A 30-year-old woman, Esi, presents to the district hospital A&E with a 6-month history of fatigue, right upper quadrant discomfort, and mildly elevated liver enzymes. She is known to be HBsAg positive…
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Adwoa, a 30-year-old woman, presents to the district hospital A&E with bilateral eye redness, mucopurulent discharge, and photophobia that has been recurring over several years. She lives in a rural c…
A 7-year-old boy named Kofi is brought to the district hospital A&E in Kumasi by his mother during the harmattan season. He has had a runny nose, mild sore throat, and sneezing for two days. His tempe…
A 7-year-old boy, Yaw, is brought to the district hospital A&E in the Volta Region after eating chicken stew prepared at a roadside stall the previous evening. He and three other family members develo…
Kwabena, a 19-year-old student, presents to a regional hospital A&E with a two-week history of fever, neck stiffness, and confusion. A lumbar puncture is performed; the CSF is cloudy with a white cell…
During a district health outreach in rural Ghana, a nurse discovers that the vaccine cold box has been left open overnight and the temperature logger shows the contents reached 12°C for several hours.…
During a mass vaccination campaign in the Ashanti Region, health workers are transporting oral polio vaccine (OPV) from a regional cold store to outlying community health posts. The ambient temperatur…
Kofi, a 48-year-old man, presents to the Korle Bu emergency centre. He had a 20-minute episode of right arm weakness and slurred speech this morning which fully resolved before arrival. He is now neur…
Mensah, a 35-year-old medical officer at a district hospital in the Upper East Region, is notified that he spent over an hour in a small poorly ventilated consultation room examining a patient who has…
A 3-year-old girl, Yaa, is brought to the district hospital A&E in Northern Region with a 2-day history of fever, cough, and fast breathing. Her temperature is 38.9 °C, respiratory rate is 50 breaths …
A 5-year-old boy, Mensah, is seen at a district hospital in the Volta region. He has a 3-day history of cough, fever, and fast breathing. On examination, his respiratory rate is 56/minute, temperature…
A 3-year-old girl, Yaa, is brought to a district hospital A&E in the Upper East region with a 2-day history of fever, cough, and fast breathing. Her temperature is 38.9°C, respiratory rate is 52/minut…
A 52-year-old woman, Adwoa, presents to the Komfo Anokye ED with severe low back pain rated 9/10 following a sudden onset while lifting at home. She has no neurological deficits and vital signs are no…
A 60-year-old woman, Ama, is brought to the Korle Bu emergency centre with a painful, swollen right hip after a fall. X-ray confirms a right neck of femur fracture. Her pain is rated 7/10. She has a h…
A 9-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo after sustaining a closed fracture of his right forearm following a fall from a mango tree. He is crying and unable …
Yaw, a 28-year-old man, is brought to the Komfo Anokye ED with a dislocated right shoulder after a rugby tackle. His pain is 8/10 on the NRS and he is extremely anxious. The emergency physician plans …
A 40-year-old man, Kofi, requires procedural sedation in the Komfo Anokye ED for reduction of a dislocated right shoulder. He is haemodynamically stable, has been nil by mouth for 4 hours, and has no …
A 28-year-old farmer named Yaw presents to a district hospital A&E in the Brong-Ahafo region with a two-week history of fever, headache, and abdominal discomfort. His FBC shows haemoglobin 102 g/L, MC…
Yaa, a 19-year-old woman, presents to the regional hospital A&E in Kumasi complaining that a scar on her left shoulder — from a traditional scarification ritual performed eight months ago — has contin…
Yaw, a 22-year-old man, attends the Komfo Anokye ED six months after sustaining a burn injury to his anterior chest wall. The original wound healed fully, but he now presents concerned about a raised,…
Yaw, a 45-year-old farmer, presents to a district hospital A&E with two days of high fever, rigors, and confusion. His FBC shows: haemoglobin 94 g/L, WBC 14.2 × 10⁹/L with 88% neutrophils, platelets 9…
A 22-year-old woman named Ama presents to the UGMC emergency centre with a one-week history of fever, arthralgia affecting multiple joints, a widespread maculopapular rash, and mild proteinuria. She r…
A 19-year-old student named Yaw is brought to the Korle Bu emergency centre after being found unconscious in his dormitory. His friends report he has been taking large amounts of ibuprofen and herbal …
Following a serious medication error in Komfo Anokye ED in which a patient received ten times the prescribed dose of morphine, the hospital management convenes a review. The review team examines the s…
After a night shift during which a medical officer at Komfo Anokye ED worked 18 consecutive hours, she makes an error calculating an IV morphine dose for a 60-year-old man, Mensah, with renal colic. S…
A 60-year-old woman, Akua, presents to a district hospital A&E in Northern Region with a two-day history of productive cough, fever of 38.9°C, and breathlessness. The attending doctor diagnoses commun…
A 25-year-old woman, Esi, is brought to a district hospital A&E after a road traffic accident. The triage officer assesses her quickly and labels her as 'minor injuries' because she is walking and tal…
A nurse at a regional hospital A&E is about to administer IV potassium chloride 40 mmol to a 55-year-old man, Mohammed, with hypokalaemia. She has drawn up the solution and is ready to give it as a ra…
A 32-year-old man, Kwabena, presents to a regional hospital A&E in Brong-Ahafo at 03:00 with a two-hour history of severe central chest pain radiating to the left arm. The ECG shows 3 mm ST elevation …
Esi, a 19-year-old woman, attends the district hospital A&E in the Upper East Region with a 2-day history of dysuria, urinary frequency, and suprapubic discomfort. She is afebrile with a temperature o…