A 58-year-old man, Kwame, is brought to the regional hospital A&E by his relatives with a two-hour history of severe headache, blurred vision, and confusion. His BP is 218/130 mmHg, GCS is 13/15, and …
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A 35-year-old woman, Afia, is 38 weeks pregnant and is brought to the regional hospital A&E by relatives. Her BP is 168/112 mmHg, she has 3+ proteinuria on urine dipstick, and she has just had a 90-se…
Kwame, a 45-year-old civil servant, walks into a district hospital in Brong-Ahafo complaining of mild occipital headache noticed during a routine check. His blood pressure is 182/114 mmHg on two readi…
Kofi, a 62-year-old man with known hypertension, arrives at Komfo Anokye ED with tearing interscapular back pain radiating to the anterior chest. His BP is 190/110 mmHg in the right arm and 160/95 mmH…
Joseph, a 40-year-old man, presents to the Korle Bu emergency centre with a 1-day history of a hot, swollen, and extremely painful right knee. He has a temperature of 39.3°C, WBC 22 × 10⁹/L, and CRP 1…
A 34-year-old man, Kwame, presents to the regional hospital A&E with a 2-day history of a hot, swollen, exquisitely tender right knee. He is unable to bear weight. His temperature is 38.9°C, HR 102 bp…
Kofi, a 55-year-old man with a known history of hypertension treated with hydrochlorothiazide, presents to a district hospital in Brong-Ahafo with sudden-onset severe pain and swelling of his right bi…
A 52-year-old man, Kwame, presents to the regional hospital A&E with a 24-hour history of severe pain, swelling, and redness of his right knee. He is febrile at 38.9°C, the joint is warm and exquisite…
A 34-year-old man, Kwesi, presents to a regional hospital A&E with a 12-hour history of acute pain and swelling of his left knee. He is febrile at 38.6°C, has a history of sickle cell disease, and the…
Ama, a 42-year-old woman, is brought to the Komfo Anokye ED with a 24-hour history of an acutely swollen, red, and painful right knee. She has a temperature of 39.1°C, WBC 18 × 10⁹/L, and CRP 140 mg/L…
A 38-year-old woman, Akosua, is brought to Komfo Anokye ED with a two-day history of acute pain and swelling of her left ankle. She is afebrile, has no systemic symptoms, and her uric acid level is pe…
Abena, a 40-year-old woman, presents to a regional hospital A&E with a 3-day history of progressive pain, swelling, and inability to bear weight on her right knee. She has a temperature of 39.1°C, pul…
Kwame, a 35-year-old man, presents to the Komfo Anokye ED with a 2-day history of severe pain, swelling, and redness of his right knee. He has a temperature of 38.8°C, pulse 102 bpm, and is unable to …
Kwame, a 35-year-old man, presents to the regional hospital A&E in Kumasi with a 2-day history of severe pain, swelling, and redness of his right knee. He has a temperature of 38.8°C, a heart rate of …
Kofi, a 45-year-old man, presents to a district hospital in Brong-Ahafo with a 12-hour history of excruciating pain and swelling at the base of his right big toe. He attended a funeral feast the previ…
A 32-year-old woman, Ama, presents to the Korle Bu emergency centre with multiple contusions on her face, arms, and torso. She is accompanied by her husband. When he steps out of the room, she quietly…
A 65-year-old man, Joseph, is seen in the A&E of a district hospital in Volta Region with chest pain. He is treated, observed, and discharged. Two days later he re-presents in cardiac arrest and dies.…
A medical officer at a district hospital in the Bono Region sees a 34-year-old man, Kwame, with a head injury following a road traffic accident. He documents 'patient seen, head injury, discharged hom…
A 34-year-old man, Kwame, is brought to the A&E of a district hospital in Northern Region after being shot in the abdomen during a robbery. He is haemodynamically stable and alert. The police have not…
A 40-year-old man, Yaw, is brought to the regional hospital A&E by police after being found wandering on the main road in Kumasi, speaking incoherently and appearing to respond to auditory hallucinati…
A 19-year-old man, Kofi, is brought to the A&E of a regional hospital in Ashanti by police after sustaining a gunshot wound to the right thigh. He is haemodynamically stable, alert, and oriented. He b…
A 28-year-old woman, Ama, presents to the Komfo Anokye ED with a swollen, painful right wrist after her husband 'pushed her against the wall.' She has multiple bruises at different stages of healing o…
A 7-year-old girl, Abena, is brought to the regional hospital A&E by her father with a spiral fracture of the humerus. The father states she fell off a chair. On examination, she has three healing bru…
A 55-year-old woman, Afia, is brought unconscious to the A&E of Komfo Anokye Teaching Hospital following a road traffic collision. Her GCS is 6/15. No relatives are present and no identification is fo…
A 7-year-old girl, Abena, is brought to the district hospital A&E in the Upper East Region by her stepfather. She has multiple bruises in different stages of healing over her back and buttocks, a spir…
A 29-year-old woman, Akua, is brought to the Komfo Anokye ED by her family. She is acutely psychotic, threatening to harm herself and others, and refusing all assessment and treatment. She has no know…
A 28-year-old woman, Akua, presents to the regional hospital A&E with palpitations. An ECG is performed and the attending doctor documents 'ECG done' in the notes without recording the findings or att…
A 5-year-old boy, Kofi, is brought to a regional hospital A&E in the Ashanti Region by his grandmother. She reports he 'fell off the bed.' Examination reveals multiple bruises in different stages of h…
A 34-year-old man, Kwame, is seen in the A&E of a district hospital in Brong-Ahafo following a road traffic accident. He is assessed, treated for minor lacerations, and discharged. Three days later he…
Kofi, a 52-year-old man known to inject heroin, presents to a regional hospital A&E with a five-day history of progressive low back pain. He is febrile (temperature 38.9 °C), has point tenderness over…