A 6-year-old girl named Akosua is brought to Korle Bu emergency centre with pallor, splenomegaly, and failure to thrive. Her FBC shows haemoglobin 62 g/L, MCV 58 fL, MCH 16 pg, and MCHC 220 g/L. Her r…
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Ama is a 28-year-old Ghanaian woman who attends the surgical outpatient clinic at Korle Bu Teaching Hospital with a raised, firm, pruritic skin lesion over her sternum. She reports that the lesion app…
A 62-year-old woman, Akua, presents to the Korle Bu dermatology-surgical joint clinic with a pearly, translucent, skin-coloured nodule with rolled edges and central ulceration on her right cheek. She …
A 28-year-old woman, Ama, attends the surgical outpatient clinic at Korle Bu with a raised, firm, itchy scar on her sternum following a median sternotomy performed two years ago. On examination, the s…
A 14-year-old boy, Kofi, is brought to Komfo Anokye ED with a two-week history of productive cough, low-grade fever, and night sweats. A chest X-ray shows a right upper lobe consolidation with a small…
A 28-year-old woman, Akua, presents to the Korle Bu surgical outpatient clinic 8 months after a median sternotomy for a cardiac procedure. She reports a raised, itchy, firm scar that has extended well…
Kofi, a 70-year-old retired teacher, presents to the UGMC surgical outpatient clinic with a pearly, translucent, raised nodule with rolled edges and central ulceration on his left cheek. He has lived …
Esi, a 24-year-old woman of Ghanaian descent, presents to the Korle Bu surgical outpatient clinic with a firm, raised, pruritic scar on her sternum following a median sternotomy performed 18 months ag…
A 52-year-old Ghanaian man, Yaw, presents to the regional hospital surgical outpatient clinic with a three-month history of a painless, firm, right-sided posterior triangle neck swelling measuring 4 c…
A 45-year-old man, Kofi, had an elective inguinal hernia repair at a district hospital in Ghana three weeks ago. His wound is healing well with no signs of infection. The surgical registrar explains t…
A 45-year-old woman, Akua, undergoes an emergency laparotomy at Komfo Anokye Teaching Hospital for a perforated typhoid ileal ulcer. The abdomen is heavily contaminated with faecal matter. After thoro…
A 34-year-old man, Kwame, presents to the Korle Bu emergency centre with a 3-week history of productive cough, drenching night sweats, and significant weight loss. A chest radiograph shows upper-lobe …
A 45-year-old man, Kofi, originally from the Ashanti region, presents to the Korle Bu ENT-surgical unit with a three-month history of progressive left-sided nasal obstruction, epistaxis, and unilatera…
Akua, a 28-year-old Ghanaian woman, had an emergency appendicectomy at a district hospital six months ago. She now presents to the Korle Bu surgical outpatient clinic with a firm, raised, pruritic sca…
Yaa, a 22-year-old medical student, received equine anti-tetanus serum at a district hospital A&E following a deep puncture wound from a farm tool. Seven days later she presents to the same A&E with f…
Ama, a 22-year-old Ghanaian woman, presents to the Korle Bu surgical outpatient clinic with a firm, raised scar over her sternum that has grown well beyond the margins of a median sternotomy scar from…
A 40-year-old man, Kofi, sustained a 3 cm laceration over his sternum in a road traffic accident managed at a district hospital in the Brong-Ahafo region. The wound was sutured primarily. Six months l…
Adwoa, a 28-year-old seamstress, presents to the Korle Bu surgical outpatient clinic with a firm, raised scar on her left earlobe following traditional ear piercing performed six months ago. On examin…
A 32-year-old Ghanaian woman, Akua, presents to the Korle Bu surgical outpatient clinic 8 months after a midline laparotomy for a ruptured ectopic pregnancy. She complains of a raised, firm scar that …
Esi, a 28-year-old Ghanaian woman, presents to the Korle Bu surgical outpatient clinic 8 months after a median sternotomy for repair of a ventricular septal defect. She complains of a raised, itchy, f…
During a teaching session at UGMC, the pathology consultant shows the residents two pleural fluid samples. Sample A is clear and straw-coloured with a protein content of 12 g/L and a specific gravity …
Yaa, a 22-year-old Ghanaian woman, underwent a median sternotomy for repair of a ventricular septal defect 8 months ago at Korle Bu. She now presents with a raised, firm, rubbery scar over the sternot…
A 38-year-old woman, Ama, presents to the UGMC surgical unit with a 3-week history of right upper quadrant pain, fever, and weight loss. She is a known HIV-positive patient not on antiretroviral thera…
A 24-year-old woman, Ama, attends the surgical outpatient clinic at Komfo Anokye Teaching Hospital with a raised, firm, pruritic scar over her left earlobe following ear piercing 18 months ago. The sc…
A 7-year-old boy named Kofi is brought to the district hospital A&E in Ashanti with jaundice, pallor, and dark urine. His mother reports he had been well until two days ago. FBC shows: haemoglobin 62 …
A 28-year-old woman, Akua, presents to the Korle Bu surgical outpatient clinic with a raised, firm, pruritic lesion over her sternum that developed six months after a minor abrasion. On examination, t…
A 28-year-old woman, Akua, attends the surgical outpatient clinic at Korle Bu with a raised, firm, pruritic scar over her sternum, 18 months after a median sternotomy for repair of a ventricular septa…
Kwame, a 52-year-old man, is seen in the regional hospital A&E with fatigue and a smooth, beefy-red tongue. His FBC shows: haemoglobin 74 g/L, MCV 118 fL, MCH 38 pg, white cell count 3.8 × 10⁹/L with …
A 34-year-old woman named Akua presents to Korle Bu emergency centre with progressive fatigue and pallor over three months. Her FBC reveals: haemoglobin 78 g/L, MCV 68 fL, MCH 21 pg, MCHC 290 g/L, and…
Akua, a 24-year-old Ghanaian woman, presents to the Korle Bu surgical outpatient clinic 18 months after a midline sternotomy for cardiac surgery. She has a raised, firm, shiny scar that extends 2 cm b…