Akosua, a 26-year-old woman, is brought to the A&E of a regional hospital by her husband with a two-day history of lower abdominal pain and light vaginal bleeding. Her last menstrual period was eight …
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A 26-year-old woman, Fatima, presents to a district hospital in the Upper East Region with a six-week history of amenorrhoea and a two-day history of light vaginal spotting. She has no abdominal pain …
A 32-year-old woman, Akosua, has just delivered at the Korle Bu emergency centre. She has heavy postpartum bleeding and the uterus is soft and atonic. The midwife has already administered oxytocin. Yo…
Afia, a 25-year-old woman, presents to the district hospital A&E with heavy vaginal bleeding after a miscarriage at approximately 12 weeks. She passed tissue at home two hours ago but bleeding has con…
A 24-year-old woman, Akosua, presents to the district hospital A&E in Brong-Ahafo with lower abdominal pain and vaginal spotting for two days. Her last menstrual period was eight weeks ago. Vital sign…
Kofi, a 45-year-old man with a known history of heavy alcohol use, presents to a district hospital in Brong-Ahafo vomiting large amounts of fresh red blood. He is pale and diaphoretic. His blood press…
Akua, a 35-year-old woman with known type 1 diabetes, presents to a regional hospital A&E with a 2-day history of vomiting, abdominal pain, and increasing drowsiness. Her blood glucose on bedside test…
A 34-year-old woman, Akosua, is brought to the regional hospital A&E by her husband after two days of vomiting and inability to tolerate oral fluids. She has been vomiting 8–10 times daily. On examina…
A 4-month-old female infant, Ama, is brought to Komfo Anokye ED with a 12-hour history of bilious (green) vomiting and progressive abdominal distension. She appears lethargic and in pain. On examinati…
Mensah, a 7-month-old male infant, is brought to a district hospital in the Volta Region by his mother with a 6-hour history of episodic screaming and drawing up of his legs. Between episodes the chil…
A 22-year-old woman, Esi, is brought to Korle Bu emergency centre after being found unresponsive. Her housemates report she took an unknown quantity of paracetamol tablets approximately 4 hours ago. S…
A 60-year-old man, Kwabena, is brought to the regional hospital A&E in Western Region with a sudden onset of severe headache described as 'the worst headache of his life', followed by vomiting. He has…
A 9-month-old male infant, Kofi, is brought to the regional hospital A&E in Brong-Ahafo by his father. The child has had intermittent episodes of inconsolable crying and drawing up of his knees for th…
A 35-year-old woman, Yaa, presents to Korle Bu emergency centre with a 6-hour history of repeated vomiting of large volumes of bright red blood. She has a known history of heavy alcohol use. On examin…
Akosua, a 19-year-old woman, is brought to the Komfo Anokye ED by relatives with a 12-hour history of nausea, repeated vomiting, and central abdominal pain. She is known to have type 1 diabetes mellit…
A 62-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo to the regional A&E with a three-day history of vomiting and absolute constipation. On examination his abdomen is grossly di…
A 6-week-old male infant is brought to the district hospital in Ashanti Region by his mother, Akua. She reports that he has been vomiting forcefully after every feed for the past five days, soaking th…
A 28-year-old woman, Afia, with known type 1 diabetes is brought to Korle Bu emergency centre by her sister after 18 hours of persistent vomiting, polyuria, and abdominal pain. Her RBS is 28.4 mmol/L,…
A 6-week-old male infant is brought to a district hospital in the Ashanti Region by his mother, Akosua. She reports that for the past week he has been vomiting forcefully after every feed, and the vom…
A 6-week-old male infant is brought to the regional hospital A&E by his mother, Adwoa, after three days of vomiting after every feed. She describes the vomit as shooting across the room and non-biliou…
A 3-day-old female neonate is brought to Komfo Anokye ED by her father, Kwabena. The infant has been vomiting bright green fluid since birth and her abdomen appears mildly distended. She has not passe…
A 28-year-old man, Yaw, presents to the Korle Bu emergency centre with a 5-day history of constipation, lower abdominal cramps, and bloating. He has no red-flag features: no weight loss, no rectal ble…
Kofi, a 60-year-old man with known cancer of the prostate, presents to the district hospital A&E in Northern Region. He has been on regular oral morphine for pain control for the past three weeks and …
A 72-year-old woman, Adwoa, is brought to the district hospital A&E in Brong-Ahafo by her daughter. She has not opened her bowels for 10 days and complains of lower abdominal discomfort and bloating. …
A 45-year-old woman, Esi, presents to the district hospital A&E with a 6-week history of constipation, weight gain of 5 kg, cold intolerance, and fatigue. She has no previous bowel problems. On examin…
Adwoa, a 28-year-old woman, presents to the regional hospital A&E in Volta Region. She reports not having opened her bowels for four days following a low-fibre diet and reduced fluid intake during a b…
Kofi, a 45-year-old man, presents to a district hospital A&E with sudden-onset generalised abdominal pain for 1 hour. He has a history of peptic ulcer disease. On examination he is lying very still, a…
Yaw, a 60-year-old man with a 2-day history of crampy central abdominal pain, absolute constipation, and abdominal distension, is seen at a district hospital A&E. He has had no previous abdominal surg…
A 55-year-old woman, Ama, presents to the regional hospital A&E with a 6-hour history of colicky central abdominal pain, abdominal distension, and vomiting. She has not passed flatus since the pain be…
A 55-year-old woman with a history of hypertension and hyperlipidaemia presents to Komfo Anokye ED with a 6-hour history of severe left-sided abdominal pain radiating to her left flank, associated wit…