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2131 matches for “Ghana” — showing 241–270
ECG - AV Blocks and Bradyarrhythmias · Third-degree AV block with wide ventricular escape - pacing decision ★ HY difficulty 3/5

Yaw, a 68-year-old retired teacher with known hypertension, presents to the A&E of a regional hospital in the Brong-Ahafo region with a two-day history of intermittent dizziness and near-syncope. He i…

ECG - Arrhythmias and Repolarisation Abnormalities · Acquired long QT syndrome - drug-induced QTc prolongation with hypokalaemia ★ HY difficulty 3/5

Akua, a 34-year-old woman, presents to the regional hospital A&E in Ashanti with palpitations and two episodes of near-syncope over the past 24 hours. She was started on azithromycin and metoclopramid…

ECG - Arrhythmias and Repolarisation Abnormalities · Torsades de pointes - treatment, magnesium first-line, amiodarone contraindicated ★ HY difficulty 4/5

Ama, a 61-year-old woman with known schizophrenia on haloperidol, is brought to the district hospital A&E in Brong-Ahafo by her family after repeated episodes of sudden loss of consciousness with jerk…

ECG - Electrolyte Patterns · Hypokalaemia - U waves, T-wave flattening, QU prolongation ★ HY difficulty 3/5

Akua, a 34-year-old woman with bulimia nervosa, is brought to the Komfo Anokye ED after a syncopal episode. She reports frequent vomiting and laxative use. ECG findings: rate 78 bpm, regular sinus rhy…

ECG - Electrolyte Patterns · Hyperkalaemia — sine-wave pattern and pre-arrest ECG ★ HY difficulty 3/5

Kwame, a 54-year-old man with known chronic kidney disease, presents to the district hospital A&E in Brong-Ahafo with generalised weakness and palpitations. He has missed his last two dialysis session…

ECG - Electrolyte Patterns · Hyperkalaemia - sine wave, pre-arrest pattern ★ HY difficulty 3/5

Kofi, a 58-year-old man with end-stage renal disease, is brought unresponsive to the Tamale Teaching Hospital resus bay. Bystanders report he collapsed suddenly. The monitor shows a sinusoidal wide-co…

ECG - Electrolyte Patterns · Hypokalaemia and hypomagnesaemia — torsades de pointes and QT prolongation ★ HY difficulty 4/5

Ama, a 34-year-old woman with a history of anorexia nervosa, is brought to the Komfo Anokye ED after a witnessed syncopal episode followed by a brief period of pulselessness that resolved spontaneousl…

ECG - Electrolyte Patterns · Torsades de pointes - hypokalaemia and hypomagnesaemia ★ HY difficulty 4/5

Ama, a 45-year-old woman on long-term frusemide and digoxin for heart failure, is brought to the regional hospital A&E in Ashanti after a witnessed collapse with brief loss of consciousness. A bystand…

ECG - Long QT Syndrome and Torsades de Pointes · Recognition of torsades de pointes — twisting polymorphic VT with prolonged QTc ★ HY difficulty 3/5

Yaw, a 61-year-old man, is admitted to a district hospital resus bay in Brong-Ahafo after his wife found him unresponsive in bed at 3 a.m. He has a history of hypertension and was recently started on …

ECG - Long QT Syndrome and Torsades de Pointes · QTc calculation using Bazett formula and acquired long QT from macrolides ★ HY difficulty 3/5

Akua, a 34-year-old woman, presents to the regional hospital A&E in Kumasi with palpitations and near-syncope that began 30 minutes ago. She was started on erythromycin three days ago for a chest infe…

ECG - Long QT Syndrome and Torsades de Pointes · Acquired long QT from antipsychotics — management with IV magnesium ★ HY difficulty 3/5

Ama, a 52-year-old woman with schizophrenia, is brought to the Komfo Anokye ED by her family after multiple witnessed episodes of brief loss of consciousness over the past 12 hours. She has been on ha…

ECG - Narrow Complex Tachycardia · Atrial flutter with 2:1 block - rate 150, sawtooth in inferior leads ★ HY difficulty 3/5

Ama, a 52-year-old woman with known hypertension, presents to a district hospital A&E in Brong-Ahafo with a 3-hour history of palpitations and mild dyspnoea. Her BP is 124/80 mmHg and she is not in di…

ECG - Narrow Complex Tachycardia · AVNRT typical (slow-fast) - pseudo-R-prime in V1, pseudo-S in inferior leads ★ HY difficulty 3/5

Akua, a 34-year-old teacher, presents to the regional hospital A&E in Ashanti with a 45-minute history of sudden-onset palpitations and mild dizziness. She has no prior cardiac history. Vital signs: B…

ECG - Pre-excitation Syndromes · WPW with AF - haemodynamically unstable - cardioversion ★ HY difficulty 4/5

Akua, a 34-year-old woman, is brought to the resus bay of a regional hospital in Brong-Ahafo by her family after collapsing at home. She is conscious but extremely anxious, diaphoretic, and complainin…

ECG - Pre-excitation Syndromes · Classic WPW - short PR, delta wave, wide QRS ★ HY difficulty 3/5

