A 19-year-old student, Kofi, is brought to the emergency department of a regional hospital in Brong-Ahafo after being assaulted with a blunt object during a late-night altercation. He was initially al…
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Akua, a 52-year-old market trader in Kumasi, is referred to the Komfo Anokye surgical firm with a 6-week history of a painless right-sided neck mass. She denies dysphagia, odynophagia, or hoarseness. …
Akosua, a 52-year-old market trader from Kumasi, presents to the Komfo Anokye surgical outpatient department with a 3-month history of a painless right-sided neck lump and mild odynophagia. She is a n…
Ama, a 49-year-old civil servant, is seen in the UGMC head and neck clinic with a 3-month history of a non-healing ulcer on the right lateral border of the tongue. She is a non-smoker and does not dri…
Ama, a 52-year-old market trader from Kumasi, is referred to the Komfo Anokye surgical unit with a 3-month history of a progressively enlarging, painless right submandibular swelling and mild trismus.…
Kwame, a 58-year-old male farmer from Brong-Ahafo, presents to the regional hospital with a 4-month history of progressive hoarseness and mild odynophagia. He has smoked 20 cigarettes daily for 30 yea…
Yaw, a 61-year-old retired teacher, presents to the UGMC surgical firm with a 6-month history of a progressively enlarging right neck mass and intermittent blood-stained nasal discharge. He reports ri…
During a selective neck dissection for a T2 N1 right-sided oral tongue SCC at Korle Bu Teaching Hospital, the surgical registrar has cleared levels I–III and is now dissecting the posterior triangle (…
Kwame, a 58-year-old male farmer from Brong-Ahafo, is referred to the regional hospital with a 4-month history of progressive hoarseness and mild dysphagia to solids. He is a heavy smoker (30 pack-yea…
A 61-year-old man is referred from a regional hospital in the Upper East Region to the UGMC surgical unit with a 5-month history of right-sided neck swelling and a 2-month history of right-sided nasal…
A 52-year-old man, Yaw, is referred from a district hospital in Brong-Ahafo to the regional hospital ED. He has a 6-week history of productive cough, night sweats, weight loss, and haemoptysis. He com…
A triage nurse at the Tamale Teaching Hospital ED reports that a 38-year-old woman, Abena, has walked in coughing vigorously. She has a 4-week history of productive blood-streaked cough, fever, and si…
A 19-year-old primigravida named Afia at 32 weeks gestation attends the antenatal clinic at a district hospital in the Upper East Region. During review of her antenatal card, the midwife notes that sh…
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…
Mohammed, a 42-year-old man known to be HIV-positive with a CD4 count of 68 cells/µL measured six weeks ago, is brought to the Korle Bu emergency centre with a three-week history of progressive dyspno…
A 28-year-old farmer, Kwame, is brought to the district hospital in Brong-Ahafo by his family. Three days ago he sustained a deep puncture wound to his right foot from a nail while working on his farm…
Fatima, a 28-year-old woman, is transferred to a regional hospital ED in Northern Ghana from a district facility with a 10-day history of worsening headache, fever, and increasing confusion. She has a…
A 19-year-old student, Yaa, is brought to a district hospital in the Northern Region by her family on day 5 of illness. She had initial fever, headache, and vomiting for 2 days, then appeared to impro…
A 45-year-old man, Joseph, is admitted to Korle Bu Emergency Centre with a three-day history of generalised muscle stiffness, trismus, and episodic spasms. He was diagnosed with tetanus and started on…
Akua, a 31-year-old woman known to have HIV infection (not on antiretroviral therapy), is brought to the Komfo Anokye ED by her sister with a 3-week history of progressive dyspnoea, non-productive cou…
Kwabena, a 58-year-old man with diffuse large B-cell lymphoma, is brought to the Komfo Anokye ED by relatives three weeks after his fifth cycle of R-CHOP chemotherapy. He reports four days of worsenin…
Aisha, a 19-year-old primigravida, delivers at home in Tamale and is brought to Tamale Teaching Hospital ED 48 hours postpartum. The traditional birth attendant cut the umbilical cord with an unsteril…
A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband. She has had a 3-week history of progressive headache, low-grade fever, and neck stiffness. Over the past 48 hours she has…
During a ward round at a regional hospital ED in the Northern Region, the nurse informs you that three patients from the same village have arrived within two hours, all presenting with acute onset of …
A 44-year-old man, Kofi, presents to a regional hospital ED with a 3-day history of fever, increasing confusion, and a single episode of generalised tonic-clonic seizure en route to hospital. He was d…
The medical officer at a district hospital in the Bono East Region calls the Regional Health Directorate on a Thursday afternoon. In the past 72 hours, his facility has treated 18 patients with profus…
A 28-year-old woman, Afia, arrives at the Korle Bu emergency centre brought by family. She is 32 weeks pregnant (G2P1) and has had a 4-week history of cough, fever, and progressive dyspnoea. Over the …
A 55-year-old fisherman from Cape Coast is referred to Korle Bu Emergency Centre from a district hospital with a 5-day history of jaw stiffness and progressive generalised spasms. He received no prior…
A 52-year-old farmer, Yaw, presents to a district hospital in Brong-Ahafo with a 5-week history of cough, fever, and progressive breathlessness. He completed a full 6-month standard TB treatment cours…
Kwame, a 58-year-old man with acute myeloid leukaemia, is brought to the Korle Bu emergency centre by his wife on day 12 of his third cycle of induction chemotherapy. He reports a 6-hour history of ri…