A 72-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E with 3 days of increasing confusion and reduced urine output. He is known to have type 2 diabet…
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A 67-year-old woman, Adwoa, is admitted to the Korle Bu Emergency Centre with a 1-week history of progressive lethargy and confusion. She has a history of treated hypothyroidism and was recently presc…
Mohammed, a 55-year-old man, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital ED. He had an appendicectomy under spinal anaesthesia three days ago at the distric…
A 72-year-old woman is referred from a peripheral health centre to the regional hospital ED in the Northern Region. She was found unresponsive at home and given oral sugar by a community health worker…
A 38-year-old woman, Yaa, with type 1 diabetes is admitted to the Korle Bu emergency centre with DKA: glucose 31 mmol/L, pH 7.18, bicarbonate 9 mmol/L, potassium 4.2 mmol/L. She is commenced on a fixe…
A 14-year-old boy, Kofi, is brought to the Komfo Anokye paediatric emergency centre by his parents after three days of polyuria, polydipsia, and progressive lethargy. He has no prior diagnosis of diab…
A 67-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo with a two-week history of progressive lethargy, weight gain, and constipation. His relatives report he has been increasingl…
Adwoa, a 28-year-old woman with type 1 diabetes, is on day 2 of DKA treatment at the Tamale Teaching Hospital. She was started on IV insulin infusion and isotonic saline yesterday. Her latest results:…
A 52-year-old man, Yaw, is referred from a district hospital in Ashanti Region with a 3-day history of fever, extreme restlessness, vomiting, and diarrhoea. He has known hyperthyroidism but has been o…
Kwabena, a 29-year-old man, is brought to the Korle Bu emergency centre with a three-day history of progressive weakness, nausea, vomiting, and diffuse abdominal pain. He has no significant past medic…
Kofi, a 62-year-old man with a history of small cell lung cancer treated with chemotherapy at Korle Bu Teaching Hospital, presents to the Korle Bu emergency centre brought by his daughter. He has been…
Kofi, a 45-year-old man with Graves' disease, is admitted to the Korle Bu emergency centre in thyroid storm (Burch-Wartofsky score 58). He is tachycardic at 152 bpm, hypertensive at 170/95 mmHg, febri…
A 34-year-old woman, Akosua, is brought to Komfo Anokye ED by relatives with a 2-day history of vomiting, polyuria, and drowsiness. She is known to have type 1 diabetes. Vitals: BP 88/60 mmHg, HR 124 …
Aisha, a 54-year-old woman, presents to the Korle Bu emergency centre with her third episode of symptomatic hypoglycaemia in two months. She is not diabetic, takes no oral hypoglycaemic agents, and de…
A 19-year-old female student is brought to a district hospital in Brong-Ahafo by friends after collapsing during an examination. She was diagnosed with Addison's disease at age 15 and carries an emerg…
Abena, a 45-year-old woman, is brought to the Korle Bu Emergency Centre by her daughter with confusion and high fever. She has Graves' disease managed with carbimazole but developed a sore throat and …
Kwame, a 52-year-old man, is admitted to the regional hospital ED in the Ashanti Region with a one-day history of extreme restlessness, profuse sweating, and vomiting. He has known hyperthyroidism and…
A 34-year-old woman, Afia, is brought to the Komfo Anokye ED by her husband after three days of worsening agitation, palpitations, and fever. She has known Graves' disease and stopped her carbimazole …
A 14-year-old girl, Akosua, is brought to the Komfo Anokye ED by her parents with a 3-day history of polyuria, polydipsia, and progressive lethargy. She has no prior medical history. On examination sh…
A 10-year-old boy, Kwame, is admitted to the Korle Bu emergency centre with confirmed DKA: glucose 31 mmol/L, pH 7.12, bicarbonate 9 mmol/L, and serum potassium 3.1 mmol/L. He received 10 mL/kg of nor…
Akosua, a 68-year-old woman with type 2 diabetes mellitus, is brought to the district hospital in Brong-Ahafo by her daughter after being found confused at home. She was started on glibenclamide 5 mg …
Mohammed, a 72-year-old man with type 2 diabetes, hypertension, and stage 3 chronic kidney disease (eGFR 32 mL/min/1.73m²), is referred to the regional hospital ED from a peripheral clinic. He takes g…
A 55-year-old woman, Adwoa, is brought to a district hospital in Brong-Ahafo after being found unconscious on her farm during an unusually cold harmattan night. She has a weak carotid pulse at a rate …
A 34-year-old fisherman, Kwesi, is brought to a district hospital in the Western Region after his dugout canoe capsized in cold coastal waters. Bystanders pulled him out after approximately 25 minutes…
A 34-year-old fisherman named Kofi is rescued from the Volta Lake after his boat capsized. He was submerged for approximately 2 minutes and is brought to the Volta Regional Hospital ED by fellow fishe…
A 19-year-old woman, Aisha, is retrieved from a collapsed structure after a building collapse on a harmattan night in the Northern Region. She is found unconscious, peripherally cold, and pulseless. B…
A 28-year-old male electrician, Kofi, is brought to the emergency centre at Komfo Anokye Teaching Hospital after accidentally touching a 240 V domestic supply line. He is conscious and alert. Vitals: …
A 14-month-old boy is brought to the regional hospital ED in the Ashanti Region by his mother, Afia. She reports leaving him in a parked car for approximately 45 minutes while she ran errands, returni…
A 52-year-old fisherman, Mensah, is retrieved from the Volta Lake by colleagues after his canoe capsized in cold water. He was submerged for an estimated 8–10 minutes. On arrival to the district hospi…
A 34-year-old male soldier, Kwabena, is brought to the A&E at 37 Military Hospital after collapsing during a midday military training exercise in the Northern Region. He is confused and agitated, unab…