A 55-year-old woman, Adwoa, is brought to a regional hospital A&E in the Northern Region after being found unresponsive in a cold harmattan night. Her core temperature is 30°C. She is breathing sponta…
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Adwoa, a 45-year-old woman with advanced cervical cancer, presents to the Korle Bu emergency centre in severe pain, rated 9/10. She is alert and oriented. Her husband says she 'should not be given mor…
Mensah, a 75-year-old man with metastatic lung cancer, is admitted to the Korle Bu emergency centre with increasing breathlessness at rest. He is on a recognised palliative pathway. His oxygen saturat…
A 30-year-old woman, Fatima, is brought to the district hospital A&E following a large paracetamol overdose. She is conscious and tearful, saying she took the tablets deliberately and does not want tr…
The emergency physician at a district hospital in the Eastern Region is about to inform Mohammed, a 55-year-old man, that his CT scan has revealed a large inoperable brain tumour. Mohammed is accompan…
Adwoa, a 35-year-old woman, is brought to the Korle Bu emergency centre after a road traffic crash. She has a severe head injury with a Glasgow Coma Scale score of 6. The neurosurgical team determines…
Mensah, a 45-year-old farmer, sustains a deep laceration to his right foot from a cutlass while working in the fields in the Eastern Region. He is brought to the district hospital A&E. The wound is he…
Maame Ama, an 80-year-old woman, is brought to the district hospital in Brong-Ahafo after a simple fall from standing at home. She is unable to weight-bear and complains of right hip and groin pain. O…
A 55-year-old hypertensive woman, Adwoa, presents to Korle Bu emergency centre with sudden painless loss of vision in her left eye that she noticed on waking. Visual acuity in the left eye is 6/60. Fu…
Kofi, a 58-year-old man with diabetes, is brought to the Korle Bu emergency centre with a 2-day history of fever, productive cough, and right-sided pleuritic chest pain. On examination, temperature is…
Yaw, a 45-year-old civil servant, presents to a regional hospital A&E with a 7-day history of gradually worsening fever, frontal headache, and abdominal discomfort. He has not travelled outside Accra …
Kwame, a 34-year-old farmer, presents to a district hospital in Brong-Ahafo with a 3-day history of high fever, rigors, and headache. He has been working in a rice field. On examination, temperature i…
A 2-year-old girl, Abena, is brought to a district hospital A&E in the Volta Region with fever and a generalised convulsion that lasted 3 minutes and stopped spontaneously before arrival. She is now p…
Mensah, a 50-year-old man, presents to a regional hospital A&E with fresh bright red blood per rectum for the past two hours. He denies any vomiting or epigastric pain. He has a history of constipatio…
Fatima, a 48-year-old woman with a known history of peptic ulcer disease, presents to a regional hospital A&E with a single episode of haematemesis. She is haemodynamically stable with a blood pressur…
Kofi, a 32-year-old man, presents to a district hospital in Ashanti Region after an episode of vomiting bright red blood following a night of heavy alcohol consumption and repeated forceful vomiting. …
A 19-year-old student, Yaw, is brought to the district hospital A&E after being struck on the head by a football. He had a brief loss of consciousness of under one minute. He is now alert, GCS 15, wit…
A 38-year-old man, Kofi, presents to a district hospital A&E in the Volta Region with recurrent episodes of severe right-sided periorbital pain lasting about 45 minutes each, occurring once or twice d…
A 25-year-old woman, Ama, is brought to a district hospital A&E in the Volta Region following a road traffic accident. She was a front-seat passenger and struck her head on the dashboard. She was brie…
Fatima, a 30-year-old woman at 38 weeks gestation, is brought to a district hospital in the Northern Region by her mother following a generalised seizure. Her blood pressure is 172/116 mmHg and urine …
A 48-year-old woman, Adwoa, presents to the district hospital A&E with a BP of 200/120 mmHg and acute severe headache. She is 28 weeks pregnant. IV labetalol is unavailable at this facility.
Abena, a 45-year-old woman, is seen in the A&E of a district hospital in the Northern Region. She has a blood pressure of 195/118 mmHg on two readings taken 30 minutes apart. She feels well, has no he…
Abena, a 48-year-old teacher, presents to a district hospital in the Eastern Region with a blood pressure of 176/108 mmHg found incidentally during a school health screening. She has no headache, ches…
Akua, a 10-year-old girl with known haemophilia A, is brought to a district hospital A&E in the Ashanti region with sudden onset of severe right knee pain and swelling after a minor fall in the playgr…
Yaw, a 28-year-old man, presents to the Korle Bu emergency centre with a 3-week history of right knee pain and swelling that developed 2 weeks after an episode of urethral discharge and dysuria. He al…
A 62-year-old man, Yaw, with known hypertension on thiazide diuretics presents to a district hospital in Brong-Ahafo with sudden-onset severe pain and swelling of his right first metatarsophalangeal j…
A 19-year-old woman, Esi, is brought to the Korle Bu emergency centre after a road traffic accident. She is conscious and orientated. She refuses blood transfusion on religious grounds, despite haemog…
A 45-year-old man, Kofi, is seen at Komfo Anokye ED with chest pain. The night team assesses him, starts treatment, and hands over verbally to the morning team without written documentation of the pla…
A 16-year-old girl, Fatima, presents alone to the regional hospital A&E requesting treatment for a sexually transmitted infection. She is alert, articulate, and demonstrates clear understanding of her…
A 38-year-old man, Yaw, presents to a district hospital A&E in the Northern Region with a 3-day history of productive cough, fever, and haemoptysis. Sputum microscopy confirms acid-fast bacilli. The c…