A 55-year-old man, Yaw, is assessed in a district hospital A&E in Brong-Ahafo after a week of productive cough and increasing breathlessness. His SpO2 is 82% on air. An ABG (where available via referr…
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Ama, a 45-year-old woman with no prior medical history, presents to Komfo Anokye ED with sudden-onset pleuritic chest pain and breathlessness that began four hours ago. She recently returned from a lo…
A 62-year-old woman, Adwoa, is admitted to the regional hospital A&E in Tamale with a two-day history of confusion and oliguria. She has known metformin use for type 2 diabetes. Her ABG shows: pH 7.10…
Adwoa, a 22-year-old university student, is brought to the district hospital A&E after collapsing during an examination. She is alert but very distressed, complaining of tingling in her hands and feet…
Kofi, a 45-year-old man, presents to the district hospital A&E in Volta Region with severe vomiting for three days following a partial gastric outlet obstruction. He is lethargic, with BP 100/70 mmHg …
A 67-year-old woman, Adwoa, is brought to the regional hospital A&E in a confused state. Her relatives report she has been on metformin for type 2 diabetes for many years and has had poor oral intake …
A 38-year-old woman, Fatima, is brought to Komfo Anokye ED in cardiac arrest following a witnessed collapse. Return of spontaneous circulation is achieved after 15 minutes of CPR. Repeat ABG five minu…
A 70-year-old man with known COPD is brought to the regional hospital A&E in severe respiratory distress. His ABG on 28% Venturi mask: pH 7.34, pCO2 62 mmHg, HCO3 33 mmol/L. He is drowsy with a GCS of…
Aisha, a 62-year-old woman with known metformin use and newly diagnosed heart failure, is brought to Komfo Anokye ED feeling acutely unwell. Her lactate is 9.2 mmol/L, pH 7.12, HCO3 10 mmol/L. Her blo…
A 45-year-old man is brought to Tamale Teaching Hospital ED in cardiac arrest following a witnessed collapse at a construction site. ROSC is achieved after 18 minutes of CPR. Post-ROSC ABG: pH 7.08, p…
A 52-year-old man, Yaw, is assessed in the Komfo Anokye ED prior to rapid sequence intubation (RSI) for deteriorating respiratory failure. On examination: he opens his mouth to only 2 cm, his neck is …
A 22-year-old man, Yaw, is brought to the district hospital A&E in the Northern Region following a motorbike collision. He is unconscious with a GCS of 7 and there is concern about a possible cervical…
A 30-year-old man, Yaw, is brought to the regional hospital A&E unconscious after a generalised seizure. He is breathing spontaneously but is unresponsive to voice. You apply a head-tilt chin-lift and…
A 58-year-old man is brought to Korle Bu emergency centre in cardiac arrest. CPR is in progress. The nurse has placed a bag-valve-mask (BVM) and is attempting ventilation, but chest rise is absent and…
A 29-year-old woman, Akosua, is brought to the district hospital A&E following a house fire with facial burns and singed nasal hair. She is increasingly hoarse, with inspiratory stridor. SpO2 is 91% o…
A 38-year-old man, Kwabena, requires emergency intubation in the Korle Bu emergency centre following a drug overdose. On assessment, he has a Mallampati Class IV view, a thyromental distance of less t…
A nurse at the Korle Bu emergency centre asks you to select the correct size oropharyngeal airway (Guedel airway) for an adult male patient who is unconscious. The patient has a medium-sized adult fra…
A 25-year-old woman, Ama, is assessed in the A&E of a regional hospital before an anticipated intubation for status epilepticus. On examination she has a short neck with limited extension, a small man…
Mohammed, a 48-year-old man known to drink heavily, presents to the district hospital A&E vomiting large amounts of bright red blood. He reports several episodes of vomiting before the haematemesis be…
A 29-year-old man, Mohammed, is brought to Korle Bu emergency centre after drinking locally brewed spirit at a party. Several other attendees are also unwell. He complains of severe headache, blurred …
A 40-year-old woman, Ama, is brought to the district hospital A&E in Upper East Region. She is known to drink heavily and has not had alcohol for 18 hours. She is now tremulous and anxious. The nurse …
A 44-year-old man, Mensah, is brought to the district hospital A&E in Brong-Ahafo. He is a chronic alcohol user who stopped drinking abruptly 36 hours ago after running out of money. He is now mildly …
A 39-year-old man is brought to the A&E of a regional hospital after a 3-day alcohol binge followed by abrupt cessation and vomiting. He is alert but nauseated, with mild epigastric tenderness. Vital …
A 56-year-old man, Kwabena, presents to the regional hospital A&E in Kumasi with haematemesis. He has vomited approximately 500 mL of fresh blood. He is a known heavy drinker and has a history of epig…
A 55-year-old man is brought to the regional hospital A&E by relatives after ingesting an unknown quantity of locally brewed alcohol. He is confused and combative, with a GCS of 12. His respiratory ra…
Mensah, a 55-year-old man with chronic alcoholism, is seen in the A&E of a regional hospital with a 2-day history of fever, productive cough, and worsening confusion. His temperature is 39.1°C, heart …
A 47-year-old woman, Afia, presents to a district hospital A&E. She is known to drink heavily and her last drink was 2 days ago. She has had two witnessed generalised tonic-clonic seizures in the past…
A 45-year-old man, Kwame, presents to a district hospital in Brong-Ahafo after eating groundnut stew. He has diffuse urticaria and lip swelling but is speaking in full sentences, maintaining his own a…
Mohammed, a 52-year-old man with known hypertension, is brought to the A&E of a regional hospital in the Northern Region after developing facial swelling, throat tightness, and a hoarse voice 30 minut…
A 25-year-old man, Mohammed, presents to the district hospital A&E with a pruritic rash on his trunk and arms after eating shellfish at a party. He is haemodynamically stable (BP 118/76 mmHg, HR 88 bp…