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2131 matches for “Ghana” — showing 121–150
Cardiology · STEMI thrombolysis window β˜… HY difficulty 3/5

Kofi, a 58-year-old male farmer, is brought by relatives to a district hospital A&E in Brong-Ahafo with 2 hours of crushing central chest pain radiating to his left arm. Vitals: BP 148/90 mmHg, HR 92 …

Cardiology · NSTEMI rule-out strategy β˜… HY difficulty 3/5

Adwoa, a 53-year-old woman with no prior cardiac history, presents to a regional hospital A&E with 45 minutes of chest pain that has now resolved. ECG is normal. Troponin drawn 1 hour after symptom on…

Cardiology · Cardiogenic shock recognition β˜… HY difficulty 4/5

Kwame, a 63-year-old diabetic man, is in the resus bay at Komfo Anokye ED with an anterior STEMI and cardiogenic shock. BP is 74/48 mmHg, HR 124 bpm, SpO2 84% on 15 L/min oxygen via non-rebreather mas…

Cardiology · Hyperacute T waves as STEMI equivalent β˜… HY difficulty 4/5

Kofi, a 47-year-old male trader, presents to a regional hospital ED in the Ashanti Region with a 3-hour history of sudden-onset chest pain described as 'tight and pressing', with nausea. He has no pri…

Cardiology · Atrial fibrillation - rate vs rhythm control β˜… HY difficulty 3/5

A 58-year-old man, Kwame, presents to the Komfo Anokye ED with a 6-hour history of palpitations and mild breathlessness. He has a background of hypertension and type 2 diabetes managed with amlodipine…

Cardiology · HEART score components and thresholds β˜… HY difficulty 3/5

Mohammed, a 62-year-old man with known hypertension and a 20 pack-year smoking history, is seen in the ED of Tamale Teaching Hospital with a 6-hour history of pressure-like chest pain that began at re…

Cardiology · GTN infusion in acute heart failure β˜… HY difficulty 3/5

Kofi, a 55-year-old man with known ischaemic cardiomyopathy, presents to the Korle Bu emergency centre with acute breathlessness and orthopnoea for 6 hours. BP 192/110 mmHg, HR 104/min, RR 28/min, SpO…

Cardiology · Inotrope and vasopressor selection in cardiogenic shock β˜… HY difficulty 4/5

A 71-year-old woman, Adwoa, is brought to the Korle Bu emergency centre after collapsing at home. She has a history of dilated cardiomyopathy. On arrival: GCS 12 (E3V4M5), RR 28/min, SpO2 86% on 10 L/…

Cardiology · Wide-complex tachycardia - VT vs SVT-aberrancy β˜… HY difficulty 4/5

A 67-year-old man is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 2-hour history of palpitations and presyncope. He has a history of ischaemic heart dise…

Cardiology · Double sequential defibrillation (DOSE-VF) β˜… HY difficulty 4/5

A 61-year-old man is in cardiac arrest at the Korle Bu emergency centre. He collapsed 18 minutes ago and has been in continuous VF. He has received five biphasic defibrillation shocks at 200 J, amioda…

Cardiology · Imaging choice in aortic dissection β˜… HY difficulty 2/5

A 55-year-old man presents to the Korle Bu Emergency Centre with sudden severe central chest pain radiating to the back that started one hour ago. He has a history of hypertension and Marfan syndrome.…

Cardiology · Mobitz I versus Mobitz II discrimination and management β˜… HY difficulty 4/5

A 47-year-old man, Mohammed, presents to a district hospital in the Upper East Region with a 6-hour history of dizziness and near-syncope. He has a history of ischaemic heart disease. Vitals: BP 106/7…

Cardiology · McConnell sign β€” apical sparing in acute PE β˜… HY difficulty 4/5

Fatima, a 29-year-old woman at 34 weeks gestation, is brought to the Korle Bu emergency centre by family with sudden collapse and cardiac arrest. She had complained of right leg swelling for 1 week. C…

Cardiology · Pre-excited AF in WPW β€” drug contraindications β˜… HY difficulty 4/5

A 62-year-old woman, Adwoa, is referred to the Tamale Teaching Hospital ED from a district hospital in the Upper East Region with a 4-hour history of palpitations and mild breathlessness on exertion. …

Cardiology · Ventricular tachycardia – unstable β˜… HY difficulty 3/5

Yaw, a 55-year-old man with no known cardiac history, presents to the Komfo Anokye ED with a 20-minute history of presyncope and palpitations. Vitals: BP 88/60 mmHg, HR 156 bpm regular, RR 22, SpO2 94…

