A 38-year-old man presents to a regional hospital in Wa, Upper West Region, after being scratched on the hand by his pet cat. He reports the cat scratched him while he was feeding it; the scratch brok…
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A 9-year-old boy named Kwesi is brought to a district hospital in the Upper West Region by his mother after a stray dog licked an open abrasion on his forearm while he was playing outside. There is no…
Mohammed, a 22-year-old university student, presents to a district hospital in the Northern Region after being bitten on the left ear by a bat while sleeping in his dormitory the previous night. He is…
Yaw, a 7-year-old boy, is brought to a district hospital in the Upper West Region after being bitten on the face by a domestic dog that appeared well but was unvaccinated. The dog belongs to a neighbo…
Mohammed is a 45-year-old school teacher admitted to a regional hospital ED in the Upper East Region with a confirmed case of cholera (stool culture positive for Vibrio cholerae O1, El Tor biotype). H…
A 28-year-old man, Kwesi, is brought to the emergency department of Tamale Teaching Hospital by family with a 5-day history of fever, myalgia, and vomiting. He is a trader who regularly travels betwee…
A 44-year-old woman, Adwoa, is seen at a regional hospital ED in Brong-Ahafo with a 6-week history of bloody diarrhoea, colicky lower abdominal pain, and progressive abdominal distension. She is a sub…
A 45-year-old man, Mohammed, is brought to the emergency centre at Korle Bu from a private hospital where he died unexpectedly after 3 days of undifferentiated febrile illness. He had recently returne…
A 45-year-old male trader, Kwame, is referred from a district hospital in Brong-Ahafo to the regional hospital ED. He has had fever and myalgia for 5 days. The referring notes document: temperature 40…
A 28-year-old woman, Abena, presents to the Korle Bu Emergency Centre with a 2-week history of intermittent colicky lower abdominal pain, alternating diarrhoea and constipation, and two episodes of br…
You are the medical officer on duty at a district hospital in the Upper West Region of Ghana. A 52-year-old woman, Adwoa, is brought by her son with a 4-day history of fever, headache, and severe lowe…
A 34-year-old woman, Fatima, presents to the emergency centre at Korle Bu Teaching Hospital with a 6-day history of fever, severe sore throat, and progressive weakness. She is a nurse who was deployed…
A 34-year-old fisherman, Mohammed, is referred from a district hospital in the Volta Region to a regional hospital ED with a 3-month history of progressive dysuria, terminal haematuria, and now acute …
A 45-year-old teacher, Yaw, presents to a district hospital in Brong-Ahafo with a 4-week history of generalised fatigue, urticarial rash, and recurrent abdominal discomfort. He gives a history of chil…
A 19-year-old woman, Aisha, is admitted to the isolation ward at Komfo Anokye Teaching Hospital (KATH) with suspected Lassa fever. She was referred from a district hospital in the Northern Region with…
A 19-year-old woman, Afia, is brought to a regional hospital ED in the Northern Region with a 5-day history of worsening headache, vomiting, and focal right-sided weakness that began acutely this morn…
During a yellow fever outbreak response in the Oti Region, the Ghana Health Service district team asks the emergency physician to counsel health workers on the yellow fever vaccine. A 32-year-old midw…
A 34-year-old woman, Fatima, is brought to a regional hospital ED in the Northern Region after 6 days of fever, sore throat, and progressive weakness. She works as a nurse in a rural district hospital…
A 24-year-old agricultural student, Kwame, presents to the Komfo Anokye ED with a 3-week history of fever, urticarial rash, dry cough, and diarrhoea. He returned from a rice-farming project in the Vol…
A 28-year-old fisherman, Kwame, presents to a regional hospital ED in the Volta Region with a 3-week history of fever, rigors, dry cough, urticarial rash, and myalgia. He returned from wading in Lake …
A 19-year-old student, Yaw, presents to Korle Bu Emergency Centre with a sudden-onset generalised tonic-clonic seizure followed by left arm weakness and headache. He has no prior history of epilepsy. …
Kwabena, a 38-year-old man with ileocolonic Crohn's disease, is reviewed in the surgical outpatient clinic at a regional hospital in the Ashanti region. He complains of a 4-month history of faecalent …
Yaa, a 31-year-old seamstress with a 5-year history of Crohn's disease affecting the terminal ileum, presents to the Korle Bu colorectal clinic with a 3-month history of right iliac fossa pain worseni…
A 60-year-old man, Kwabena, with known prostate cancer on androgen deprivation therapy presents to the Korle Bu urology-surgical joint clinic with bilateral groin swellings present for 8 months. He al…
A 28-year-old primigravida, Akua, 36 weeks pregnant, is referred from a district hospital in the Northern Region to the regional hospital with a 3-day history of a painful, irreducible right groin swe…
During an open right inguinal hernia repair at a regional hospital in the Ashanti Region, the surgical registrar identifies the indirect hernia sac and dissects it free from the cord structures. As sh…
Akua, a 32-year-old woman, presents to the surgical outpatient clinic at a regional hospital in the Ashanti Region with a 3-month history of a right groin lump. She notices it appears when she stands …
A 62-year-old man, Yaw, is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital for elective repair of a large left-sided indirect inguinal hernia that extends int…
A 40-year-old man, Kwabena, is seen in the plastic surgery clinic at Korle Bu Teaching Hospital with a large, symptomatic keloid on the anterior chest wall following a sternal wound infection after op…
Kwabena, a 40-year-old civil servant, is referred from a district hospital to the Korle Bu plastic surgery unit with a 7 cm × 5 cm keloid over his anterior chest wall following a laparotomy for typhoi…