A 45-year-old man, Kofi, presents to the UGMC surgical firm with a 6-month history of rectal bleeding, tenesmus, and a sensation of incomplete evacuation. He is otherwise well with no significant past…
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A 62-year-old woman, Akua, is referred to the Korle Bu general surgical unit with a 3-month history of change in bowel habit (alternating constipation and loose stools), left iliac fossa discomfort, a…
A 47-year-old man, Kofi, is seen in the colorectal outpatient clinic at the University of Ghana Medical Centre (UGMC) with a 3-month history of rectal bleeding and tenesmus. He reports a strong family…
A 62-year-old woman, Akua, is referred from a regional hospital in the Ashanti Region to the Komfo Anokye Teaching Hospital emergency theatre with a 3-day history of absolute constipation, abdominal d…
A 58-year-old man, Kwame, presents to the Komfo Anokye surgical outpatient clinic with a 4-month history of fresh rectal bleeding mixed with mucus, and a change in bowel habit to loose stools two to t…
A 64-year-old man, Yaw, is brought to the emergency surgical unit at a regional hospital in the Ashanti Region with a 3-day history of colicky abdominal pain, absolute constipation, and abdominal dist…
A 55-year-old woman, Ama, is listed for an anterior resection at Korle Bu Teaching Hospital for a T3 N1 M0 mid-rectal adenocarcinoma at 9 cm from the anal verge. Pre-operative MRI of the pelvis shows …
A 58-year-old man, Kwame, presents to the Korle Bu general surgical unit with a 4-month history of altered bowel habit, predominantly loose stools alternating with constipation, and passage of blood m…
Kwabena, a 58-year-old male schoolteacher, is referred from a regional hospital in the Ashanti Region to the Komfo Anokye Teaching Hospital surgical unit with a 5-month history of change in bowel habi…
A 52-year-old woman, Akua, is seen in the Komfo Anokye surgical outpatient clinic with a 6-week history of fresh rectal bleeding and a feeling of incomplete evacuation. Digital rectal examination reve…
A 67-year-old man, Mensah, is seen in the Komfo Anokye surgical outpatient clinic. He was diagnosed 8 months ago with sigmoid colon adenocarcinoma (pT3 N1 M0, Stage IIIB) and underwent an elective sig…
A 65-year-old man, Mensah, is referred to the UGMC surgical firm with a 3-month history of tenesmus, a feeling of incomplete evacuation, and small-calibre stools. He reports no significant rectal blee…
A 62-year-old woman, Akua, is referred from a regional hospital in the Ashanti region to Komfo Anokye Teaching Hospital with a 3-week history of absolute constipation, abdominal distension, and colick…
A 45-year-old woman, Abena, presents to the Tamale Teaching Hospital surgical clinic with a 2-year history of recurrent haematochezia, a family history of bowel cancer in her father (diagnosed at 52 y…
A 62-year-old woman, Akua, is referred from a regional hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 6-week history of colicky left-sided abdominal pain, absolute constipatio…
A 62-year-old woman, Ama, is referred from a regional hospital to the Korle Bu general surgical unit with a 3-day history of absolute constipation, abdominal distension, and colicky central abdominal …
A 49-year-old man, Kofi, presents to the UGMC surgical outpatient clinic with a 5-month history of rectal bleeding, tenesmus, and a feeling of incomplete defaecation. His mother died of colorectal can…
A 58-year-old man, Kwame, presents to the Komfo Anokye surgical outpatient clinic with a 4-month history of alternating bowel habit, rectal bleeding mixed with stool, and a 6 kg unintentional weight l…
A 62-year-old woman, Adwoa, is referred from a district hospital in the Volta Region to the Komfo Anokye Teaching Hospital with a 6-hour history of absolute constipation, gross abdominal distension, a…
A 58-year-old man, Kwame, presents to the Korle Bu general surgical outpatient clinic with a 4-month history of change in bowel habit — alternating constipation and loose stools — and intermittent bri…
During a community health lecture at a teaching hospital, a tutor explains the concept of secondary prevention using a local example. He describes a programme run by the Ghana Health Service in which …
A district health team in the Bono Region reviews malaria data for the past quarter. The under-five malaria case fatality rate at the district hospital has risen from 0.8% to 2.4% over three months. F…
Mohammed, a 34-year-old farmer from a district in the Savannah Region, presents to the district hospital with a three-week history of productive cough, drenching night sweats, and a 6 kg weight loss. …
A community health officer at a CHPS compound in the Northern Region is reviewing the immunisation register. She notes that a 14-month-old boy named Yaw received BCG and OPV-0 at birth, then OPV-1, Pe…
Fatima, a 24-year-old woman, is newly diagnosed with HIV at an antenatal clinic in Tamale Teaching Hospital. She is 18 weeks pregnant. Her CD4 count is 350 cells/µL and her viral load is 45,000 copies…
Adwoa is a 28-year-old pregnant woman in her second trimester attending an antenatal clinic at a CHPS compound in the Ashanti Region. She has no fever today but lives in a high malaria transmission zo…
During a ward round at Komfo Anokye Teaching Hospital, a medical student asks about Ghana's Expanded Programme on Immunisation (EPI). A healthy 10-week-old infant, Akua, attends the child welfare clin…
A community health officer is reviewing an old case record from northern Ghana. The image shows the lesion from that case: a worm is being slowly wound onto a stick from a blister near the ankle.
The Ghana Health Service introduces a new cervical cancer screening programme using visual inspection with acetic acid (VIA) at district hospitals. In a pilot evaluation, 500 women are screened. The p…
A district health directorate in the Upper West Region is reviewing its community-based health services. The CHPS programme was designed to bring healthcare to the doorstep of rural communities. A med…