A 42-year-old man, Yaw, is seen on the surgical ward of a regional hospital in the Ashanti Region five days after sustaining blunt chest trauma in a farming accident involving a tractor. He was initia…
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A 42-year-old man, Yaw, is admitted to Korle Bu Teaching Hospital following a high-speed road traffic collision. He sustained multiple rib fractures (ribs 4–8 on the left) and was initially managed wi…
A 42-year-old man, Yaw, is admitted to the surgical ward of a district hospital in the Brong-Ahafo Region following a motor vehicle collision 6 hours ago. He complains of right chest wall pain and mil…
A 4-year-old boy, Kofi, is brought to the Cape Coast Teaching Hospital with a 2-week history of rapidly increasing jaw swelling on the right side. His mother says the swelling appeared suddenly and ha…
A 3-year-old girl, Akua, is brought to Tamale Teaching Hospital by her parents who noticed a rapidly growing, painless swelling on her lower jaw over the past 3 weeks. She has no fever, no weight loss…
During a ward round at Ho Teaching Hospital, you review Mohammed, a 4-month-old male infant. His mother mentions he has not yet received his vaccinations because the family lives in a remote village. …
A 15-month-old girl, Ama, is brought to Komfo Anokye Teaching Hospital. Her mother reports she has not yet received any vaccines since birth because of a family belief that injections cause illness. S…
Abena is a 6-week-old girl brought to a child welfare clinic in Ho. Her mother reports she has been feeding well and has no fever or rash. She was born at term by caesarean section and received BCG an…
Kofi is a 4-day-old male neonate born at term at Cape Coast Teaching Hospital. He is exclusively breastfed. His mother notices he is very yellow. On examination he is deeply jaundiced to the palms and…
Ama, a 3-day-old term female neonate born at Korle Bu Teaching Hospital, presents with fever (axillary temperature 38.4 °C), poor feeding, and lethargy. She was born after prolonged rupture of membran…
Akua, a 3-day-old female neonate born at 37 weeks gestation at Korle Bu Teaching Hospital, is brought to the neonatal unit with poor feeding, temperature of 38.6 °C, respiratory rate of 68 breaths per…
A community health nurse at a CHPS compound in the Upper West Region is reviewing growth charts during a child welfare clinic. She notes that a 24-month-old boy, Joseph, has a height-for-age z-score o…
A 4-year-old boy, Kofi, is admitted to a regional hospital in the Volta Region with a two-week history of progressive leg weakness and difficulty walking. On examination, he has bilateral bowing of th…
A midwife at the postnatal ward of a district hospital in the Volta Region is counselling Esi, a 24-year-old primipara who delivered a healthy baby girl two hours ago. Esi is HIV-negative and has no c…
At a Child Welfare Clinic in a CHPS compound in the Upper East Region, a community health officer plots the weight of a 9-month-old boy, Yaw, on his Road to Health chart. His birth weight was 3.2 kg. …
At a Child Welfare Clinic in Accra, the nurse plots the weight of a 9-month-old boy, Kofi, on the Road-to-Health chart. His birth weight was 3.2 kg. At 3 months he weighed 5.8 kg, at 6 months 7.0 kg, …
Yaa, a 4-year-old girl from a fishing community in the Volta Region, is seen at the regional hospital with a swelling on the front of her neck that has been present for six months. Her mother says man…
A 6-week-old male infant, Kofi, is brought to the paediatric OPD at Cape Coast Teaching Hospital. His mother is HIV-positive and was started on antiretroviral therapy during the antenatal period. The …
A 4-year-old girl, Yaa, is seen in the OPD at Cape Coast Teaching Hospital. Her mother reports she has been having difficulty seeing in dim light for the past three weeks and often bumps into objects …
A 3-year-old girl named Abena is brought to the emergency department at Korle Bu Teaching Hospital by her father. She had a generalised tonic-clonic seizure at home that lasted about 5 minutes and sto…
A 2-year-old girl, Abena, is brought to a district hospital with fever, severe headache, and vomiting for 2 days. She is now drowsy. Lumbar puncture results: clear CSF, opening pressure normal, white …
A 10-month-old infant, Ama, is admitted to the paediatric ward at Cape Coast Teaching Hospital with fast breathing, fever, and chest in-drawing for 2 days. Respiratory rate is 58 breaths/min, temperat…
Ama, a 2-year-old unvaccinated girl from a rural community in the Volta Region, presents with a 4-day history of fever, cough, runny nose, and red eyes. Today her mother noticed a widespread red blotc…
A 3-year-old girl, Yaa, is admitted to the children's ward at Cape Coast Teaching Hospital with a 12-hour history of high fever, severe headache (as reported by her mother), neck stiffness, and a non-…
A 6-year-old girl, Akua, presents to the ward at Korle Bu Teaching Hospital with fever, severe headache, neck stiffness, and photophobia for 18 hours. She is irritable and has a petechial rash over he…
A 5-year-old boy, Yaw, is admitted to Tamale Teaching Hospital with severe malaria. He has been given IV artesunate and his level of consciousness is improving. On routine blood glucose monitoring 2 h…
A 67-year-old man, Mensah, is brought to the Korle Bu resus bay by relatives with a 3-day history of worsening abdominal pain, abdominal distension, and absolute constipation. He has a background hist…
A 47-year-old man, Kofi, is seen in the UGMC colorectal surgical clinic. He was diagnosed with Lynch syndrome (MLH1 germline mutation confirmed on genetic testing) after his 44-year-old brother underw…
A 54-year-old woman, Yaa, is undergoing elective right hemicolectomy at the Korle Bu Teaching Hospital for a T3 N1 adenocarcinoma of the ascending colon. The consultant surgeon is demonstrating the op…
A 54-year-old woman, Esi, is listed for an elective laparoscopic left hemicolectomy for a sigmoid carcinoma at the Korle Bu Teaching Hospital. During the operation, the senior registrar is dissecting …