A 60-year-old man, Kofi, presents to the Korle Bu Head and Neck surgical unit with a 6-month history of a parotid swelling that he describes as 'waxing and waning' — sometimes soft and sometimes firme…
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A 55-year-old man, Kofi, is seen in the UGMC surgical outpatient clinic with a 2-year history of a bilateral parotid swelling. He reports no pain, facial weakness, or difficulty swallowing. He has a l…
A 45-year-old man, Yaw, is admitted to the surgical ward of a district hospital in the Northern Region with a 4-hour history of sudden severe epigastric pain. He has no significant past medical histor…
Adwoa, a 61-year-old woman with a known history of rheumatoid arthritis managed with naproxen and low-dose prednisolone, presents to a regional hospital in the Ashanti Region with a 24-hour history of…
A 61-year-old woman, Adwoa, is brought to the Korle Bu emergency department by her family with a 24-hour history of worsening abdominal pain, fever, and confusion. She has a history of rheumatoid arth…
Yaw, a 60-year-old retired teacher, undergoes emergency laparotomy for perforated peptic ulcer at a regional hospital in the Ashanti Region. The perforation is found on the anterior wall of the first …
Akua, a 29-year-old woman, presents to a district hospital surgical ward in the Upper East Region with a 4-hour history of sudden-onset severe epigastric pain. She has no prior history of dyspepsia or…
Mensah, a 50-year-old civil servant, undergoes an emergency Graham patch omental repair at the Korle Bu general surgical unit for a perforated anterior duodenal ulcer. The operation proceeds uneventfu…
A 70-year-old man, Mensah, is reviewed in the Korle Bu vascular outpatient clinic. He underwent a right femoropopliteal bypass with reversed great saphenous vein graft 18 months ago for critical limb …
A 66-year-old man, Yaw, is seen in the vascular outpatient clinic at Korle Bu Teaching Hospital for assessment of a pulsatile abdominal mass found incidentally on ultrasound performed for urinary symp…
A 61-year-old woman, Adwoa, with type 2 diabetes mellitus and end-stage renal failure on haemodialysis, presents to the Korle Bu vascular surgical unit with a 2-week history of blackening of the right…
A 42-year-old woman, Adwoa, is seen in the regional hospital surgical outpatient clinic in the Northern Region with a 3-week history of progressive neck swelling, low-grade fever, night sweats, and a …
A 42-year-old man, Yaw, is seen in the surgical outpatient clinic at a regional hospital in the Volta Region. He gives a 3-week history of right-sided neck swelling, fever, and right-sided throat pain…
A 42-year-old man, Yaw, presents to the Korle Bu general surgical unit with a 10-day history of left-sided sore throat, fever, and neck swelling that has not improved despite 5 days of oral amoxicilli…
A 29-year-old woman, Ama, presents to the surgical outpatient clinic at a regional hospital in the Eastern Region with a 6-month history of recurrent haematemesis and progressive abdominal swelling. S…
During a teaching ward round at the Komfo Anokye Teaching Hospital surgical unit, a 41-year-old woman, Esi, with hepatitis B cirrhosis and known oesophageal varices is being discussed. A fourth-year s…
A 41-year-old woman, Ama, is reviewed in the Korle Bu hepatology-surgical joint clinic. She was diagnosed with portal hypertension secondary to schistosomiasis-related periportal fibrosis five years a…
A 34-year-old man, Kofi, with a history of extrahepatic portal vein thrombosis (EHPVT) following neonatal omphalitis is seen in the Korle Bu hepatobiliary outpatient clinic. He has never had a varicea…
Ama, a 62-year-old retired teacher, presents to the ENT outpatient clinic at Korle Bu Teaching Hospital with a 6-week history of positional vertigo. She reports that the dizziness is triggered by lyin…
Ama, a 38-year-old woman, presents to the ENT outpatient clinic at Korle Bu Teaching Hospital with a 4-month history of episodic vertigo. She describes brief spells of dizziness lasting 20–30 seconds …
A 60-year-old man, Yaw, presents to the ENT outpatient clinic at a regional hospital in the Northern Region with a 2-month history of episodic dizziness triggered by lying down and turning to his left…
Yaw, a 67-year-old retired farmer, is referred from a district hospital in the Northern Region to the ENT outpatient clinic at Tamale Teaching Hospital with a 4-month history of positional vertigo. He…
Adwoa, a 47-year-old market trader, attends the ENT outpatient clinic at Komfo Anokye Teaching Hospital with a 5-week history of episodic dizziness. She describes brief spells lasting 20–30 seconds tr…
A 19-year-old man, Yaw, is brought to the Komfo Anokye Teaching Hospital emergency theatre following a gunshot wound to the right thigh sustained during an armed robbery in Kumasi. There is pulsatile …
A 55-year-old woman, Adwoa, is referred from a district hospital to the UGMC surgical unit following a road traffic collision 6 hours ago. She sustained blunt abdominal trauma. On arrival her BP is 11…
A 2-month-old female infant is brought to the emergency centre at a regional hospital with a suspected dislocated hip identified on clinical examination after a nurse noticed asymmetric leg movements …
A 58-year-old man, Yaw, presents to Korle Bu emergency centre with a dislocated shoulder following a road traffic crash. He is in severe pain: HR 102, BP 138/88, SpO2 97%, GCS 15. You plan procedural …
A 25-year-old man presents to a district hospital A&E in Northern Region with a 4 cm laceration to his forearm requiring suturing. He is anxious but haemodynamically stable. No opioids are available a…
Yaw, a 55-year-old man with a BMI of 32 kg/m² and well-controlled hypertension (ASA Class II), presents to the Komfo Anokye Teaching Hospital ED with a painful anterior shoulder dislocation. The emerg…
A 45-year-old woman, Abena, presents to a district hospital A&E in Brong-Ahafo with a closed tibial shaft fracture after a road traffic collision. She is haemodynamically stable. GCS 15. You have para…