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…
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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…
Ama, a 32-year-old woman, undergoes an elective open inguinal hernia repair at a district hospital in Ghana. The wound is closed primarily and she is discharged the following day. On post-operative da…
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…
Yaa, a 28-year-old woman from the Volta Region, presents to the Korle Bu surgical unit with a 5-day history of fever, diffuse abdominal pain, and sudden worsening of pain localised to the right iliac …
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…
Akua, a 38-year-old woman with poorly controlled type 2 diabetes mellitus, undergoes an emergency right hemicolectomy at Korle Bu for a perforated caecal carcinoma with faecal peritonitis. Intra-opera…
Akua, a 28-year-old woman, presents to the Korle Bu ENT surgical clinic with a six-month history of painless bilateral cervical lymphadenopathy. The nodes are firm, non-tender, and matted. One node on…
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…
Kofi, a 58-year-old man with poorly controlled type 2 diabetes mellitus, presents to the Korle Bu general surgical unit with a 3-day history of severe scrotal pain, swelling, and a foul-smelling disch…
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 woman, is taken to theatre at the Korle Bu General Surgical Unit for an elective anterior resection for sigmoid carcinoma. The bowel has been mechanically prepared and oral antibiot…
Yaa, a 22-year-old woman, presents to the Korle Bu General Surgical Unit with a 4-day history of colicky central abdominal pain followed by generalised peritonitis. She is febrile at 39.5 °C, has a pu…
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…
Kwabena, a 35-year-old farmer in the Brong-Ahafo Region, presents to the district hospital with a painless, progressive ulcer on his left forearm. The lesion began as a painless nodule three weeks ago…
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…
Akua, a 28-year-old woman, presents to the regional hospital A&E in Kumasi with a 5-day history of high fever, headache, and constipation. On examination she is febrile at 39.8 °C, has relative bradyc…
Akua, a 28-year-old woman from Brong-Ahafo, presents to the Komfo Anokye surgical unit with a six-week history of painless, bilateral cervical swelling. She has a low-grade fever and night sweats, and…