A 35-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 2-hour history of severe right flank pain radiating to the groin, scoring 9 out of 10 on the numerical rating scale. He…
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An 80-year-old woman, Maame Akua, is brought to a regional hospital A&E after a fall at home. Plain X-ray confirms a displaced left neck of femur fracture. She is in severe pain (8/10) and IV access h…
A 35-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a closed fracture of the right tibia following a road traffic accident. He is haemodynamically stable. On assessment, he …
Aisha, a 52-year-old woman, is brought to Komfo Anokye ED with severe cancer-related abdominal pain, rated 9/10. She has received oral paracetamol and tramadol at home without relief. BP 118/76 mmHg, …
A 34-year-old motorcyclist, Yaw, is brought to a district hospital A&E in Ashanti Region after a road traffic collision. Primary survey is completed and he is found to have a GCS of 14 and a closed fe…
A 6-year-old boy, Kofi, weighing 20 kg, is brought to a district hospital in Brong-Ahafo with a generalised tonic-clonic seizure lasting 15 minutes. The doctor orders 'diazepam 10 mg IV stat.' The nur…
A 55-year-old man, Yaw, is admitted to the observation ward of a regional hospital A&E in Volta Region following a road traffic crash. At 06:00 the night nurse documents: respiratory rate 22 breaths/m…
During a busy night shift at Komfo Anokye ED, a medical officer hands over a 45-year-old man, Kwame, to the incoming registrar. The outgoing doctor verbally states 'the chest pain patient in bay 3 is …
A 52-year-old man, Kofi, presents to Korle Bu emergency centre with sudden-onset severe headache rated 10/10, described as 'the worst of his life.' The triage nurse records his blood pressure as 210/1…
During a busy night shift at a regional hospital A&E in the Ashanti Region, a 34-year-old man, Kofi, is handed over from the outgoing team as 'stable chest pain, awaiting review.' The incoming registr…
A 38-year-old woman, Ama, presents to a district hospital A&E in Ashanti Region with fever, headache, and confusion. The triage nurse documents a temperature of 39.8°C, heart rate 118 bpm, respiratory…
During a busy evening shift at Komfo Anokye ED, a nurse hands over a 58-year-old man, Kwame, to the oncoming team. The outgoing doctor verbally states 'chest pain, ECG done, looks stable' and leaves. …
Kofi, a 6-year-old boy weighing 20 kg, is brought to Korle Bu emergency centre with a generalised tonic-clonic seizure lasting 12 minutes. The nurse prepares IV diazepam and draws up 10 mg (2 mL of th…
A nurse at a regional hospital A&E reports to the medical officer that a 70-year-old woman, Adwoa, who was admitted six hours ago with a urinary tract infection, has become increasingly drowsy. Her cu…
A 34-year-old man, Yaw, presents to Korle Bu emergency centre with a two-day history of headache and fever. The first doctor who assessed him diagnosed malaria based on a positive RDT and commenced or…
A medical officer at Komfo Anokye ED is handing over a 58-year-old man, Kwame, to the night team. Kwame was admitted four hours ago with chest pain and has received aspirin and morphine. The handing-o…
A 19-year-old student, Mohammed, presents to a district hospital A&E in the Upper West Region with fever, neck stiffness, and a non-blanching petechial rash. The triage nurse assigns him a Category 3 …
A 45-year-old woman, Akua, presents to a regional hospital A&E with a three-day history of fever, cough, and right-sided pleuritic chest pain. The triage nurse records her observations: temperature 38…
Akua, a 26-year-old woman, presents to the regional hospital A&E in Kumasi with a 2-day history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. On examin…
Yaa, a 22-year-old sexually active woman, presents to the Komfo Anokye ED with a 4-day history of lower abdominal pain and a yellowish vaginal discharge. Her temperature is 38.4°C, pulse 96 bpm. Pelvi…
A 35-year-old woman, Ama, is brought to a district hospital A&E by her husband with worsening right-sided pelvic pain and two episodes of vomiting over six hours. Her last menstrual period was four we…
Adwoa, a 30-year-old woman, presents to the regional hospital A&E in Tamale with a 6-week history of amenorrhoea, lower abdominal cramping, and light vaginal spotting. She is haemodynamically stable w…
A 23-year-old woman, Abena, presents to a district hospital in Brong-Ahafo with a 3-day history of lower abdominal pain, purulent vaginal discharge, and fever. She is sexually active with multiple par…
Kofi's wife, a 30-year-old woman, presents to the regional hospital A&E with severe right-sided pelvic pain, nausea, and one episode of vomiting over four hours. She has no fever. Urine pregnancy test…
Akosua, a 24-year-old woman, presents to the A&E of a regional hospital with sudden-onset severe right iliac fossa pain for two hours, associated with nausea and one episode of vomiting. Her last mens…
A 26-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago. On exami…
Ama, a 29-year-old woman, is brought to the Komfo Anokye ED with sudden-onset severe right iliac fossa pain and two episodes of vomiting. She is 8 weeks pregnant by her last menstrual period. On exami…
Ama, a 24-year-old woman, is brought to the district hospital A&E in Brong-Ahafo with sudden-onset severe left-sided pelvic pain that began 3 hours ago while she was at rest. She is not pregnant (urin…
Akosua, a 26-year-old woman, presents to the district hospital A&E with sudden-onset right iliac fossa pain and vaginal spotting for one day. Her last menstrual period was 7 weeks ago. On examination …
Yaa, a 32-year-old woman with known polycystic ovarian syndrome, is brought by relatives to Komfo Anokye ED with sudden-onset severe right-sided pelvic pain and nausea for three hours. She is afebrile…