A 74-year-old woman, Adwoa, is referred from a peripheral clinic to the Komfo Anokye ED with a two-week history of progressive exertional dyspnoea. She had a total knee replacement six weeks ago. Vita…
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Adwoa, a 58-year-old woman with COPD, presents to a district hospital in Brong-Ahafo with a 4-day history of worsening breathlessness and increased cough. She is alert with RR 22/min, SpO2 88% on air,…
Akosua, a 66-year-old woman with COPD and cor pulmonale, is referred from a district hospital in Brong-Ahafo to the regional hospital ED. She has had 3 days of worsening dyspnoea and increased sputum …
A 68-year-old man with known COPD is brought to the A&E at Komfo Anokye Teaching Hospital by relatives with worsening breathlessness over 3 days. He is alert and cooperative. Observations: RR 28/min, …
Yaw, a 65-year-old retired miner, presents to Korle Bu Emergency Centre with a 5-day history of increasing cough, wheeze, and dyspnoea. He has known COPD (on tiotropium and salbutamol) and hypertensio…
Kofi, a 19-year-old male student, presents to a regional hospital A&E in Brong-Ahafo with an acute asthma attack. Despite 60 minutes of continuous salbutamol nebulisation, ipratropium, and IV hydrocor…
Kofi, a 35-year-old man with a 10-year history of asthma, is brought to Komfo Anokye ED by family with severe breathlessness for 3 hours. He has received three back-to-back salbutamol nebulisations (2…
A 58-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives with a 3-day history of progressive dyspnoea, productive cough, and fever. He has no prior lung disease and takes no regular me…
Yaw, a 58-year-old retired civil servant with known hypertension and type 2 diabetes, is brought to Korle Bu Emergency Centre by his family in a state of severe respiratory distress. He had sudden-ons…
A 68-year-old man, Kofi, is brought to the regional hospital A&E in Kumasi by his son with a 3-day history of worsening breathlessness and productive cough. He has known COPD. Vitals: RR 28/min, SpO2 …
Akosua, a 58-year-old woman with severe COPD (FEV1 35% predicted on last spirometry), presents to the Korle Bu emergency centre with a 2-day exacerbation. She has received salbutamol and ipratropium n…
Adwoa, a 44-year-old woman with known obesity (BMI 38 kg/m²) and no prior lung disease, presents to a regional hospital A&E in Ashanti Region with acute dyspnoea following 5 days of influenza-like ill…
A 58-year-old woman, Akosua, with known COPD and a 35-pack-year smoking history is brought to the regional hospital ED by her family with increasing breathlessness over the past 6 hours and left-sided…
A 38-year-old woman, Akosua, presents to the regional hospital A&E with two days of pleuritic chest pain and mild dyspnoea. She is on the combined oral contraceptive pill and flew from London four wee…
A 28-year-old woman, Akosua, is brought to the regional hospital ED by her husband at 2 AM with worsening breathlessness over 4 hours. She has a known history of asthma and uses salbutamol inhaler as …
A 78-year-old man with a history of a previous stroke and dysphagia is brought to a district hospital in the Upper East Region with a 3-day history of fever and increasing shortness of breath. His fam…
A 3-year-old girl named Yaa is seen in the paediatric emergency bay at a regional hospital in the Northern Region. Her mother says the child was eating roasted maize two hours ago when she had a brief…
A 22-year-old man, Kwame, presents to a district hospital in Brong-Ahafo with sudden onset right-sided chest pain and breathlessness that began 2 hours ago while he was sitting watching television. He…
Adwoa, a 28-year-old woman with known severe asthma, is brought to the Komfo Anokye ED by relatives after failing to respond to repeated doses of inhaled salbutamol at home. On arrival she is tachypno…
A 28-year-old woman, Akosua, is brought to the Komfo Anokye ED by relatives with a 2-hour history of worsening breathlessness. She is unable to complete sentences, is using accessory muscles, and her …
A 38-year-old woman, Akosua, presents to the regional hospital A&E in Kumasi with two days of pleuritic chest pain and mild dyspnoea. She is 10 days post-caesarean section. Vitals: HR 98, BP 118/76, R…
A 55-year-old woman, Abena, is brought by relatives to the Komfo Anokye ED with sudden-onset dyspnoea and collapse. She has a known history of DVT. On arrival: HR 128, BP 72/40, RR 28, SpO2 80% on 15L…
Adwoa, a 67-year-old woman with known breast cancer on chemotherapy, is reviewed in the Komfo Anokye Teaching Hospital emergency department after presenting with progressive left leg swelling and shor…
A 72-year-old woman with COPD is assessed at a regional hospital A&E in the Ashanti Region. She presents with 2 days of increased sputum production, purulent green sputum, and worsening dyspnoea. Temp…
A 28-year-old woman, Akosua, is brought to Komfo Anokye ED by relatives with acute severe asthma. She is using accessory muscles and can only speak in single words. Observations: RR 32/min, HR 118 bpm…
Abena, a 60-year-old woman with known COPD, is admitted to a regional hospital in the Brong-Ahafo Region with moderate exacerbation. She has responded well to nebulised bronchodilators and controlled …
A 31-year-old woman, Afia, is intubated for near-fatal asthma in the Komfo Anokye resus bay. She is placed on volume-controlled ventilation. The respiratory therapist sets: tidal volume 600 mL (8 mL/k…
Yaw, a 28-year-old man with brittle asthma, is brought to the Korle Bu emergency centre by relatives in extremis after a sudden-onset severe attack. He is obtunded (GCS 11/15), with a respiratory rate…
A 65-year-old man presents to Korle Bu emergency centre with a 5-day history of worsening dyspnoea, increased sputum volume, and change in sputum colour to green. He has COPD (GOLD stage III). Vitals:…
A 52-year-old man, Kofi, is brought by relatives to the Korle Bu emergency centre with sudden-onset severe dyspnoea and near-syncope. He is on no regular medications. Vitals: HR 128 bpm, BP 72/40 mmHg…