A 38-year-old woman, Ama, is seen by the surgical registrar on-take at a district hospital in the Bono Region with a 4-day history of persistent rotatory vertigo and vomiting. She was initially manage…
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A 45-year-old man, Yaw, presents to the Korle Bu Teaching Hospital emergency department having been brought by relatives after a sudden onset of severe vertigo, vomiting, and inability to stand. He de…
A 34-year-old man, Kwame, presents to the emergency unit of a regional hospital in the Ashanti Region with a sudden onset of severe rotatory vertigo that began 18 hours ago. He reports that the room s…
A 61-year-old woman, Adwoa, with a known diagnosis of type 2 diabetes mellitus (HbA1c 9.2%) and hypertension presents to the emergency unit at UGMC with a 6-hour history of acute onset vertigo, nausea…
A 27-year-old carpenter named Yaw presents to a regional hospital ED with a 3-day history of increasing pain and swelling in his left palm. He recalls a small wooden splinter entering the palm while w…
A 9-year-old boy named Kwame is brought to a district hospital in Brong-Ahafo by his mother after stepping on a nail while playing barefoot. The nail has been removed. On examination, there is a 1 cm …
A 61-year-old woman, Adwoa, is reviewed in the vascular surgical outpatient clinic at Korle Bu Teaching Hospital with a 14-month history of a non-healing ulcer on the medial aspect of her right lower …
A 48-year-old man, Yaw, with known sickle cell disease (HbSS) is admitted to the Korle Bu general surgical unit for an elective right inguinal hernia repair. Pre-operative assessment reveals: Hb 7.2 g…
Akua, a 58-year-old woman with type 2 diabetes mellitus (HbA1c 11.2%) and peripheral arterial disease, is seen in the Korle Bu general surgical outpatient clinic with a 4-month history of a non-healin…
A 34-year-old man, Kwame, presents to the Komfo Anokye emergency theatre with a 6-hour history of a laceration to his right forearm sustained from a machete during a farming dispute. The wound is 8 cm…
Yaw, a 28-year-old man with known sickle-cell disease (HbSS), is admitted to the Komfo Anokye surgical ward for elective cholecystectomy for symptomatic pigment gallstones. Pre-operatively, his haemog…
A 19-year-old female student, Ama, is brought to the Tamale Teaching Hospital surgical ward from a district hospital in the Northern Region with a painless, progressively enlarging ulcer on her right …
A 55-year-old man, Mensah, underwent a Hartmann's procedure for perforated sigmoid diverticulitis at a regional hospital in the Volta Region five days ago. His postoperative course has been complicate…
A 28-year-old woman, Ama, is seen on the plastic surgery ward at Korle Bu Teaching Hospital, three weeks after undergoing an emergency laparotomy for a perforated appendix. Her midline laparotomy woun…
Kwame, a 34-year-old mechanic, presents to the Komfo Anokye surgical outpatient clinic with a raised, firm, itchy scar over his left deltoid region, 18 months after sustaining a laceration that was pr…
A 27-year-old woman, Ama, is seen in the general surgical outpatient clinic at a district hospital in the Northern Region. She has a 4-month history of a painless, progressive ulcer on her right lower…
Kwame, a 58-year-old cocoa farmer from Brong-Ahafo, is reviewed in the district hospital surgical outpatient clinic with a non-healing ulcer on his right lower leg that has been present for fourteen m…
A 34-year-old man, Kwame, presents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital six weeks after sustaining a deep laceration to his anterior chest wall during a road traffic acc…
A 28-year-old woman, Esi, presents to the surgical outpatient clinic at a regional hospital in the Ashanti Region with a raised, firm, pruritic lesion on her left earlobe that has grown progressively …
A 62-year-old woman, Adwoa, with a 15-year history of venous insufficiency is referred to the vascular surgical outpatient clinic at the regional hospital in the Ashanti region with a 9-month history …
A 45-year-old woman, Ama, is seen on the Korle Bu general surgical ward following an emergency laparotomy for perforated typhoid ileum performed 8 days ago. The midline wound has dehisced partially — …
A 48-year-old man, Yaw, with poorly controlled type 2 diabetes mellitus (HbA1c 11.2%) presents to the surgical ward of a regional hospital in the Ashanti Region with a 6-week history of a painless ulc…
A 34-year-old man, Kwame, presents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital six weeks after sustaining a machete laceration to his left forearm during a farming dispute. The…
A 58-year-old woman, Akua, with a 20-year history of type 2 diabetes mellitus (HbA1c 11.2%) is referred from a district hospital in the Brong-Ahafo region to the regional hospital surgical unit with a…
A 58-year-old man, Yaw, with a 12-year history of poorly controlled type 2 diabetes mellitus (HbA1c 11.2%, fasting glucose 18.4 mmol/L) presents to the surgical outpatient clinic at Tamale Teaching Ho…
A 27-year-old woman, Ama, is seen in the general surgical outpatient clinic at Tamale Teaching Hospital with a progressive painless ulcer on the posterior aspect of her left calf present for eight mon…
A 47-year-old man, Kofi, presents to the surgical outpatient clinic at a regional hospital in Brong-Ahafo with a 6-week history of a progressive, painless ulcer on his right lower leg. He is a cocoa f…
A 55-year-old woman, Ama, is reviewed in the surgical outpatient clinic at Tamale Teaching Hospital. She has a 6-month history of a painless, progressively enlarging ulcer on her left lower leg. The u…
A 62-year-old woman, Adwoa, is referred from a district hospital in the Volta Region to the regional hospital with a 14-week history of a painless, progressive ulcer on her right lower leg. She is a s…
A 34-year-old man, Kwame, presents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital six weeks after sustaining a deep laceration to his anterior chest wall following a road traffic …