A 62-year-old woman, Akua, presents to the Korle Bu surgical outpatient clinic for review following a right hemicolectomy for Duke's C (T3N2M0) colorectal cancer 8 weeks ago. She reports profound fati…
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A 44-year-old woman, Ama, presents to the Komfo Anokye emergency theatre with a 4-day history of small-bowel obstruction due to adhesions from a previous appendicectomy. She undergoes adhesiolysis and…
A 54-year-old man, Kofi, is being reviewed on the colorectal surgical ward at Korle Bu 5 days after a right hemicolectomy with primary anastomosis for caecal carcinoma. He has an enhanced recovery aft…
Adwoa, a 45-year-old woman with a known history of Crohn's disease, is admitted to the Komfo Anokye surgical unit with a high-output enterocutaneous fistula following a right hemicolectomy performed t…
A 29-year-old man, Yaw, is admitted to the Tamale Teaching Hospital surgical ward following a gunshot wound to the abdomen requiring a damage-control laparotomy with temporary abdominal closure (lapar…
A 45-year-old woman, Ama, is admitted to the Korle Bu ICU following a Hartmann's procedure for a perforated sigmoid diverticulitis. She is now day 7 post-operation, ventilated, and receiving total par…
Yaw, a 45-year-old farmer, is admitted to a regional hospital in the Northern Region with a high-output enterocutaneous fistula following an emergency laparotomy for typhoid perforation performed at a…
A 61-year-old woman, Adwoa, is on the Korle Bu hepatobiliary surgical ward following a Whipple's pancreaticoduodenectomy for carcinoma of the head of the pancreas. Her postoperative course is complica…
Yaw, a 62-year-old man with a history of type 2 diabetes mellitus (HbA1c 9.8%, fasting glucose 14.2 mmol/L) and hypertension, undergoes an elective sigmoid colectomy for sigmoid colon adenocarcinoma a…
A 29-year-old woman, Akua, presents to the Korle Bu emergency surgical unit with a 3-day history of a tender, fluctuant swelling in the right gluteal region following a traditional healer's injection …
A 48-year-old woman, Adwoa, is scheduled for an elective total thyroidectomy for a multinodular goitre at UGMC. She has no known drug allergies. The anaesthetic registrar asks the surgical team whethe…
A 45-year-old woman, Ama, is scheduled for elective total thyroidectomy for multinodular goitre at a regional hospital in the Volta Region. She has no known drug allergies. The theatre nurse notes tha…
Yaw, a 55-year-old hypertensive man, undergoes an elective open repair of an 8 cm infrarenal abdominal aortic aneurysm at the UGMC vascular unit. The procedure involves insertion of a Dacron bifurcate…
A 67-year-old man, Mensah, undergoes an open right hemicolectomy for a T3N1M0 caecal adenocarcinoma at Korle Bu Teaching Hospital. His BMI is 33 kg/m², he is a non-smoker, and has no known drug allerg…
A 28-year-old man, Kwabena, presents to the Korle Bu general surgical unit with a two-hour history of sudden-onset left scrotal pain. He is sexually active and reports mild dysuria over the preceding …
A 13-year-old boy, Kofi, is brought to a district hospital surgical ward in the Upper West Region with a 2-hour history of sudden left scrotal pain. He is afebrile. Examination reveals a high-riding, …
A 52-year-old woman, Ama, presents to the Korle Bu endocrine surgical unit with a 2-year history of a progressively enlarging neck mass, recent onset of hoarseness, and mild dysphagia. She has no fami…
A 29-year-old man, Kwabena, presents to the UGMC surgical outpatient clinic with a 3-month history of a rapidly enlarging anterior neck mass, dysphagia, and a hoarse voice. He has no family history of…
A 60-year-old man, Yaw, presents to the UGMC surgical firm with a 2-month history of rapidly enlarging anterior neck swelling, progressive hoarseness, and mild dysphagia. He has lost 8 kg in weight ov…
A 60-year-old woman, Adwoa, is referred to Korle Bu from a district hospital in the Western Region with a rapidly enlarging anterior neck mass over 4 weeks. She reports progressive hoarseness, dysphag…
Mohammed, a 52-year-old farmer with epilepsy, is brought to the Tamale Teaching Hospital emergency centre by his family 3 hours after a witnessed generalised tonic-clonic seizure at home. His family r…
A 16-year-old girl, Afia, is brought to the Korle Bu emergency centre after her mother found her unresponsive at home. Empty blister packs of an antihistamine (chlorphenamine) are found at the scene —…
A 19-year-old woman, Esi, is brought to a regional hospital A&E in the Volta Region after being found unconscious at home. Her mother reports she has been treated for depression and had access to her …
A 19-year-old woman is brought to the district hospital A&E in Brong-Ahafo after ingesting approximately 20 tablets of her father's atenolol. She is drowsy, HR 38 bpm, BP 74/40 mmHg, blood glucose 3.1…
Aisha, a 35-year-old woman, is brought to the Korle Bu emergency centre by her husband at 2 AM. He reports that she drank an unknown clear liquid from a bottle labelled as local gin (akpeteshie) at a …
Yaw, a 58-year-old hypertensive man, is brought to the Korle Bu emergency centre after deliberately ingesting an unknown quantity of amlodipine tablets. On arrival: HR 52 bpm, BP 68/40 mmHg, GCS 14. E…
A 42-year-old jewellery electroplater, Mohammed, presents to the regional hospital ED in Tamale complaining of sudden-onset severe headache, dizziness, and palpitations that began 20 minutes ago while…
Esi, a 22-year-old female university student, is brought to the regional hospital A&E in Kumasi by her friends after collapsing at a rave party. Her friends report she had taken 'molly' (MDMA) tablets…
A 22-year-old man is brought to a district hospital in Northern Region 10 hours after ingesting approximately 25 g of paracetamol. He is drowsy but rousable. Vitals: BP 96/58 mmHg, HR 118 bpm, RR 22/m…
A 32-year-old woman is brought to the Korle Bu emergency centre after a suspected heroin overdose. Naloxone 0.4 mg IV was given by the referring team 45 minutes ago and she was briefly alert. She is n…