A 38-year-old man, Yaw, presents to Komfo Anokye ED. He is a known heavy drinker who was last seen drinking two days ago. He is now tremulous, diaphoretic, and extremely agitated. His pulse is 118 bpm…
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Ama, a 35-year-old woman, is brought to the Komfo Anokye ED after being found unresponsive at a party. Bystanders report she consumed a large amount of alcohol. She is unresponsive to voice, responds …
A 52-year-old man, Kwabena, is brought to the Komfo Anokye ED by his family. He is known to drink heavily and has not had alcohol for 48 hours following a family intervention. On examination he is agi…
Kofi, a 44-year-old known alcohol-dependent man, was last seen drinking 36 hours ago. He presents to the district hospital A&E trembling, diaphoretic, and agitated. His pulse is 118 bpm, blood pressur…
A 50-year-old man, Kofi, is brought to Korle Bu emergency centre after being found unconscious outside a drinking bar. His GCS is 8/15 and there is a 4 cm laceration over his right temporal region wit…
A 38-year-old woman, Akua, presents to the Komfo Anokye ED having drunk a large amount of locally brewed spirits at a funeral. She is drowsy but rousable, smells strongly of alcohol, and has slurred s…
Yaw, a 45-year-old known heavy drinker, is brought to Korle Bu emergency centre having not consumed alcohol for 36 hours. He is agitated, tremulous, and diaphoretic. His heart rate is 118 bpm, blood p…
A 45-year-old woman, Adwoa, with a long history of alcohol dependence is brought to the district hospital A&E in Brong-Ahafo by a neighbour. She is confused and unsteady on her feet. On examination sh…
Abena, a 52-year-old woman with a history of chronic alcohol dependence, is seen in the A&E of a regional hospital. She last drank 72 hours ago. She is now profoundly agitated, globally confused, and …
A 38-year-old man, Kwame, is brought to the A&E of a regional hospital by his friends after a night of heavy drinking. He is drowsy but rousable, smells strongly of alcohol, and vomits once on the tro…
A 45-year-old man, Kwame, is brought to the district hospital A&E in Ashanti Region by his family. He smells strongly of alcohol, is drowsy but rousable, and is slurring his words. His GCS is 12/15, p…
Kofi, a 50-year-old man with a long history of heavy alcohol use, is brought to the regional hospital A&E by police. He was found on the street with a laceration to his scalp. He is drowsy, smells of …
Akua, a 28-year-old woman, is brought to the regional hospital A&E in Kumasi 10 minutes after eating groundnuts at a party. She has generalised urticaria, swelling of her lips and tongue, and is strug…
A 19-year-old student, Yaw, is brought to the Korle Bu emergency centre after a bee sting. He received IM adrenaline 0.5 mg and two 500 mL boluses of 0.9% sodium chloride but remains hypotensive at 78…
Adwoa, a 31-year-old nurse, is seen in the Komfo Anokye ED after anaphylaxis to latex gloves during a procedure. She was treated successfully with IM adrenaline, IV fluids, IV hydrocortisone 200 mg, a…
A 38-year-old woman, Abena, presents to the regional hospital A&E with sudden onset throat tightness and urticaria after taking ibuprofen for a headache. She is on atenolol 50 mg daily for hypertensio…
Ama, a 22-year-old woman, is seen at a district hospital in Brong-Ahafo after being stung by a bee. She has urticaria over her trunk, periorbital swelling, and audible wheeze. Her blood pressure is 95…
A 34-year-old woman, Fatima, presented to the regional hospital A&E with anaphylaxis after a latex exposure during a surgical procedure. She was treated promptly with IM adrenaline, IV fluids, chlorph…
Akua, a 28-year-old woman, is brought to the Komfo Anokye ED five minutes after receiving an intramuscular penicillin injection at a nearby clinic. She is agitated, with generalised urticaria and angi…
A 28-year-old woman, Akosua, is brought to the regional hospital A&E by her husband 10 minutes after receiving an intramuscular penicillin injection at a nearby clinic. She has generalised urticaria, …
Yaw, a 40-year-old farmer, presents to a district hospital in the Upper East Region with severe urticaria and wheezing after a bee sting. He is treated promptly with IM adrenaline, high-flow oxygen, I…
A 28-year-old woman, Akua, is brought to the Komfo Anokye ED five minutes after receiving an intramuscular injection of penicillin at a nearby clinic. She is distressed, with generalised urticaria, sw…
Kofi, a 35-year-old man, is in the resus bay of Korle Bu Emergency Centre after receiving IV ampicillin for a skin infection. Within 5 minutes he develops generalised flushing, urticaria, and stridor.…
Kofi, a 34-year-old man, develops generalised flushing, urticaria, stridor, and difficulty breathing at a district hospital in Brong-Ahafo, thirty seconds after the nurse begins an IV infusion of ampi…
A 30-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of fever, severe headache, and neck stiffness. On examination she has a GCS of 13, temperature 39.4°C, …
A 60-year-old man, Mensah, is brought to the Korle Bu emergency centre by his wife. He is found to have a GCS of 7 after a sudden-onset severe headache followed by rapid deterioration. His BP is 210/1…
A 19-year-old student, Akua, presents to the regional hospital A&E in Kumasi with a 6-hour history of severe headache, fever, and neck stiffness. On examination, her temperature is 39.4°C, HR 118 bpm,…
A 22-year-old woman, Abena, is brought to the Komfo Anokye ED by her flatmates after they found her unconscious in her room. The flatmates report she had been at a party and may have taken unknown sub…
Ama, a 45-year-old woman with a history of chronic alcohol use, is brought to the Komfo Anokye ED by her family. She is confused (GCS 12), unable to walk without support, and has horizontal nystagmus …
A 32-year-old man is found unconscious outside a pharmacy in Accra and is brought to the Korle Bu emergency centre. On examination: GCS 6, respiratory rate 6 breaths/min, oxygen saturation 82% on air,…