A 45-year-old man, Yaw, presents to the Tamale Teaching Hospital ED with 3 days of right thigh pain, swelling, and fever. He is confused. Vitals: temp 39.8°C, HR 136 bpm, BP 80/44 mmHg, RR 30/min. Exa…
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A 72-year-old woman, Yaa, is in the ED-ICU at Korle Bu following admission for community-acquired pneumonia. She is on low-flow oxygen (4 L/min nasal cannula, SpO2 92%), not intubated, and receiving I…
Kofi, a 62-year-old man with known type 2 diabetes, is admitted to the Komfo Anokye Teaching Hospital ICU following a severe ischaemic stroke with reduced GCS (E2V2M4). He is intubated for airway prot…
A 55-year-old woman, Adwoa, is ventilated in the Komfo Anokye ICU for severe ARDS secondary to falciparum malaria with pulmonary involvement. She has been on ARDSnet ventilation for 72 hours: FiO2 1.0…
A 38-year-old woman, Afia, is being weaned from mechanical ventilation in the ED-ICU at Komfo Anokye Teaching Hospital after a 4-day course for ARDS secondary to severe falciparum malaria. She is haem…
A 71-year-old man, Kofi, with known heart failure (ejection fraction 30%) and diabetes is brought to the regional hospital ED with a three-day history of productive cough, confusion, and reduced urine…
A 58-year-old man, Kwame, is brought to the regional hospital A&E by relatives after two days of productive cough and confusion. Vitals: temp 38.9°C, HR 118 bpm, BP 88/54 mmHg, RR 26/min, SpO2 90% on …
A 67-year-old man is referred from a district hospital in the Ashanti Region to Komfo Anokye Teaching Hospital with a 3-day history of worsening chest pain and dyspnoea. He collapsed en route and arri…
Akosua, a 34-year-old woman, is brought to the Korle Bu Emergency Centre 36 hours after an emergency caesarean section performed at a regional hospital for abruptio placentae. She was referred because…
Adwoa, a 34-year-old primigravida at 32 weeks gestation, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 3-day history of progressive right leg swelling and pain. S…
A 67-year-old man, Mensah, is reviewed in the pre-operative assessment clinic at a regional hospital in Ashanti Region before an elective total knee replacement for severe osteoarthritis. He has a his…
A 42-year-old man, Kwame, is brought by relatives to the emergency department at a regional hospital in the Ashanti Region with sudden onset breathlessness, pleuritic right-sided chest pain, and haemo…
Akua, a 52-year-old market trader from Kumasi, is admitted to the Komfo Anokye Teaching Hospital surgical ward on day 5 following an elective open right hemicolectomy for a caecal adenocarcinoma. Her …
Kofi, a 44-year-old long-distance lorry driver, presents to the emergency department at a regional hospital in the Ashanti Region after a 6-hour journey from Kumasi to Accra. He reports sudden onset o…
A 67-year-old retired civil servant, Mr Mensah, is reviewed on the Korle Bu general surgical ward on day 2 following a laparoscopic anterior resection for sigmoid colon cancer (T3N1M0). His post-opera…
Kofi, a 62-year-old retired civil servant, is admitted to the UGMC surgical firm for elective total hip replacement for severe osteoarthritis. He has a history of hypertension controlled on amlodipine…
Akua, a 58-year-old seamstress, is reviewed on the surgical ward at Komfo Anokye Teaching Hospital on day 4 following an elective right hemicolectomy for caecal adenocarcinoma. She reports new onset o…
Yaw, a 67-year-old man, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a two-week history of progressive right leg swelling, skin discolouration, and seve…
Akosua, a 58-year-old seamstress from Kumasi, is admitted to the Komfo Anokye surgical ward on day 4 following an elective right hemicolectomy for caecal adenocarcinoma. She reports new-onset right ca…
A 35-year-old woman, Ama, is seen in the surgical outpatient clinic at Korle Bu Teaching Hospital. She is 28 weeks pregnant and presents with a 4-day history of right leg swelling, pain, and erythema.…
Ama, a 29-year-old known sickle-cell disease (HbSS) patient from Accra, is admitted to the UGMC surgical firm with a 2-day history of severe right-sided chest pain, fever (38.9°C), and progressive dys…
A 44-year-old man, Kofi, is brought to the resus bay at Komfo Anokye Teaching Hospital by relatives after collapsing at home. He underwent an open right hemicolectomy for a perforated caecal carcinoma…
Akua, a 52-year-old market trader from Kumasi, is admitted to the Komfo Anokye surgical ward on day 5 following an elective open right hemicolectomy for a T3N1M0 caecal adenocarcinoma. She has a backg…
A 45-year-old woman, Akua, is reviewed in the pre-operative assessment clinic at a regional hospital in the Ashanti Region two weeks before elective laparoscopic cholecystectomy for symptomatic gallst…
A 58-year-old woman, Akua, is reviewed on the general surgical ward at Komfo Anokye Teaching Hospital five days after an elective left hemicolectomy for sigmoid carcinoma. She complains of new onset l…
Kwame, a 44-year-old civil servant, is brought by relatives to the resus bay at a regional hospital in the Volta Region 3 hours after the sudden onset of severe breathlessness, pleuritic right chest p…
Akua, a 48-year-old seamstress from Kumasi, is admitted to the Komfo Anokye surgical ward on day 4 following an elective right hemicolectomy for a caecal adenocarcinoma. She reports progressive swelli…
A 65-year-old man, Mensah, with known hypertension and type 2 diabetes mellitus is admitted to the Korle Bu general surgical unit for an elective total hip replacement. Pre-operatively, his haemoglobi…
Akua, a 58-year-old schoolteacher from Kumasi, is admitted to the Komfo Anokye surgical ward on day 4 following an elective right hemicolectomy for caecal adenocarcinoma. She has a history of hyperten…
A 67-year-old woman, Adwoa, is admitted to the surgical ward of a regional hospital in the Ashanti Region with a 3-day history of a swollen, erythematous left leg and sudden onset breathlessness that …