A 52-year-old man, Yaw, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 3-day history of recurrent haematemesis unresponsive to initial resuscitatio…
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A 38-year-old man, Kwame, is brought by relatives to the emergency resus bay at Komfo Anokye Teaching Hospital after vomiting approximately 800 mL of fresh blood over two hours. He has a known history…
A 38-year-old man, Kwame, is brought to the Komfo Anokye emergency department by relatives after vomiting approximately 800 mL of fresh blood over 90 minutes. He is a known hepatitis B surface antigen…
A 44-year-old woman, Akua, presents to the Korle Bu general surgical unit with a two-week history of increasing abdominal distension and mild haematemesis three days ago. She has known schistosomiasis…
A 45-year-old woman, Akua, is admitted to the Korle Bu general surgical unit with her third episode of haematemesis in eight months. She is known to have hepatitis B-related liver cirrhosis with Child…
A 44-year-old woman, Akua, is admitted to the Korle Bu general surgical unit with her second episode of haematemesis in six months. She is known to have hepatitis B-related liver cirrhosis (Child-Pugh…
A 38-year-old man, Kwame, is brought by relatives to the Komfo Anokye emergency theatre having vomited approximately 1.5 litres of fresh blood over two hours. He is a known hepatitis B surface antigen…
A 45-year-old woman, Akua, presents to the Korle Bu general surgical unit with her second episode of haematemesis in six months. She has known hepatitis C-related cirrhosis classified as Child-Pugh B …
A 52-year-old man, Yaw, is admitted to the regional hospital in the Ashanti Region with a two-day history of haematemesis and melaena. He has known alcoholic liver disease and has had two previous adm…
A 45-year-old woman, Akua, is reviewed in the hepatology-surgery joint clinic at Korle Bu Teaching Hospital. She has Child–Pugh class B cirrhosis secondary to chronic hepatitis B and presented six wee…
A 45-year-old woman, Akua, is on the hepatobiliary surgical ward at Korle Bu Teaching Hospital, two days after emergency upper GI endoscopy that achieved haemostasis of oesophageal varices with band l…
A 52-year-old woman, Akua, presents to the ENT outpatient clinic at Komfo Anokye Teaching Hospital with a 3-week history of brief episodes of severe dizziness triggered by rolling over in bed and look…
Akua, a 48-year-old market trader from Kumasi, presents to the ENT outpatient clinic at Komfo Anokye Teaching Hospital with a 3-week history of brief episodes of severe rotatory dizziness. Each episod…
A 60-year-old retired teacher, Yaw, presents to a district hospital surgical outpatient clinic in Brong-Ahafo complaining of dizziness and unsteadiness for 4 weeks. He describes brief spinning sensati…
Kwame, a 45-year-old secondary school teacher, is referred to the ENT outpatient clinic at a regional hospital in the Ashanti Region with a 6-week history of episodic vertigo triggered by lying down a…
A 52-year-old woman, Akua, presents to the ENT outpatient clinic at Komfo Anokye Teaching Hospital with a 3-week history of brief episodes of severe rotatory dizziness. Each episode lasts less than 60…
Adwoa, a 44-year-old schoolteacher, presents to the ENT outpatient clinic at the University of Ghana Medical Centre with a 2-week history of episodic positional vertigo. The Dix-Hallpike test with the…
Kwame, a 55-year-old civil servant, is reviewed in the ENT outpatient clinic of a regional hospital in the Volta Region. He was diagnosed with BPPV of the right posterior semicircular canal three week…
Ama, a 38-year-old nurse at Korle Bu Teaching Hospital, presents to the ENT outpatient clinic with a 2-week history of episodic rotatory vertigo triggered by lying down and by looking up at the operat…
A 34-year-old woman named Akua presents to the Korle Bu ENT/General Surgical emergency unit 18 hours after an elective tonsillectomy performed by cold dissection and tie technique for obstructive slee…
During a ward teaching round at the Korle Bu Teaching Hospital ENT unit, the surgical registrar is asked to classify post-tonsillectomy haemorrhage by timing. A 9-year-old boy named Kofi had a tonsill…
A 9-year-old girl named Yaa undergoes tonsillectomy at a regional hospital in the Western Region for recurrent streptococcal tonsillitis. The procedure is performed under general anaesthesia using the…
A 9-year-old girl named Ama is brought to a district hospital in the Northern Region six hours after tonsillectomy performed at the same facility for obstructive sleep apnoea. Her parents report she v…
A 34-year-old woman named Ama presents to a district hospital in the Ashanti Region six hours after undergoing tonsillectomy at the same facility for obstructive sleep apnoea. She is spitting fresh bl…
A 7-year-old boy named Kwame is brought to the emergency department of a regional hospital in the Ashanti Region by his mother at 11 pm, five days after undergoing tonsillectomy at the same facility f…
A 12-year-old girl named Ama with known sickle-cell disease (HbSS) is admitted to the Korle Bu Paediatric Surgical Unit seven days after elective tonsillectomy and adenoidectomy performed for adenoton…
A surgical registrar at the UGMC is preparing a 45-year-old man named Yaw for return to theatre following a post-tonsillectomy haemorrhage on day 7 after elective tonsillectomy. The anaesthetic regist…
A 12-year-old girl named Abena with known sickle cell disease (HbSS) is admitted to the Korle Bu paediatric surgical ward following tonsillectomy performed two days earlier for recurrent tonsillitis a…
A 7-year-old boy named Kofi is brought to the emergency department of a regional hospital in Ashanti Region by his mother at 11 pm, six days after an elective tonsillectomy performed at the same facil…
A 12-year-old boy named Kofi is reviewed on the surgical ward of a regional hospital in the Eastern Region on day 1 post-tonsillectomy. The procedure was performed by cold-steel dissection for recurre…