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Kofi is a 28-year-old man brought to a regional hospital ED in the Northern Region after witnessed generalised tonic-clonic seizure activity that began approximately 8 minutes ago. He has no known his…

A 34-year-old man, Yaw, presents to a regional hospital A&E with a 6-hour history of severe right-sided throbbing headache with nausea and photophobia. He has had three similar episodes in the past ye…

A 28-year-old woman named Esi with a known history of valproate-treated juvenile myoclonic epilepsy presents to Korle Bu Emergency Centre in convulsive SE. She received IV lorazepam 0.1 mg/kg without …

A 28-year-old woman, Afia, presents to the Korle Bu Emergency Centre with sudden-onset severe headache ('worst of my life'), photophobia, and vomiting for 4 hours. She is afebrile. Temperature 37.0°C,…

A 72-year-old man, Mensah, presents to the regional hospital A&E in Kumasi after a ground-level fall. He takes warfarin 5 mg daily for atrial fibrillation and has been compliant with his medication. H…

A 68-year-old man named Joseph with known epilepsy on phenytoin is brought to the Korle Bu emergency centre by his son. He had a single tonic-clonic seizure lasting 3 minutes, fully recovered, and is …

A 19-year-old man, Kwesi, is brought to a district hospital A&E in the Northern Region after a first-ever generalised tonic-clonic seizure lasting 3 minutes that self-terminated before arrival. He is …

Yaw, a 55-year-old man with no known medical history, is brought to the Komfo Anokye emergency department with sudden-onset severe headache, vomiting, and right-sided weakness developing over 4 hours.…

Kofi, a 62-year-old male teacher, is referred from a district hospital in the Bono Region to the regional hospital emergency department. He developed a sudden severe headache described as 'the worst o…

A 19-year-old man named Yaw presents to a district hospital A&E in the Upper West Region. He has had three discrete tonic-clonic seizures over the past 2 hours, each lasting 2-3 minutes with full reco…

A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband after she was witnessed having a generalised tonic-clonic seizure at home. Her husband states she has a known history of e…

A 67-year-old man, Yaw, is brought to a regional hospital A&E after sudden onset of severe vertigo, vomiting, and inability to walk. He has no limb weakness or sensory loss. On examination: BP 172/96 …

Yaw, a 62-year-old man with known hypertension on hydrochlorothiazide, presents to the Tamale Teaching Hospital ED with a 3-hour history of progressively worsening headache, confusion, and one episode…

Kwabena, a 38-year-old male teacher with no significant past medical history, presents to the A&E of a regional hospital in the Ashanti Region with a severe unilateral left-sided periorbital headache …

A 45-year-old man named Yaw is admitted to the intensive care unit at Komfo Anokye Teaching Hospital with super-refractory status epilepticus. He has had continuous seizure activity for 90 minutes des…

Aisha, a 49-year-old market trader with no prior medical history, presents to a district hospital in the Upper West Region with sudden onset right-sided weakness and slurred speech that began 3 hours …

A 34-year-old man, Yaw, sustained a T6 complete spinal cord injury in a road traffic collision 14 months ago. He is now wheelchair-dependent and lives in Kumasi. He is brought to the Komfo Anokye ED b…

Kwame, a 45-year-old farmer, is referred from a district hospital in the Northern Region after a road traffic collision in which he sustained an isolated closed head injury. A CT scan performed at the…

Afia, a 28-year-old woman, attends the A&E of a regional hospital in the Volta Region after being struck on the head by a falling object at work. She had no loss of consciousness, no vomiting, GCS 15,…

A 76-year-old woman, Yaa, is brought to Korle Bu emergency centre after a mechanical fall at home. She is on warfarin for a mechanical heart valve (INR target 2.5-3.5) and takes atenolol 50 mg daily, …

A 19-year-old student, Yaw, is assessed at a district hospital A&E in the Northern Region after a road traffic collision. He was a restrained passenger. GCS is 15, no loss of consciousness, no amnesia…

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after a road traffic collision on the Accra-Kumasi highway. He was an unrestrained front-seat passenger. On arrival he is awake and distress…

A 22-year-old man is brought to a district hospital ED in the Brong-Ahafo Region after a gunshot wound to the back during a robbery. He arrived 2.5 hours after the injury. He has no other injuries ide…

Yaa, a 27-year-old nurse, presents to the Korle Bu A&E with a two-day history of severe headache behind her left eye. The pain is excruciating, rated 10/10, lasts 45-90 minutes per episode, and has oc…

Mohammed, a 34-year-old man, presents to the A&E at Korle Bu Teaching Hospital with a severe right-sided periorbital headache that has woken him from sleep three nights in a row. Each episode lasts ap…

Fatima is a 32-year-old HIV-positive woman, gravida 2 para 1, who is 14 weeks pregnant and has been on tenofovir disoproxil fumarate + lamivudine + dolutegravir (TDF/3TC/DTG) for 18 months with an und…

Abena, a 24-year-old primigravida at 28 weeks of gestation, attends her scheduled antenatal visit at Komfo Anokye Teaching Hospital. She is asymptomatic. A 75 g oral glucose tolerance test performed t…

Adwoa, a 26-year-old primigravida, attends the antenatal clinic at Komfo Anokye Teaching Hospital at 10 weeks of gestation for her booking visit. She is asymptomatic and has no significant past medica…

Yaa, a 19-year-old primigravida at 34 weeks of gestation, is reviewed at a CHPS compound in the Upper West Region. She has received two doses of sulfadoxine-pyrimethamine (SP) for intermittent prevent…

Ama, a 30-year-old G3P2 woman at 28 weeks gestation, is seen at the antenatal clinic of a regional hospital in the Brong-Ahafo Region. She has no symptoms. Her booking haemoglobin at 12 weeks was 10.6…