A 19-year-old man, Yaw, known to have sickle-cell disease (HbSS), is admitted to the surgical ward of a regional hospital in the Ashanti Region with acute right iliac fossa pain, fever (38.6°C), and a…
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A 52-year-old woman, Abena, is brought to the district hospital surgical ward in Brong-Ahafo with a 3-day history of melaena and one episode of haematemesis. She takes diclofenac regularly for knee os…
A 34-year-old woman, Akua, undergoes an emergency laparotomy at a regional hospital in the Ashanti Region for a ruptured ectopic pregnancy. Intraoperatively, approximately 2.5 litres of haemoperitoneu…
A 28-year-old man, Kwame, is brought to the resus bay at Komfo Anokye Teaching Hospital by relatives after a road traffic collision on the Kumasi–Accra highway. He was a front-seat passenger and susta…
A 34-year-old woman, Akua, is admitted to the Korle Bu obstetric-surgical unit with primary postpartum haemorrhage following a normal vaginal delivery. She has received uterotonics and uterine massage…
A 42-year-old woman, Adwoa, with known sickle-cell disease (HbSS) is admitted to the Korle Bu general surgical unit with a 48-hour history of right upper quadrant pain, fever, and jaundice. She has ha…
A 19-year-old man, Yaw, with known sickle-cell disease (HbSS) is admitted to the surgical ward at a regional hospital in Brong-Ahafo with a 4-day history of right iliac fossa pain, fever (38.6°C), and…
A 19-year-old man, Yaw, with known sickle-cell disease (HbSS) is admitted to Korle Bu Teaching Hospital with acute right iliac fossa pain, fever of 38.6°C, and vomiting of 24 hours' duration. His Alva…
A 28-year-old man, Kwame, is brought by relatives to the resus bay of Komfo Anokye Teaching Hospital after a road traffic collision on the Kumasi–Accra highway. He was a front-seat passenger without a…
A 60-year-old woman, Adwoa, is on warfarin for a mechanical mitral valve prosthesis (INR target 2.5–3.5). She is admitted to the Korle Bu surgical unit with acute small bowel obstruction from an adhes…
A 67-year-old man, Mensah, is on the Korle Bu general surgical unit. He is on warfarin (target INR 2.0–3.0) for a metallic mitral valve prosthesis and is admitted for an emergency Hartmann's procedure…
A 28-year-old man, Kwame, is brought to the resus bay of Komfo Anokye Teaching Hospital by relatives after a road traffic collision on the Kumasi–Accra highway. He is obtunded, with a GCS of 12. On pr…
A 19-year-old student, Kofi, with known sickle-cell disease (HbSS) is scheduled for elective laparoscopic cholecystectomy for symptomatic cholelithiasis at the UGMC surgical unit. Pre-operative haemat…
A 34-year-old man, Kofi, is brought to the district hospital surgical unit in Northern Region after a machete assault to the left flank. He is conscious but agitated; BP 88/60 mmHg, HR 122 bpm, RR 24/…
Ama, a 55-year-old teacher at a district hospital catchment area in Brong-Ahafo, is referred to the regional hospital with a 6-month history of a lump in her left breast. She is post-menopausal and ha…
Akua, a 42-year-old market trader from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a 3-month history of a painless lump in the upper outer quadrant of her right breast. She ha…
Ama, a 38-year-old schoolteacher, is referred from a district hospital in the Volta Region to the Korle Bu Teaching Hospital with a 4-month history of a rapidly enlarging right breast lump. She is pre…
Akua, a 44-year-old market trader from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a 3-month history of a painless lump in her right breast. She has no family history of breas…
During a modified radical mastectomy for a right-sided breast cancer at the Komfo Anokye Teaching Hospital theatre, the registrar is performing axillary lymph node dissection. The consultant asks the …
Kofi, a 60-year-old retired teacher, is referred to the Korle Bu oncology-surgery MDT meeting. He has a 5 cm ER-negative, PR-negative, HER2-positive invasive ductal carcinoma of the left breast confir…
Ama, a 55-year-old civil servant, is referred to the Korle Bu surgical unit from a district hospital in the Central Region with a 2 cm ER-positive, PR-positive, HER2-negative, grade 2 invasive ductal …
Adwoa, a 48-year-old businesswoman, undergoes wide local excision and sentinel lymph node biopsy at the UGMC for a 2.5 cm grade 2 invasive ductal carcinoma of the right breast. The sentinel node biops…
Ama, a 52-year-old civil servant, is referred to the Korle Bu breast unit with a 3 cm invasive ductal carcinoma of the left breast (ER+, PR+, HER2−, grade 2). Clinical examination reveals no palpable …
Akua, a 42-year-old market trader from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a 3-month history of a painless lump in her right breast. She noticed nipple retraction over…
During a modified radical mastectomy for a 48-year-old woman, Esi, at the Komfo Anokye Teaching Hospital theatre, the operating registrar is performing level II axillary lymph node dissection. The pat…
Ama, a 55-year-old teacher at a district school in the Bono East Region, is referred to the regional hospital after her general practitioner noted a 3 cm firm breast lump at her left 9 o'clock positio…
Yaa, a 60-year-old retired civil servant, attends the surgical outpatient clinic at the University of Ghana Medical Centre (UGMC) with a 2-week history of bloody nipple discharge from the left nipple …
A 60-year-old retired nurse, Madam Esi, presents to the Korle Bu general surgical unit with a 6-month history of a large, fixed right breast mass. On examination the mass measures approximately 8 cm, …
Akua, a 45-year-old market trader from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a 3-month history of a painless lump in the upper outer quadrant of her right breast. She ha…
Adwoa, a 38-year-old nurse at Korle Bu Teaching Hospital, is referred to the breast unit with a recently diagnosed right breast cancer. Core biopsy confirms invasive ductal carcinoma, grade 3, ER-nega…