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3996 matches for “Ghana” — showing 2911–2940
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 · Malignant hypertension - definition and classification difficulty 2/5

A 61-year-old man, Kwame, is referred from a district hospital in Ashanti Region with a two-week history of severe headache, blurred vision, and progressive dyspnoea. BP on arrival at the regional hos…

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…

Cardiology · Escape rhythms in complete heart block difficulty 4/5

Mohammed, a 55-year-old man with no prior cardiac history, is brought to a regional hospital ED after collapsing at the mosque. Bystanders report he was unresponsive for approximately 45 seconds and t…

Cardiology · Transcutaneous pacing — confirming mechanical capture difficulty 4/5

A 45-year-old woman, Abena, is brought to the Korle Bu Emergency Centre after collapsing at home. She is conscious but drowsy. Bystanders state she had no prior complaints. Vitals: heart rate 28 bpm, …

Cardiology · RUSH protocol — Pump assessment difficulty 3/5

A 67-year-old woman, Adwoa, is referred from a district hospital in the Brong-Ahafo region to the regional hospital with a 3-day history of progressive breathlessness and leg swelling. She has known h…

Cardiology · ECG criteria for NSTEMI — ST depression and aVR pattern difficulty 4/5

Akosua, a 54-year-old woman with diabetes and hypertension, is brought to a district hospital in Brong-Ahafo with a 5-hour history of epigastric pain, nausea, and vomiting. She initially attributed it…

Cardiology · IV furosemide dosing in acute decompensated heart failure difficulty 4/5

Fatima, a 48-year-old woman with known ischaemic cardiomyopathy (last known EF 25%), presents to the Korle Bu emergency centre with a 2-day history of worsening dyspnoea and reduced urine output. She …

Cardiology · Antihypertensive selection in aortic dissection difficulty 4/5

Abena, a 45-year-old woman with no prior medical history, is brought to the regional hospital ED in Kumasi by her husband after she complained of sudden-onset severe chest pain radiating to her back, …

Chest Trauma · Penetrating cardiac tamponade - operative management difficulty 3/5

A 19-year-old man, Kofi, is brought to Komfo Anokye ED after sustaining a stab wound to the left anterior chest at the 5th intercostal space, mid-clavicular line. He is anxious but talking. His blood …

Chest Trauma · Rib fractures and small haemothorax difficulty 2/5

A 67-year-old man is brought to the Tamale Teaching Hospital emergency department after being struck by a motorcycle. He complains of right-sided chest pain worsening with inspiration. Vitals: BP 138/…

Chest Trauma including Tension Pneumothorax and Haemothorax · Post-traumatic empyema difficulty 3/5

A 50-year-old man, Mensah, is referred from a district hospital to the Korle Bu general surgical unit following blunt chest trauma sustained in a farming accident 3 days ago. He was not initially seen…

Chest Trauma including Tension Pneumothorax and Haemothorax · Primary spontaneous pneumothorax difficulty 3/5

A 19-year-old student, Esi, presents to the district hospital surgical ward in the Upper East Region with a 3-day history of progressive breathlessness and right-sided chest discomfort following a min…

Chest Trauma including Tension Pneumothorax and Haemothorax · Flail chest and pulmonary contusion difficulty 4/5

A 55-year-old man is admitted to the UGMC surgical unit following a motor vehicle collision in which he was a driver. He complains of severe right chest pain worse on deep inspiration. Vital signs: BP…