A 14-month-old girl is brought by her mother to the regional hospital ED in Tamale. She has had a generalised seizure for 12 minutes. She was well until this morning but has had poor feeding for two d…
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A 4-year-old girl, Abena, 16 kg, is assessed in the paediatric A&E of a regional hospital. She has had diarrhoea for 4 days and has been unable to eat for 2 days. Her mother reports she has been drows…
Ama, an 8-year-old girl weighing 26 kg, presents to Komfo Anokye paediatric A&E with acute severe asthma. SpO2 is 89% on room air, RR 34/min, HR 130/min. She is placed on 10 L/min high-flow oxygen via…
Akosua, a 3-year-old girl weighing 14 kg, presents to a district hospital in Brong-Ahafo Region. She has had a cough and fever for 3 days. Vitals: temperature 39.4°C, heart rate 148 bpm, respiratory r…
A 14-month-old girl, Ama, weighing 9 kg, is brought to the district hospital A&E in Brong-Ahafo by her mother. She has had watery diarrhoea for 2 days and vomited once this morning. On examination she…
A 7-month-old boy, weighing 7.4 kg, is referred from a district hospital in Brong-Ahafo to Komfo Anokye paediatric resus bay with a 2-day history of 'not using his left arm'. X-ray reveals a transvers…
Kwame is a 2-year-old boy, 12 kg, brought to the regional hospital paediatric A&E. He has had profuse watery diarrhoea for 3 days and is now unable to drink. On examination he is lethargic, his eyes a…
A 7-year-old boy, Kwame, weighing 22 kg, presents to Komfo Anokye paediatric A&E with 2 days of fever, headache, and vomiting. He is alert (GCS 15), not photophobic, has mild neck stiffness, and no ra…
A 6-year-old boy named Kwesi is brought to a district hospital A&E in Brong-Ahafo after a seizure that began 12 minutes ago. He is still convulsing. No IV access is in situ. His weight is estimated at…
A 5-year-old boy, Yaw, weighing 18 kg, is referred from a CHPS compound to the district hospital with sudden onset of high fever (40.1°C), drooling, muffled 'hot potato' voice, and severe respiratory …
A 5-year-old boy named Kwame, weighing 18 kg, is brought to Korle Bu paediatric ED by his mother. He has disclosed to his teacher that he has been 'touched in a bad way' by an adult at home. On examin…
A 22-day-old male infant, weighing 3.4 kg, is brought to the paediatric A&E at Korle Bu by his mother with a 6-hour history of fever. Temperature is 38.4°C (rectal), HR 168 bpm, RR 48/min, SpO₂ 98% in…
A 4-year-old boy, Kofi, weighing 18 kg, is brought unresponsive to the resuscitation bay at Komfo Anokye paediatric A&E. He was found collapsed at home. He has no palpable central pulse. You commence …
A 7-year-old girl named Akua, weighing 22 kg, is brought to a district hospital A&E in Brong-Ahafo after eating a biscuit containing milk at school. She has flushing, urticaria, and vomiting. HR 132 b…
A 4-month-old girl, weighing 6 kg, is brought to the regional hospital paediatric A&E by her mother from a CHPS compound with a 2-day history of fever and poor feeding. On assessment: HR 178 bpm, RR 6…
An 8-month-old girl, weighing 7.5 kg, is brought to Komfo Anokye paediatric resus bay after reportedly rolling off a low mattress. She is drowsy (GCS 11: E3V3M5), has a bulging anterior fontanelle, an…
A 3-year-old boy, Kwame, weighing 14 kg, requires emergency intubation in the resuscitation bay of a regional hospital in the Northern Region. He is deeply unconscious with GCS 5 following suspected c…
A 2-year-old girl, Ama, is brought to Komfo Anokye ED by her father. She has been seizing for approximately 8 minutes. She has a history of febrile seizures but has never had one lasting more than 3 m…
Akua, a 9-year-old girl weighing 28 kg, is 4 hours into DKA management at a regional hospital. She was alert on admission but her mother reports she has become increasingly difficult to rouse. On reas…
A 12-year-old boy, Kwame, is brought to Korle Bu Emergency Centre by his family with a 2-hour history of palpitations and presyncope. He has a known background of WPW syndrome, diagnosed age 9. Vitals…
A 28-hour-old male neonate is brought to the emergency centre at Korle Bu Teaching Hospital by his mother. He was born at term by normal vaginal delivery at a peripheral clinic; birth weight was 3.1 k…
A 7-year-old boy, Yaw, is brought to the district hospital in the Upper East Region by his mother after having two seizure episodes at home over the past 4 hours. He has been feverish for two days. He…
A 7-year-old girl, Ama, weighing 22 kg, is in asystole following a drowning incident at a river in the Brong-Ahafo region. She was apnoeic on arrival. CPR is in progress. Venous access has just been e…
A 3-day-old male neonate, weight 3.2 kg, born at term via normal vaginal delivery at a district hospital in the Upper East Region, is brought to the regional hospital with bilious (green) vomiting sin…
A 2-year-old boy, weighing 13 kg, is brought to the regional hospital paediatric A&E by his mother at 02:00. He has had a barking cough and hoarse voice for 6 hours. On examination: HR 118, RR 28, SpO…
A 5-year-old boy, Yaw, weighing 20 kg, presents to the paediatric A&E at Tamale Teaching Hospital with a 20-minute history of generalised tonic-clonic seizures. He remains fitting. His mother reports …
A 3-year-old girl, Ama, weighing 14 kg, is brought to the regional hospital paediatric A&E by her mother. She has had fever for 18 hours and is now increasingly drowsy. On examination: HR 148 bpm, RR …
Yaw is a 3-year-old boy, 14 kg, brought to Komfo Anokye paediatric A&E with a 24-hour history of vomiting (8 episodes) and watery diarrhoea. He is alert, drinking when offered fluid but vomits shortly…
A 14-month-old girl is referred from a district hospital in the Upper East Region to the regional hospital ED. She is still actively seizing on arrival — her mother reports the convulsion began approx…
A 3-month-old female infant is assessed in the emergency unit of a regional hospital in the Northern Region. She was brought in by her father with a 24-hour history of nasal congestion, fast breathing…