A 28-year-old farmer named Yaw presents to a district hospital A&E in the Brong-Ahafo region with a two-week history of fever, headache, and abdominal discomfort. His FBC shows haemoglobin 102 g/L, MC…
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A 45-year-old woman, Ama, presents to the Korle Bu surgical unit with a 3-week history of right upper quadrant pain and fever. Ultrasound reveals a 7 cm hypoechoic liver lesion. Aspiration yields 'anc…
Adwoa, a 58-year-old woman with a longstanding chronic venous ulcer on her right lower leg, presents to the UGMC surgical unit. Over the past three months the ulcer margin has become raised, indurated…
A 38-year-old woman, Yaa, is investigated at Korle Bu for a right upper lobe pulmonary lesion discovered incidentally on chest X-ray. Bronchoscopic biopsy is performed. Histology shows a central area …
A 62-year-old man, Agyeman, presents to the district hospital surgical outpatient clinic with a non-healing ulcer on the dorsum of his right foot that has been present for 11 years. He has a backgroun…
A 38-year-old man, Yaw, is admitted to the Komfo Anokye surgical ward with a 5-day history of fever, night sweats, and a firm, non-tender right cervical lymph node. Excision biopsy is performed. Histo…
Yaa, a 19-year-old woman, presents to the regional hospital A&E in Kumasi complaining that a scar on her left shoulder — from a traditional scarification ritual performed eight months ago — has contin…
Yaw, a 22-year-old man, attends the Komfo Anokye ED six months after sustaining a burn injury to his anterior chest wall. The original wound healed fully, but he now presents concerned about a raised,…
Yaw, a 45-year-old farmer, presents to a district hospital A&E with two days of high fever, rigors, and confusion. His FBC shows: haemoglobin 94 g/L, WBC 14.2 × 10⁹/L with 88% neutrophils, platelets 9…
A 60-year-old woman, Adwoa, presents to the regional hospital surgical outpatient clinic with a 2 cm ulcerating lesion on the dorsum of her right hand. She has a 30-year history of albinism and works …
Yaw, a 45-year-old man with known pulmonary tuberculosis, presents to the Korle Bu surgical unit with a right-sided neck swelling. Fine-needle aspiration cytology of the swelling is performed. The cyt…
A 58-year-old woman, Adwoa, is referred to the Komfo Anokye surgical unit with a non-healing ulcer on her lower leg that has been present for over 10 years over a varicose vein scar. The ulcer margin …
A 38-year-old man, Kwabena, undergoes emergency laparotomy at a district hospital for typhoid perforation of the terminal ileum. The resected ileal segment is sent to histopathology. The pathologist r…
A 22-year-old woman named Ama presents to the UGMC emergency centre with a one-week history of fever, arthralgia affecting multiple joints, a widespread maculopapular rash, and mild proteinuria. She r…
Yaw, a 62-year-old farmer, presents to the regional hospital with a 4-month history of a non-healing ulcer on the dorsum of his right hand. He has worked outdoors without hand protection for over 30 y…
A 45-year-old woman, Yaa, presents to the Korle Bu surgical unit with a 3-week history of right upper quadrant pain and fever. Ultrasound demonstrates a 7 cm hypoechoic lesion in the right lobe of the…
A 19-year-old student named Yaw is brought to the Korle Bu emergency centre after being found unconscious in his dormitory. His friends report he has been taking large amounts of ibuprofen and herbal …
Following a serious medication error in Komfo Anokye ED in which a patient received ten times the prescribed dose of morphine, the hospital management convenes a review. The review team examines the s…
After a night shift during which a medical officer at Komfo Anokye ED worked 18 consecutive hours, she makes an error calculating an IV morphine dose for a 60-year-old man, Mensah, with renal colic. S…
A 60-year-old woman, Akua, presents to a district hospital A&E in Northern Region with a two-day history of productive cough, fever of 38.9°C, and breathlessness. The attending doctor diagnoses commun…
A 25-year-old woman, Esi, is brought to a district hospital A&E after a road traffic accident. The triage officer assesses her quickly and labels her as 'minor injuries' because she is walking and tal…
A nurse at a regional hospital A&E is about to administer IV potassium chloride 40 mmol to a 55-year-old man, Mohammed, with hypokalaemia. She has drawn up the solution and is ready to give it as a ra…
A 32-year-old man, Kwabena, presents to a regional hospital A&E in Brong-Ahafo at 03:00 with a two-hour history of severe central chest pain radiating to the left arm. The ECG shows 3 mm ST elevation …
Esi, a 19-year-old woman, attends the district hospital A&E in the Upper East Region with a 2-day history of dysuria, urinary frequency, and suprapubic discomfort. She is afebrile with a temperature o…
Abena, a 28-year-old woman, is seen at the Korle Bu emergency centre with a 3-hour history of sudden-onset right-sided lower abdominal pain radiating to the right shoulder tip. She is diaphoretic and …
Fatima, a 25-year-old woman, presents to the district hospital A&E in the Northern Region with a 1-day history of right lower abdominal pain, nausea, and anorexia. Her temperature is 37.9°C and pulse …
Akosua, a 32-year-old woman with no significant past medical history, presents to the regional hospital A&E in Sunyani with a 5-day history of bilateral lower abdominal pain, fever, and an offensive v…
Kofi, a 28-year-old surgical house officer at a regional hospital in Ghana, is prescribed chlorphenamine 4 mg orally for an acute allergic reaction to latex gloves during a procedure. Thirty minutes l…
A 6-year-old boy, Yaw, is brought to the district hospital A&E with a 3-day history of right ear pain, fever, and reduced hearing. His mother reports he has had similar episodes twice before. Examinat…
Akua, a 34-year-old woman, undergoes laparoscopic appendicectomy at a regional hospital. Rocuronium 0.6 mg/kg is used for intubation. At the end of the procedure, the anaesthetist wishes to reverse ne…