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2131 matches for “Ghana” — showing 1411–1440
Cardiology · Pericarditis with moderate effusion — treatment difficulty 3/5

A 34-year-old woman presents to a district hospital in Ashanti Region with 3 days of sharp chest pain and mild dyspnoea. She had a flu-like illness 2 weeks ago. Vitals: BP 118/80 mmHg, HR 88 bpm, RR 1…

Cardiology · Aortic dissection — BP and HR control difficulty 3/5

A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family after the sudden onset of severe chest pain that he describes as 'tearing' and radiating directly to his back betwee…

Cardiology · Stable narrow-complex tachycardia — adenosine difficulty 2/5

A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED by her husband after a sudden onset of palpitations and mild chest tightness for 45 minutes. She has no prior cardiac history and takes n…

Cardiology · AF rhythm control — pharmacological cardioversion difficulty 4/5

Kofi, a 45-year-old bus driver, presents to a regional hospital ED in Brong-Ahafo with a two-hour history of rapid palpitations and mild dizziness. He has no prior cardiac history and takes no medicat…

Cardiology · Parasternal short-axis — LV function assessment difficulty 3/5

Kofi, a 55-year-old man with a history of alcohol use disorder, presents to the regional hospital ED in Cape Coast with a 3-week history of progressive dyspnoea, weight gain, and bilateral leg oedema.…

Cardiology · NIV in acute cardiogenic pulmonary oedema difficulty 3/5

A 62-year-old woman, Akosua, is brought to the Komfo Anokye ED by her family at 02:00 with a 3-hour history of severe breathlessness. She has known hypertension treated with amlodipine 10 mg daily. On…

Cardiology · Congenital Long QT Syndrome difficulty 3/5

A 34-year-old woman, Afia, is brought to the Komfo Anokye ED by her family after a witnessed syncopal episode at home. She has no significant past medical history but reports two prior episodes of sud…

Cardiology · Hypocalcaemia ECG mechanism difficulty 4/5

A 29-year-old woman, Aisha, presents to the Korle Bu Emergency Centre with carpopedal spasm and perioral tingling for 2 hours following a subtotal thyroidectomy performed 3 days ago. She also reports …

Cardiology · First-degree AV block recognition and management difficulty 2/5

A 54-year-old woman, Abena, presents to a regional hospital ED in the Northern Region with a 2-day history of progressive dizziness and exertional presyncope. She has no chest pain. Her medications in…

Cardiology · Stanford A vs B — complications of Type B difficulty 4/5

A 70-year-old man, Yaw, a known hypertensive and heavy smoker, is brought to a regional hospital ED in Northern Ghana with severe, sudden-onset tearing back pain and mild lower limb weakness that bega…

Cardiology · Atrial fibrillation – rate control in heart failure difficulty 4/5

Afia, a 70-year-old woman with a history of ischaemic heart disease, presents to the Komfo Anokye ED with palpitations and mild chest discomfort for 2 hours. Vitals: BP 130/82 mmHg, HR 136 bpm, RR 18,…

Cardiology · Sick sinus syndrome recognition difficulty 4/5

A 61-year-old woman, Yaa, presents to the Korle Bu Emergency Centre with a 3-week history of progressive fatigue, palpitations, and two near-syncopal episodes that occurred at rest. She is not on any …

Cardiology · Cardiogenic shock diagnosis difficulty 2/5

A 55-year-old woman, Akosua, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E. She has a 3-day history of worsening breathlessness and bilateral leg oedema. Vitals on a…

Cardiology · Nitrate infusion in hypertensive flash pulmonary oedema difficulty 3/5

Kofi, a 67-year-old man with hypertension and type 2 diabetes, arrives at Korle Bu emergency centre at midnight brought by his family with a 1-hour history of sudden onset severe breathlessness. He wa…

Cardiology · Unstable wide-complex tachycardia — cardioversion difficulty 3/5

A 58-year-old man, Kofi, is seen in the emergency centre of a regional hospital in the Northern Region. He presents with a 2-hour history of palpitations and progressively worsening breathlessness. He…

