A 70-year-old man, Mensah, is reviewed in the vascular outpatient clinic at a regional hospital in the Eastern Region. He was found to have a 4.2 cm infrarenal AAA on abdominal ultrasound performed 18…
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A 58-year-old man, Kofi, attends the vascular outpatient clinic at a regional hospital in the Eastern Region. He was referred after his general practitioner palpated a pulsatile abdominal mass during …
A 66-year-old man, Kofi, underwent elective endovascular aortic repair (EVAR) for a 6.0 cm infrarenal AAA at Korle Bu Teaching Hospital 6 months ago. He is now reviewed in the vascular outpatient clin…
A 74-year-old man, Kofi, is reviewed in the vascular outpatient clinic at Korle Bu six weeks after elective EVAR for a 5.8 cm infrarenal AAA. He reports no symptoms. His post-operative CT angiogram at…
A 64-year-old man, Mensah, presents to the Komfo Anokye vascular outpatient clinic for follow-up after an incidental finding of a 4.3 cm infrarenal AAA on ultrasound 6 months ago. He is asymptomatic. …
Mohammed, a 22-year-old man, is brought to a district hospital in Northern Region following a stab wound to the right upper quadrant. He is conscious and oriented. Vital signs: BP 110/70 mmHg, HR 104/…
Yaw, a 31-year-old man, is brought to the Korle Bu emergency centre after sustaining a stab wound to the left flank. He is haemodynamically stable: BP 122/78 mmHg, HR 92/min, RR 18/min, SpO2 99%. The …
A 40-year-old man, Mohammed, arrives at the regional hospital A&E following a crush injury to the pelvis from a collapsing building. BP is 60/40 mmHg despite two large-bore IVs and 1 litre of crystall…
A 19-year-old man, Mensah, is brought to the emergency theatre of a district hospital in the Northern Region after sustaining a gunshot wound to the left flank. He was shot at close range approximatel…
Abena, a 19-year-old student, is brought to the emergency department of a regional hospital in the Western Region after a road traffic accident. She was a motorcyclist who was struck by a lorry. She c…
A 45-year-old man is brought to the Korle Bu surgical emergency unit after a motorcycle accident in which his abdomen struck the handlebar. He is haemodynamically stable: blood pressure 124/78 mmHg, h…
A 34-year-old woman, Akua, is brought to the Komfo Anokye ED by relatives after a 3-day history of profuse vomiting and inability to tolerate oral fluids. She has a background of hyperemesis gravidaru…
A 28-year-old man named Kofi is seen in the A&E of a regional hospital in the Ashanti Region following a road traffic collision. He has a suspected closed head injury and is intubated for airway prote…
A 44-year-old woman, Abena, presents to a regional hospital A&E with a 4-hour history of severe colicky right upper quadrant pain radiating to the right shoulder tip, associated with nausea and vomiti…
Kofi, a 45-year-old man with a history of gallstones, presents to a district hospital A&E in Brong-Ahafo with a 2-day history of right upper quadrant pain, fever, and jaundice. He was initially treate…
A 67-year-old man is brought by relatives to a district hospital A&E in Brong-Ahafo with sudden-onset severe generalised abdominal pain of two hours duration. He has a history of peptic ulcer disease.…
A 28-year-old man, Yaw, is seen on the surgical firm at the University of Ghana Medical Centre (UGMC) with a 2-day history of right iliac fossa pain. He is systemically well: temperature 37.4°C, pulse…
A 45-year-old man, Yaw, undergoes open appendicectomy via a Lanz incision at a regional hospital in the Ashanti Region for presumed acute appendicitis. Intra-operatively, the appendix is found to be m…
A 35-year-old woman, Ama, undergoes open appendicectomy via a Lanz incision at a regional hospital in the Ashanti Region for acute appendicitis. At operation, the appendix is found to be acutely infla…
A surgical registrar at the Komfo Anokye Teaching Hospital is performing an open appendicectomy via a Lanz incision in a 22-year-old woman, Esi, with a 36-hour history of RIF pain and an Alvarado scor…
During an emergency appendicectomy via a Lanz incision at a regional hospital theatre, the registrar identifies a normal-looking appendix after delivering it into the wound. The caecum and terminal il…
Mohammed, a 62-year-old retired teacher, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 10-day history of right upper quadrant pain, fever, and a palpable right hy…
Ama, a 38-year-old primigravida at 28 weeks of gestation, is referred from a district hospital in the Volta Region to a regional hospital with a 48-hour history of right upper quadrant pain, nausea, a…
Adwoa, a 68-year-old woman with hypertension and chronic kidney disease (creatinine 210 micromol/L at baseline), is admitted to the UGMC surgical firm with a 4-day history of right upper quadrant pain…
A 52-year-old woman is admitted to the regional hospital surgical ward in Brong-Ahafo with a 4-day history of right upper quadrant pain, fever, and nausea. She had a similar episode 6 months ago that …
During a cortical mastoidectomy for acute coalescent mastoiditis at a regional hospital theatre in the Northern Region, a 9-year-old boy named Yaw is under general anaesthesia. The surgeon has drilled…
A 12-year-old girl, Ama, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 5-day history of right ear pain, fever, and a progressively enlarging swelling a…
A 42-year-old woman named Ama is admitted to the Korle Bu neurosurgical-ENT combined unit with a 5-day history of spiking fevers, headache, and right-sided otalgia. She has a known history of right ch…
A 50-year-old man, Kofi, presents to the Korle Bu general surgical unit with a 24-hour history of severe epigastric pain and vomiting. He is a known type 2 diabetic on metformin and has a history of h…
A 29-year-old woman, Ama, presents to the Tamale Teaching Hospital surgical assessment unit with a 2-day history of epigastric pain and vomiting. She is 32 weeks pregnant (G2P1) and was previously wel…