This case highlights the diagnostic and therapeutic challenges in managing a patient with acute malaria who developed severe liver injury following antimalarial therapy. The interplay between antimalarial drugs, herbal medications, and occult alcohol use underscores the complexity of hepatotoxicity in tropical infections. The case emphasizes the importance of thorough medication reconciliation, laboratory monitoring, and consideration of multiple etiologies in patients with acute liver injury. ...More
Posted March 25, 2025

In textbooks, malaria is supposed to be an acute illness, but most Ghanaians will tell you it can feel like a chronic illness. It is always underpinned by mosquito bites in areas with poor sanitation. Once these mosquitoes bite, they inject the parasite into the bloodstream, where it embarks on a journey through the body the first stop being the liver, where it breeds before flooding the bloodstream and triggering the fever, fatigue, and other symptoms that patients feel. This case serves as a reminder of why addressing local sanitation issues is key to preventing malaria. ...More
Posted March 18, 2025

Our patient is a 50-year-old retail professional who trades smoked fish. Over the past year she has been experiencing chronic morning cough which she has been treating with over-the-counter cough medicines. A week ago, she began to experience debilitating shoulder pain which made it difficult for her to do her usual daily chores. Last night she had the worst dizziness of her life. This report underscores the importance of a holistic approach to patient care, where addressing interconnected health issues can unravel complex symptom patterns and restore well-being. ...More
Posted March 17, 2025

Introduction A 25-year-old woman walked into the clinic with a decade-long history of unexplained fatigue, brain fog, and joint pain—all dismissed as "stress" or "malaria." Her family’s hidden burden of hepatitis B and a puzzling mix of lab results unveiled a tale of occult infection and metabolic liver disease. This case highlights the importance of digging deeper when routine tests fail to explain chronic symptoms. ...More
Posted March 15, 2025

Urinary symptoms in aging men are often dismissed as benign prostatic hyperplasia (BPH), a common condition that can cause difficulty urinating and urinary retention. However, when gross hematuria and recurrent clot retention accompany these symptoms, a deeper investigation is warranted. This case study presents the diagnostic journey of a 63-year-old male who initially sought care for what appeared to be a routine episode of BPH-related urinary retention but ultimately revealed a far more ominous underlying pathology. With a markedly elevated prostate-specific antigen (PSA) level of 50.9 ng/mL, persistent hematuria despite resolved infection, and recurrent complications, this patient’s story underscores the importance of vigilance in distinguishing between benign conditions and life-threatening diseases such as prostate cancer. Through this case, we explore the diagnostic challenges, management strategies, and lessons learned for both clinicians and patients. ...More
Posted March 15, 2025

Introduction: In clinical practice, patients often present with a complex array of symptoms that span multiple organ systems, posing diagnostic and therapeutic challenges for healthcare providers. This case study explores the presentation, evaluation, and management of a 22-year-old female who presented with recurrent chest pain, epigastric pain, leg pain, shortness of breath, and other systemic symptoms. Her history included long-standing symptoms such as chest pain since childhood, as well as more recent developments following a long flight. The case underscores the importance of a meticulous history, thorough physical examination, and judicious use of diagnostic tools to differentiate between organic and functional causes. Furthermore, it highlights the need for a holistic approach to patient care, addressing both physical and psychological factors contributing to her condition. ...More
Posted March 15, 2025

Intractable asthma in elderly patients poses significant management challenges due to comorbidities, polypharmacy, and heightened susceptibility to infections. This case highlights a 72-year-old woman with poorly controlled asthma exacerbated by bronchitis and sinusitis, complicated by a transient nocturnal respiratory event despite aggressive therapy. ...More
Posted March 14, 2025

Introduction Musculoskeletal pain and metabolic disorders represent two of the most common clinical challenges in primary care, particularly among aging populations. This case study examines a 55-year-old female presenting with chronic right knee and heel pain, hyperlipidemia, and mild anemia, highlighting the interplay between mechanical, metabolic, and lifestyle factors in clinical decision-making. ...More
Posted March 14, 2025

Introduction Routine annual checkups play a critical role in identifying asymptomatic or subclinical conditions that may otherwise go undetected until complications arise. This case study examines a 62-year-old male, Mr. Ntim, who presented for a general wellness visit with no overt complaints but exhibited significant findings, including bilateral toe discoloration , absent pedal pulses , and prediabetes . These findings, coupled with an elevated prostate volume, highlight the complex interplay between vascular health, metabolic risk factors, and age-related benign prostatic hyperplasia (BPH). ...More
Posted March 14, 2025

This case highlights the diagnostic and therapeutic challenges encountered in managing an elderly patient presenting with multifocal symptoms, raising suspicion for malignancy. The interplay of urinary symptoms, systemic complaints, and imaging findings underscores the importance of a systematic approach to diagnosis and treatment. ...More
Posted March 13, 2025