A 40-year-old woman, Akosua, is brought to the regional hospital A&E by police after being found wandering on a highway, confused and agitated. She has no identification. She is threatening to harm he…
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Joseph, a 58-year-old man, presents to Korle Bu emergency centre with acute low back pain after a road traffic accident in which his vehicle was struck from behind. He was ambulant at the scene but no…
Mensah, a 55-year-old man, is brought to the Komfo Anokye ED after a road traffic collision in which he was a restrained front-seat passenger. He complains of severe lumbar back pain. He is haemodynam…
Ama, a 29-year-old woman with HIV on antiretroviral therapy, presents to a regional hospital A&E with a three-week history of back pain associated with fever and night sweats. She has lost 5 kg over o…
Yaw, a 28-year-old farmer from the Northern Region, presents to the regional hospital A&E with a five-day history of progressive dysuria, haematuria, and suprapubic discomfort. He reports swimming dai…
During a mass vaccination campaign at a district hospital in the Upper East Region of Ghana, a health worker notes that several vials of oral polio vaccine (OPV) stored in the peripheral cold box have…
Kofi, a 28-year-old subsistence farmer from Northern Ghana, presents to the regional hospital A&E with progressive fatigue, exertional dyspnoea, and pica (craving for soil). He reports intermittent ep…
Kofi, a 45-year-old farmer, presents to the district hospital A&E with a 2-day history of a wound on his right foot sustained while working barefoot in a rice paddy. The wound appears dirty with soil …
Yaw, a 19-year-old student, presents to the UGMC emergency centre with a 10-day history of fever, malaise, and a dry cough. He is not toxic-looking and his chest radiograph shows bilateral perihilar i…
Akua, a 28-year-old woman from the Ashanti Region, presents to the Komfo Anokye surgical unit with a 3-week history of a painless, non-tender ulcer on her left lower leg. She reports that the lesion b…
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…
Adwoa, a 45-year-old seamstress from Brong-Ahafo, presents to the district hospital with a 4-month history of a painless ulcer on her right forearm. The ulcer has a deeply undermined edge, a pale necr…
Adwoa, a 45-year-old woman with poorly controlled type 2 diabetes, presents to the district hospital with a painless ulcer on her right forearm of six weeks' duration. The ulcer has a necrotic centre …
Adwoa, a 35-year-old fisherwoman from a coastal community near Elmina, presents to the district hospital with a rapidly progressive, extremely painful infection of her right hand and forearm, developi…
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 …