A 7-year-old boy, Kofi, is brought to the Komfo Anokye ED after a road traffic accident. He is unconscious and has no Broselow tape available. His mother estimates he weighs about the same as other bo…
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A 6-month-old boy, Kwame, is brought to a district hospital A&E in Ashanti Region by his mother. He has been crying inconsolably for 3 hours and refuses to feed. On examination, you notice he stops cr…
A 7-month-old boy is brought to Komfo Anokye ED by his father after three days of diarrhoea and vomiting. He weighs 7 kg on the Broselow tape. His heart rate is 188 beats/min, capillary refill time is…
An 18-month-old girl called Abena is brought to Komfo Anokye ED with a 2-day history of fever and reduced oral intake. She is irritable, has a bulging anterior fontanelle, and a non-blanching petechia…
A 3-day-old neonate is brought to the Korle Bu emergency centre by his mother because he has not passed meconium since birth. He was born at term by normal vaginal delivery. On examination, his abdome…
A 2-year-old boy, Kwabena, presents to the regional hospital A&E in Volta Region with a 4-hour history of worsening inspiratory stridor and a barking cough. He has a temperature of 38.1 °C and a respi…
A 2-year-old girl, Ama, is brought to Komfo Anokye ED at midnight with a 6-hour history of a harsh barking cough and noisy breathing. Her mother says she was well during the day but woke from sleep di…
A 6-year-old boy, Kwame, is brought to a regional hospital A&E in the Ashanti region with a 2-hour history of worsening breathlessness and wheeze. He has a known history of asthma and ran out of his i…
A 7-year-old girl, Yaa, is brought to the Komfo Anokye ED by her mother after eating groundnuts at a school party. Within 10 minutes she developed generalised urticaria, facial swelling, stridor, and …
A 3-year-old girl, Akosua, is brought to the Komfo Anokye ED at 02:00 by her father. She woke suddenly with a barking cough, hoarse voice, and audible inspiratory stridor at rest. She is alert and sit…
A 10-month-old boy, Kofi, is brought to a district hospital A&E in the Brong-Ahafo region by his mother. He has had a 3-day history of runny nose followed by increasing difficulty breathing and poor f…
A 3-year-old girl is brought to the regional hospital A&E at 02:00 by her father with a two-hour history of barking cough and noisy breathing that woke her from sleep. She is alert and sitting upright…
A previously well 18-month-old boy, Yaw, is brought to the Korle Bu emergency centre by his father. The father reports that the child was playing with small toy parts when he suddenly began coughing v…
A 4-year-old boy, Kwesi, is brought to a district hospital A&E in Brong-Ahafo with a two-day history of barking cough and hoarse voice. On examination he has stridor at rest, marked sternal and subcos…
A 2-year-old boy, Yaw, is brought urgently to the district hospital A&E in Brong-Ahafo after his mother witnessed him put a groundnut in his mouth and then suddenly start coughing and choking. He is n…
A 2-year-old girl, Ama, is brought to the Komfo Anokye ED at midnight with a 6-hour history of a harsh barking cough, noisy breathing, and hoarse voice. Her mother says she was well earlier in the day…
A 5-year-old girl, Ama, is brought to the Korle Bu emergency centre with acute wheeze. She has a known history of asthma. On examination: RR 38, SpO₂ 90% on air, she is using accessory muscles and is …
A 7-year-old girl named Afia, weighing 22 kg, is brought to the regional hospital A&E with acute severe asthma. She has received two doses of salbutamol 2.5 mg via spacer in triage. On reassessment: R…
A 6-year-old boy, Kofi, presents to the regional hospital A&E in Greater Accra with acute onset of wheeze and shortness of breath. He has a known history of asthma and ran out of his inhaler two days …
A 10-month-old boy, Kwame, is brought to the district hospital A&E in Ashanti Region by his mother with a 3-day history of runny nose, low-grade fever, and progressive difficulty breathing. On examina…
A 4-year-old girl, Akua, presents to a regional hospital A&E with a 1-hour history of worsening stridor and breathing difficulty. She has croup diagnosed 2 days ago and was initially managed with oral…
A 38-year-old man, Kwame, presents to a district hospital A&E in Brong-Ahafo with moderate low back pain after lifting heavy sacks. His pain score is 6/10. He is haemodynamically stable with no neurol…
A 28-year-old man, Yaw, presents to the regional hospital A&E with a 2-hour history of severe right-sided loin-to-groin pain, rated 10/10, associated with nausea. He is writhing on the trolley and can…
A 70 kg, 25-year-old woman, Esi, is brought to the regional hospital A&E following a road traffic accident with a suspected femoral shaft fracture. She is in severe pain (NRS 9/10) and IV access has j…
Ama, a 34-year-old market trader, presents to the regional hospital A&E with a 2-hour history of severe right loin-to-groin pain rated 9/10 on the NRS. She is restless and cannot find a comfortable po…
A 7-year-old girl, Akua, is brought to the district hospital A&E in Brong-Ahafo after sustaining a burn to her right forearm. She is crying inconsolably, refusing to move her arm, and flinching away f…
Yaw, a 28-year-old man, requires incision and drainage of a large gluteal abscess in the A&E of a regional hospital. He is anxious and in significant pain. The doctor plans to use ketamine for procedu…
A 60-year-old man, Mensah, is brought to the Komfo Anokye ED with a fractured right neck of femur after a fall at home. He is in severe pain, rating it 9/10. He weighs 70 kg. He has no known drug alle…
A 45-year-old woman, Adwoa, is admitted to Korle Bu emergency centre with severe pain from a sickle cell crisis. She weighs 55 kg and has no hepatic disease or chronic alcohol use. The registrar order…
A 45-year-old woman, Yaa, is brought to the Korle Bu emergency centre following a road traffic crash. She has an open femoral shaft fracture and rates her pain as 10/10. IV access has been established…