A 72-year-old woman named Adwoa is brought to the Komfo Anokye Teaching Hospital emergency department by her family. They found her on the floor of her room at home, unable to get up, after she had be…
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A 45-year-old farmer, Mohammed, is brought to the regional hospital ED in Tamale after being struck by lightning during a harmattan season thunderstorm. Witnesses state he was knocked to the ground an…
A 19-year-old male apprentice electrician, Yaw, is brought to the regional hospital A&E in Kumasi after receiving a shock from a 240V domestic supply while working without insulated gloves. He was bri…
During a continuing medical education session at the Komfo Anokye Teaching Hospital ED, a junior registrar asks about the distinction between 'wet drowning' and 'dry drowning', having read an older te…
A 52-year-old farmer, Yaw, is brought to a district hospital in Brong-Ahafo after being struck by lightning during a rainstorm on his farm. Bystanders report he was thrown several metres and lost cons…
A 67-year-old man, Yaw, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 4-day history of recurrent severe left-sided nasal bleeding. He is on warfarin fo…
A 48-year-old man, Yaw, presents to the Korle Bu Teaching Hospital ENT-surgical unit with recurrent bilateral epistaxis over 3 weeks. He reports that the bleeding is often bilateral, starts spontaneou…
A 45-year-old man, Yaw, has been admitted to the regional hospital ED in the Northern Region after a high-voltage electrical injury sustained at a construction site. He is in refractory ventricular fi…
Adwoa is a 35-year-old nurse admitted to the Komfo Anokye ED with a two-day history of fever, headache, and photophobia. She is febrile at 38.9°C, BP 104/68 mmHg, HR 108 bpm, RR 22/min, SpO2 97%. She …
A 78-year-old woman, Mary, with known end-stage heart failure and advanced dementia is brought from a nursing home to the Korle Bu emergency centre after a period of unresponsiveness. Her daughter, wh…
Kofi Barimah, a 45-year-old man with end-stage renal disease on maintenance haemodialysis, is brought to a regional hospital ED after missing three sessions due to financial constraints. He is anuric …
A 64-year-old woman, Adwoa, is in the Korle Bu emergency centre resuscitation bay, ventilated following a massive pulmonary embolism with refractory cardiac arrest. After 30 minutes of ACLS, the team …
A 55-year-old man named Yaw Asante is brought to a regional hospital ED from a peripheral facility with a 3-day history of progressive confusion and inability to swallow. He has end-stage hepatocellul…
Ama is a 45-year-old market trader brought to the Korle Bu emergency centre by her daughter. She has a known diagnosis of bipolar affective disorder, currently on lithium. She was found acting bizarre…
Kofi is a 72-year-old retired teacher with known vascular dementia, brought to the Komfo Anokye ED by his daughter. He requires an urgent right below-knee amputation for wet gangrene with systemic sep…
A 30-year-old woman, Fatima, presents to a district hospital ED in the Upper East Region at 36 weeks gestation with severe headache, visual disturbance, and BP 170/115 mmHg. She is conscious and commu…
Kofi, a 58-year-old male teacher with a BMI of 33 kg/m² and type 2 diabetes mellitus (HbA1c 9.2%), presents to the UGMC surgical firm with a symptomatic incisional hernia following a Pfannenstiel inci…
Yaa, a 50-year-old woman, is reviewed in the Korle Bu surgical outpatient clinic eight months after an emergency midline laparotomy for perforated typhoid ileal perforation. She has developed a large …
Kofi, a 67-year-old man with a history of open radical prostatectomy via a Pfannenstiel incision 5 years ago, presents to the UGMC surgical outpatient clinic with a 2-year history of a bulge at the ri…
Mensah, a 55-year-old man, presents to the Korle Bu general surgical unit with a 6-month history of a progressively enlarging swelling at the site of a previous right paramedian laparotomy performed 1…
Abena, a 52-year-old seamstress, is referred from a regional hospital in the Volta Region to the UGMC surgical firm with a large incisional hernia following a Pfannenstiel incision for a caesarean sec…
A 49-year-old woman, Ama, is seen in the surgical ward at a regional hospital in the Volta Region with a 6-week history of a tender, non-reducible swelling at the right lower quadrant of a previous Pf…
Yaw, a 68-year-old retired teacher, presents to the regional hospital surgical unit in Tamale with a 5-day history of absolute constipation, abdominal distension, and colicky pain. He has no significa…
Ama, a 67-year-old retired nurse from the Ashanti Region, is brought by her family to the Komfo Anokye emergency surgical unit with a 48-hour history of vomiting, absolute constipation, and central ab…
A 50-year-old woman, Esi, presents to the UGMC surgical outpatient clinic with a 4-month history of intermittent right upper quadrant pain, bloating, and flatulence following fatty meals. She has no j…
Abena, a 29-year-old primigravida at 26 weeks gestation, presents to the Komfo Anokye emergency surgical unit with a 12-hour history of severe right upper quadrant pain, nausea, and vomiting. She has …
A 72-year-old woman, Yaa, presents to the regional hospital A&E with a 4-day history of progressive abdominal distension, absolute constipation, and bilious vomiting. She has no prior abdominal surger…
Yaw, a 52-year-old man with known chronic hepatitis B, is admitted to the Korle Bu Emergency Centre with a 4-day history of confusion, jaundice, and decreased urine output. He is not on any treatment.…
A 66-year-old woman, Yaa, is brought to the regional hospital A&E with melaena for two days and dizziness on standing. She has a history of ischaemic heart disease and takes aspirin 75 mg daily. Vital…
Aisha, a 38-year-old woman with known liver cirrhosis secondary to hepatitis B, presents to the Komfo Anokye Teaching Hospital ED having vomited approximately 500 mL of fresh blood. She was brought by…