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…
An 80-year-old woman, Abena, is admitted to the regional hospital A&E from a nursing home with confusion and generalised weakness. She has not opened her bowels for 2 weeks. Rectal examination reveals…
A 65-year-old man, Kwame, presents to the regional hospital A&E with a 3-day history of absolute constipation — no flatus or stool — associated with progressive abdominal distension and vomiting. He h…
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 55-year-old man, Kofi, presents to the district hospital A&E with a 4-week history of progressive constipation and a change in bowel habit to pencil-thin stools. He also reports unintentional weight…
Fatima, a 32-year-old woman, is brought to a regional hospital A&E by her husband with sudden-onset right lower quadrant pain that began 2 hours ago. She is 8 weeks pregnant by dates. Her BP is 90/60 …
A 72-year-old man with known atrial fibrillation is brought to Korle Bu emergency centre with a 3-hour history of severe periumbilical pain. He appears in significant distress, but abdominal examinati…
A 22-year-old man, Kwame, presents to the district hospital A&E in Brong-Ahafo with a 24-hour history of abdominal pain that began around the umbilicus and has now migrated to the right iliac fossa. H…
A 55-year-old man, Kofi, presents to a district hospital A&E with a 2-day history of colicky central abdominal pain, abdominal distension, and repeated vomiting. He has not passed flatus or stool for …
A 22-year-old woman, Akua, presents to the district hospital A&E in Brong-Ahafo with a 24-hour history of colicky peri-umbilical pain that has now migrated to the right iliac fossa. She has vomited tw…
A 68-year-old man, Mensah, is brought by ambulance to a regional hospital A&E with sudden-onset severe tearing pain in the back and flanks. He is diaphoretic and his blood pressure is 80/50 mmHg. On e…
A 68-year-old man is brought by relatives to a regional hospital A&E with sudden-onset severe central abdominal pain radiating to the back, onset 45 minutes ago. On examination he is diaphoretic, BP 8…
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-…
Akosua, a 26-year-old woman, presents to a district hospital A&E with a 2-day history of right iliac fossa pain and one episode of vomiting. Her last menstrual period was 7 weeks ago. Vitals: BP 110/7…
A 65-year-old man, Mensah, presents to the Korle Bu emergency centre with a 12-hour history of severe, colicky central abdominal pain, abdominal distension, and vomiting of bilious fluid. He has not p…
A 48-year-old woman, Yaa, presents to the Komfo Anokye ED with right upper quadrant pain for 18 hours, fever of 38.6°C, and nausea. She has had similar but shorter-lived episodes in the past after eat…
A 68-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi by his family. He reports sudden onset of severe tearing pain radiating from his central abdomen to his back, which began on…
A 45-year-old woman, Akua, is brought to the regional hospital A&E with severe right upper quadrant pain radiating to the right shoulder tip, associated with nausea and vomiting. She has a temperature…
A 30-year-old woman, Yaa, presents to Korle Bu emergency centre with 18 hours of worsening right iliac fossa pain, fever of 38.2°C, and anorexia. Her last menstrual period was 6 weeks ago. On examinat…
A 72-year-old man, Kofi, is brought to the regional hospital A&E by his family with sudden-onset severe tearing pain in the back and flanks. He is pale, diaphoretic, and his blood pressure is 80/50 mm…
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 …
Aisha, a 28-year-old woman, is brought to the regional hospital A&E by her family. She has had no prior psychiatric history. Over the past 48 hours she developed fever, headache, and confusion, and is…
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 A&E of a district hospital in the Northern Region by relatives who say he has been 'acting strangely' for two hours. He is agitated, sweating profusely, and…
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…
Mohammed, a 55-year-old man with known type 2 diabetes, is brought to Korle Bu emergency centre by his wife. She says he has been 'not himself' for one hour — drowsy, sweating, and saying strange thin…
A 34-year-old man, Kwame, is brought to the A&E of a district hospital in Brong-Ahafo by his family, who report he has been confused, agitated, and speaking incoherently for the past two hours. He has…