Mensah, a 45-year-old man, is discharged from the A&E of a district hospital after a well-managed episode of anaphylaxis to a bee sting. He has no known allergies and has never carried any emergency m…
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Adwoa, a 19-year-old student, is brought to Korle Bu Emergency Centre by friends after eating at a restaurant. She has widespread urticaria, vomiting, and abdominal cramps. Her airway is patent, her b…
Ama, a 22-year-old student, is brought to the regional hospital A&E after eating groundnut stew at a party. She has widespread urticaria, periorbital swelling, and vomiting. Her blood pressure is 90/6…
Mensah, a 55-year-old man, is brought to the Korle Bu emergency centre in haemorrhagic shock after a gunshot wound to the abdomen. Peripheral venous access is impossible. The team decides to insert a …
Akua, a 38-year-old woman with a known seizure disorder, is brought to the UGMC emergency centre with new-onset severe headache, fever, and neck stiffness. The team suspects bacterial meningitis and p…
Yaw, a 60-year-old man with a history of hypertension, presents to the UGMC emergency centre with sudden severe chest pain radiating to the back, hypotension, and muffled heart sounds. A bedside ultra…
Four patients arrive simultaneously at the A&E of a regional hospital in the Ashanti Region following a road traffic collision. Patient 1 (Akua) is screaming in pain with a deformed leg. Patient 2 (Ya…
Four patients arrive simultaneously at the regional hospital A&E in Kumasi following a road traffic collision. Patient 1 (Ama, 28 years) has a fractured wrist, is walking, and is talking normally. Pat…
Adwoa, a 22-year-old student, presents to a regional hospital A&E with a 3-day history of fever, vomiting, and diarrhoea. She is alert, talking in full sentences, and mildly dehydrated. Her temperatur…
Akua, a 28-year-old woman, is brought to Komfo Anokye ED by her husband. She is sitting upright, leaning forward on her hands, visibly sweating, and unable to complete a full sentence. Her respiratory…
Yaw, a 60-year-old man, walks into the district hospital A&E in the Upper West Region complaining of mild headache for two days. While the triage nurse is recording his details, she notices he suddenl…
A 55-year-old man is brought to the district hospital A&E in the Northern Region with a three-month history of a scaly, pigmented rash over sun-exposed areas of both arms and neck, profuse watery diar…
During a biochemistry tutorial at the University of Ghana Medical Centre, a Year-1 EM resident, Kofi, is reviewing how DNA is copied before cell division. He notes that each daughter DNA molecule cont…
Yaw, a 55-year-old man, is admitted to Korle Bu Emergency Centre 8 hours after the onset of severe chest pain. His ECG shows Q waves in the anterior leads. His hs-TnI is 3,800 ng/L. The team also requ…
Yaa, a 29-year-old woman, is seen in the Korle Bu emergency centre at 32 weeks gestation with severe vomiting, inability to tolerate oral intake for three weeks, and progressive leg weakness. She has …
Kwabena, a 34-year-old man being treated for pulmonary tuberculosis at the regional hospital, is commenced on rifampicin, isoniazid, pyrazinamide, and ethambutol. Three weeks later, he attends the A&E…
Yaw, a 42-year-old fisherman from the Volta Region, is brought to the district hospital A&E with progressive night blindness over three months, dry and scaly skin, and corneal xerosis. He reports a di…
Kwabena, a 7-year-old boy from a rural community in the Northern Region, presents to the district hospital A&E with night blindness and a Bitot's spot on the conjunctiva. His diet consists mainly of m…
A 45-year-old woman, Akua, presents to a district hospital A&E with right upper quadrant pain, fever, and jaundice. Her LFTs show markedly elevated ALP at 780 U/L with only mildly elevated ALT. The cl…
Abena, a 30-year-old woman, is admitted to the regional hospital after sustaining burns in a cooking fire. She has burns to her entire left arm (circumferential), the perineum, and the face. The total…
A 48-year-old woman named Ama presents to Komfo Anokye ED with palpitations and mild breathlessness. She is haemodynamically stable with a BP of 128/82 mmHg. The ECG shows an irregularly irregular nar…
A 62-year-old man named Yaw is in cardiac arrest in the resus bay of a district hospital in Brong-Ahafo. The monitor shows a wide, regular, monomorphic waveform at 180 beats per minute; he has no palp…
A 62-year-old man named Yaw is brought to the Komfo Anokye Emergency Department after a witnessed out-of-hospital cardiac arrest. After 25 minutes of CPR, return of spontaneous circulation (ROSC) is a…
A 40-year-old man named Kwabena is brought to the A&E of a regional hospital after a witnessed collapse. CPR is in progress. The team leader asks the team to consider reversible causes of cardiac arre…
A 40-year-old woman named Esi is brought to a district hospital A&E in the Northern Region after a witnessed cardiac arrest. CPR is in progress. The monitor shows asystole. The team notes she was foun…
A 45-year-old woman, Ama, is seen in the Komfo Anokye ED. She was involved in a road traffic accident two weeks ago and has been taking oral morphine for pain. She now complains of no bowel motion for…
A 38-year-old woman, Adwoa, presents to the Korle Bu emergency centre with a 4-month history of worsening constipation, weight gain of 8 kg, cold intolerance, and generalised fatigue. On examination, …
A 28-year-old man, Yaw, attends the regional hospital A&E in Tamale. He reports no bowel motion for 4 days following a period of reduced dietary fibre and fluid intake during a long journey. He has mi…
A 10-week-old boy is brought to the Korle Bu emergency centre. His mother says he has been crying all evening and rubbing his right eye. He is afebrile, HR 155 bpm, and well-perfused. Fluorescein stai…
Abena, a 32-year-old woman, presents to a district hospital A&E in the Volta Region with a 2-day history of severe toothache in her lower left molar. Examination reveals a tender, fluctuant swelling o…