Yaa, a 47-year-old woman, is assessed in a regional hospital A&E in the Ashanti Region with a five-day history of left leg swelling and mild breathlessness. Her Wells DVT score is 1 (low probability) …
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Mohammed, a 62-year-old man with known osteoarthritis, presents to a regional hospital A&E in Ashanti Region with left knee pain and posterior calf swelling for three days. The clinician suspects DVT …
Kwabena, a 6-year-old boy weighing 20 kg, is brought to the paediatric A&E at a regional hospital after eating berries from a plant in the family compound. He has been vomiting for 2 hours and now has…
A 6-week-old female infant, weighing 4.2 kg, is referred from a CHPS compound to a district hospital in Brong-Ahafo with fever of 38.6°C (rectal) for 12 hours. HR is 155 bpm, RR 42/min, SpO₂ 97% in ai…
A 2.5-year-old boy is brought to a district hospital in the Northern Region with 3 days of cough and fever. Temperature 38.6°C, RR 42 breaths/min, HR 132 bpm, SpO2 95% on room air, weight 12 kg. He is…
A 6-week-old male infant is brought to the emergency unit of a regional hospital in the Ashanti Region by his mother. She reports a 2-day history of runny nose, cough, and poor feeding. He was born at…
A mother brings her 14-month-old son, Kofi, to a district hospital in the Upper West Region. He has had cough and difficulty breathing for 2 days. He is alert and feeding, though less than usual. Temp…
A 4-month-old male infant is brought to a district hospital in the Upper West Region by his mother. She reports he has been feeding poorly for two days and became 'limp and unresponsive' this morning.…
An 18-month-old girl, Abena, is assessed in the Tamale Teaching Hospital ED. She has had bloody diarrhoea with mucus for 3 days, fever (temperature 39.1°C), and 4–5 stools per day. She is alert and ac…
A 2-year-old boy named Kofi, weighing 12 kg, is brought to Komfo Anokye paediatric A&E by his mother with a 1-day history of not walking. X-ray of the right femur shows a spiral fracture of the mid-sh…
A 14-month-old girl, Adwoa, is brought to a district hospital in the Bono East Region with a 6-hour history of episodic crying and drawing up of the knees. Her mother reports one episode of vomiting. …
A 3-year-old boy, Mohammed, is brought to the outpatient department of a regional hospital in the Northern Region by his grandmother. He was recently diagnosed with SAM (MUAC 10.8 cm, no oedema) at a …
Yaw is a 7-year-old boy weighing 24 kg presenting to a regional hospital paediatric A&E with his first presentation of moderate acute asthma. SpO2 is 93% on room air, RR 26/min, HR 115/min. He is spea…
A 14-month-old girl, weighing 9.5 kg, is brought to the regional hospital paediatric A&E in Tamale by her grandmother. The child has a healing bruise over the right ear and a fresh bruise on the left …
A 5-day-old female neonate is brought to a regional hospital emergency department in the Ashanti Region. She was born at term at the hospital; birth weight was 3.0 kg. She was exclusively breastfed bu…
Kofi, an 8-year-old boy with a known history of repair of tetralogy of Fallot performed at age 2 years in Accra, is brought to the Korle Bu emergency centre by his mother with a 2-day history of incre…
A 2-year-old girl, Ama, is assessed in a regional hospital ED in Kumasi. She was brought with a 1-day history of watery diarrhoea (4 loose stools) but no vomiting. She is playful and alert. Vitals: HR…
A 5-year-old girl, Adwoa, is brought to a district hospital in the Northern Region after falling from a mango tree, estimated height 2.5 metres. She had a witnessed loss of consciousness of approximat…
A 3-year-old boy, Mohammed, is referred from a health centre in Northern Region to a district hospital with a 3-day history of cough, fever, and fast breathing. The health centre had already started h…
A 7-year-old boy named Kwesi is brought to the Korle Bu Emergency Centre with continuous generalised convulsions. His weight is 22 kg. He has a history of Lennox-Gastaut syndrome. He received rectal d…
A 2-year-old boy, Kwame, is brought to a district hospital in the Brong-Ahafo Region by his mother at 10 pm with a 12-hour history of barking cough, hoarse voice, and noisy breathing. He had a mild ru…
Yaw, a 22-month-old boy, is brought to the paediatric emergency unit at a regional hospital in the Northern Region with a 7-hour history of colicky abdominal pain and vomiting. Abdominal ultrasound co…
A 4-month-old male infant, Mohammed, is brought to the paediatric ED at Komfo Anokye Teaching Hospital by his father and paternal aunt. The father states that the baby 'fell off the bed' while he brie…
A 9-year-old girl, Akua, weighing 28 kg, is in cardiac arrest in the Korle Bu paediatric resus bay. CPR is ongoing. The monitor shows pulseless electrical activity (PEA). She received one dose of adre…
Afia, a 20-month-old girl, is brought to the emergency unit of a regional hospital in Ashanti Region. Her mother says she has had cough for 4 days and stopped breastfeeding yesterday. On examination s…
Kwame, a 7-year-old boy weighing 22 kg, attends the district hospital A&E in Brong-Ahafo with a flame burn to his right hand and forearm sustained 30 minutes ago. Lund-Browder assessment estimates 8% …
Yaw, a 27-month-old boy with SAM (WHZ −3.8, no oedema), was admitted 9 days ago to the nutritional rehabilitation unit at a regional hospital in the Brong-Ahafo Region. He completed the F-75 stabilisa…
A 3-year-old girl, Afia, is brought to the district hospital in Bono East by her mother. She has been convulsing continuously for 18 minutes with generalised tonic-clonic movements. She has no prior h…
During the dry season, the paediatric ED at Tamale Teaching Hospital sees a cluster of infants with bronchiolitis. The resident physician asks the attending consultant what the most common viral aetio…
Yaa, an 18-month-old girl weighing 10 kg, presents to the Tamale Teaching Hospital paediatric A&E after her mother found her with an open bottle of caustic soda (sodium hydroxide drain cleaner) 20 min…