A community health nurse at a CHPS compound in the Bono Region is reviewing the antenatal register. A 24-year-old primigravida, Akua, presents at 12 weeks gestation for her first antenatal visit. She …
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Ama, a 26-year-old market trader in Kumasi, delivers her third child at a district hospital. She is HIV-negative. She plans to return to full-time trading at six months postpartum. At her six-week pos…
A community health nurse at a CHPS compound in the Bono Region is reviewing antenatal records. Akosua, a 24-year-old primigravida at 36 weeks gestation, has attended four antenatal visits. Her records…
During a school health screening exercise at a junior high school in the Ashanti Region, a 13-year-old girl named Abena is found to have a haemoglobin of 9.2 g/dL with a microcytic hypochromic picture…
A 38-year-old cattle farmer, Kwabena, presents to the Tamale Teaching Hospital OPD with a 3-year history of painless, progressive swelling of his right leg with skin thickening and a 'peau d'orange' a…
A 35-year-old cattle farmer, Kofi, from the Upper West Region presents to a regional hospital with a 3-week history of undulant fever, drenching night sweats, and low back pain. He regularly drinks ra…
A public health team is reviewing the One Health framework as it applies to disease surveillance in Ghana. A medical officer explains that One Health recognises that human health, animal health, and e…
During a community health outreach in the Upper West Region of Ghana, a public health officer identifies 12 individuals with depigmented, anaesthetic skin patches and peripheral nerve thickening. He c…
A 14-year-old boy, Yaw, from the Ashanti Region presents to a teaching hospital with a painless, non-ulcerated swelling on his right leg that has been slowly enlarging for 8 weeks. The overlying skin …
Ama, a 10-year-old girl from a fishing community along the Volta Lake in the Volta Region, presents with terminal haematuria and dysuria for 2 months. Urine microscopy reveals oval eggs with a termina…
A community health officer conducting a trachoma survey in a rural district of a trachoma-endemic Sahelian country finds that 12% of children aged 1–9 years have trachomatous inflammation-follicular (…
A community health nurse at a CHPS compound in the Upper West Region notices that several children in a village have developed painless, yellowish, papular skin lesions on their lower limbs that have …
A 67-year-old man is brought to the Korle Bu emergency centre by family. He has a 3-day history of fever, productive cough, and worsening breathlessness. He looks toxic. Vitals: BP 82/50 mmHg, HR 134/…
Mohammed, a 28-year-old man, presents to a district hospital A&E in the Northern Region with a one-day history of fever, neck stiffness, and photophobia. Vitals: temp 39.8°C, HR 128 bpm, BP 84/50 mmHg…
Yaw, a 45-year-old farmer, is referred from a district hospital in Brong-Ahafo with a three-day history of right leg cellulitis and systemic sepsis. On arrival at the regional A&E, he has a MAP of 58 …
A 55-year-old man, Mohammed, is in the ED-ICU at Tamale Teaching Hospital following a severe road traffic injury with bilateral rib fractures and pulmonary contusions. He is mechanically ventilated, R…
Mohammed, a 48-year-old man with no known comorbidities, presents to a regional hospital ED in northern Ghana with sudden-onset generalised pruritus, throat tightness, and collapse 15 minutes after a …
A 28-year-old woman, Adwoa, is in the Korle Bu ICU following a road traffic collision causing traumatic brain injury (GCS 7) and bilateral femur fractures. She was intubated in the emergency centre an…
A 72-year-old woman, Adwoa, is in the resus bay at Tamale Teaching Hospital ED with sepsis secondary to pneumonia. She has received 30 mL/kg IV crystalloid over two hours. Her current vitals are: BP 1…
A 48-year-old woman is mechanically ventilated in the Korle Bu emergency centre for severe ARDS (PaO2/FiO2 ratio 98) secondary to gram-negative bacteraemia. She is on TV 6 mL/kg PBW, RR 22, PEEP 16, F…
Kofi is a 52-year-old man admitted to the Komfo Anokye ED with severe sepsis secondary to an abdominal source following bowel perforation. He was intubated 36 hours ago and is now receiving ARDSnet ve…
Mohammed, a 71-year-old man with COPD, is mechanically ventilated in the ICU at the regional hospital in Brong-Ahafo following a severe exacerbation with type 2 respiratory failure. He has been ventil…
A 67-year-old man is referred from a district hospital in Brong-Ahafo to the regional hospital ED with a diagnosis of severe sepsis secondary to urinary tract infection. He is intubated en route due t…
Mohammed, a 44-year-old schoolteacher, is admitted to Korle Bu emergency centre with septic shock secondary to community-acquired pneumonia. He has been on noradrenaline at 0.25 micrograms/kg/min for …
A 42-year-old man, Kwabena, presents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital with a 5-day history of a swollen, painful, and erythematous right leg. He returned from a 14-h…
Ama, a 48-year-old market trader, presents to the Korle Bu haematology-surgical joint clinic with a second episode of unprovoked proximal DVT within 18 months. Her first episode occurred 18 months ago…
A 32-year-old woman, Ama, presents to the surgical outpatient clinic at a district hospital in Brong-Ahafo with a two-week history of left leg swelling, erythema, and aching pain. She delivered her fi…
A 52-year-old woman, Adwoa, is reviewed in the vascular outpatient clinic at Korle Bu Teaching Hospital six months after a confirmed left femoral DVT for which she completed a three-month course of wa…
A 55-year-old man, Kwame, is brought to the Korle Bu emergency theatre with a 2-hour history of acute right lower limb ischaemia. He has a known history of atrial fibrillation for which he takes warfa…
A 67-year-old retired teacher, Joseph, is referred from a district hospital in the Bono Region to the regional hospital in Sunyani. He has a six-week history of generalised itching, progressive rednes…