Kwame, a 42-year-old farmer, is admitted to the Komfo Anokye Teaching Hospital general surgical unit for an elective open right hemicolectomy for a caecal carcinoma confirmed on colonoscopy and CT sta…
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A 29-year-old woman, Ama, is scheduled for an emergency appendicectomy at a district hospital in Brong-Ahafo. She presents with a 36-hour history of right iliac fossa pain, fever, and anorexia. Her Al…
A 52-year-old woman, Akua, undergoes an elective laparoscopic cholecystectomy at a regional hospital in the Ashanti Region for symptomatic gallstones. She received IV cefuroxime 1.5 g at induction. Th…
Kwame, a 45-year-old male farmer, is scheduled for an elective open inguinal hernia repair under spinal anaesthesia at a district hospital in Brong-Ahafo Region. He has no known drug allergies, takes …
A 52-year-old woman, Akua, is listed for an elective right hemicolectomy for a caecal adenocarcinoma at Korle Bu Teaching Hospital. She has well-controlled type 2 diabetes mellitus (HbA1c 7.1%), is on…
A 29-year-old man, Yaw, presents to a district hospital in the Northern Region five days after an emergency appendicectomy performed at the same facility for a perforated appendix with localised perit…
A 45-year-old man, Yaw, is brought to the Korle Bu Teaching Hospital emergency theatre with a 6-hour history of generalised abdominal pain, fever, and vomiting. He is a known peptic ulcer disease pati…
A 38-year-old man, Kwame, is admitted to the Komfo Anokye Teaching Hospital surgical unit for an elective open inguinal hernia repair under spinal anaesthesia. He has no known drug allergies and is ot…
Kwame, a 42-year-old cocoa farmer, presents to the district hospital surgical ward in Brong-Ahafo with a 6-hour history of sudden-onset generalised abdominal pain. He has a 3-week history of fever and…
Akua, a 52-year-old market trader, undergoes an elective open cholecystectomy at a regional hospital in the Ashanti Region for symptomatic cholelithiasis. Her BMI is 34 kg/m², she is a non-diabetic no…
Yaw, a 29-year-old soldier, is brought to a district hospital in the Northern Region after sustaining a gunshot wound to the right thigh. On arrival his pulse is 118 bpm, blood pressure 96/60 mmHg, an…
Kofi, a 62-year-old retired civil servant with type 2 diabetes (HbA1c 9.8%) and a BMI of 33 kg/m², is listed for elective open inguinal hernia repair under spinal anaesthesia at a regional hospital in…
Kofi, a 44-year-old cocoa farmer, presents to a regional hospital in the Western Region with a 10-day history of fever, right iliac fossa pain, and diarrhoea. He recalls a preceding week of headache a…
Ama, a 67-year-old retired teacher with type 2 diabetes (HbA1c 9.8%, fasting glucose 14.3 mmol/L), is scheduled for an elective right hemicolectomy for a caecal adenocarcinoma at Korle Bu Teaching Hos…
Yaa, a 28-year-old primigravida, underwent an emergency lower segment caesarean section at a regional hospital in the Ashanti region for obstructed labour. On post-operative day 8 she is referred to t…
Akua, a 38-year-old woman, is brought to the Komfo Anokye Teaching Hospital emergency theatre with a 24-hour history of severe right iliac fossa pain, fever, and vomiting. On examination she has a tem…
A 55-year-old man, Mensah, presents to the regional hospital in Ashanti Region with a 6-hour history of sudden-onset severe abdominal pain radiating to the back, with generalised abdominal rigidity an…
Ama, a 35-year-old market trader, underwent an emergency appendicectomy at a district hospital in the Brong-Ahafo region for a perforated appendix with localised purulent peritonitis. Intraoperative f…
Kwame, a 45-year-old cocoa farmer, is admitted to the Komfo Anokye Teaching Hospital surgical unit for an elective open right hemicolectomy for a caecal carcinoma staged T3N1M0. He has no known drug a…
A 52-year-old woman, Adwoa, is listed for an elective laparoscopic cholecystectomy at the Korle Bu general surgical unit for symptomatic gallstone disease. She has well-controlled type 2 diabetes mell…
A 44-year-old woman, Adwoa, undergoes an elective laparoscopic cholecystectomy for symptomatic gallstones at a regional hospital in the Ashanti Region. The operation is uneventful; operative time is 5…
A 14-year-old boy, Kwame, is brought to the emergency department of a regional hospital in Ashanti by his father at 02:00 h with a 3-hour history of sudden-onset severe right scrotal pain that woke hi…
A 14-year-old boy, Kwame, is brought to the emergency unit of a regional hospital in the Ashanti Region by his parents at 02:00 hours. He awoke three hours ago with sudden-onset severe right scrotal p…
A 13-year-old boy, Kofi, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 14-hour history of right scrotal pain. At the district hospital, he was initiall…
A 16-year-old boy, Yaw, is brought to a district hospital in the Northern Region at midnight with a 5-hour history of right-sided scrotal pain of sudden onset. He vomited once and denies any urinary s…
A 16-year-old boy, Yaw, presents to the district hospital surgical ward in the Upper West Region with a six-hour history of right scrotal pain. He recalls a similar episode three months ago that resol…
A 16-year-old boy, Yaw, is referred from a district hospital in the Northern Region to the regional surgical unit with a 26-hour history of left scrotal pain. He was initially seen at the district hos…
A 28-year-old man, Kwabena, presents to the Korle Bu emergency unit with a 3-hour history of sudden-onset left scrotal pain. He denies nausea or vomiting. He is sexually active and has had a urethral …
A 12-year-old boy, Mensah, is assessed in the surgical outpatient clinic at a district hospital in the Bono Region with a 6-hour history of acute left scrotal pain and swelling. He is afebrile. Examin…
A 13-year-old boy is brought to the Komfo Anokye Teaching Hospital emergency theatre with a 9-hour history of left scrotal pain. Colour Doppler ultrasound confirmed absent left intratesticular flow. A…