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Ama, a 30-year-old woman in her second pregnancy, presents to the antenatal clinic at 28 weeks of gestation. Her haemoglobin is 8.2 g/dL. A peripheral blood film shows microcytic hypochromic red cells…

Ama, a 32-year-old G3P2 woman at 34 weeks of gestation, is seen in the antenatal clinic at Komfo Anokye Teaching Hospital. Her full blood count shows haemoglobin 8.4 g/dL, MCV 110 fL, and peripheral b…

Akua, a 24-year-old primigravida, attends the antenatal clinic at Komfo Anokye Teaching Hospital at 10 weeks of gestation for her booking visit. She feels well and has no complaints. On examination, h…

Akua is a 29-year-old trader, gravida 3 para 2, who attends her antenatal clinic at 28 weeks of gestation at a district hospital in the Bono Region. She has no symptoms of malaria and her rapid diagno…

Fatima, a 32-year-old gravida 2 para 1 at 30 weeks of gestation, is seen in the ANC clinic at Tamale Teaching Hospital. She is known to be HIV-positive and has been on cotrimoxazole prophylaxis (CPT) …

Ama, a 32-year-old trader and multigravida at 30 weeks of gestation, is seen at a district hospital OPD in the Northern Region. She has no symptoms but her booking VDRL was non-reactive. Routine anten…

Esi, a 19-year-old primigravida at 14 weeks of gestation, attends her first antenatal visit at Korle Bu Teaching Hospital. She is found to be HIV-positive on rapid testing. She has no prior ART exposu…

Abena, a 28-year-old G2P1 woman at 26 weeks gestation, presents to a district hospital in the Volta Region with a three-day history of fever, rigors, and headache. Her temperature is 38.9°C, blood pre…

Adwoa, a 33-year-old woman with sickle cell disease (HbSS), is now 20 weeks pregnant and attends the combined haematology-obstetrics clinic at Korle Bu Teaching Hospital. Her haemoglobin is 7.1 g/dL, …

Mary, a 31-year-old para 3 woman at 30 weeks of gestation, presents to her antenatal clinic at a district hospital in the Volta Region. She reports fever, rigors, and headache for two days. A rapid di…

Akua, a 30-year-old para 1 woman at 16 weeks of gestation, attends her second antenatal visit at a CHPS compound in the Upper East Region. She is HIV-negative, has no known allergies, and has already …

Abena, a 30-year-old gravida 3 para 2, is reviewed at 20 weeks of gestation at Korle Bu Teaching Hospital. Her full blood count shows haemoglobin 8.6 g/dL, MCV 112 fL, and hypersegmented neutrophils o…

Abena, a 34-year-old G3P2 woman, is seen in the OPD at a regional hospital in Ghana at 12 weeks of gestation. She reports two previous first-trimester miscarriages, both occurring at around 8–10 weeks…

Abena, a 26-year-old primigravida, delivered vaginally at term in a district hospital 5 days ago following prolonged labour and multiple vaginal examinations. She now presents with fever (temperature …

Fatima, a 22-year-old primigravida, delivers normally at a district hospital in northern Ghana. On day 3 postpartum she develops a fever of 39.2°C, rigors, and left calf pain with swelling. Her lochia…

Yaa, a 42-year-old trader, attends a cervical cancer screening outreach clinic organised by the Ghana Health Service in the Ashanti Region. She has never had a cervical smear. She is HIV-positive and …

Abena, a 24-year-old primigravida at 36 weeks, is admitted to Tamale Teaching Hospital with a blood pressure of 168/110 mmHg and a severe frontal headache. She has 3+ proteinuria. You decide to admini…

Afia, a 38-year-old woman with a history of pre-eclampsia in a previous pregnancy, attends a preconception counselling clinic. She asks what she can do to reduce her risk of developing pre-eclampsia i…

Ama, a 32-year-old para 3 woman, is brought to the emergency department of a district hospital in Ghana. She has been in labour at home for 36 hours. On examination she is exhausted, dehydrated, and h…

Yaa, a 32-year-old primigravida, attends the antenatal clinic at 36 weeks gestation. Abdominal examination reveals a longitudinal lie with a soft, non-ballotable mass in the lower uterine segment and …

Akosua, a 32-year-old G3P2 at 38 weeks gestation, is brought to the Komfo Anokye ED by her family after collapsing at home. She was 2 hours into her third stage of labour at a district facility and wa…

A 34-year-old woman, Fatima, G4P3, delivers at term via normal vaginal delivery at a district hospital in the Upper West Region. The placenta delivers spontaneously. Active management of the third sta…

A 34-year-old woman, Yaa, G3P2 at 41 weeks gestation is referred to a regional hospital from a peripheral clinic in the Bono East Region after a routine antenatal scan showed polyhydramnios. On arriva…

A 29-year-old primigravida, Aisha, delivers at a district hospital in Brong-Ahafo. She has a history of hypertension in pregnancy (BP was 158/104 mmHg antenatally, on methyldopa). Delivery is uneventf…

Fatima, a 30-year-old woman, G2P1, at 38 weeks gestation, is brought to the district hospital A&E in Brong-Ahafo by relatives after sudden onset of severe dyspnoea, cyanosis, and loss of consciousness…

Yaa, a 24-year-old G1P0 at 39 weeks, presented to Korle Bu emergency centre after two eclamptic seizures at home. She has been on the Pritchard magnesium sulphate regimen for 90 minutes. Over the last…

A 31-year-old woman, Ama, is in the resuscitation bay of Korle Bu Emergency Centre. She delivered 2 hours ago at a peripheral clinic and was brought by family with ongoing heavy vaginal bleeding. She …

A 28-year-old woman, Ama, who is 34 weeks pregnant, is brought to the Korle Bu emergency centre by her husband. She has had sudden-onset severe epigastric pain and agitation for 1 hour, and collapsed …

Ama, a 32-year-old G3P2 woman at 34 weeks gestation, is referred from a district hospital in the Northern Region with a 6-hour history of severe epigastric and right upper quadrant pain, nausea, and h…

Abena, a 32-year-old primigravida at 34 weeks gestation, is brought to the Korle Bu emergency centre by her husband with a 2-day history of vomiting, right upper quadrant pain, and jaundice. She has n…