A 34-year-old woman, Akua, is referred from a district hospital to Komfo Anokye Teaching Hospital with a 3-week history of right gluteal pain, low-grade fever, and difficulty weight-bearing on the rig…
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A 14-year-old boy, Yaw, is referred from a district hospital in the Upper West Region to a regional hospital with a 5-day history of right hip pain and inability to weight-bear. The district officer s…
A 42-year-old man, Mensah, is admitted to the Korle Bu general surgical unit with a 3-week history of left iliopsoas pain, fever, and difficulty walking. He is known to have type 2 diabetes mellitus o…
A 24-year-old woman, Ama, is brought to the Komfo Anokye Teaching Hospital emergency department with a three-day history of generalised abdominal pain, fever, and vomiting. She was treated empirically…
Kofi, a 16-year-old secondary school student, is referred from a district hospital in the Upper East Region to the regional hospital with a 14-day history of fever and malaise, now with 10 hours of su…
A 20-year-old woman, Ama, undergoes emergency laparotomy at a regional hospital in the Volta Region for typhoid ileal perforation. Intraoperatively, a single 1 cm perforation is repaired with simple t…
A 22-year-old man, Kofi, is on the surgical ward at a regional hospital in the Volta Region on day 5 following simple closure of a typhoid ileal perforation. He had an uncomplicated intraoperative cou…
A 22-year-old woman, Akua, presents to the regional hospital surgical unit in the Ashanti Region with a 12-day history of fever, headache, and loose stools, followed by sudden-onset generalised abdomi…
Yaw, a 22-year-old man with no significant past medical history, is admitted to the UGMC surgical firm with a 6-day history of abdominal pain, fever, and vomiting. He was seen at a clinic 10 days ago …
Ama, a 16-year-old girl, is admitted to the Korle Bu general surgical unit with a confirmed typhoid perforation repaired five days ago at a district hospital (single perforation, simple closure, perit…
A 22-year-old woman, Abena, underwent emergency laparotomy for typhoid intestinal perforation at a district hospital in the Volta Region three days ago. A single perforation was closed in two layers a…
A 45-year-old man, Kofi, is referred from a district hospital in the Bono East Region to the regional hospital after an episode of haematemesis. He has no prior GI history, takes no regular medication…
A 61-year-old woman, Ama, is referred from a regional hospital to the Korle Bu surgical unit after an upper GI endoscopy revealed a 2 cm gastric ulcer at the lesser curvature with biopsies confirming …
A 54-year-old man, Kofi, is on the general surgical ward at Korle Bu Teaching Hospital following a laparoscopic cholecystectomy performed two days ago for acute cholecystitis. He has no history of pep…
A 35-year-old man, Yaw, presents to the Korle Bu surgical emergency unit after an episode of vigorous retching and vomiting following heavy alcohol intake at a party the previous night. He subsequentl…
A 28-year-old woman, Ama, presents to a district hospital surgical ward in the Northern Region with a 2-day history of profuse watery diarrhoea, abdominal pain, and fever, followed by a single episode…
A 67-year-old man, Yaw, is admitted to the UGMC surgical firm with a three-week history of progressive dysphagia, 8 kg weight loss, and now presents with haematemesis of 400 mL of dark blood. He is a …
A 52-year-old man, Kofi, with known alcoholic cirrhosis (Child-Pugh Class C) is admitted to the Komfo Anokye emergency theatre with massive haematemesis. He is intubated for airway protection and resu…
A 29-year-old woman, Esi, presents to the emergency department of a regional hospital in the Western Region with a two-day history of repeated vomiting after a night of heavy alcohol consumption at a …
A 45-year-old man, Mensah, presents to the district hospital surgical ward in Brong-Ahafo with a 3-day history of intermittent vomiting of bright red blood and dark tarry stools. He gives a history of…
Yaw, a 38-year-old man, attends the outpatient surgical clinic at a regional hospital in the Volta Region after passing a kidney stone spontaneously one week ago. He has had two previous episodes of r…
Ama, a 38-year-old woman, presents to the Korle Bu surgical outpatient clinic with recurrent renal calculi. She has passed three calcium oxalate stones over the past 5 years. She drinks approximately …
Yaw, a 52-year-old male accountant with known gout and type 2 diabetes, presents to the UGMC surgical firm with recurrent bilateral renal calculi requiring two previous ureteroscopic procedures. He is…
Ama, a 28-year-old primigravida at 24 weeks gestation, is referred from a district hospital in the Bono East Region with a 12-hour history of severe left loin pain radiating to the left iliac fossa, n…
Kofi, a 38-year-old man, is reviewed in the urology outpatient clinic at Korle Bu following a first episode of renal colic. NCCT-KUB showed a 9 mm right renal pelvis stone. He passed the stone spontan…
Akua, a 29-year-old woman at 22 weeks gestation, is referred from a district hospital in the Volta Region to a regional hospital with a 10-hour history of left loin pain radiating to the left iliac fo…
Yaw, a 41-year-old man, is seen in the urology outpatient clinic at Komfo Anokye Teaching Hospital after his second episode of ureteric colic within 18 months. Stone analysis of a passed calculus from…
A 22-year-old man is brought to the Komfo Anokye Emergency Department at 23:15 with a 5.5-hour history of acute right scrotal pain and swelling. He is otherwise healthy. On examination: temperature 37…
Yaw, a 62-year-old man with type 2 diabetes and BPH, presents to the emergency department of a regional hospital in Volta Region with inability to pass urine for 10 hours after a transurethral resecti…
Kofi, a 45-year-old man, presents to a district hospital in Northern Ghana with severe right flank pain radiating to the right groin for 6 hours, associated with nausea. He has had two similar episode…