Kofi, a 65-year-old man with known gallstones, presents to the Korle Bu surgical unit with right upper quadrant pain, fever of 39.2 °C, and jaundice — the classic Charcot's triad. An abdominal ultraso…
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A 9-year-old girl, Akua, is brought to a district hospital A&E in Ghana with a 3-day history of fever, productive cough, and worsening breathlessness. She is known to have cystic fibrosis. Her sputum …
Adwoa, a 38-year-old HIV-positive woman with a CD4 count of 85 cells/µL, presents to UGMC with a 3-week history of night sweats, productive cough with haemoptysis, and a 6 kg weight loss. A chest radi…
Kofi, a 35-year-old man, attends the Korle Bu emergency centre for evaluation after a routine blood donation screening flagged an abnormality. He is entirely asymptomatic and denies any history of jau…
A 55-year-old diabetic man, Yaw, presents to the Komfo Anokye A&E with a 3-day history of severe perineal pain, swelling, and blackish skin discolouration extending from the scrotum to the perineum. H…
A 19-year-old student, Esi, presents to the Korle Bu surgical unit with a 5-day history of high fever, diffuse abdominal pain, and diarrhoea. On day 3 of admission she develops sudden onset generalise…
A 6-year-old boy named Kofi is brought to the district hospital A&E in Kumasi with a 2-day history of profuse bloody diarrhoea, crampy abdominal pain, and fever of 38.9 °C. His mother reports that sev…
A 7-year-old boy named Kwame is brought to the district hospital A&E in the Northern Region with a 3-day history of fever, severe headache, neck stiffness, and a non-blanching petechial rash spreading…
Esi, a 19-year-old student from the Northern Region of Ghana, presents to the UGMC surgical unit with a 5-day history of generalised abdominal pain, fever (39.8 °C), and diarrhoea that has now become …
Ama, a 34-year-old woman from Tamale, presents to the regional hospital surgical ward with a 10-day history of right upper quadrant pain and fever. Ultrasound reveals a single large hypoechoic lesion …
Kofi, a 28-year-old man, presents to the district hospital surgical ward with a 36-hour history of right iliac fossa pain, fever (38.6 °C), and vomiting. At appendicectomy, the appendix is acutely inf…
Kofi, a 42-year-old HIV-positive man with a CD4 count of 180 cells/µL, presents to Korle Bu Emergency Centre with a six-week history of cough, haemoptysis, and significant weight loss. His chest X-ray…
Adwoa, a 35-year-old farmer from the Ashanti Region, presents to the district hospital with a 3-month history of a painless ulcer on her right forearm. The ulcer has a characteristic undermined edge w…
A 3-year-old boy, Kwame, is brought to the district hospital A&E in the Brong-Ahafo region. His mother reports he has never received any childhood vaccinations because the family lives in a remote far…
Akua, a 28-year-old market trader in Kumasi, presents to the regional hospital A&E with a 10-day history of stepwise fever, frontal headache, and constipation. On examination she is toxic-looking with…
A 35-year-old woman, Akua, is brought to the regional hospital A&E in Kumasi with a 3-week history of progressive jaundice, fatigue, and anorexia. She is a healthcare worker who denies intravenous dru…
Yaw, a 42-year-old secondary school teacher, is referred to the regional hospital A&E after a Mantoux (tuberculin skin test) reading of 18 mm induration at 72 hours. He reports no cough, fever, or wei…
Kofi, a 45-year-old man with poorly controlled type 2 diabetes mellitus, presents to the Komfo Anokye surgical unit with a 3-day history of severe scrotal and perineal pain, swelling, and skin discolo…
Kwabena, a 19-year-old farmer, presents to the district hospital with a 5-day-old machete wound to his right foot sustained while clearing farmland. The wound edges are irregular and contaminated with…
Akua, a 28-year-old woman, presents to the district hospital A&E in Brong-Ahafo with a 3-day history of high fever, severe headache, neck stiffness, and a non-blanching petechial rash. A clinical diag…
Kwabena, a 28-year-old farmer from the Ashanti Region, presents to the district hospital with a painless, non-healing ulcer on his right forearm of 6 weeks' duration. The ulcer has undermined edges, a…
A 68-year-old woman, Adwoa, presents to the Korle Bu emergency centre with a 3-day history of productive cough with rust-coloured sputum, right-sided pleuritic chest pain, and rigors. Her temperature …
Akua, a 28-year-old market trader, presents to the district hospital A&E in Kumasi with a 10-day history of jaundice, dark urine, and right upper quadrant discomfort. She returned from a rural village…
Kwabena, a 19-year-old farmer from the Ashanti Region, presents to the district hospital with a 5-day history of generalised abdominal pain, fever, and watery diarrhoea that has now become blood-stain…
A 35-year-old farmer named Kofi presents to a regional hospital A&E in the Ashanti region with a 2-week history of fever, abdominal pain, and constipation followed by loose stools. His temperature is …
Adwoa, a 28-year-old woman, presents to the regional hospital A&E in Tamale with a 2-week history of fever, anorexia, and diffuse abdominal discomfort. She has not travelled outside her district. Her …
Yaw, a 19-year-old student, presents to the district hospital A&E after stepping on a nail whilst working on a farm. The wound is a small puncture to the plantar surface of his right foot. He has neve…
Akua, a 28-year-old market trader, presents to the Korle Bu emergency centre with a 10-day history of stepwise fever, frontal headache, and relative bradycardia. On examination she is toxic-looking wi…
A 14-year-old girl named Akua from the Volta Region presents to the regional hospital A&E with a 3-month history of painless terminal haematuria. She swims regularly in the Volta Lake. Urine dipstick …
Kofi, a 34-year-old farmer, presents to the district hospital A&E in Ashanti Region with a 3-day history of high fever, rigors, and productive cough. On examination his temperature is 39.4 °C, respira…