Mohammed, a 28-year-old man, is brought to Tamale Teaching Hospital ED after a witnessed generalised seizure. He is postictal. A colleague has already administered 5 mg IV midazolam for the seizure. Y…
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A 54-year-old woman, Adwoa, is brought by family to the emergency centre at Korle Bu Teaching Hospital with an acutely dislocated right shoulder after a road traffic crash. She is in moderate distress…
Mohammed, a 40-year-old man, presents to Korle Bu emergency centre for incision and drainage of a large gluteal abscess under procedural sedation. He is anxious and requests sedation. His observations…
Yaw, a 45-year-old man with known diabetes, presents to a regional hospital A&E in the Ashanti Region with stridor, drooling, and inability to swallow following a 3-day history of worsening sore throa…
Adwoa, a 24-year-old G1P1, has just delivered a healthy neonate at a regional hospital A&E in the Ashanti Region. The placenta has not delivered after 30 minutes of active management of the third stag…
Yaa, a 26-year-old primigravida, delivers a healthy male infant in the resus bay of a regional hospital A&E in the Ashanti Region. The placenta has not delivered after 30 minutes of expectant manageme…
Kwame, a 28-year-old footballer, is brought to the A&E of a district hospital in Brong-Ahafo after a collision on the pitch. He holds his right arm in slight abduction and external rotation, and there…
Abena, a 55-year-old woman with a large right-sided pleural effusion secondary to hepatic hydrothorax, undergoes tube thoracostomy at Korle Bu Teaching Hospital emergency centre. A 20F drain is insert…
Akua, a 62-year-old woman with known COPD, is admitted to a regional hospital A&E in the Eastern Region with a right-sided spontaneous pneumothorax. A 20F chest tube is inserted in the right 4th ICS m…
Ama, a 4-year-old girl, is brought to a district hospital in the Northern Region in status epilepticus that has not responded to two doses of rectal diazepam administered by the community health offic…
A 19-year-old woman, Abena, is brought to a district hospital A&E in Brong-Ahafo by her mother. She has not slept for five days, is spending money recklessly, believes she has been chosen by God to ru…
A 45-year-old man is brought to Komfo Anokye ED by relatives after ingesting an unknown quantity of paracetamol tablets approximately two hours ago following an argument with his wife. He is alert and…
Yaa, a 38-year-old woman with known schizophrenia, is brought to the Korle Bu Emergency Centre by her husband. She stopped her depot antipsychotic three months ago and has been increasingly paranoid, …
Abena, a 34-year-old woman, is brought to the Korle Bu A&E by police under emergency powers after neighbours reported she had been barricaded in her flat for 3 days, not eating, and making statements …
Kofi, a 44-year-old man with no prior psychiatric history, is brought to the Komfo Anokye ED requiring four-point physical restraint applied by security staff en route. He had been found running naked…
A 17-year-old girl, Yaa, is brought to a district hospital in the Volta Region by her school teacher after she disclosed she had been cutting her forearms regularly for six months and had thoughts of …
Kofi, a 29-year-old man with a known diagnosis of schizophrenia, is brought to the A&E at Tamale Teaching Hospital by his brother. He is highly agitated, shouting, pacing, and has threatened staff. He…
Kofi, a 67-year-old retired teacher with no known psychiatric history, is brought to the regional hospital A&E in Cape Coast by his son. He has become increasingly confused, agitated, and is shouting …
A 60-year-old woman, Adwoa, is assessed in the Korle Bu emergency centre after a first episode of acute psychosis. Organic causes have been excluded with blood tests, ECG, and CT head. She has been st…
Afia, a 28-year-old female nurse, is brought to the regional hospital ED in the Ashanti Region by a colleague after she was found sitting alone in the sluice room holding a scalpel to her wrist. She h…
A 45-year-old man is brought to a district hospital in Brong-Ahafo by family. He has become increasingly paranoid over three weeks, believes neighbours are poisoning his food, and has not eaten for fi…
A 52-year-old man, Mohammed, is brought to a district hospital in Northern Ghana by police after causing a disturbance at a market. He is acutely agitated, shouting, and throwing objects. He weighs ap…
Ama, a 67-year-old retired teacher, is admitted to the medical ward at Ho Teaching Hospital following a two-day history of progressive confusion, agitation at night, and visual hallucinations of small…
Abena, a 34-year-old seamstress, is brought to the emergency department at Komfo Anokye Teaching Hospital by her husband. She has been sleeping only two hours per night for the past week, has spent th…
Afia, a 22-year-old university student, presents to the Korle Bu emergency centre with 1-day pleuritic chest pain. She had a long-haul flight from the UK 4 days ago. She is on no medications and has n…
Ama, a 29-year-old woman at 24 weeks gestation (G2P1), is referred from a district hospital in the Volta Region to the regional hospital A&E with a 2-day history of worsening right leg swelling, dyspn…
Yaw, a 58-year-old civil servant with known metastatic colorectal cancer under oncology follow-up, is brought to the Korle Bu emergency centre by his family with worsening dyspnoea over 5 days. He has…
Mohammed, a 47-year-old man, presents to the Tamale Teaching Hospital ED with a 9-month history of progressive exertional dyspnoea, fatigue, and two episodes of pre-syncope on exertion. He was hospita…
A 34-year-old woman is brought to the Korle Bu Emergency Centre having collapsed at home. She is 36 weeks pregnant with a twin pregnancy and has been on bed rest for 4 weeks for pre-eclampsia. On arri…
A 55-year-old man, Kofi, presents to the Komfo Anokye Teaching Hospital ED in cardiac arrest. His family reports he had complained of severe breathlessness and near-syncope for 3 hours before collapsi…