Doctor says I have a fatty liver. Now What?
So, your doctor just told you that you have a mild fatty liver—also called Grade 1 fatty liver. It probably came up during a routine check-up or after a scan, and now you're left wondering what it really means and what you should do next. The good news? It's early, and there's a lot you can do to reverse it. In this blog, we’ll break down what mild fatty liver is, why it happens, and the simple steps you can take to protect your liver and your overall health....More Posted May 2, 2025
HEPATITIS
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
I FEEL UNWELL. I THINK I HAVE FEVER
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
THE WORST DIZZINESS EVER
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
PAIN IN CENTER OF CHEST WHEN PRESSED
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
PROSTATE DISEASE
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
FATIGUE AND HEPATITIS
Imagine this: For 10 years, a young woman feels like shes dragging her body through quicksand. Shes exhausted, her mind feels foggy, and her joints ache like shes 80 not 25. Doctors shrug it off as stress or malaria, but she knows somethings wrong. Then, a family secret spills out: Her mom and brother have hepatitis B. But when she gets tested, the results are a head-scratcher negative for the virus. Or are they? Enter the medical detectives. A deeper dive uncovers a hidden viral invader playing hide-and-seek in her liver, plus a fatty liver working overtime. This is the story of how a decade-long mystery unraveled, revealing not one but two silent health threats and how a simple blood test no one thought to order changed everything. Buckle up: This case has twists, turns, and a lesson for anyone whos ever felt dismissed by their symptoms. (Spoiler alert: Your liver might be keeping secrets.) ...More Posted March 15, 2025
MYSTERY OF FATIGUE AND FAMILY SECRETS
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
CHANGE IN COLOR OF TOES COULD BE SERIOUS!
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
KNEE AND HEEL PAIN IN ADULTS
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
INTRACTABLE ASTHMA IN 72 YEAR LADY
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
PROSTATE CANCER IN 97-YEAR PATIENT
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
FOOD THAT MAKES YOU SLEEP BETTER
Getting a good night's sleep is essential for overall health, yet many people struggle with falling or staying asleep. While lifestyle factors and stress can play a role, your diet can also significantly impact your sleep quality. The foods you eat can either promote relaxation and melatonin production or disrupt your sleep patterns. In this guide, we’ll explore how certain foods can help you sleep better by supporting your body's natural sleep processes. From melatonin-rich fruits to calming herbal teas, discover how you can eat your way to a more restful night. ...More Posted March 8, 2025
KIDNEY FAILURE
Understanding Kidney Failure: Causes, Symptoms, and Treatment Options Our kidneys play a vital role in maintaining overall health by filtering waste, balancing fluids, and regulating blood pressure. However, when the kidneys lose their ability to function...More Posted March 5, 2025
STROKE
A stroke is a medical emergency that occurs when blood flow to the brain is interrupted. Strokes can cause lasting brain damage, disability, or death...More Posted March 4, 2025
PEPTIC ULCER
A peptic ulcer is an open sore in the lining of the stomach or duodenum (the first part of the small intestine). ...More Posted March 3, 2025
PROSTATE DISEASE
Prostate enlargement, also known as benign prostatic hyperplasia (BPH), is a noncancerous increase in the size of the prostate gland....More Posted March 3, 2025
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