Aisha, a 28-year-old woman with known type 1 diabetes, is brought to Komfo Anokye ED in Kumasi with vomiting for two days. Her ABG shows: pH 7.18, pCO2 2.8 kPa, HCO3 9 mmol/L. Serum electrolytes: Na 1…
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A 19-year-old student, Afia, is brought to Korle Bu emergency centre after ingesting an unknown quantity of aspirin tablets. She is anxious, tachypnoeic (RR 28/min), and vomiting. ABG: pH 7.48, pCO2 2…
Fatima, a 19-year-old student, is brought to the Korle Bu emergency centre after ingesting an unknown quantity of aspirin tablets approximately two hours ago. She is anxious, hyperventilating, and com…
Ama, a 19-year-old student, is brought to Korle Bu emergency centre after deliberately ingesting an unknown quantity of aspirin tablets. She is alert and tachypnoeic (RR 32/min). ABG on air: pH 7.48, …
A 19-year-old student, Abena, is brought to the district hospital A&E after her roommate found her with an empty bottle of aspirin tablets. She is tachypnoeic at 28 breaths/min and complaining of tinn…
Yaa, a 19-year-old student, presents to the UGMC A&E with a two-hour history of tinnitus, vomiting, and rapid breathing after ingesting a large quantity of aspirin tablets in a deliberate self-harm at…
A 22-year-old woman, Ama, is brought to the regional hospital A&E after deliberately ingesting a large quantity of aspirin tablets. She is tachypnoeic and agitated. Her ABG shows: pH 7.52, pCO2 2.4 kP…
A 34-year-old man, Kwame, is brought to Korle Bu emergency centre after a three-day history of vomiting and polyuria. His arterial blood gas (ABG) shows: pH 7.18, pCO2 2.8 kPa (21 mmHg), HCO3 8 mmol/L…
Ama, a 22-year-old student, presents to the regional hospital A&E in Kumasi after deliberately ingesting a large number of aspirin tablets she obtained from a pharmacy. On arrival she is tachypnoeic (…
A 19-year-old student, Akua, is brought to Korle Bu emergency centre after being found unresponsive. Her friends report she took 'a lot of paracetamol' two days ago. Investigations show: pH 7.19, pCO2…
A 19-year-old student, Esi, is brought to the regional hospital A&E after ingesting an unknown quantity of aspirin tablets in a deliberate self-harm attempt approximately two hours earlier. On examina…
A 34-year-old man, Kwame, is brought to the Korle Bu emergency centre after a witnessed seizure. He is known to have type 1 diabetes mellitus and was found unresponsive at home. His arterial blood gas…
A 28-year-old laboratory technician, Akua, presents to the Komfo Anokye ED after accidental skin exposure to 2,4-dinitrophenol (2,4-DNP), a compound historically used as a weight-loss agent that is st…
During a teaching session at the UGMC emergency medicine department, the consultant asks the Year-1 residents to trace the fate of one molecule of glucose through complete aerobic oxidation. Yaw, a fi…