Yaw, a 58-year-old man, attends the Korle Bu emergency centre reporting three episodes of painless macroscopic haematuria over the past month. He is a non-smoker with no dysuria, frequency, or fever. …
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Kofi, a 72-year-old man with a long-term urinary catheter in situ, is brought to the Komfo Anokye ED with a 1-day history of fever (temperature 38.5 °C), confusion, and suprapubic discomfort. His cath…
Akua, a 24-year-old woman, presents to a district hospital A&E in the Ashanti Region with a 2-day history of burning dysuria, urinary frequency, and urgency. She has no fever, no flank pain, and no va…
Abena, a 32-year-old woman, presents to Komfo Anokye ED with a 3-day history of dysuria and frequency, now accompanied by high fever (38.9 °C), right-sided flank pain, and two episodes of vomiting. On…
Kofi, a 19-year-old university student, presents to the regional hospital A&E in Kumasi with a 6-hour history of sudden onset right scrotal pain and swelling. He is afebrile, has no dysuria, and on ex…
Kwame, a 16-year-old boy, is brought to the district hospital A&E in Ashanti Region by his father at 2 am with sudden onset severe left scrotal pain that woke him from sleep one hour ago. He is nausea…
A 55-year-old man, Mensah, with poorly controlled diabetes mellitus presents to Korle Bu emergency centre with a two-day history of severe perineal and scrotal pain, fever, and malaise. On examination…
Kwame, a 68-year-old man, presents to a regional hospital A&E in Brong-Ahafo with a 12-hour history of inability to pass urine and severe suprapubic pain. He has a known history of benign prostatic hy…
Mensah, a 35-year-old man with type 2 diabetes, presents to the Komfo Anokye ED with a 24-hour history of severe perineal and scrotal pain, fever, and feeling generally unwell. On examination he is to…
Kwame, a 68-year-old man, presents to the regional hospital A&E in Brong-Ahafo with a 6-hour history of inability to pass urine and severe suprapubic pain. He has a known history of benign prostatic h…
Akua, a 24-year-old woman, presents to the district hospital A&E in Ashanti Region with a 2-day history of burning pain on urination, increased frequency, and urgency. She has no fever, no flank pain,…
A 17-year-old boy, Kofi, presents to Komfo Anokye ED with sudden left scrotal pain of two hours' duration. He has no urinary symptoms. Examination reveals a left testis that is high-riding with a hori…
A 60-year-old man, Joseph, with type 2 diabetes and obesity presents to Korle Bu emergency centre with a 36-hour history of worsening scrotal and perineal pain, fever, and rigors. Examination reveals …
Esi, a 52-year-old obese woman with poorly controlled diabetes, presents to the district hospital A&E in the Upper East Region with 2 days of worsening perineal pain and swelling. She is febrile at 39…
Ama, a 32-year-old woman, is brought to Komfo Anokye ED with a 3-day history of right flank pain, fever (temperature 38.8 °C), nausea, and vomiting. She reports dysuria and frequency for the past week…
Yaw, a 58-year-old man, presents to Korle Bu emergency centre with a 1-week history of painless macroscopic haematuria. He has no dysuria, no fever, and no flank pain. He is a long-term cigarette smok…
A 16-year-old boy, Kwame, is brought to the district hospital A&E in Ashanti Region with sudden onset of severe right scrotal pain that woke him from sleep one hour ago. He is nauseated and has vomite…
A 50-year-old woman, Akosua, is assessed at a district hospital A&E in the Northern Region after a road traffic collision. She has a large scalp laceration and her GCS has dropped from 14 to 10 over 3…
A 72-year-old woman, Adwoa, on warfarin for atrial fibrillation, falls at home and sustains a head injury. She is brought to the Korle Bu Emergency Centre by her daughter. Her GCS is 14, she has a sca…
A 55-year-old man is brought to the Komfo Anokye ED after a road traffic collision. He was initially alert but has become progressively drowsy over 90 minutes. His BP is now 178/56 mmHg, HR is 48 bpm,…
A 68-year-old man, Joseph, on warfarin for atrial fibrillation, is brought to the Korle Bu emergency centre after a ground-level fall striking his head. He is alert with GCS 15 and no focal neurology.…
A 28-year-old man, Kwame, is brought to the district hospital A&E in Ashanti Region after a road traffic collision. He opens his eyes only to pain, makes incomprehensible sounds, and withdraws his arm…
A 34-year-old woman, Afia, presents to the Korle Bu emergency centre after a fall from a second-floor balcony. On arrival her GCS is 14 (she is briefly confused but oriented), BP 118/76 mmHg, HR 88 bp…
A 28-year-old man, Kwame, is brought to the district hospital A&E in Ashanti Region after a motorbike collision. He opens his eyes to pain, makes incomprehensible sounds, and withdraws his arm from a …
Abena, a 67-year-old woman on warfarin for atrial fibrillation, is brought to the A&E of Komfo Anokye Teaching Hospital after a ground-level fall and head strike. She is alert (GCS 15) with no focal n…
A 45-year-old market trader is brought to a district hospital A&E after being assaulted with a blunt object. On examination, she has bruising behind her right ear extending into the mastoid region and…
A 28-year-old man, Kwame, is brought to the A&E of a regional hospital in Ashanti by relatives after being struck on the head during a road traffic accident. He opens his eyes only to pain, makes inco…
Kofi, a 34-year-old man, is brought to a regional hospital A&E by relatives after a road traffic accident. He opens his eyes only to pain, makes incomprehensible sounds, and withdraws his arm from a p…
Afia, a 35-year-old teacher, attends the Korle Bu Emergency Centre after slipping and hitting her head on a tiled floor. She is alert (GCS 15), has a 5-minute history of loss of consciousness witnesse…
Mohammed, a 52-year-old man, is brought to Korle Bu Emergency Centre after a high-speed road traffic accident. He is unconscious (GCS 6). His blood pressure is 185/95 mmHg, pulse 52 bpm, and respirato…