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…
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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…
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…
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…
A 3-day-old neonate is admitted to the Komfo Anokye ED with jaundice. The mother, Adwoa, is known to be HBsAg positive and HBeAg positive. She received no antenatal interventions. The infant appears w…
A 45-year-old man named Kwabena presents to Korle Bu Emergency Centre with new-onset seizures. He has no prior history of epilepsy. Brain CT scan shows multiple ring-enhancing lesions with surrounding…
Kwame, a 14-year-old boy from Kumasi, presents to Komfo Anokye ED with a 10-day history of stepwise fever, headache, and abdominal discomfort. His mother reports he has been increasingly lethargic ove…
A 14-month-old boy named Kwame is brought to the district hospital A&E in Kumasi by his mother. He has had profuse watery diarrhoea and vomiting for two days, occurring simultaneously in several child…
A 2-year-old unvaccinated boy named Kofi presents to the regional hospital A&E with a 2-week history of paroxysmal cough followed by a characteristic inspiratory whoop. His mother reports he vomits af…
Ama, a 35-year-old market trader, presents to Korle Bu emergency centre with a three-day history of high fever, rigors, and confusion. She sustained a deep laceration to her right foot from a rusty fa…
During a ward round at a regional hospital in Ghana, the emergency medicine team reviews a 28-year-old woman named Ama who was admitted with Gram-negative septic shock. She had a urinary catheter in s…
Yaw, a 19-year-old student, presents to UGMC with a 10-day history of fever, relative bradycardia, and abdominal discomfort. The ED doctor suspects enteric fever caused by Salmonella enterica Typhi. T…
During a flood-related outbreak in the Northern Region of Ghana, 47-year-old Yaw is brought to the regional hospital A&E in a state of profound dehydration. He has passed enormous volumes of odourless…
Akua, a 28-year-old market trader, presents to a district hospital A&E in the Brong-Ahafo region with a three-week history of fever, constipation, and abdominal pain. A Widal test is performed and sho…
Kwame, a 34-year-old farmer from the Northern Region, presents to Komfo Anokye ED with a three-month history of productive cough, drenching night sweats, and a 10 kg weight loss. A sputum smear is pre…
Ama, a 34-year-old rice farmer from the Volta Region, presents to the Korle Bu emergency centre with painless haematuria that she has noticed intermittently for three months. She denies dysuria or fre…
A 9-year-old boy named Kwame is brought to the district hospital A&E in the Brong-Ahafo region with sudden-onset colicky central abdominal pain, abdominal distension, and bilious vomiting. His mother …
A 7-year-old boy, Yaw, is admitted to the paediatric bay of a regional hospital A&E in Kumasi with confirmed open pulmonary tuberculosis. The ward is busy and has limited side-room capacity. The infec…
Kwame, a 9-year-old boy from Kumasi, is brought to the Komfo Anokye ED with a 10-day history of fever, headache, and abdominal pain. His mother notes he has been constipated for the first week but now…
Kwame, a 34-year-old farmer from the Brong-Ahafo region, presents to the district hospital A&E with a three-month history of productive cough, drenching night sweats, and a 7 kg weight loss. A sputum …
A cholera outbreak is declared in a coastal fishing community in Ghana following heavy rains. Public health teams emphasise oral rehydration therapy (ORT) as the cornerstone of management for affected…
Kwame, a 35-year-old returned traveller from a rural area of the Volta Region, presents to Korle Bu emergency centre with a 12-day history of fever, headache, and abdominal discomfort. On day 14 he de…
A microbiology lecture at the University of Ghana Medical School discusses the structural differences between Gram-positive and Gram-negative bacteria. The lecturer emphasises that the outer membrane …
Adwoa, a 24-year-old nurse at a regional hospital in Ghana, is found to be rubella IgG-negative on pre-employment screening. She is not pregnant and uses barrier contraception. The occupational health…