Kwame, a 24-year-old male student, presents to a district hospital A&E in Brong-Ahafo with a 3-hour history of palpitations and mild dizziness. He has no prior cardiac history and is haemodynamically …

ECG - Pre-excitation Syndromes · WPW with AF - stable patient - procainamide vs cardioversion ★ HY difficulty 4/5

Yaa, a 19-year-old female, presents to a district hospital A&E in the Upper East Region with a 3-hour history of rapid palpitations and mild breathlessness. She is conscious, her BP is 110/70 mmHg, an…

ECG - Pre-excitation Syndromes · WPW with atrial fibrillation - management and cardioversion ★ HY difficulty 4/5

Ama, a 31-year-old woman with no known cardiac history, is brought to the Komfo Anokye Teaching Hospital ED by her family after a sudden onset of palpitations and near-syncope. She is diaphoretic and …

ECG - Pre-excitation Syndromes · Classic WPW - short PR, delta wave, wide QRS ★ HY difficulty 2/5

Kwame, a 28-year-old male, presents to the A&E at Komfo Anokye Teaching Hospital with a 2-hour history of palpitations and mild chest discomfort. He has no significant past medical history and takes n…

ECG - Pulmonary Embolism and Right Heart Strain · S1Q3T3 pattern and anteroseptal T-wave inversions in acute PE ★ HY difficulty 3/5

Akua, a 38-year-old woman, presents to the A&E of a regional hospital in the Ashanti Region with sudden-onset pleuritic chest pain and breathlessness that began 5 days after a long bus journey from Ku…

ECG - Pulmonary Embolism and Right Heart Strain · Kosuge criteria — simultaneous anteroseptal and inferior T-wave inversions differentiating PE from ACS ★ HY difficulty 4/5

Fatima, a 47-year-old woman, presents to the A&E of a district hospital in the Northern Region with a 2-day history of progressive exertional dyspnoea and mild, non-pleuritic central chest discomfort.…

ECG - STEMI Equivalents · Sgarbossa criteria - concordant ST elevation in LBBB ★ HY difficulty 3/5

Kwame, a 58-year-old man with known hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 2 hours of crushing central chest pain radiating to his left arm. He is diaphoretic and in mo…

ECG - STEMI Equivalents · Wellens syndrome - deep symmetric T-wave inversion V2-V3 (Type B) ★ HY difficulty 3/5

Akua, a 54-year-old woman with known hypertension, presents to the Komfo Anokye ED with a 6-hour history of central chest pain that has now completely resolved. She is pain-free and haemodynamically s…

ECG - STEMI Equivalents · Sgarbossa criteria (original 1996) in LBBB ★ HY difficulty 3/5

Kwame, a 58-year-old man with known hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 2 hours of crushing central chest pain radiating to his left arm. He is diaphoretic and his b…

ECG - STEMI Equivalents · Wellens syndrome - deep symmetric T-wave inversion (Type B) ★ HY difficulty 3/5

Yaw, a 66-year-old man with type 2 diabetes and chronic kidney disease, presents to a regional hospital A&E in the Northern Region with a 6-hour history of vague epigastric discomfort and fatigue. He …

ECG - STEMI Equivalents · de Winter T-wave pattern - proximal LAD occlusion equivalent ★ HY difficulty 4/5

Mohammed, a 39-year-old male farmer with no prior cardiac history, presents to the Tamale Teaching Hospital emergency centre with 2 hours of severe epigastric pain and vomiting. He is diaphoretic and …

ECG - STEMI Equivalents · aVR ST elevation - LMCA or proximal LAD occlusion equivalent ★ HY difficulty 4/5

Ama, a 61-year-old woman with known hypertension and diabetes, is brought by ambulance to a regional hospital A&E in Ashanti with a 2-hour history of severe central chest pain radiating to the jaw. Sh…

ECG - STEMI Equivalents · Wellens syndrome - biphasic T in V2-V3 (Type A) ★ HY difficulty 3/5

Kwame, a 54-year-old man with a 3-day history of exertional chest pain that has now resolved, presents to the Komfo Anokye ED. He is pain-free and haemodynamically stable. His troponin is mildly eleva…

ECG - STEMI Equivalents · Smith-modified Sgarbossa - proportional ST/S ratio in LBBB ★ HY difficulty 4/5

Akua, a 64-year-old woman with no prior cardiac history, is brought to a district hospital A&E in Brong-Ahafo by her family after 3 hours of severe epigastric pain and vomiting. The attending medical …

ECG - STEMI Equivalents · de Winter T-wave pattern - proximal LAD occlusion ★ HY difficulty 4/5

Kofi, a 47-year-old man with no known cardiac history, presents to a district hospital in Brong-Ahafo with a 90-minute history of severe chest pain. He is diaphoretic and his blood pressure is 130/80 …

ECG - STEMI Equivalents · Smith-modified Sgarbossa criteria in ventricular paced rhythm ★ HY difficulty 4/5

Akua, a 64-year-old woman with no prior cardiac history, is brought to a district hospital A&E in Brong-Ahafo with 3 hours of severe epigastric pain and vomiting. She was initially treated for gastrit…