Cardiology · STEMI thrombolysis window β˜… HY difficulty 2/5

A 65-year-old woman is referred from a peripheral clinic to Komfo Anokye ED with 8 hours of central chest tightness. Vitals: BP 136/84 mmHg, HR 88 bpm, SpO2 97% on air. ECG shows 2.5 mm ST elevation i…

Cardiology · Synchronised cardioversion β€” energy selection β˜… HY difficulty 3/5

A 45-year-old man is brought to a district hospital in Brong-Ahafo by family after collapsing at a funeral. He is now conscious but confused and reports brief chest discomfort. Vital signs: HR 210 bpm…

Cardiology · Torsades de Pointes Management β˜… HY difficulty 3/5

A 58-year-old man, Mohammed, presents to a regional hospital ED in Northern Ghana with palpitations and lightheadedness for 3 hours. He has a history of schizophrenia and has been on haloperidol for 1…

Cardiology · AV block – complete heart block management β˜… HY difficulty 3/5

A 48-year-old woman, Abena, presents to a district hospital A&E in Brong-Ahafo Region with a 2-day history of exertional dyspnoea and fatigue. Vitals: BP 102/68 mmHg, HR 38 bpm, RR 20, SpO2 95% on air…

Cardiology · Third-degree AV block and pacing indications β˜… HY difficulty 3/5

A 68-year-old man, Kwame, is brought to the Komfo Anokye ED by his family after two episodes of syncope at home over the past 24 hours. He has a history of hypertension treated with atenolol 50 mg dai…

Cardiology · Frusemide dosing in acute pulmonary oedema β˜… HY difficulty 2/5

A 72-year-old man, Kofi, is in the resus bay of a regional hospital A&E with acute pulmonary oedema. He is already on CPAP. Vitals: HR 102 bpm, BP 172/104 mmHg, RR 26/min, SpO2 94% on CPAP. IV access …

Cardiology · E-point septal separation (EPSS) β˜… HY difficulty 2/5

A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family with a 3-day history of progressive dyspnoea and orthopnoea. He has a background of poorly controlled hypertension f…

Cardiology · Electrical alternans on ECG β˜… HY difficulty 3/5

A 61-year-old man presents to the Korle Bu Emergency Centre with a 2-day history of progressive breathlessness and near-syncope. He is known to have lung cancer and completed a course of chemotherapy …

Cardiology · NSTEMI initial management β˜… HY difficulty 2/5

Akosua, a 58-year-old woman with known hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 3 hours of central chest tightness radiating to her left arm. Her ECG shows ST depression …

Cardiology · Wide-complex tachycardia - VT vs SVT-aberrancy differential and management β˜… HY difficulty 4/5

Mohammed, a 67-year-old man with ischaemic heart disease and a previous anterior MI two years ago, is brought to Korle Bu emergency centre by relatives with a 30-minute history of palpitations, presyn…

Cardiology · Acute heart failure - CPAP/NIV mechanism β˜… HY difficulty 4/5

Akua, a 68-year-old woman with a 10-year history of hypertensive heart disease, is brought to the Komfo Anokye ED by relatives with a 4-hour history of worsening breathlessness and orthopnoea. She is …

Cardiology · Refractory VF β€” antiarrhythmic therapy β˜… HY difficulty 2/5

A 54-year-old man, Kwame, collapses in the waiting area of a regional hospital ED in Ashanti Region. CPR is initiated immediately. He is found to be in ventricular fibrillation. He receives three cons…

Cardiology · Transcutaneous pacing / Complete AV block β˜… HY difficulty 4/5

A 58-year-old man, Yaw, is referred from a district hospital to the Komfo Anokye ED in Kumasi following an inferior STEMI treated 6 hours ago with streptokinase. On arrival he is alert. Vitals: heart …

Cardiology · TIMI risk score and anticoagulation in NSTEMI β˜… HY difficulty 4/5

Yaw, a 54-year-old construction worker with no prior cardiac history, presents to a district hospital in the Bono Region with exertional chest discomfort for the past 4 days, each episode lasting 10–1…

Cardiology · Antiarrhythmic alternatives in resource-limited settings β˜… HY difficulty 3/5

A 39-year-old man, Mohammed, presents to a district hospital in Northern Region with palpitations and near-syncope. He has a history of ischaemic heart disease. On arrival: HR 210 bpm, BP 74/40 mmHg, …