A 38-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo with a 3-day history of colicky central abdominal pain, absolute constipation, and vomiting. He had an appendicectomy 5 year…
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A 38-year-old woman, Akua, is brought to the Korle Bu emergency centre by relatives after three days of progressive jaundice, vomiting, and confusion. She has no prior history of liver disease. Her re…
Kofi, a 55-year-old man with known gallstones, presents to Tamale Teaching Hospital ED with severe epigastric pain and vomiting for 8 hours. Vitals: BP 110/70 mmHg, HR 112 bpm, Temp 38.1°C, SpO2 96%. …
A 52-year-old man, Kwame, presents to the regional hospital A&E with two episodes of haematemesis over the past four hours. He has no known liver disease. Vitals: BP 118/74 mmHg, HR 96 bpm, RR 16/min,…
Mohammed, a 52-year-old man with a long history of heavy alcohol use, is brought to the regional hospital ED in Tamale by his family after two days of worsening epigastric pain, vomiting, and inabilit…
A 29-year-old woman, Adwoa, presents to a district hospital A&E with a single episode of bright red haematemesis after a night of heavy alcohol consumption and repeated vomiting. She has no prior GI h…
Kofi, a 68-year-old man with a 3-week history of epigastric pain and dark stools, presents to the Korle Bu emergency centre after a single episode of haematemesis containing coffee-ground material. He…
Kofi, a 45-year-old man with no prior liver disease, is referred from a regional hospital in the Brong-Ahafo Region to Komfo Anokye Teaching Hospital with a 5-day history of deep jaundice and progress…
Abena, a 44-year-old woman, presents to the Korle Bu emergency centre with a 12-hour history of severe epigastric pain, vomiting, and fever. She was diagnosed with acute pancreatitis two days ago at a…
A 61-year-old man presents to a district hospital A&E in Brong-Ahafo with melaena for two days and one episode of coffee-ground vomiting. Vitals: HR 102 bpm, BP 104/68 mmHg, RR 18/min. Bedside glucose…
Yaa, a 48-year-old woman with known gallstones, presents to the Korle Bu emergency centre with a 20-hour history of acute epigastric pain, vomiting, and fever. On examination: BP 88/58 mmHg, HR 126 bp…
Kwame, a 54-year-old man with known alcoholic liver cirrhosis and a history of prior variceal haemorrhage, is brought to the Komfo Anokye ED by relatives after vomiting approximately 800 mL of fresh b…
A 45-year-old man, Yaw, with known alcohol-related cirrhosis and ascites is admitted to the Korle Bu emergency centre with a three-week history of progressive oliguria and rising creatinine. He was re…
A 54-year-old man, Kwame, presents to the regional hospital A&E in Kumasi having vomited approximately 400 mL of fresh blood at home. He drinks approximately 14 units of alcohol per week, takes no reg…
A 61-year-old man is referred from a district hospital in Brong-Ahafo with a 12-hour history of melaena and one episode of haematemesis. He takes ibuprofen regularly for knee pain. Vitals on arrival t…
A 28-year-old man, Kofi, presents to the regional hospital A&E in Kumasi with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He is febrile at 38.4°C, HR 102 bpm, B…
A 68-year-old man, Yaw, is referred from a district hospital in Northern Region with a 3-day history of colicky central abdominal pain, absolute constipation, and progressive abdominal distension. He …
A 45-year-old woman, Ama, is admitted to a regional hospital ED with a 6-hour history of large-volume bright red rectal bleeding. She is actively bleeding and haemodynamically unstable with BP 85/50 m…
A 48-year-old man, Kofi, with known liver cirrhosis secondary to hepatitis B presents to the Komfo Anokye ED having vomited a large volume of fresh blood. He is haemodynamically unstable with a blood …
A 42-year-old woman, Akosua, presents to the Komfo Anokye ED with a 10-hour history of severe epigastric pain radiating to the back, associated with nausea and three episodes of vomiting. She has no k…
A 38-year-old woman, Afia, is brought to Komfo Anokye ED by relatives with haematemesis and altered consciousness. She is known to have hepatitis B-related cirrhosis. Vitals: HR 118 bpm, BP 82/50 mmHg…
Akosua, a 47-year-old woman, is assessed in the regional hospital A&E with acute pancreatitis. Her admission bloods show: WBC 16 × 10⁹/L, glucose 12.4 mmol/L, urea 18 mmol/L, LDH 720 U/L, AST 210 U/L.…
Kofi, a 35-year-old farmer, presents to a regional hospital ED in the Volta Region after ingesting a traditional herbal concoction 4 days ago for 'body pains'. He is increasingly confused. Vitals: BP …
Ama, a 42-year-old woman with known hepatitis B infection, presents to the Komfo Anokye ED with a 5-day history of progressive jaundice, abdominal distension, and worsening confusion. Her family repor…
Kofi, a 58-year-old man with known alcoholic liver cirrhosis (Child-Pugh Class C), is referred from a district hospital in Brong-Ahafo with a 3-day history of increasing abdominal distension, fever (3…
A 60-year-old man, Kwame, presents to Komfo Anokye ED with a 2-day history of right upper quadrant pain, fever to 39.8°C, and jaundice. He is confused. Vitals: HR 118 bpm, BP 90/60 mmHg, RR 22/min, Sp…
A 52-year-old man, Kofi, with known alcohol-related cirrhosis presents to the Komfo Anokye ED with a two-day history of increasing abdominal distension, fever of 38.6°C, and diffuse abdominal tenderne…
Afia, a 34-year-old woman with known hepatitis B-related cirrhosis, is brought to Korle Bu emergency centre by relatives. She has vomited approximately 600 mL of fresh blood. Vitals: BP 88/54 mmHg, HR…
A 72-year-old man with known atrial fibrillation presents to Korle Bu emergency centre with sudden-onset severe central abdominal pain for 3 hours. He describes the pain as 'out of proportion' to anyt…
Akua, a 34-year-old schoolteacher with no prior liver disease, is brought to the Korle Bu emergency centre by her family after ingesting approximately 18 g of paracetamol in a single episode 14 hours …