A 70-year-old man, Yaw, presents to the district hospital A&E in the Northern Region with sudden-onset severe central abdominal pain radiating to his lower back. He is a known hypertensive and has a 3…
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A 45-year-old woman, Akua, presents to the regional hospital A&E with sudden-onset severe pain in the right upper quadrant radiating to the right shoulder tip, which began one hour after a fatty meal.…
A 38-year-old woman, Ama, presents to Komfo Anokye ED with episodic right upper quadrant pain that began after a fatty meal. The pain lasts 2–3 hours and then resolves completely. She is afebrile with…
A 30-year-old man, Kwabena, presents to the Komfo Anokye ED with a 36-hour history of abdominal pain, initially central and now localised to the right iliac fossa, with fever of 38.4°C and anorexia. O…
A 50-year-old man, Kwabena, presents to Komfo Anokye ED with a 3-day history of worsening left iliac fossa pain, fever of 38.6°C, and change in bowel habit. On examination, he has localised LIF tender…
A 60-year-old man, Yaw, presents to a regional hospital A&E with sudden-onset severe epigastric pain that has spread to involve the whole abdomen. He has a history of peptic ulcer disease. On examinat…
Yaw, a 38-year-old man with a known diagnosis of bipolar disorder, presents to the regional hospital A&E refusing hospital admission for a manic episode. He is loud and disinhibited but is able to sta…
A 32-year-old woman, Adwoa, is brought to Korle Bu emergency centre by police after she became violent and threatening at a shopping centre. She is shouting, throwing objects, and refusing examination…
A 60-year-old man, Kofi, is brought to the regional hospital A&E in the Eastern Region after his wife found him suddenly confused and agitated. He has a history of hypertension and is on amlodipine. O…
A 25-year-old man, Kwabena, is brought to the district hospital A&E in the Volta Region by friends after ingesting an unknown substance at a party. He is agitated, has dilated pupils, a heart rate of …
A 22-year-old man, Kofi, is brought to the Korle Bu emergency centre by friends after a party. He is agitated, diaphoretic, and has dilated pupils. His pulse is 130 bpm, blood pressure 160/100 mmHg, a…
A 40-year-old man, Mensah, is brought to the Korle Bu emergency centre by his wife. He has been increasingly agitated and threatening for the past hour. He has a known history of schizophrenia and has…
A 28-year-old woman, Akua, is brought to the Komfo Anokye ED by police after she was found undressing in public, shouting that she was being chased by spirits. She has no known medical history and tak…
A 19-year-old woman, Esi, is brought to Korle Bu emergency centre by her mother after she was found at home talking to people who were not present, refusing to eat, and expressing the belief that neig…
A 40-year-old woman, Adwoa, is brought to a district hospital in the Volta Region after she was found wandering on the road. She is extremely agitated, shouting, and has already struck a nurse. She ha…
A 22-year-old woman, Abena, is brought to the resus bay at Korle Bu emergency centre after being found at home in a highly agitated state. She is screaming, attempting to bite staff, and has already o…
A 55-year-old woman, Afia, is brought to the district hospital A&E in Volta Region by her family. She has a sudden onset severe headache described as 'the worst headache of her life', followed by conf…
A 45-year-old man, Kofi, presents to a regional hospital A&E with bruising around both eyes and a fractured nose after reportedly 'being beaten by neighbours'. During the consultation, he becomes tear…
A 72-year-old woman, Adwoa, is brought to a regional hospital A&E by a neighbour. The neighbour reports that Adwoa's adult son controls all her pension money and has been refusing to buy her food or m…
A 32-year-old woman, Ama, is seen in the Korle Bu Emergency Centre following a sexual assault that occurred four hours ago. She is requesting forensic examination and wishes to report to the police. S…
A 4-year-old girl, Ama, is brought to a district hospital A&E in Northern Region. Her father says she fell while playing. On examination, there is a clearly demarcated oval bruise on the child's left …
A 32-year-old woman, Fatima, attends the Komfo Anokye ED repeatedly over six months with various injuries — a fractured wrist, rib bruising, and now a periorbital haematoma. Each time she provides a d…
A 68-year-old man, Mensah, is brought to a district hospital A&E in the Volta Region by his daughter-in-law. He has multiple bruises over his trunk and arms in different stages of healing. When alone …
A 72-year-old woman, Adwoa, is brought to a regional hospital A&E in Brong-Ahafo by her adult son. She appears unkempt, malnourished, and has multiple pressure sores over her sacrum and heels. Her son…
A 4-year-old girl, Akua, is brought to a district hospital A&E in the Northern Region. Her mother reports she fell against a table. On examination, there is a 2 cm elliptical mark on her left forearm …
A 70-year-old man, Kwame, is brought to a regional hospital A&E by a neighbour. He appears malnourished, has multiple pressure sores over his sacrum, and has not seen a doctor in over a year. His adul…
A 68-year-old man, Mensah, is seen at a district hospital A&E in Eastern Region. His daughter brought him in for confusion. He is alert and oriented but appears anxious. On further history, he reveals…
A 62-year-old man is brought to the district hospital A&E in the Volta Region after being found confused at home. He is known to have type 2 diabetes and takes metformin. Bedside glucose is 6.8 mmol/L…
A 45-year-old woman, Akosua, is admitted to Komfo Anokye ED with a three-day history of profuse watery diarrhoea and vomiting. She is dehydrated. ABG: pH 7.28, pCO2 30 mmHg, HCO3 14 mmol/L. Electrolyt…
A 52-year-old man, Kofi, is referred from a peripheral facility to Komfo Anokye ED with progressive breathlessness and bilateral leg swelling over three weeks. He has a history of dilated cardiomyopat…