A 29-year-old man, Kofi, presents to the district hospital surgical ward in the Brong-Ahafo Region with a 6-hour history of sudden-onset severe epigastric pain radiating to the back, nausea, and two e…
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A 4-year-old girl, Akua, is on the paediatric surgical list at Komfo Anokye Teaching Hospital for rigid bronchoscopy under general anaesthesia for retrieval of a right main bronchus groundnut, confirm…
A 35-year-old man, Yaw, is seen in the ENT-surgical combined clinic at a regional hospital in the Ashanti Region. He is a carpenter who, two days ago, accidentally inhaled a small metal screw while ho…
A 6-month-old infant, weighing 7 kg, is brought to the Tamale Teaching Hospital paediatric emergency bay in respiratory failure secondary to severe bronchiolitis. The intern has selected a size 2 infa…
Mohammed, a 55-year-old man with known morbid obesity (BMI 42), is brought to the Korle Bu Emergency Centre with an acute asthmatic attack that has progressed to respiratory failure. He is sedated wit…
Yaw, a 60-year-old farmer, is brought to the Komfo Anokye ED by family after being found unresponsive at home. He is suspected to have organophosphate poisoning from pesticide exposure on his farm. He…
A 55-year-old man, Yaw, with known carcinoma of the larynx is brought to the Komfo Anokye ED in Kumasi with acute respiratory distress. He is known to radiotherapy services and was last reviewed 3 wee…
A 38-year-old woman, Akosua, presents to the Korle Bu emergency centre with a 3-day history of progressively worsening sore throat and difficulty swallowing. Today she cannot swallow her own saliva. V…
A 38-year-old woman, Aisha, is being prepared for awake fibreoptic nasal intubation at the Komfo Anokye ED. She has a fractured mandible from a road traffic collision with significant intraoral haemat…
A 38-year-old woman, Aisha, is brought to the Komfo Anokye ED with acute severe asthma. Her SpO2 is 82% on 15 L/min oxygen via non-rebreather mask. She is in severe respiratory distress with a RR of 3…
A 44-year-old obese man, Kwesi, is seen in a regional hospital ED in the Eastern Region. He is scheduled for procedural sedation for a dislocated shoulder. His BMI is 38 kg/m². His wife reports he sno…
Yaw, a 42-year-old man with Ludwig's angina, is seen at the Tamale Teaching Hospital ED. He has progressive floor-of-mouth swelling, trismus (mouth opening 1.5 cm), and drooling. SpO2 is 90% on room a…
A 78-kg male construction worker, Kwesi, aged 45, is brought to a district hospital in the Bono East region after a fall from scaffolding. He has an open femur fracture and a GCS of 14. His SpO2 is 94…
A 55-year-old man with known morbid obesity (weight 130 kg, BMI 46) presents to the Korle Bu Emergency Centre in respiratory failure due to acute exacerbation of COPD. He requires positive-pressure ve…
A 42-year-old woman presents to a regional hospital ED in the Western Region with severe colicky central abdominal pain, vomiting, and abdominal distension for 18 hours. She denies diarrhoea or fever.…
A 35-year-old man, Yaw, presents to the Korle Bu emergency centre after receiving IV contrast dye during an elective CT scan. He develops flushing, urticaria, lip swelling, and wheezing. He is treated…
Abena, a 41-year-old woman with known asthma, was treated for anaphylaxis to latex at Komfo Anokye ED 4 hours ago. She received IM adrenaline, hydrocortisone, and chlorphenamine and was asymptomatic o…
A 19-year-old woman named Abena is brought to a regional hospital A&E after eating peanuts at a party. She has urticaria, periorbital swelling, and vomiting. Vitals: BP 104/68 mmHg, HR 110 bpm, RR 18/…
A 19-year-old man, Kwesi, is brought to a district hospital A&E in the Brong-Ahafo Region after eating at a street food stall. He develops stridor, severe bronchospasm, and a BP of 60/30 mmHg. He rece…
Fatima, a 33-year-old woman, presented to a district hospital A&E with anaphylaxis to a wasp sting. She received IM adrenaline 500 micrograms, chlorphenamine, and hydrocortisone. Her symptoms resolved…
A 32-year-old nurse, Adwoa, presents to the Korle Bu emergency centre 2 hours after receiving her first-ever yellow fever vaccine at a travel clinic. She reports throat tightness, generalised urticari…
A 45-year-old woman is referred from a district hospital in the Volta Region to the regional hospital with a 2-hour history of generalised urticaria, angioedema of the lips and tongue, and difficulty …
A 24-year-old woman is referred from a district hospital in the Upper West Region to Tamale Teaching Hospital. She has had recurrent episodes of painless, non-itchy swelling of her lips and hands over…
A 38-year-old man, Kofi, presents to a regional hospital in the Northern Region with a 3-week history of right upper quadrant pain, fever, and a dry cough. He has no history of alcohol use or biliary …
Ama, a 38-year-old teacher, presents to the Korle Bu general surgical outpatient clinic with a 3-month history of recurrent right upper quadrant pain and intermittent fevers. She was treated for an 'a…
During a teaching ward round at the Korle Bu Teaching Hospital, a surgical registrar presents a 38-year-old man, Kofi, with a confirmed amoebic liver abscess in the right lobe. The team is discussing …
Mohammed, a 55-year-old cattle farmer from the Northern Region, presents to Tamale Teaching Hospital with a 6-week history of right upper quadrant pain, fever, and weight loss. He denies alcohol use. …
A 52-year-old man is brought to the Korle Bu emergency unit by relatives with a 5-day history of right shoulder tip pain, fever, and cough productive of brown sputum. He has no abdominal pain. Chest X…
A 45-year-old trader, Kofi, presents to the Komfo Anokye Teaching Hospital surgical outpatient clinic with a 3-week history of dull right upper quadrant pain and low-grade fever. He denies significant…
Kofi, a 19-year-old male student at the University of Ghana, is referred to the Korle Bu surgical outpatient clinic by his GP with a 4-month history of bilateral breast enlargement. He is embarrassed …