A 60-year-old man is brought to Korle Bu emergency centre by his family after a witnessed fall from a ladder. He is on rivaroxaban 20 mg daily for a previous pulmonary embolism. GCS is 15, no vomiting…
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A 67-year-old man, Kofi, is brought to Komfo Anokye ED after a mechanical fall at home. He takes apixaban 5 mg twice daily for non-valvular atrial fibrillation. GCS on arrival is 13. CT head shows a s…
A 82-year-old retired teacher, Mensah, is brought to the regional hospital A&E in Brong-Ahafo after being found on the floor at home. His daughter states he has had three falls in the past month. His …
A 45-year-old man, Kofi, is brought to a regional hospital A&E in the Ashanti Region following blunt head trauma from an assault. He is intubated and sedated with a GCS of 5 prior to intubation. CT br…
A 34-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after falling from a ladder at a construction site. He had a brief loss of consciousness witnessed by a colleague and now ha…
A 72-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED after a fall from standing. She is on warfarin for atrial fibrillation. GCS is 15, no focal neurology…
A 72-year-old woman, Adwoa, is brought from a district hospital in Brong-Ahafo to Komfo Anokye ED after a ground-level fall. She is on warfarin for atrial fibrillation. On arrival her GCS is 15, she h…
A 28-year-old footballer, Yaw, presents to the Korle Bu emergency centre after a collision during a match. He has a GCS of 8 (E2V2M4) and a CT brain shows a right temporal contusion with surrounding o…
A 19-year-old man is brought to Korle Bu emergency centre after being assaulted. He is drowsy (GCS 10, E3V3M4), with a dilated and sluggishly reactive right pupil. BP 168/94 mmHg, HR 54 bpm, RR 8 and …
Adwoa, a 26-year-old primigravida at 14 weeks gestation, is brought to the regional hospital ED in Kumasi by her husband. She reports three days of nausea, vomiting 8–10 times per day, and inability t…
Ama, a 52-year-old woman with known myasthenia gravis, is brought to the regional hospital A&E in Tamale with a 12-hour history of worsening dysphagia, nasal speech, and difficulty lifting her head fr…
Adwoa, a 41-year-old market trader, is brought to the Komfo Anokye A&E by her family with progressive weakness of both legs over the past week. She had a Campylobacter gastroenteritis five weeks ago. …
Kofi, a 27-year-old male soldier, is brought to the A&E at 37 Military Hospital, Accra, with a five-day history of progressive leg weakness and tingling that has now spread to his hands. He had a diar…
A 38-year-old teacher, Akosua, presents to the A&E at Komfo Anokye Teaching Hospital with a two-day history of right-sided facial weakness. She is unable to raise her right eyebrow, cannot close her r…
Ama, a 32-year-old seamstress, is brought to the regional hospital A&E in Tamale with a four-day history of progressive leg weakness. She had a diarrhoeal illness three weeks ago. On examination she h…
Mohammed, a 19-year-old student, presents to a district hospital A&E with a 36-hour history of back pain, bilateral leg weakness, and inability to pass urine. He had a viral upper respiratory tract in…
A 45-year-old teacher, Kwabena, presents to Komfo Anokye Teaching Hospital A&E with a two-day history of right-sided facial weakness. He cannot raise his right eyebrow, cannot fully close his right ey…
Akua, a 28-year-old primigravida at 38 weeks gestation, is brought to the regional hospital A&E by her husband after a witnessed generalised tonic-clonic seizure lasting approximately 90 seconds at ho…
Akosua, a 26-year-old primigravida at 36 weeks gestation, is brought by family to the Komfo Anokye ED after a witnessed tonic-clonic seizure at home lasting approximately 2 minutes. On arrival she is …
A 29-year-old woman, Adwoa, G2P1 at 39 weeks is delivering at a district hospital in the Oti Region. After an apparently uncomplicated vaginal delivery of the fetal head, the anterior shoulder becomes…
Adwoa, a 32-year-old G3P2 woman at 38 weeks, is receiving the Pritchard magnesium sulphate regimen at a regional hospital following an eclamptic seizure 3 hours ago. She received a 4 g IV loading dose…
A resuscitation simulation drill is being conducted at a regional hospital in Brong-Ahafo to prepare staff for maternal cardiac arrest. The facilitator asks the team to correctly identify the minimum …
Akosua, a 28-year-old primigravida at 38 weeks gestation, is brought to the Komfo Anokye ED by her husband with a 24-hour history of fever, lower abdominal pain, and reduced fetal movements. She deliv…
A 26-year-old primigravida, Ama, at 34 weeks gestation is brought to the regional hospital ED with a single grand mal seizure 20 minutes ago. She is now post-ictal. BP 160/106 mmHg, HR 108 bpm. Magnes…
A 28-year-old primigravida, Akosua, at 36 weeks gestation is brought by her husband to the emergency centre at Komfo Anokye Teaching Hospital after a witnessed tonic-clonic seizure lasting about 90 se…
A 22-year-old woman named Aisha presents to a regional hospital emergency department in the Northern Region. She is 34 weeks pregnant and was referred from a district hospital after developing general…
A 26-year-old primigravida, Akosua, at 38 weeks gestation is brought to the labour ward of a regional hospital in the Ashanti Region. Her membranes rupture spontaneously and the midwife immediately no…
A 29-year-old woman, Abena, 30 weeks pregnant, is referred from a district hospital in the Bono Region to the regional hospital ED. She complains of frontal headache and visual disturbances described …
A 29-year-old primigravida at 34 weeks is referred from a district hospital in Brong-Ahafo to the regional ED after a seizure. She received diazepam 10 mg IV at the district hospital and the seizure t…
A 26-year-old primigravida at 36 weeks gestation presents to a regional hospital ED in the Northern Region with a 20-minute history of generalised tonic-clonic seizures. She was commenced on intraveno…