The other night while I was on call, 3 patients were brought in from the same road traffic accident (RTA – as they say here in Ghana…as opposed to MVA or MVC used in the States to mean “motor vehicle accident or collision.”) One patient had head injuries, another had a open knee wound with […]
A 30 year-old gentleman presented to me in clinic with the history of having dropped an iron bar on his toe 15 days prior to coming to clinic. He had first sought the treatment of the local healers. He unwrapped his foot to reveal a big toe that was no longer big. An ulcer encircled […]
One of the skills that I have been picking up over the past 3 months is doing ultrasounds. Most of time, it is for dating a pregnancy. Pregnancy tests are in limited supply here. If a woman wants confirmation of pregnancy, we exam her in the consultation room and send her down to the theater […]
A lipoma is a benign tumor composed of fatty tissue that accumulates just under the skin. Removal of these tumors is usually for cosmetic reasons or because they cause discomfort for the patient. Here at the BMC, lipomas are excised under local anesthetic in the minor procedure room. I have removed several from the shoulder, […]
When I first came to BMC, there was a young girl named Lamisi with an extensive ulcer across her chest. It was caused by a microbe called Mycobacterium ulcerans (in the same family as tuberculosis). It is found in tropical rain forests as are found in southern Ghana. Lamisi’s family had been farming down south […]
Since I have been here, I have seen many patients with Typhoid fever and its complications. Typhoid is caused by a bacteria called Salmonella typhi. Most commonly, it is transmitted by contaminated food and drinking water. Clinically, the disease presents itself with a rising or sustained fever, headache, weakness, decreased appetite, abdominal pain, sometimes constipation, […]
A Togolese patient comes to BMC with a tragic case of end stage liver disease and a textbook case of caput medusae.
An old lady falls out of a tree and gets impaled in the butt with a stick.