Akua, a 48-year-old woman, presents to the Komfo Anokye ED with a 12-hour history of severe low back pain, inability to pass urine for 10 hours, and numbness around her perineum and inner thighs. She …
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A 52-year-old man, Kwame, presents to Korle Bu emergency centre with a 6-hour history of sudden-onset, severe, tearing low back pain radiating to both flanks. He is diaphoretic and pale. BP is 88/50 m…
Yaw, a 44-year-old known intravenous drug user, presents to a regional hospital A&E with a 10-day history of severe low back pain and fever. He appears unwell with a temperature of 38.9 °C. There is e…
A 60-year-old man, Yaw, is assessed in a regional hospital A&E with acute low back pain of 4 hours' duration. He has a history of hypertension and smokes 20 cigarettes per day. He appears anxious and …
A 34-year-old man presents to the A&E of a regional hospital in Ashanti with a 3-day history of low back pain and new onset urinary retention. He reports numbness in his perineum and inner thighs. Exa…
Mohammed, a 60-year-old man known to be HIV-positive and not on antiretroviral therapy, presents to Korle Bu Emergency Centre with 3 weeks of progressive thoracolumbar back pain and fever. He has lost…
Yaa, a 67-year-old woman with a known history of breast cancer, presents to Korle Bu emergency centre with a six-week history of progressively worsening thoracolumbar back pain that is worst at night …
Ama, a 38-year-old woman, presents to Korle Bu Emergency Centre with sudden-onset low back pain radiating to both legs, inability to pass urine for 12 hours, and numbness around her perineum and inner…
Akua, a 52-year-old woman, presents to the Komfo Anokye ED with a 3-week history of worsening low back pain, unintentional weight loss of 6 kg, and drenching night sweats. She was treated for breast c…
A 29-year-old woman, Afia, presents to the Komfo Anokye ED with a three-day history of progressive lower limb weakness and inability to walk. She also reports difficulty passing urine for the past 24 …
A 67-year-old woman, Yaa, is brought to the district hospital A&E by her son. She developed sudden-onset severe headache 'like a thunderclap' two hours ago while gardening. She has vomited twice. Her …
A 34-year-old man, Kwame, is referred from a district hospital to Komfo Anokye ED with a 3-day history of worsening headache and vomiting. On arrival he is drowsy (GCS 10), BP 188/110 mmHg, HR 54 bpm,…
Kwame, a 62-year-old man, is brought to the Komfo Anokye ED by his wife at 09:15. She reports that at 08:30 he suddenly developed right-sided facial drooping and was unable to lift his right arm. On e…
A 58-year-old woman, Akosua, is brought to the regional hospital A&E by her husband at 09:30. He reports she developed sudden left-sided weakness and facial droop at 08:45 while eating breakfast. Her …
Kwabena, a 58-year-old man with hypertension, presents to a regional hospital A&E in the Northern Region with sudden onset of severe dizziness, vomiting, and unsteadiness while walking, which began 2 …
A 38-year-old woman, Afia, is brought to the district hospital A&E unable to walk. Her husband reports she developed low back pain two weeks ago and now cannot move her legs. Examination reveals bilat…
A 62-year-old woman is brought to the district hospital A&E after a witnessed generalised tonic-clonic seizure lasting 8 minutes. She continues to seize on arrival. Her blood glucose by bedside glucom…
Ama, a 55-year-old woman, presents to a regional hospital A&E in the Ashanti Region. Her husband says she had sudden onset of left arm and leg weakness while eating breakfast 90 minutes ago. Examinati…
A 58-year-old man, Kwame, is brought to the regional hospital A&E by relatives at 09:15. He was found at 08:45 unable to speak and with right-sided arm and leg weakness. His BP is 162/94 mmHg, GCS 14,…
Akua, a 28-year-old woman, is admitted to the Komfo Anokye ED with a 2-week history of ascending leg weakness now affecting her arms. She reports shortness of breath on lying flat. On examination she …
A 34-year-old man is brought to the district hospital A&E after a witnessed generalised tonic-clonic seizure that has now been ongoing for 22 minutes. He has no prior epilepsy history. He has already …
A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by relatives at 09:15. He developed sudden right-sided weakness and slurred speech at 08:30 while eating breakfast. His GCS is 14/…
Yaw, a 35-year-old man, presents to a district hospital in Brong-Ahafo with a 10-day history of progressive weakness starting in his feet and ascending to his thighs. He reports tingling in his hands …
A junior nurse at Komfo Anokye ED sustains a needlestick injury while drawing blood from a patient known to be HIV-positive. The needle was hollow-bore and visibly blood-stained. She reports the incid…
A 42-year-old female ward nurse at Komfo Anokye Teaching Hospital is splashed in both eyes with blood from an arterial line while caring for a patient known to have hepatitis C. She immediately remove…
Dr Akosua, a 28-year-old junior doctor in the resuscitation bay at Korle Bu Emergency Centre, sustains a needlestick injury from a hollow-bore needle used on a patient with known HIV infection. The wo…
A 29-year-old male ED nurse at a district hospital in Northern Region is counselled after a needlestick injury from a patient with known HIV. He is offered a three-drug HIV PEP regimen. He asks how lo…
Dr Mensah, a 31-year-old medical officer at Komfo Anokye ED, sustains a needlestick injury from a patient later confirmed to be HIV-positive with a high viral load. He washes the wound appropriately a…
Kofi, a 28-year-old medical officer at a regional hospital A&E in the Volta Region, sustains a deep needlestick injury from a patient whose HIV status is unknown. The patient cannot be immediately tra…
A junior doctor at a regional hospital A&E in Kumasi sustains a needlestick injury while drawing blood from a patient whose HIV status is unknown. The needle visibly contained blood and the puncture w…