptysis, and weight loss. His chest radiograph shows bilateral hilar lymphadenopathy and …
Akua, a 28-year-old woman, presents to the Korle Bu surgical outpatient clinic with a raised, firm, itchy scar on her sternum following a median sternotomy performed 18 months earlier. On examination,…
Ama, a 28-year-old Ghanaian woman, presents to the Korle Bu surgical outpatient clinic with a raised, firm, pruritic scar over her sternum following a median sternotomy performed 18 months ago. Examin…
Akua, a 24-year-old Ghanaian woman, underwent a median sternotomy for a cardiac procedure eighteen months ago at the Korle Bu cardiothoracic unit. She now presents to the general surgical outpatient c…
Yaa, a 7-year-old girl, is brought to a district hospital A&E in northern Ghana. Her mother reports increasing pallor, fatigue, and poor feeding over 3 months. On examination she is pale with koilonyc…
A 19-year-old woman, Ama, presents to the UGMC emergency centre with fatigue, palpitations, and dyspnoea on exertion for three months. She has heavy menstrual periods and eats little meat. Her FBC sho…
Ama, a 28-year-old woman, is brought to the Korle Bu emergency centre after a seizure. She has a history of systemic lupus erythematosus and presents with frothy urine, bilateral leg oedema, and blood…
A 7-year-old boy, Yaw, is brought to the district hospital A&E in northern Ghana. He has been seizing continuously for 35 minutes. Despite two doses of IV diazepam, the seizures continue. His blood gl…
Yaa, a 6-year-old girl, is brought to the district hospital A&E in northern Ghana with a 20-minute history of generalised tonic-clonic seizures that have not stopped. She has no prior seizure history.…
A 7-year-old boy, Yaw, is brought to the district hospital A&E in northern Ghana having had continuous generalised tonic-clonic seizures for 35 minutes without recovery of consciousness. He was previo…
A 6-year-old boy, Kofi, weighing 20 kg, is brought to a district hospital in Brong-Ahafo with a generalised tonic-clonic seizure lasting 15 minutes. The doctor orders 'diazepam 10 mg IV stat.' The nur…
A 55-year-old man, Yaw, is admitted to the observation ward of a regional hospital A&E in Volta Region following a road traffic crash. At 06:00 the night nurse documents: respiratory rate 22 breaths/m…
During a busy night shift at Komfo Anokye ED, a medical officer hands over a 45-year-old man, Kwame, to the incoming registrar. The outgoing doctor verbally states 'the chest pain patient in bay 3 is …
A 38-year-old woman, Ama, presents to a district hospital A&E in Ashanti Region with fever, headache, and confusion. The triage nurse documents a temperature of 39.8°C, heart rate 118 bpm, respiratory…
Kofi, a 6-year-old boy weighing 20 kg, is brought to Korle Bu emergency centre with a generalised tonic-clonic seizure lasting 12 minutes. The nurse prepares IV diazepam and draws up 10 mg (2 mL of th…
A nurse at a regional hospital A&E reports to the medical officer that a 70-year-old woman, Adwoa, who was admitted six hours ago with a urinary tract infection, has become increasingly drowsy. Her cu…
A 34-year-old man, Yaw, presents to Korle Bu emergency centre with a two-day history of headache and fever. The first doctor who assessed him diagnosed malaria based on a positive RDT and commenced or…
A medical officer at Komfo Anokye ED is handing over a 58-year-old man, Kwame, to the night team. Kwame was admitted four hours ago with chest pain and has received aspirin and morphine. The handing-o…
A 19-year-old student, Mohammed, presents to a district hospital A&E in the Upper West Region with fever, neck stiffness, and a non-blanching petechial rash. The triage nurse assigns him a Category 3 …
A 45-year-old woman, Akua, presents to a regional hospital A&E with a three-day history of fever, cough, and right-sided pleuritic chest pain. The triage nurse records her observations: temperature 38…
Akua, a 26-year-old woman, presents to the regional hospital A&E in Kumasi with a 2-day history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. On examin…
Yaa, a 22-year-old sexually active woman, presents to the Komfo Anokye ED with a 4-day history of lower abdominal pain and a yellowish vaginal discharge. Her temperature is 38.4°C, pulse 96 bpm. Pelvi…
A 23-year-old woman, Abena, presents to a district hospital in Brong-Ahafo with a 3-day history of lower abdominal pain, purulent vaginal discharge, and fever. She is sexually active with multiple par…
A 26-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. On exami…
Ama, a 29-year-old woman, is brought to the Komfo Anokye ED with sudden-onset severe right iliac fossa pain and two episodes of vomiting. She is 8 weeks pregnant by her last menstrual period. On exami…
Ama, a 24-year-old woman, is brought to the district hospital A&E in Brong-Ahafo with sudden-onset severe left-sided pelvic pain that began 3 hours ago while she was at rest. She is not pregnant (urin…
Ama, a 54-year-old woman, is scheduled for an elective open cholecystectomy at a regional hospital in Ghana. The surgical team plans to administer antibiotic prophylaxis. The anaesthetist asks the res…
A 35-year-old woman, Akua, is brought to the regional hospital A&E in Kumasi after an attempted suicide by ingesting an unknown quantity of paracetamol tablets approximately 10 hours ago. Her serum pa…