Mohammed, a 42-year-old man with no known drug allergies, collapses 20 minutes after receiving IV quinine for severe malaria at a district hospital in the Northern Region. He develops diffuse flushing…
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A 48-year-old man is brought to a district hospital in Brong-Ahafo Region with sudden onset of severe chest pain that began 90 minutes ago while he was at rest. He has no prior cardiac history. Vitals…
A 67-year-old woman, Adwoa, is brought to a district hospital in Brong-Ahafo by her family with sudden severe back pain and collapse at home. She is known to have hypertension and has smoked for 40 ye…
A 38-year-old woman, Afia, is being weaned from mechanical ventilation in the ED-ICU at Komfo Anokye Teaching Hospital after a 4-day course for ARDS secondary to severe falciparum malaria. She is haem…
A 55-year-old woman, Adwoa, is ventilated in the Komfo Anokye ICU for severe ARDS secondary to falciparum malaria with pulmonary involvement. She has been on ARDSnet ventilation for 72 hours: FiO2 1.0…
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 28-year-old man, presents to a regional hospital ED in the Northern Region with a 5-day history of severe headache, photophobia, and two episodes of vomiting. His family reports he has bee…
Kwame, a 14-year-old known sickle cell disease (HbSS) patient, is brought to the Komfo Anokye ED by his mother with a 2-day history of severe bilateral leg pain. He has had three similar admissions th…
A 28-year-old woman named Akosua is brought to a district hospital in the Volta Region by her family. She began vomiting and passing profuse, watery stools approximately 8 hours ago. She has had no fe…
During a rainy season flood, a district hospital in the Northern Region receives 12 patients over 48 hours with profuse watery diarrhoea described as 'rice-water' stools. The first patient is Alhassan…
A 19-year-old man, Mohammed, is brought by family to the district hospital emergency room in the Northern Region during the dry harmattan season. He has had fever, severe headache, and neck stiffness …
A 19-year-old man, Mohammed, is brought by family to a district hospital in the Northern Region during the dry season (February). He has had fever, severe headache, and neck stiffness for 18 hours. He…
Fatima, a 26-year-old woman in her 30th week of pregnancy, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital emergency department. She has had 18 days of feve…
A 22-year-old woman, Afia, is admitted to a regional hospital ED in the Volta Region. She gives a 16-day history of fever, headache, and loose stools for which she self-medicated with amoxicillin purc…
A 14-year-old girl, Adwoa, is brought to the district hospital emergency room in the Volta Region. Her parents report three weeks of progressive fever treated with paracetamol at home. Today she devel…
A 6-year-old girl named Abena is brought to a district hospital in the Bono East Region by her father. She has had five days of fever and has become increasingly lethargic over the last 24 hours. She …
A 7-year-old boy named Kwame is brought to the emergency centre at Komfo Anokye Teaching Hospital by his mother after two days of fever, vomiting, and progressive drowsiness. Over the past four hours …
A 28-year-old man, Kwesi, is admitted to the Komfo Anokye Teaching Hospital ED from Brong-Ahafo with a 7-day febrile illness. He has severe headache, myalgia, vomiting, and now has bleeding gums and h…
A 52-year-old man named Mohammed is brought to the regional hospital emergency department in the Northern Region after being found confused at home. His family reports five days of fever, poor oral in…
A 34-year-old farmer, Kofi, is brought to a district hospital in the Northern Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and backache. On examination: temperature 39.…
A 38-year-old woman, Ama, is seen in the ED of a regional hospital in the Savannah Region with a 3-day history of fever, severe headache, nausea, and myalgia. She returned from a 2-week farming expedi…
A 32-year-old woman (G2P1) is referred from a district hospital in Brong-Ahafo to a regional hospital at 34 weeks gestation with a 4-hour history of severe headache, visual blurring, and epigastric pa…
Afia, a 26-year-old woman, presents to a district hospital in Brong-Ahafo 8 days after a vaginal delivery at home. She has had fever for 5 days, lower abdominal cramps, and foul-smelling vaginal disch…
Fatima, a 32-year-old G3P2 at 30 weeks gestation, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 2-day history of right upper quadrant pain, malaise, and vomiting.…
Abena, a 6-year-old girl weighing 20 kg, is brought to the district hospital A&E in Ashanti Region with confirmed severe falciparum malaria. She is drowsy but responsive to voice (GCS 12/15), HR 130 b…
A 4-year-old boy named Yaw is referred from a health centre in Northern Ghana to the Tamale Teaching Hospital ED. He presented with 4 days of fever, diarrhoea, and 6 hours of not walking. On arrival: …
Ama, a 5-year-old girl with HbSS sickle cell disease, weighing 18 kg, is referred urgently from a CHPS compound to the district hospital with a 6-hour history of progressive lethargy and abdominal dis…
Yaw, a 3-year-old boy weighing 14 kg, is brought to Komfo Anokye paediatric resus bay with 4 days of fever and pallor. His mother reports he has not been eating. On arrival: HR 148 bpm, RR 38/min, tem…
A 5-year-old boy is referred to the Komfo Anokye ED from a district hospital with a 6-hour history of sudden-onset high fever, severe headache, and refusal to walk. He has no prior illness. On arrival…
A 4-year-old girl, Abena, 16 kg, is assessed in the paediatric A&E of a regional hospital. She has had diarrhoea for 4 days and has been unable to eat for 2 days. Her mother reports she has been drows…