A 28-year-old woman, Afia, presents to a regional hospital ED in the Volta Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and lower back pain. She is a farmer who has not…
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Akua, a 34-year-old woman, presents to a regional hospital A&E in the Ashanti region having been referred from a district facility. She underwent splenectomy five years ago following a road traffic co…
A 5-year-old boy named Kofi is carried into a district hospital in the Bono East Region by his mother. He has had watery diarrhoea for 10 hours and has not urinated for 6 hours. He is lethargic and hi…
A 14-year-old boy, Yaw, is brought to a regional hospital emergency department in Ashanti by his father after 2 weeks of fever at home. Three days ago he developed mild periumbilical pain which has no…
You are the medical officer on duty at a district hospital in the Upper West Region of Ghana. A 52-year-old woman, Adwoa, is brought by her son with a 4-day history of fever, headache, and severe lowe…
A 34-year-old woman, Fatima, presents to the emergency centre at Korle Bu Teaching Hospital with a 6-day history of fever, severe sore throat, and progressive weakness. She is a nurse who was deployed…
A 45-year-old teacher, Yaw, presents to a district hospital in Brong-Ahafo with a 4-week history of generalised fatigue, urticarial rash, and recurrent abdominal discomfort. He gives a history of chil…
A 19-year-old man named Kofi presents to a district hospital in the Upper East Region with a 2-day history of severe pain and swelling in his right knee after a minor football injury. Temperature is 3…
A 19-year-old man named Yaw presents to a district hospital A&E in the Upper West Region. He has had three discrete tonic-clonic seizures over the past 2 hours, each lasting 2-3 minutes with full reco…
Kwabena, a 38-year-old male teacher with no significant past medical history, presents to the A&E of a regional hospital in the Ashanti Region with a severe unilateral left-sided periorbital headache …
A 2.5-year-old boy is brought to a district hospital in the Northern Region with 3 days of cough and fever. Temperature 38.6°C, RR 42 breaths/min, HR 132 bpm, SpO2 95% on room air, weight 12 kg. He is…
A mother brings her 14-month-old son, Kofi, to a district hospital in the Upper West Region. He has had cough and difficulty breathing for 2 days. He is alert and feeding, though less than usual. Temp…
Akua, a 5-year-old girl weighing 18 kg, is admitted to the regional hospital paediatric ward with cerebral malaria. She has been receiving IV artesunate for 18 hours and her GCS has improved from 8 to…
A 3-year-old boy, Mohammed, is referred from a health centre in Northern Region to a district hospital with a 3-day history of cough, fever, and fast breathing. The health centre had already started h…
A 9-year-old girl, Akua, weighing 28 kg, is in cardiac arrest in the Korle Bu paediatric resus bay. CPR is ongoing. The monitor shows pulseless electrical activity (PEA). She received one dose of adre…
Afia, a 20-month-old girl, is brought to the emergency unit of a regional hospital in Ashanti Region. Her mother says she has had cough for 4 days and stopped breastfeeding yesterday. On examination s…
Ama, a 7-year-old girl weighing 22 kg, is referred from a district hospital in the Upper East Region with 5 days of fever, inability to walk, and two witnessed seizures today. On arrival at the region…
Yaa, a 3-year-old girl, is brought to the Tamale Teaching Hospital ED with cough for 5 days. She has had one seizure at home lasting about 2 minutes (now resolved). Temperature 39.8°C, RR 50 breaths/m…
A mother brings her 14-month-old son, Kofi, to a district hospital in Brong-Ahafo. He has had watery diarrhoea 8 times and vomited 3 times over the past 18 hours. He is irritable and crying. Vitals: H…
Abena, a 4-year-old girl, is brought to a district hospital in Brong-Ahafo Region with a 2-day history of cough and fever. She is eating and drinking normally. On examination: temperature 38.2°C, HR 1…
Yaw, a 52-year-old subsistence farmer, presents to a district hospital in the Brong-Ahafo Region with a 3-week history of cough productive of foul-smelling, dark-brown sputum, fever, and 6 kg weight l…
A 58-year-old man is seen at a district hospital emergency unit in the Northern Region. He has a chronic productive cough and uses salbutamol inhalers. He presents with 4 days of increased breathlessn…
Kofi, a 22-year-old student, presents to the regional hospital A&E in Tamale with a 5-day history of sudden-onset high fever, severe retro-orbital headache, myalgia, and a generalised maculopapular ra…
Kofi, a 45-year-old cocoa farmer from Western Region, is referred to the regional hospital A&E on day 3 of a febrile illness with worsening breathlessness. He has no prior cardiac history and has not …
Ama, a 42-year-old livestock trader, presents to a regional hospital A&E in the Upper East Region with a 4-day history of fever, severe headache, myalgia, and back pain. She returned 6 days ago from a…
Ama, a 19-year-old university student in Accra, presents to a regional hospital A&E with 8 days of fever, severe headache, and increasing drowsiness. She returned 12 days ago from a two-week visit to …
A 6-year-old boy named Mensah is reviewed on the paediatric ward at a regional hospital in the Central Region, three weeks after successful treatment for confirmed cerebral malaria with IV artesunate …
A 2.5-year-old girl named Akua is admitted to the paediatric ward of a district hospital in the Ashanti Region. She was brought by her father, a cocoa farmer, after 10 days of progressive oedema and s…
Kofi, a 38-year-old cocoa farm labourer from the Ashanti Region, is brought to the district hospital A&E by relatives with a 12-day history of fever, severe headache, altered consciousness, and a gene…
Mohammed, a 45-year-old subsistence farmer from the Brong-Ahafo region, presents to a district hospital A&E 10 days after returning from a 2-week pilgrimage to Mecca, Saudi Arabia. He reports severe b…