Fatima, a 30-year-old G4P3 woman, delivers vaginally at a regional hospital ED after a precipitous unattended home delivery at 39 weeks. She arrives 30 minutes after delivery with a soaked wrapper and…
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A 42-year-old G7P6, Yaa, is referred urgently from a district hospital in the Brong-Ahafo Region. She had an unsupervised home delivery two hours ago. On arrival: she is unconscious, BP 50/palp, HR 16…
Akosua, a 28-year-old primigravida at 36 weeks gestation, is brought to the Komfo Anokye ED by her husband after she developed a severe headache and blurred vision over 4 hours. She has no prior histo…
Akosua, a 32-year-old woman, G4P3, presents to the emergency department of the Komfo Anokye Teaching Hospital in active labour at 38 weeks gestation. She had a previous lower-segment caesarean section…
Abena, a 35-year-old G3P2, is brought to the Tamale Teaching Hospital ED in haemorrhagic shock following a prolonged home delivery. On arrival: BP 65/40 mmHg, HR 150 bpm. An inverted uterus with the p…
A 32-year-old woman, G3P3, delivers at a district hospital in the Northern Region. She had an uneventful vaginal delivery of a 3.9 kg baby. The placenta delivers 25 minutes later but the midwife notes…
Ama, a 35-year-old G4P3 at 31 weeks gestation, is brought to a regional hospital ED after a witnessed generalised tonic-clonic seizure at home lasting approximately 2 minutes. She has a known diagnosi…
Yaa, a 38-year-old G6P5, is brought by family to the emergency centre at Korle Bu Teaching Hospital 30 minutes after delivery at home by a traditional birth attendant. She delivered a live baby but th…
Abena, a 29-year-old G2P1 at 35 weeks gestation, attends the Korle Bu Emergency Centre with BP 168/114 mmHg (confirmed twice), a severe occipital headache rated 9/10, and photophobia. She reports no a…
A 62-year-old man, Kwame, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 6-week history of progressive painless jaundice, dark urine, and pale stoo…
A 67-year-old man, Yaw, presents to the UGMC surgical firm with a 5-week history of progressive painless jaundice, pruritus, and dark urine. He is a known type 2 diabetic and non-smoker. Examination r…
A 70-year-old woman, Yaa, is seen at a district hospital in the Northern Region with a 3-month history of progressively deepening jaundice, pruritus, and a 10 kg weight loss. She has no fever. Her son…
A 67-year-old man, Yaw, presents to the surgical outpatient clinic at a regional hospital in the Volta Region with a 4-week history of progressive painless jaundice, dark urine, and pale stools. He ha…
A 48-year-old woman, Adwoa, is brought to the Komfo Anokye emergency theatre with a 5-day history of right upper quadrant pain, fever (39.2°C), and jaundice — the classic Charcot's triad. She has a hi…
A 58-year-old woman, Ama, presents to the Korle Bu general surgical unit with a 5-week history of progressive jaundice, pruritus, and pale stools. She has no pain and has lost 5 kg in weight. Examinat…
A 67-year-old man, Mensah, is admitted to the UGMC surgical unit with obstructive jaundice (bilirubin 320 micromol/L), pruritus, and a 3-day history of fever (38.9°C), rigors, and right upper quadrant…
A 58-year-old woman, Ama, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 10-week history of deepening jaundice, pruritus, and 10 kg weight loss. Sh…
A 62-year-old woman, Akua, presents to the UGMC surgical firm with a 5-week history of progressive jaundice, generalised pruritus, and weight loss of 6 kg. She is a known type 2 diabetic on metformin …
A 62-year-old man, Kwame, is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 6-week history of progressive painless jaundice, pale stools, and dark uri…
A 55-year-old man, Yaw, is brought to Komfo Anokye Teaching Hospital from a district hospital in Brong-Ahafo Region with a 3-day history of rigors, fever (temperature 39.4°C), and deepening jaundice. …
A 62-year-old man, Kwame, is referred from a district hospital in the Ashanti Region to the Komfo Anokye Teaching Hospital surgical unit with a 6-week history of progressive painless jaundice, 8 kg we…
A 70-year-old man, Mensah, is brought to the surgical outpatient clinic at a regional hospital in the Volta Region with a 4-month history of jaundice, profound weight loss of 12 kg, and a constant dul…
A 55-year-old man, Yaw, is brought by relatives to the regional hospital in the Eastern Region with a 4-week history of jaundice, dark urine, and pale stools. He has no abdominal pain, no fever, and n…
A 48-year-old man, Kofi, presents to a district hospital in the Brong-Ahafo Region with a 3-week history of jaundice, right upper quadrant pain, and fever. He has a history of passing gallstones 2 yea…
A 58-year-old woman, Adwoa, presents to the Korle Bu hepatobiliary surgical unit with a 10-week history of progressive jaundice, pruritus, and weight loss of 10 kg. She is a non-smoker and non-drinker…
A 55-year-old man, Kofi, presents to the UGMC surgical firm with a 3-month history of epigastric pain radiating to the back, progressive jaundice, and a 12 kg weight loss. He has a 30 pack-year smokin…
A 70-year-old man, Yaw, is seen in the surgical outpatient clinic at a regional hospital in the Eastern Region. He presents with a 4-week history of painless jaundice, anorexia, and 6 kg weight loss. …
A 70-year-old man, Yaw, presents to a regional hospital ED in the Northern Region. He has a background of metastatic prostate cancer with known bone metastases, on hormonal therapy. He reports a 4-day…
A 58-year-old woman, Akosua, known to have breast cancer diagnosed two years ago, presents to the Komfo Anokye ED with a 3-week history of progressively worsening mid-thoracic back pain. The pain is c…
A 63-year-old man is brought to the Korle Bu Emergency Centre with a 3-day history of progressive confusion, nausea, vomiting, and constipation. He has a known history of metastatic prostate cancer. H…