A 6-hour-old male neonate at the Tamale Teaching Hospital is noted to have a large midline anterior abdominal wall defect through which loops of small bowel, colon, and part of the liver are herniated…
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A two-day-old male neonate is reviewed on the paediatric surgical ward at the University of Ghana Medical Centre (UGMC). He was born at 38 weeks gestation by emergency caesarean section for foetal dis…
A 2-day-old female neonate born at 36 weeks gestation at Korle Bu Teaching Hospital develops bilious vomiting and is noted to have a scaphoid abdomen. The mother had polyhydramnios. On examination, th…
A 12-day-old female neonate is brought to the Komfo Anokye Teaching Hospital emergency centre by her father, Kwame. The baby was well until day 8 when she became irritable and started feeding poorly. …
Akosua is a 28-year-old G3P2 woman who delivers a male infant at 38 weeks gestation at a regional hospital in the Ashanti Region following preterm rupture of membranes 30 hours prior to delivery. She …
A 34-week preterm neonate is delivered at Tamale Teaching Hospital ED. The delivery team immediately places the infant on a radiant warmer. The baby has reasonable tone and is making some respiratory …
A 38-week neonate is delivered in the Korle Bu Emergency Centre and initially cries vigorously. At one minute of life, the infant's breathing slows markedly and the heart rate is 85 bpm. Positive pres…
A 3-day-old term male neonate born at a district hospital in the Brong-Ahafo Region is noted to have yellow sclera and skin. He was born via normal vaginal delivery after an uneventful pregnancy. Moth…
A 4-day-old term male neonate is brought to the Korle Bu emergency centre by his mother, Ama. He was born via normal vaginal delivery with no perinatal complications. Breastfeeding has been establishe…
A 39-week neonate is delivered at a regional hospital ED in the Brong-Ahafo Region following a prolonged labour with a tight nuchal cord. At birth, the baby is pale, limp, and apnoeic. Resuscitation p…
Kofi, a 47-year-old man, is evaluated in the emergency centre at Korle Bu Teaching Hospital after road traffic collision resulting in rhabdomyolysis. He received IV fluids appropriately. His 6-hour ur…
A 67-year-old woman, Adwoa, with known type 2 diabetes mellitus and stage 3 chronic kidney disease (baseline creatinine 160 micromol/L) presents to the Korle Bu Emergency Centre with acute-onset chest…
A 67-year-old man with known benign prostatic hyperplasia presents to the regional hospital A&E with a two-week history of worsening lower urinary tract symptoms and now complete urinary retention for…
Akosua, a 58-year-old woman with type 2 diabetes, is brought to the Komfo Anokye ED by her family. She has had three days of profuse watery diarrhoea and vomiting, with minimal oral intake. She takes …
Kwame, a 58-year-old farmer, is brought by relatives to a district hospital A&E in Brong-Ahafo after three days of profuse watery diarrhoea and vomiting. He has no significant past medical history and…
A 50-year-old man with no known medical history is brought to a district hospital A&E by relatives after being found unconscious at home. He is suspected to have been lying on the floor for at least 1…
Yaw, a 32-year-old man with no known medical history, is referred from a district hospital in the Volta Region to the Korle Bu emergency centre. He was found collapsed at home five hours ago and had s…
A 72-year-old woman with known benign prostatic hyperplasia in her husband is brought by relatives to a district hospital in the Upper East Region. She is drowsy and has not passed urine in 24 hours. …
Yaa, a 72-year-old woman with type 2 diabetes, hypertension, and known stage 3 chronic kidney disease (baseline creatinine 180 micromol/L), is referred to Korle Bu emergency centre from a regional hos…
Afia, a 54-year-old woman with hypertension and type 2 diabetes, is admitted to the Komfo Anokye ED after two days of oliguria (urine output 80 mL over the last 24 hours). She has no regular access to…
A 44-year-old woman with no prior renal history is admitted to Korle Bu emergency centre with anuric AKI following septic shock. After 48 hours of treatment, her creatinine is 780 micromol/L, potassiu…
Yaw, a 72-year-old man with hypertension and type 2 diabetes, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital after waking with dense right hemiplegia and global …
A 31-year-old man named Yaw presents to a district hospital A&E in the Northern Region with his third episode this month of severe unilateral left periorbital pain lasting approximately 45 minutes. He…
A 58-year-old man, Mohammed, is brought to a district hospital A&E in the Upper West Region after collapsing at home. He is on warfarin for a mechanical heart valve. CT head is unavailable at this fac…
A 7-year-old boy named Yaw, weighing 22 kg, is brought to a regional hospital A&E in the Northern Region after 40 minutes of continuous generalised tonic-clonic seizure activity. His mother reports he…
A 55-year-old man is brought to Korle Bu emergency centre after two generalised tonic-clonic seizures separated by incomplete recovery. He is post-ictal but no longer actively convulsing. He has a kno…
A 24-year-old woman, Afia, is brought to Korle Bu emergency centre after a prolonged episode of limb shaking lasting 25 minutes. She has a history of three similar episodes in the past 6 months, all w…
A 55-year-old woman, Abena, is brought to the emergency department of a regional hospital by her son after he found her confused and unable to speak clearly at home. He is unsure when she was last see…
A 29-year-old obese woman, Afia, presents to the Korle Bu emergency centre with a 6-week history of daily bifrontal headache and two episodes of brief visual obscurations lasting seconds. She has no f…
A 44-year-old woman with a history of systemic lupus erythematosus on immunosuppression presents to the Korle Bu emergency centre with headache, confusion, and visual disturbances developing over 48 h…