Akosua, a 72-year-old woman, is brought to the district hospital A&E in Ashanti Region by her daughter. She has not opened her bowels for 10 days and complains of lower abdominal distension and crampy…
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Fatima, a 45-year-old woman, presents to the district hospital A&E in Upper East Region with a two-day history of constipation and colicky lower abdominal pain. She has been vomiting repeatedly and ha…
Yaw, a 65-year-old man, presents to the Komfo Anokye ED with a six-week history of progressive constipation alternating with loose stools, and he has noticed blood mixed in his stool. He has lost appr…
Kwame, an 80-year-old man, is brought to the regional hospital A&E in Brong-Ahafo by his family. He has been confused for two days and has not passed stool for two weeks. On examination, his abdomen i…
A 22-year-old man, Kwame, presents to a district hospital A&E in Brong-Ahafo with a 24-hour history of pain that began around the umbilicus and has now migrated to the right iliac fossa. He has a low-…
A 28-year-old man, Yaw, is brought to the district hospital A&E in the Upper West Region by relatives after 3 days of high fever followed by sudden-onset confusion and violent behaviour. He lives in a…
A 34-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family after they found him confused and agitated at home. He has a known history of type 1 diabetes and missed …
A 45-year-old man, Yaw, is brought to the regional hospital A&E in Ashanti. His wife reports he has had three days of fever, cough, and confusion. On examination he is disoriented, febrile at 38.9°C, …
A 34-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family. He is confused, agitated, and speaking incoherently. His temperature is 39.8°C, pulse 118 bpm, and respi…
A 35-year-old man, Mohammed, presents to the regional hospital A&E in Tamale. He is brought in by his brother who says he has been 'acting mad' for two days. On examination he is febrile at 39.1°C, ha…
A 22-year-old woman, Akua, is brought to Komfo Anokye ED by police after being found wandering in traffic, speaking incoherently. She has no known medical history. On examination she is febrile (38.9 …
A 45-year-old man, Mensah, presents to the regional hospital A&E in the Ashanti Region with a 2-day history of progressive confusion and agitation. He has a productive cough, fever (39.2 °C), and oxyg…
A 3-year-old boy, Kwame, is brought to a regional hospital A&E by his grandmother. She says he accidentally sat on a hot cooking pot two days ago. On examination, there are sharply demarcated, symmetr…
A 14-month-old boy, Kofi, is brought to the district hospital A&E in Ashanti Region by his mother, who says he 'fell off the bed' this morning. On examination, you find multiple bruises over his butto…
A 2-year-old boy, Yaw, is brought to Korle Bu emergency centre by his parents after a 'fall down the stairs.' On examination, he has a spiral fracture of the right femur and a healing bruise over the …
A 5-year-old boy presents to a district hospital in the Northern Region with a spiral fracture of the femur. His grandmother states he 'fell while playing'. He is pre-ambulatory and has not yet starte…
A 28-year-old woman, Esi, presents to a regional hospital A&E in Greater Accra with a swollen, tender right eye and a laceration to her lower lip. She initially says she 'walked into a door.' When the…
A 16-year-old girl, Afia, is brought to the Komfo Anokye ED by a school teacher after disclosing that she was sexually assaulted by a family member last night. She is distressed but haemodynamically s…
A 28-year-old woman, Esi, presents to a regional hospital A&E in the Greater Accra Region with a swollen, tender right eye and a laceration to her lower lip. She initially says she 'fell.' When the nu…
A 7-year-old girl, Abena, is brought to the Korle Bu Emergency Centre by her father. She has a retinal haemorrhage on fundoscopy and a bulging anterior fontanelle. The father states she fell from a ch…
A 9-month-old girl, Ama, is brought to Komfo Anokye ED by her father, who reports she became 'floppy and unresponsive' while in his care. On examination, she has a bulging anterior fontanelle, retinal…
Kwame, a 68-year-old man with known COPD, is brought to the regional hospital A&E in respiratory distress. He is using accessory muscles and has a respiratory rate of 28 breaths per minute. His ABG on…
Yaw, a 19-year-old man with known type 1 diabetes, is brought to the UGMC Emergency Centre by his family. He has been vomiting for two days and appears dehydrated with Kussmaul breathing. Blood glucos…
Akua, a 58-year-old woman with known hypertension, is brought to Korle Bu Emergency Centre after collapsing at home. She appears mottled, cold, and clammy. Her blood pressure is 72/40 mmHg, heart rate…
Kofi, a 34-year-old man, is found unresponsive in the waiting area of Korle Bu Emergency Centre. A bystander reports he was seen injecting himself. On examination he has a Glasgow Coma Scale of 7, res…
A 6-year-old girl, Akua, is brought to Komfo Anokye ED by her mother with a 12-hour history of fever, sore throat, and progressive difficulty swallowing. On examination she is sitting upright, droolin…
A 45-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo after being found unresponsive following a road traffic accident. He is breathing but produces a loud snoring sound wit…
A 55-year-old woman, Adwoa, collapses in the waiting area of a district hospital in the Upper East Region. She is unresponsive and apnoeic. A nurse brings a bag-valve-mask (BVM) device. You are alone …
A 42-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family after being found confused and unsteady. He is a known heavy drinker. On examination he is disoriented, h…
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 …