A 32-year-old woman, G3P3, delivers at a district hospital in the Northern Region. She had an uneventful vaginal delivery of a 3.9 kg baby. The placenta delivers 25 minutes later but the midwife notes…
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Ama, a 35-year-old G4P3 at 31 weeks gestation, is brought to a regional hospital ED after a witnessed generalised tonic-clonic seizure at home lasting approximately 2 minutes. She has a known diagnosi…
Yaa, a 38-year-old G6P5, is brought by family to the emergency centre at Korle Bu Teaching Hospital 30 minutes after delivery at home by a traditional birth attendant. She delivered a live baby but th…
Abena, a 29-year-old G2P1 at 35 weeks gestation, attends the Korle Bu Emergency Centre with BP 168/114 mmHg (confirmed twice), a severe occipital headache rated 9/10, and photophobia. She reports no a…
A 70-year-old man, Yaw, presents to a regional hospital ED in the Northern Region. He has a background of metastatic prostate cancer with known bone metastases, on hormonal therapy. He reports a 4-day…
A 58-year-old woman, Akosua, known to have breast cancer diagnosed two years ago, presents to the Komfo Anokye ED with a 3-week history of progressively worsening mid-thoracic back pain. The pain is c…
A 63-year-old man is brought to the Korle Bu Emergency Centre with a 3-day history of progressive confusion, nausea, vomiting, and constipation. He has a known history of metastatic prostate cancer. H…
A 55-year-old man with chronic lymphocytic leukaemia (CLL) presents to the regional hospital ED in Kumasi with progressive fatigue over 3 weeks. He is about to start his first cycle of fludarabine-bas…
Mohammed, a 52-year-old man with non-Hodgkin lymphoma, is referred from a district hospital in Brong-Ahafo to the regional hospital emergency department. He is on cycle 3 of CHOP chemotherapy and deve…
A 63-year-old man presents to a regional hospital ED with a 10-day history of worsening dyspnoea, facial swelling, and headaches. CT scan (available here) confirms SVC obstruction from a biopsy-proven…
A 45-year-old man, Kwesi, presents to the Komfo Anokye ED with a 6-hour history of fever and rigors. He is on cycle 2 of carboplatin and paclitaxel for non-small-cell lung cancer. He has no known drug…
Mohammed, a 67-year-old man with a history of treated prostate cancer (PSA last checked 18 months ago), presents to a regional hospital ED in the Northern Region with a 5-day history of worsening lowe…
Akosua is a 45-year-old woman with a three-week history of progressive abdominal swelling and weight loss. She presents to the Korle Bu emergency centre where a bone marrow biopsy report confirms acut…
Kofi, a 34-year-old man with a newly diagnosed Burkitt lymphoma, is admitted to the Korle Bu emergency centre for initiation of chemotherapy. Before treatment, his laboratory results show: uric acid 5…
A 62-year-old woman is referred from a district hospital in the Brong-Ahafo Region to Komfo Anokye Teaching Hospital with a diagnosis of clinical TLS following initiation of treatment for CLL. On arri…
A 61-year-old man, Yaw, is referred from a district hospital in Ashanti Region to the Komfo Anokye ED. He is on cycle 3 of FOLFOX chemotherapy for metastatic colorectal cancer. He presents with a 12-h…
A 52-year-old woman, Akosua, presents to the Komfo Anokye ED brought by her family. She was diagnosed with diffuse large B-cell lymphoma three weeks ago and completed her first cycle of CHOP chemother…
Kofi, a 55-year-old man with known multiple myeloma, presents to the Korle Bu emergency centre with symptomatic hypercalcaemia. After correction for albumin 18 g/L, his corrected calcium is 3.72 mmol/…
Afia, a 48-year-old woman with metastatic breast cancer (diagnosed 18 months ago, currently on second-line chemotherapy), presents to the Komfo Anokye ED with a 4-day history of lower back pain and 24…
Yaa, a 61-year-old woman with breast cancer on dose-dense AC chemotherapy, presents to a regional hospital emergency department with febrile neutropenia (temperature 38.7°C, ANC 0.31 × 10⁹/L). She is …
Kofi, a 61-year-old man with no known prior malignancy, presents to the Korle Bu Emergency Centre with a 10-day history of thoracic back pain. He reports no trauma. He smokes one pack of cigarettes pe…
Abena, a 9-year-old girl, is brought to Komfo Anokye Teaching Hospital A&E by her mother with a 4-day history of swelling and redness around the left eye, fever (38.9°C), and the child appears unwell.…
Kofi, a 34-year-old man, attends the regional hospital A&E in Kumasi with a 6-hour history of sudden, painless loss of vision in his left eye. He describes the vision as having 'gone dark' immediately…
A 42-year-old woman, Adwoa, presents to the A&E at a regional hospital in Cape Coast with a 6-hour history of sudden, complete, painless loss of vision in the right eye. She has a background of hypert…
Yaw, a 19-year-old student, is brought to the district hospital A&E in Brong-Ahafo after a laboratory accident in which he splashed an unknown alkaline cleaning solution into both eyes. He is in signi…
A 34-year-old woman, Ama, is brought to the A&E at a regional hospital in Tamale after a laboratory chemical splash to both eyes while working in an industrial facility. She is in significant distress…
A 58-year-old woman, Akua, presents to Korle Bu Teaching Hospital A&E with a 4-hour history of severe right-sided headache, nausea, and vomiting. She reports seeing coloured halos around lights. On ex…
A 58-year-old man, Kwame, presents to the A&E at Komfo Anokye Teaching Hospital with a 3-hour history of severe right-sided headache, nausea, and blurred vision with coloured halos around lights. On e…
Aisha, a 19-year-old student, is brought to a regional hospital ED in the Volta Region after being struck in the right eye by a broken bottle during a street altercation. She has pain and cannot open …
A 42-year-old farmer named Mohammed is brought to a district hospital in Northern Region after anhydrous ammonia from a fertiliser tank sprayed into both eyes. He arrived 8 minutes after the injury. H…