Akua, a 28-year-old primigravid woman at 34 weeks gestation, presents to the Komfo Anokye surgical unit with a 5-day history of a painful, swollen right breast. She is febrile at 38.9°C and tachycardi…
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Yaa is a 35-year-old woman referred from a district hospital in Brong-Ahafo to the regional hospital surgical clinic with a 4-month history of cyclical bilateral breast pain that is worst in the week …
Akua, a 28-year-old teacher at a district hospital in the Ashanti Region, presents with a 6-month history of a painless, smooth, firm, mobile lump in the upper outer quadrant of her right breast. She …
Adwoa, a 38-year-old teacher, is seen at the UGMC surgical firm with a 3-year history of cyclical bilateral breast pain that is worst in the week before her menstrual period and relieves with onset of…
Ama, a 42-year-old market trader in Kumasi, is referred from a community health centre with a 6-week history of a painful, tender lump in the right breast. She is currently breastfeeding her 6-week-ol…
Adwoa, a 45-year-old civil servant in Tamale, presents to the regional hospital surgical clinic with a 6-month history of intermittent greenish-brown discharge from the right nipple. She denies any br…
A 28-year-old woman, Akua, presents to the Komfo Anokye surgical outpatient clinic with a 3-month history of a painless lump in her right breast. She is nulliparous, has no family history of breast ca…
A 48-year-old woman, Ama, presents to the Komfo Anokye emergency surgical unit with a 5-day history of a painful, red, fluctuant swelling in the left breast. She is not lactating and has not been preg…
Ama, a 42-year-old market trader from Accra, is seen in the Korle Bu breast clinic with a 4-week history of bloody discharge from the right nipple. She denies a palpable lump, skin changes, or axillar…
Yaa, a 45-year-old trader, presents to the regional hospital surgical outpatient clinic in Kumasi with a 6-month history of intermittent, spontaneous, blood-stained discharge from the right nipple. Sh…
Adwoa, a 28-year-old schoolteacher from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a 6-month history of a painless lump in the upper outer quadrant of her right breast. She n…
Ama, a 42-year-old market trader in Accra, presents to the Korle Bu general surgical unit with a 5-day history of a painful, red, swollen right breast. She delivered her third child 3 weeks ago and ha…
Ama, a 35-year-old market trader, presents to the Komfo Anokye surgical outpatient clinic with a 3-day history of a painful, red, swollen area in the right breast. She delivered her first child 3 week…
Akua, a 48-year-old civil servant from Tamale, is referred to the Tamale Teaching Hospital breast clinic with a 3-year history of bilateral cyclical breast pain that is worst in the week before menstr…
Ama, a 32-year-old bank clerk, is referred to the Korle Bu breast clinic by her district hospital doctor with a 4-month history of a right breast lump she first noticed during self-examination. She is…
Yaa, a 35-year-old nurse at a regional hospital in the Bono East Region, presents with a 10-day history of a painful, hot, fluctuant swelling in the lower inner quadrant of her left breast. She is bre…
A 45-year-old woman, Akua, is on the elective surgical ward at Korle Bu Teaching Hospital, two days after an open right hemicolectomy for caecal carcinoma. The ward nurse calls the registrar urgently:…
A 34-year-old woman, Akua, with known sickle-cell disease (HbSS) is admitted to the Korle Bu general surgical unit with acute right upper quadrant pain, fever (38.6°C), and jaundice. She has had three…
A 45-year-old man, Yaw, is brought to a district hospital surgical unit in Brong-Ahafo following a machete wound to the left thigh sustained during a farming dispute. On arrival: BP 88/60 mmHg, HR 132…
A 41-year-old woman, Adwoa, is admitted to the Korle Bu emergency surgical unit following a stab wound to the right upper quadrant. In the resus bay, her BP is 88/60 mmHg, HR 118 bpm, and she is pale …
A 28-year-old man, Kwame, is brought to the resus bay of Komfo Anokye Teaching Hospital by relatives after a high-speed road traffic collision on the Kumasi–Accra highway. He was an unrestrained front…
A 62-year-old woman, Ama, is undergoing an elective open abdominal aortic aneurysm repair at UGMC. Intra-operatively, the anaesthetist notes ongoing bleeding from the aortic anastomosis. Total estimat…
A 34-year-old woman, Ama, is admitted to the Korle Bu obstetric theatre with a postpartum haemorrhage following a traumatic vaginal delivery. The gynaecology team has called for a surgical consult as …
A 22-year-old man, Kofi, is brought to a district hospital in Brong-Ahafo after a machete attack to the left thigh. He has sustained a deep laceration with arterial bleeding. On arrival: BP 80/50 mmHg…
A 19-year-old man, Yaw, with known sickle-cell disease (HbSS) is listed for elective laparoscopic cholecystectomy at the Komfo Anokye Teaching Hospital for symptomatic cholelithiasis. He has had two p…
A 52-year-old man, Mensah, is on the surgical ward at a regional hospital in the Ashanti Region following an elective right hemicolectomy for caecal carcinoma performed two days ago. His pre-operative…
A 28-year-old man, Kwame, is brought by relatives to the resus bay of Komfo Anokye Teaching Hospital following a road traffic collision on the Kumasi–Accra highway. He was a front-seat passenger witho…
A 45-year-old man, Mensah, undergoes elective open right hemicolectomy at a regional hospital in the Ashanti Region for a caecal adenocarcinoma. Intraoperatively, the anastomosis is completed and the …
A 62-year-old man, Mensah, presents to the emergency surgical unit at a district hospital in the Upper East Region with haematemesis and melaena for 12 hours. He takes warfarin 5 mg daily for atrial f…
A 45-year-old man, Mensah, is brought to the emergency department of a regional hospital in the Ashanti Region after sustaining multiple stab wounds to the anterior abdomen. He is haemodynamically uns…