A 10-month-old boy, Kofi, is brought to a district hospital A&E in the Brong-Ahafo region by his mother. He has had a 3-day history of runny nose followed by increasing difficulty breathing and poor f…
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A 2-year-old boy, Yaw, is brought urgently to the district hospital A&E in Brong-Ahafo after his mother witnessed him put a groundnut in his mouth and then suddenly start coughing and choking. He is n…
A 28-year-old man, Yaw, presents to the regional hospital A&E with a 2-hour history of severe right-sided loin-to-groin pain, rated 10/10, associated with nausea. He is writhing on the trolley and can…
Ama, a 34-year-old market trader, presents to the regional hospital A&E with a 2-hour history of severe right loin-to-groin pain rated 9/10 on the NRS. She is restless and cannot find a comfortable po…
A 7-year-old girl, Akua, is brought to the district hospital A&E in Brong-Ahafo after sustaining a burn to her right forearm. She is crying inconsolably, refusing to move her arm, and flinching away f…
A 35-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 2-hour history of severe right flank pain radiating to the groin, scoring 9 out of 10 on the numerical rating scale. He…
A 35-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a closed fracture of the right tibia following a road traffic accident. He is haemodynamically stable. On assessment, he …
A 34-year-old man, Kwame, undergoes an emergency laparotomy at Komfo Anokye Teaching Hospital for a perforated typhoid ileal ulcer. The wound is left open and packed with saline-soaked gauze due to gr…
Ama, a 35-year-old woman, undergoes elective repair of an incisional hernia at a regional hospital in Ghana. The wound is closed primarily in layers. Six weeks later, her wound is well-healed and she …
A 45-year-old woman, Akua, had an exploratory laparotomy for typhoid perforation at a district hospital in Ghana six months ago. Her abdominal wound was left open initially and allowed to heal without…
Kwabena, a 65-year-old farmer, presents to the regional hospital surgical outpatient clinic with a non-healing ulcer on the dorsum of his right hand that has been present for three years. He works out…
Kwame, a 34-year-old man, attends the surgical outpatient clinic at Korle Bu Teaching Hospital six months after sustaining a stab wound to his right forearm. The wound was sutured primarily in the A&E…
A 58-year-old woman, Adwoa, is referred to the Komfo Anokye surgical unit with a 3 cm ulcerated lesion on the dorsum of her right hand. She is a farmer with a history of chronic sun exposure. The lesi…
A 52-year-old man, Kofi, is brought to the Komfo Anokye ED in a confused state. He had a urinary catheter inserted 5 days ago following prostate surgery. His temperature is 39.4°C, heart rate 118 beat…
A 38-year-old HIV-positive man, Kwabena, presents to the UGMC surgical unit with a 3-week history of right upper quadrant pain and fever. Ultrasound reveals a 7 cm hepatic lesion. CT-guided aspiration…
A 28-year-old woman, Akua, sustains a 6 cm laceration over her sternum following a road traffic accident. The wound is sutured primarily at a district hospital. Six months later she returns to the Kor…
A 22-year-old Ghanaian man, Kofi, presents to the UGMC surgical outpatient clinic with a raised, firm, pruritic scar over his sternum, 18 months after a median sternotomy for a congenital cardiac defe…
Yaw, a 62-year-old farmer from the Ashanti Region, presents to the regional hospital with a 4-month history of a painless, pearlescent, raised lesion with a rolled, telangiectatic edge on his left che…
Ama, a 35-year-old woman, presents to the Korle Bu general surgical unit with a raised, itchy scar over her left earlobe following traditional ear-piercing performed six months ago. On examination, th…
Akua, a 22-year-old Ghanaian woman, presents to the Komfo Anokye surgical outpatient clinic 8 months after a median sternotomy for repair of a congenital cardiac defect. She complains of a firm, raise…
A 38-year-old man, Kwabena, presents to UGMC with a 10-day history of fever, malaise, and a non-productive cough. He has no history of TB contact. His chest radiograph shows bilateral hilar lymphadeno…
A 22-year-old woman, Akua, presents to the Korle Bu surgical outpatient clinic with a raised, itchy scar over her sternum following a median sternotomy for cardiac surgery two years ago. On examinatio…
A 22-year-old man, Kofi, presents to the Korle Bu surgical outpatient clinic with a raised, firm, itchy scar over his left earlobe following ear piercing performed 18 months ago. Examination reveals a…
A 45-year-old man, Kofi, undergoes an elective inguinal hernia repair under spinal anaesthesia at a regional hospital in Ghana. The wound is closed in layers with absorbable sutures. On post-operative…
Yaa, a 22-year-old Ghanaian woman, presents to the surgical outpatient clinic at UGMC with a raised, firm, pruritic scar over her sternum 18 months after a median sternotomy. On examination, the scar …
A 32-year-old man, Kofi, presents to the Korle Bu outpatient clinic 8 months after sustaining a deep sternal wound following a road traffic accident. He complains of a raised, firm, itchy scar that ha…
Yaa, a 22-year-old Ghanaian woman, presents to the Korle Bu surgical outpatient clinic with a raised, firm, itchy scar on her sternum following a median sternotomy for a cardiac procedure two years ag…
Yaa, a 22-year-old Ghanaian woman, attends the surgical outpatient clinic at Komfo Anokye Teaching Hospital with a raised, firm, itchy scar over her left earlobe following ear piercing performed 14 mo…
A 34-year-old woman, Yaa, presents to the regional hospital surgical ward with a two-year history of intermittent right-sided neck swelling. She has no fever, night sweats, or weight loss. Excision bi…
A 28-year-old woman named Ama presents to the UGMC ED with fatigue, palpitations, and angular stomatitis. Her FBC shows haemoglobin 88 g/L, MCV 68 fL, MCH 20 pg, MCHC 290 g/L, and a reticulocyte count…