Cardiology · Takotsubo cardiomyopathy ECG difficulty 4/5

Abena, a 61-year-old woman with a history of anxiety disorder, is brought to the Korle Bu emergency centre by her daughter after collapsing at a family funeral 3 hours ago. She describes severe subste…

Cardiology · Pericarditis ECG staging difficulty 3/5

A 35-year-old woman named Afia is seen in the Korle Bu emergency centre with a two-day history of sharp left-sided chest pain worsening with inspiration and lying flat. She had an upper respiratory tr…

Cardiology · ACS mechanical complications difficulty 4/5

Ama, a 72-year-old woman with known ischaemic heart disease, is brought to the Komfo Anokye ED 4 hours after onset of chest pain. Her ECG shows new ST depression in leads II, III, aVF, and V4–V6. Thir…

Cardiology · ACS complications - acute LV failure difficulty 2/5

Yaw, a 67-year-old man with hypertension and type 2 diabetes, is in the Komfo Anokye ED with confirmed NSTEMI. He was commenced on aspirin, ticagrelor, and low molecular weight heparin 4 hours ago. He…

Cardiology · Unstable angina diagnosis difficulty 2/5

Akosua, a 62-year-old woman with known hypertension, presents to a regional hospital A&E in Ashanti with episodic chest tightness at rest for the past 24 hours, each episode lasting 10-15 minutes and …

Cardiology · NSTEMI risk stratification - TIMI score difficulty 3/5

A 49-year-old woman, Afia, is brought to a district hospital in Brong-Ahafo with central chest pain for 2 hours. She has no prior cardiac history. ECG shows no ST changes; a troponin assay is not avai…

Cardiology · Hypercalcaemia ECG changes difficulty 3/5

Mohammed, a 48-year-old man with no known medical history, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED after a witnessed generalised seizure. He has …

Cardiology · Torsades de pointes – diagnosis and management difficulty 4/5

A 45-year-old woman, Abena, is brought to the Tamale Teaching Hospital ED after sudden collapse at a market. Bystanders report she was pulseless for approximately 3 minutes before return of spontaneou…

Cardiology · ACS mimics and type 2 myocardial infarction difficulty 4/5

A 38-year-old woman, Akosua, presents to the Korle Bu Emergency Centre with sharp left-sided chest pain radiating to her back, rated 8/10, onset 2 hours ago. She is 6 weeks postpartum following an une…

Cardiology · Pulmonary embolism ECG difficulty 3/5

Fatima, a 34-year-old woman who delivered her first baby via emergency caesarean section 10 days ago at Korle Bu, is brought to the emergency centre by her husband with sudden-onset breathlessness and…

Cardiology · Acute valve emergencies in heart failure difficulty 3/5

A 45-year-old woman, Abena, presents to the regional hospital A&E with sudden-onset severe breathlessness and frothy pink sputum for 90 minutes. She had rheumatic heart disease diagnosed 10 years ago …

Cardiology · Visual ejection fraction estimation — apical 4-chamber difficulty 2/5

A 72-year-old woman, Yaa, is brought to the Korle Bu emergency centre with a 4-hour history of central chest pain radiating to the jaw. She is diaphoretic and distressed. Vital signs: BP 88/54 mmHg, H…

Cardiology · SVT - adenosine mechanism and pharmacology difficulty 4/5

Kwabena, a 34-year-old man with no significant past medical history, presents to a regional hospital A&E in the Ashanti Region with sudden-onset palpitations and lightheadedness for 45 minutes. He den…

Cardiology · Ruptured AAA — resuscitation and transfer difficulty 4/5

A 72-year-old man, Yaw, is brought to a regional hospital ED in the Northern Region after his family noticed he collapsed briefly while straining at stool. He has a long history of hypertension and he…

Cardiology · Unstable angina disposition difficulty 3/5

Kofi, a 63-year-old male farmer, is brought to a district hospital A&E in Brong-Ahafo by relatives after two episodes of exertional chest pain lasting 10–15 minutes each, both resolving at rest. Today…