A 60-year-old man is referred from a district hospital in Northern Region after a fall from a lorry. On arrival at the regional hospital A&E, his GCS has dropped from 14 to 10 over 2 hours. His blood …
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A 34-year-old woman, Akua, presents to the Komfo Anokye ED reporting the 'worst headache of her life', which came on suddenly while she was lifting a heavy load at the market. She describes it as an e…
A 45-year-old man, Yaw, presents to a regional hospital A&E in Brong-Ahafo 4 hours after a road traffic accident in which he struck his head on the windscreen. He had a brief loss of consciousness at …
A 28-year-old man, Kwame, is brought to a district hospital in the Upper East Region with a 6-hour history of severe headache, high fever, and neck stiffness. On examination his temperature is 39.8°C,…
A 30-year-old HIV-positive man, Mohammed, is brought to Korle Bu Emergency Centre with a 2-week history of progressive headache, fever, and confusion. On examination, temperature is 38.6°C, he is drow…
A 45-year-old man is referred from a peripheral clinic to the regional hospital A&E with a 4-day history of worsening headache, fever, and confusion. On arrival: temperature 39.1°C, GCS 11/15, HR 124 …
A 67-year-old woman, Yaa, presents to the Komfo Anokye ED with a 3-week history of right-sided temporal headache and jaw pain when chewing. She mentions her vision has been blurring intermittently. ES…
A 38-year-old woman, Akosua, is brought to the regional hospital A&E by her husband after developing a sudden, severe headache while washing clothes. She describes it as 'the worst headache of my life…
A 28-year-old man, Kofi, attends a district hospital A&E in the Northern Region with a 2-day history of severe headache, high fever, and vomiting. On examination his temperature is 39.8°C, he has mark…
A 40-year-old woman, Adwoa, presents to a district hospital A&E in the Central Region with a 6-hour history of headache she describes as the worst of her life, which began suddenly while she was garde…
A 52-year-old woman, Yaa, presents to Korle Bu Emergency Centre with a 3-week history of new-onset headache and jaw pain when chewing. She also reports 2 days of blurring of vision in her right eye. O…
A 24-year-old man, Kofi, is brought to the district hospital A&E in Northern Region by relatives. He has had fever, severe headache, and neck stiffness for 18 hours. On examination: temperature 39.4°C…
A 30-year-old HIV-positive man, Joseph, presents to the Korle Bu emergency centre with a 2-week history of progressive headache, low-grade fever, and neck stiffness. He is not on antiretroviral therap…
A 34-year-old woman, Akua, presents to the regional hospital A&E in Kumasi describing the worst headache of her life, which reached maximal intensity within seconds of onset while she was lifting a he…
A 40-year-old woman, Adwoa, presents to the Korle Bu emergency centre with a sudden severe headache that she says came on 'like an explosion' while she was at rest 3 hours ago. Non-contrast CT head is…
A 52-year-old woman, Akosua, is brought to the A&E of a regional hospital in Ashanti by her husband. She describes a headache that came on 'like a thunderclap' while gardening one hour ago, reaching m…
A 62-year-old man, Mensah, presents to a regional hospital A&E with a 3-week history of new-onset severe left temporal headache. He reports jaw pain when chewing and tenderness over his left temple. H…
Mensah, a 55-year-old man, is brought to Komfo Anokye ED with a sudden tearing pain in his chest radiating to his back. His BP is 200/115 mmHg and heart rate is 108 bpm. A chest X-ray shows a widened …
Fatima, a 38-year-old woman at 36 weeks gestation, is brought to Komfo Anokye ED with a severe headache and visual blurring. Her BP is 172/115 mmHg and urine dipstick shows 2+ protein. She has not yet…
Akua, a 52-year-old market trader, is brought to the regional hospital A&E in Kumasi with a two-day history of severe headache, blurred vision, and confusion. Her blood pressure is 218/130 mmHg. On ex…
Yaw, a 58-year-old known hypertensive, presents to the regional hospital A&E in Tamale with sudden-onset tearing chest pain radiating to his back, starting 30 minutes ago. His blood pressure is 190/11…
Kofi, a 62-year-old man with known hypertension, is brought to Korle Bu emergency centre with a blood pressure of 210/125 mmHg, severe headache, and confusion. He is started on IV antihypertensive the…
Fatima, a 67-year-old woman with hypertension and type 2 diabetes, presents to the Korle Bu emergency centre with a BP of 204/118 mmHg and a two-hour history of central chest pain. Her 12-lead ECG sho…
Ama, a 32-year-old primigravida at 37 weeks gestation, is brought to the district hospital in Brong-Ahafo by her husband after a witnessed generalised tonic-clonic seizure at home. On arrival her BP i…
Adwoa, a 29-year-old primigravida at 36 weeks gestation, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E. Her BP is 170/115 mmHg, she has 3+ proteinuria on urine dipst…
Ama, a 34-year-old primigravida at 36 weeks gestation, is brought to Komfo Anokye ED by her husband after two generalised tonic-clonic seizures at home. On arrival she is post-ictal. Her blood pressur…
Yaw, a 60-year-old man with known hypertension, presents to Korle Bu emergency centre with a sudden-onset, tearing chest pain radiating to the back between his shoulder blades. His BP is 190/110 mmHg …
Kwame, a 48-year-old man, presents to Komfo Anokye ED with a blood pressure of 220/130 mmHg and a two-hour history of confusion and severe headache. On examination he is drowsy (GCS 13), has bilateral…
A 58-year-old man, Kwame, is brought by relatives to the regional hospital A&E in Kumasi. His BP is 210/120 mmHg and he is confused, with papilloedema on fundoscopy and a GCS of 13/15. There is no foc…
Akua, a 52-year-old market trader, is brought to the regional hospital A&E in Kumasi with a blood pressure of 210/120 mmHg recorded on two occasions. She has a mild headache but no visual disturbance,…