A 28-year-old farmer, Kwame, is brought to the district hospital in Brong-Ahafo by his family. Three days ago he sustained a deep puncture wound to his right foot from a nail while working on his farm…
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Fatima, a 28-year-old woman, is transferred to a regional hospital ED in Northern Ghana from a district facility with a 10-day history of worsening headache, fever, and increasing confusion. She has a…
A 19-year-old student, Yaa, is brought to a district hospital in the Northern Region by her family on day 5 of illness. She had initial fever, headache, and vomiting for 2 days, then appeared to impro…
A 45-year-old man, Joseph, is admitted to Korle Bu Emergency Centre with a three-day history of generalised muscle stiffness, trismus, and episodic spasms. He was diagnosed with tetanus and started on…
Aisha, a 19-year-old primigravida, delivers at home in Tamale and is brought to Tamale Teaching Hospital ED 48 hours postpartum. The traditional birth attendant cut the umbilical cord with an unsteril…
A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband. She has had a 3-week history of progressive headache, low-grade fever, and neck stiffness. Over the past 48 hours she has…
A 44-year-old man, Kofi, presents to a regional hospital ED with a 3-day history of fever, increasing confusion, and a single episode of generalised tonic-clonic seizure en route to hospital. He was d…
A 28-year-old woman, Afia, arrives at the Korle Bu emergency centre brought by family. She is 32 weeks pregnant (G2P1) and has had a 4-week history of cough, fever, and progressive dyspnoea. Over the …
A 55-year-old fisherman from Cape Coast is referred to Korle Bu Emergency Centre from a district hospital with a 5-day history of jaw stiffness and progressive generalised spasms. He received no prior…
A 52-year-old farmer, Yaw, presents to a district hospital in Brong-Ahafo with a 5-week history of cough, fever, and progressive breathlessness. He completed a full 6-month standard TB treatment cours…
Afia, a 55-year-old woman with no known medical history, presents to a district hospital in the Bono Region with severe neck swelling, inability to open her mouth fully, a muffled voice, and difficult…
A 58-year-old man, Kwame, is brought by relatives to the regional hospital A&E in Kumasi after three days of productive cough, fever, and worsening confusion. He has no known chronic illness and takes…
A 34-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to the regional A&E with a 24-hour history of high fever, rigors, and right flank pain. She is 28 weeks pregnant. On exam…
A 68-year-old man, Kwabena, presents to a district hospital A&E in the Upper East Region brought by relatives with a 3-day history of confusion, reduced oral intake, and one episode of vomiting. He ha…
During a rainy season flood, a district hospital in the Northern Region receives 12 patients over 48 hours with profuse watery diarrhoea described as 'rice-water' stools. The first patient is Alhassan…
A 42-year-old market trader named Yaa presents to a regional hospital emergency department with a one-day history of profuse watery diarrhoea, described by her family as resembling water used to wash …
Mohammed, a 42-year-old man known to be HIV-positive with a CD4 count of 68 cells/µL measured six weeks ago, is brought to the Korle Bu emergency centre with a three-week history of progressive dyspno…
Kwabena, a 58-year-old man with diffuse large B-cell lymphoma, is brought to the Komfo Anokye ED by relatives three weeks after his fifth cycle of R-CHOP chemotherapy. He reports four days of worsenin…
A 19-year-old man, Mohammed, is brought by family to the district hospital emergency room in the Northern Region during the dry harmattan season. He has had fever, severe headache, and neck stiffness …
A 55-year-old woman, Akosua, presents to a regional hospital A&E with 6 hours of fever and worsening headache. GCS is 15. Vitals: HR 100, BP 128/78 mmHg, Temp 38.9°C. She has neck stiffness and a posi…
A 28-year-old man, Kwame, is brought by relatives to the Komfo Anokye ED with a 12-hour history of fever, severe headache, and neck stiffness. He is confused (GCS 13). Vitals: HR 118, BP 94/60 mmHg, R…
A 19-year-old man, Mohammed, is brought by family to a district hospital in the Northern Region during the dry season (February). He has had fever, severe headache, and neck stiffness for 18 hours. He…
A 34-year-old HIV-positive man, Kofi, is brought to Korle Bu emergency centre with 3 days of fever, confusion, and behavioural change. GCS is 11. Vitals: HR 110, BP 106/70 mmHg, Temp 38.6°C. CT head s…
A 52-year-old man is referred to a regional hospital ED from a peripheral clinic with a 6-day history of headache, night sweats, and low-grade fever. He has a background of type 2 diabetes on metformi…
A 45-year-old woman, Adwoa, presents to Korle Bu emergency centre with fever, severe headache, and confusion for 24 hours. GCS is 12. Vitals: HR 116, BP 110/72 mmHg, Temp 39.4°C. CT head is normal. Lu…
A 7-year-old boy, Kwesi, is brought to the Komfo Anokye paediatric emergency unit with 18 hours of fever, neck stiffness, and photophobia. GCS is 14. Vitals: HR 130, BP 96/58 mmHg, Temp 40.1°C, RR 28.…
Fatima, a 26-year-old woman in her 30th week of pregnancy, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital emergency department. She has had 18 days of feve…
A 22-year-old woman, Afia, is admitted to a regional hospital ED in the Volta Region. She gives a 16-day history of fever, headache, and loose stools for which she self-medicated with amoxicillin purc…
During a ward round at a regional hospital ED in the Northern Region, the nurse informs you that three patients from the same village have arrived within two hours, all presenting with acute onset of …
The medical officer at a district hospital in the Bono East Region calls the Regional Health Directorate on a Thursday afternoon. In the past 72 hours, his facility has treated 18 patients with profus…