Akosua, an 81-year-old woman, is brought to Korle Bu emergency centre by her son after he noticed she 'just seemed vacant' for the past 48 hours. She has a background of well-controlled type 2 diabete…
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Kofi Asante, a 72-year-old man with ischaemic heart disease, chronic kidney disease (eGFR 28 mL/min/1.73 m²), and gout, presents to a regional hospital ED in the Volta Region with worsening ankle swel…
Yaw, a 42-year-old man, is brought to Korle Bu Emergency Centre by his wife with a 10-day history of progressive headache, low-grade fever, and right-sided arm weakness. He has known HIV with a CD4 co…
Akosua, a 34-year-old woman, is brought by her husband to the Komfo Anokye ED with a 3-week history of progressive dyspnoea on exertion, now present at rest, dry cough, and low-grade fever. She was di…
A 41-year-old man is referred from a district hospital in the Volta Region to the Ho Teaching Hospital ED with a 10-day history of progressively worsening headache, fever, and neck stiffness. For the …
Kofi, a 45-year-old lorry driver, is brought to a district hospital in Brong-Ahafo after being found confused at a roadside. Bystanders report he was shaking about 20 minutes ago. He is known to have …
Mohammed, a 29-year-old male medical intern, sustains a deep needlestick injury to his right index finger while recapping a needle used to draw blood from a known HIV-positive patient at a regional ho…
Kofi, a 28-year-old man with known HbSS disease, is brought to Komfo Anokye ED with sudden onset right-sided weakness and slurred speech of 2 hours duration. He denies headache or seizures. Vitals: te…
Kofi, a 68-year-old man with atrial fibrillation on warfarin (INR on admission 4.2), is brought to the Korle Bu emergency centre after a high-speed road traffic collision resulting in blunt abdominal …
Kofi, a 19-year-old male student with no known chronic illness, presents to a district hospital in Brong-Ahafo with generalised urticaria, lip swelling, and difficulty swallowing that started 10 minut…
A 65-year-old retired teacher, Mensah, presents to the Korle Bu neurosurgical unit with a 6-week history of progressive headache, mild confusion, and left arm weakness. His wife reports that he had a …
A 32-year-old woman, Ama, is admitted to the neurosurgical ward at a regional hospital in the Northern Region following a road traffic accident. She has a GCS of 9 (E2V2M5) and a CT head shows diffuse…
A 19-year-old male student, Yaw, is brought to a district hospital emergency unit in the Northern Region after being assaulted with a wooden club. He was initially unconscious for approximately 10 min…
A 19-year-old university student, Esi, is admitted to the Komfo Anokye Teaching Hospital neurosurgical unit following a road traffic crash in which she was an unrestrained front-seat passenger. She wa…
A 55-year-old woman, Adwoa, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 3-week history of progressive headache, intermittent confusion, and left-side…
A 28-year-old man, Kwame, is brought by relatives to the emergency department of a regional hospital in the Ashanti Region after being struck on the head by a falling metal rod at a construction site.…
During a neurosurgical teaching session at Korle Bu, a senior registrar is asked to describe the anatomical basis of the 'talk and die' phenomenon seen in extradural haematoma. She is specifically ask…
A 42-year-old man, Yaw, presents to the emergency department of a district hospital in the Bono East Region after a fall from a palm tree approximately 3 hours ago. He struck the back of his head on a…
A 45-year-old farmer, Yaw, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital following a fall from a mango tree three weeks ago. He initially appeared well after …
A 35-year-old woman, Ama, presents to the Komfo Anokye surgical casualty with a 2-day history of severe headache, fever (38.9°C), and neck stiffness. She has a GCS of 14 (E3V5M6) and photophobia. She …
A 65-year-old retired civil servant, Yaw, presents to the Korle Bu neurosurgical unit with a 6-week history of progressive headache, mild confusion, and unsteady gait. His daughter reports he had a mi…
A 28-year-old man, Kwame, is brought by relatives to the emergency department of a regional hospital in Ashanti after a road traffic accident on the Kumasi–Accra highway. He was a front-seat passenger…
A 34-year-old motorcyclist, Mohammed, is brought by relatives to the emergency department of the UGMC surgical unit after a high-speed collision. He was not wearing a helmet. He is unresponsive with a…
A 19-year-old student, Esi, is referred from a district hospital in the Northern Region to the regional hospital in Tamale after being struck on the left side of the head with a stone during a communi…
A 55-year-old man is admitted to the Korle Bu neurosurgical unit with a 3-week history of progressive headache, increasing confusion, and right-sided arm weakness. His wife reports that he had a minor…
A 45-year-old woman, Akua, is admitted to the Korle Bu neurosurgical unit following a fall from a second-floor balcony. She is intubated in the resus bay after her GCS dropped to 7 (E1V2M4). CT head r…
A 65-year-old woman, Adwoa, is referred to the Korle Bu neurosurgical unit from a regional hospital in the Volta Region. She has a 3-week history of progressive left-sided weakness and headache, with …
A 28-year-old carpenter, Kwame, is brought by relatives to the emergency department of a regional hospital in the Ashanti Region after falling from scaffolding approximately 3 metres high. He had a wi…
A 65-year-old woman, Akua, is referred from a district hospital in the Volta Region to the UGMC surgical unit after a 3-week history of progressive headache, left-sided limb weakness, and increasing c…
A 19-year-old university student, Yaw, is brought to the emergency department of a regional hospital in Brong-Ahafo after falling from a motorcycle without a helmet on a rural road. At the scene he wa…