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Month: August 2013

Caustic Oesophageal Stricture

  Caustic soda ( Concentrated NaOH) known by its chemical name as sodium hydroxide  is used by Ghananian women in domestic soap production employing traditional crude methods. The soap is sold to support families and also used for bathing and…

Progressive Abdominal Pain After Trauma

46 year old man was knocked off his motor bike by another vehicle 24hrs ago. He was rushed to hospital by passersby. Examination :  Head and neck were fine  , Upper and lower airways clear  . Chest movement symmetric ,phonation…

Complete Urethral Transection , 16 Year Old Male

16year old boy was riding a motor bike.He hit a pot hole bounced off the bike and crushed onto the ground several meters away. Patient was admitted at Kintampo 5 hours from Kumasi, with mild abdominal pain, pelvic pain, inability…

A 6month old boy who took everything thrown at him-Intussusception

6month old male child wt 6.5kg presented with 2days duration of bloody mucoid diarrhea followed by 3days constipation with abdominal distention.Mother gave child  herbal enema to aid bowel motion but was  unsuccessful . Examination : RR 23 ,.HR140 Temp 37.2C    …

Unsteady Gait In A 20 Year Old Boy

20 year old student of Kumasi polyechnic  presented with 6 months duration of recurrent severe headache. This was worse defectation durng which it becomes more localised to the occiput. He had a single episode of vomiting during one evening ….

Sudden Weight Gain In An Infant

     One year six monmonths old female infant was referred to KATH, Kumasi with sudden onset of excessive weight gain over the past 3months. Weight gain associated with voracious appetite Examination : obviously obese child Wt 14.1kg,  weight for…

New Born In Distress

   2 week old female delivered by cesarean section on account of pregnancy induced hypertension . Apgars 5 and 8. Baby was found to be   in respiratory distress at birth and cyanosed RR-60, .HR-130, CRT 2s, RBS 5.4mmol /l,   Hb-19.5,  …

Mediastinal tumour

62 year old man  presents with 2week duration of progressive dysphagia, no weight loss or cough. CXR  CT ,MRI revealed a mediastinal mass bordering the right atrium. Differential diagnosis: Bronchogenic  cyst, pericardial cyst, lymphoma Surgery:A right anterolateral thoracotomy done. Rt…

……Too Late ,And The Doctor Got It All Wrong !

  25 year old man is admitted to a district hospital with sudden onset of Right testicular pain of few hours duration .There was no assosciated trauma or recent unprotected sex. His condition wasn’t preceeded by urinary symptoms or fever.Patient…

KATH ,Department of Surgery making loses..the real facts

There has been calls for from management for the surgery department to look at how to cut losses and make profit for the hospital. Comparison is made with the other departments to effect that they churn profits during every quarterly…