A 67-year-old man, Yaw, is assessed in the regional hospital ED in the Volta Region with a 6-hour history of worsening dyspnoea and haemoptysis. He was immobilised for 3 weeks following a road traffic…
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Yaw, a 67-year-old man with hypertension and hyperlipidaemia, presents to the Korle Bu emergency centre with 6 hours of chest pain. ECG shows new T-wave inversion in V1–V4. His GRACE score is calculat…
A 42-year-old man, Kwame, presents to a regional hospital A&E with a 30-minute history of palpitations. He is haemodynamically stable. ECG shows a broad-complex regular tachycardia at 160 bpm. There i…
Akosua, a 47-year-old woman with no prior cardiac history, presents to Korle Bu emergency centre with atypical chest discomfort for 4 hours, mild nausea, and diaphoresis. Vitals: BP 128/76 mmHg, HR 84…
Kwame, a 58-year-old farmer, is brought to the Komfo Anokye ED by his family after 3 hours of crushing central chest pain radiating to his left jaw. He has a history of hypertension on amlodipine. On …
A 68-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her family with a 2-hour history of severe breathlessness. She is sitting bolt upright, using accessory muscles, and cannot complete se…
A 67-year-old woman, Adwoa, is brought to a district hospital in Brong-Ahafo by her family with sudden severe back pain and collapse at home. She is known to have hypertension and has smoked for 40 ye…
A 29-year-old man, Mohammed, is brought to a district hospital in the Northern Region by his family after a syncopal episode. He has a known history of schizophrenia, managed at a psychiatric outreach…
A 32-year-old man, Kwesi, presents to a regional hospital A&E with sudden-onset palpitations for 45 minutes. He is anxious but alert. Vitals: HR 178 bpm (regular), BP 106/68 mmHg, SpO2 99%, RR 16. ECG…
A 62-year-old man, Kwame, is brought by his family to the Komfo Anokye ED with a sudden onset tearing chest pain radiating to the interscapular region that began 45 minutes ago. He has a history of po…
Kofi, a 68-year-old retired civil servant with hypertension, hypercholesterolaemia, and a prior inferior MI 5 years ago, presents to the Korle Bu Emergency Centre with 45 minutes of typical chest pain…
A 67-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to the Komfo Anokye ED with a 6-hour history of central chest pain and progressive breathlessness. She has hypertension …
Akosua, a 62-year-old woman with known hypertension, is brought to the Korle Bu emergency centre by her daughter complaining of palpitations and mild breathlessness for 6 hours. Her BP is 138/86 mmHg,…
Yaw, a 61-year-old man, is brought to Korle Bu emergency centre with a 3-hour history of breathlessness and chest pain. He is cold and clammy with a mottled lower limbs. Observations: BP 78/50 mmHg, H…
Yaw, a 38-year-old HIV-positive man (not on antiretrovirals), is brought to the Korle Bu Emergency Centre in severe respiratory distress. He was referred from a district hospital in the Eastern Region…
A 50-year-old man, Joseph, presents to a regional hospital A&E with acute breathlessness and chest pain. He is known to have had a myocardial infarction 5 days ago. Vitals: HR 112 bpm, BP 96/64 mmHg, …
Kofi, a 58-year-old male farmer, presents to a district hospital in the Bono Region with 2 hours of crushing central chest pain radiating to the left jaw, associated with diaphoresis and vomiting. He …
Mohammed, a 72-year-old man with type 2 diabetes and hypertension, presents to a regional hospital ED in the Upper East Region with a 2-day history of dizziness and near-syncope on standing. He takes …
A 47-year-old woman, Afia, presents to the regional hospital ED in Kumasi with sudden-onset sharp, pleuritic chest pain and dyspnoea following a 2-week history of productive cough and fever. She is kn…
A 45-year-old woman presents to the Korle Bu Emergency Centre with recurrent palpitations and two syncopal episodes over 6 hours. She was admitted 3 days earlier for chemotherapy-induced nausea and vo…
Yaa, a 67-year-old woman with known ischaemic heart disease and prior inferior MI 3 years ago, presents to the Komfo Anokye ED with a 2-hour history of anterior chest pain. Her ECG shows 5 mm ST eleva…
Mohammed, a 34-year-old man with known end-stage renal disease on intermittent haemodialysis, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital ED after missing t…
A 55-year-old woman with alcohol use disorder is brought to a regional hospital ED by her family after she was found on the floor at home. She has not eaten for three days. Vitals: BP 108/72 mmHg, HR …
A 62-year-old woman is brought to a regional hospital ED in the Northern Region with a 6-hour history of progressive shortness of breath and inability to lie flat. She has hypertension and type 2 diab…
A 58-year-old man with hypertension and heart failure is brought to the regional hospital ED by his family after two days of vomiting and poor oral intake. He is on furosemide 80 mg daily and lisinopr…
A 52-year-old woman, Akosua, is brought to the Komfo Anokye ED by her family after two days of worsening headache, confusion, and vomiting. She has a known history of poorly controlled hypertension. O…
A 63-year-old woman, Adwoa, presents to the regional hospital A&E in Kumasi with a 2-hour history of abrupt-onset severe anterior chest pain radiating to the back. She is a known hypertensive, non-dia…
A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by relatives after the sudden onset of tearing chest pain radiating to the interscapular region, beginning 90 minutes ago. He has …
A 48-year-old man, Yaw, presents to the Korle Bu emergency centre with a sudden-onset tearing chest pain radiating to the interscapular region, beginning 90 minutes ago. BP is 178/102 mmHg in the righ…
A 55-year-old man, Kofi, with known hypertension and Marfan syndrome presents to the Korle Bu emergency centre with acute-onset severe chest pain radiating to his back. BP is 162/96 mmHg in the right …