Yaa, a 31-year-old woman, presents to the regional hospital A&E in Tamale with sudden-onset severe left-sided pelvic pain that began 2 hours ago. She is not pregnant (urine beta-hCG negative). On exam…
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Adwoa, a 24-year-old woman, presents to the Korle Bu emergency centre with a two-week history of lower abdominal pain, fever, and dyspareunia. She has a temperature of 38.6°C, cervical motion tenderne…
A 16-year-old boy, Yaw, is brought to a district hospital A&E with a 2-day history of fever, sore mouth, and a painful blistering rash involving his lips, oral mucosa, and eyes. He was started on carb…
A 35-year-old man named Mohammed presents to the Komfo Anokye ED with a 4-day history of worsening pain and swelling in his left foot following a minor cut while farming. Examination reveals a foul-sm…
A 7-year-old girl named Afia is brought to the district hospital A&E in the Upper East Region with a 6-hour history of fever, irritability, and a rash. Her mother reports she was well yesterday. On ex…
Adwoa, a 28-year-old woman, attends the Korle Bu emergency centre 20 minutes after eating groundnut stew at a restaurant. She has generalised urticaria, facial swelling, and is audibly wheezing. Her B…
A 16-year-old girl, Akua, is brought to the Komfo Anokye ED after collapsing at school. She has a history of penicillin allergy and was given amoxicillin at a clinic two hours ago for a sore throat. S…
A 14-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo with a 12-hour history of fever, severe headache, and neck stiffness. On examination he is drowsy, temperature is 3…
A 52-year-old man, Mensah, is brought to the Korle Bu emergency centre with a 24-hour history of severe pain and swelling in his right leg following a minor cut. Examination reveals a red, warm, oedem…
A 28-year-old woman, Ama, presents to the regional hospital A&E in Tamale with a 6-hour history of fever, severe headache, and neck stiffness. She is drowsy but rousable. A non-blanching petechial ras…
Afia, a 34-year-old woman, presents to the district hospital A&E with a 3-day history of fever, painful mouth ulcers, and a blistering rash covering approximately 25% of her body surface area. She was…
A 19-year-old student, Kwame, is brought to a regional hospital A&E by his roommate after developing a sudden severe headache and fever over 6 hours. On examination he is confused, temperature 39.8°C,…
A 19-year-old male student, Kwame, is brought to the regional hospital A&E by his roommates. He has had fever and headache for 6 hours and is now drowsy. On examination: temperature 39.4°C, heart rate…
A 16-year-old girl named Akua presents to the regional hospital A&E in Kumasi with a 2-day history of high fever, sore throat, and a rapidly spreading rash. She started trimethoprim-sulfamethoxazole 5…
A 52-year-old man, Kofi, presents to a district hospital A&E with a 12-hour history of severe pain and swelling in his right thigh following a minor cut. On examination, the overlying skin appears ery…
Afia, a 34-year-old woman, presents to the district hospital A&E with a 3-day history of fever and a spreading rash. She was started on co-trimoxazole for a urinary tract infection 10 days ago. On exa…
A 14-year-old boy, Kwame, is brought to the regional hospital A&E in Kumasi by his mother. He has had fever and headache for 12 hours and is now confused. On examination, temperature is 39.4°C, heart …
A 28-year-old woman named Ama presents to the regional hospital A&E in Tamale with acute onset facial swelling, widespread urticaria, and difficulty breathing. She ate groundnuts 20 minutes ago. On ex…
A 45-year-old man named Kofi is brought to Komfo Anokye ED with a 24-hour history of severe pain in his right leg, which he describes as far worse than the skin appearance suggests. He has a temperatu…
A 35-year-old man, Yaw, presents to a district hospital in the Northern Region with a 3-day history of fever, painful swallowing, and a widespread blistering rash. He was started on cotrimoxazole two …
A 4-year-old boy, Kofi, is brought to a district hospital in Northern Region by his mother. He is having a generalised tonic-clonic seizure. No IV access has been established. The nurse estimates the …
A 35-year-old woman, Akua, is brought to Komfo Anokye Emergency Department by ambulance. Bystanders report she has been convulsing continuously for 10 minutes with no recovery of consciousness. On arr…
Akosua, a 28-year-old woman at 34 weeks gestation, is brought to the regional hospital A&E by her husband after a witnessed generalised tonic-clonic seizure lasting approximately two minutes. On arriv…
A 32-year-old woman, Ama, is 36 weeks pregnant. She is brought to Komfo Anokye ED after two witnessed generalised convulsions at home. On arrival she is confused. BP is 168/112 mmHg, HR 96 bpm. Urine …
A 4-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother. She reports he had a brief generalised convulsion lasting about 90 seconds at home. He has had a fever of 38.9 °…
A 55-year-old man is brought to Korle Bu Emergency Centre with generalised tonic-clonic seizures that have now been ongoing for 35 minutes despite receiving lorazepam 4 mg IV twice (total 8 mg). He re…
A 45-year-old man, Yaw, is brought to Korle Bu emergency centre by colleagues. He is known to drink heavily and was found convulsing at his workplace. He has had two generalised seizures in the past 3…
A 4-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his mother. She reports he developed a fever this morning and then had a generalised shaking episode lasting 2 minutes, afte…
A 45-year-old man, Mensah, is brought to Korle Bu Emergency Centre by police after being found collapsed in a bar. Bystanders report he was shaking all over for about 8 minutes. He is known to drink h…
A 32-year-old primigravida, Ama, at 36 weeks gestation is brought to the regional hospital A&E in Tamale after a witnessed generalised convulsion at home. On arrival her blood pressure is 168/110 mmHg…