Kofi, a 55-year-old man with known hypertension and a recent right total knee replacement 10 days ago, is brought to the Korle Bu Emergency Centre with acute dyspnoea, presyncope, and right-sided pleu…
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Kofi, a 62-year-old man with hypertension and type 2 diabetes, is brought to a regional hospital emergency department in Northern Ghana by his family with 3 days of progressive exertional dyspnoea and…
Fatima, a 38-year-old woman, is referred from a district hospital in Northern Ghana to the Tamale Teaching Hospital ED with confirmed massive PE on clinical grounds. She is haemodynamically unstable (…
Yaw, a 45-year-old accountant, presents to the Komfo Anokye ED in Kumasi with a 2-day history of mild dyspnoea and left-sided pleuritic chest pain. He denies haemoptysis, leg swelling, or recent surge…
Mohammed, a 35-year-old HIV-positive man (not on antiretroviral therapy, last CD4 count 110 cells/μL three months ago), presents to the Korle Bu emergency centre with a 10-day history of progressive d…
A 32-year-old man, Yaw, with known HIV infection (not on antiretroviral therapy) presents to Komfo Anokye ED with a 2-week history of progressive dyspnoea, dry cough, and weight loss. Today he develop…
Abena, a 34-year-old schoolteacher, presents to the emergency department of a regional hospital in Ashanti Region with two days of right-sided pleuritic chest pain and mild shortness of breath. She re…
Abena, a 28-year-old primary school teacher with no significant past medical history, presents to a district hospital in the Northern Region with 5 days of cough with rusty sputum, pleuritic chest pai…
Kwesi, a 28-year-old male medical officer, presents to the Korle Bu Emergency Centre with a one-day history of mild exertional dyspnoea. He denies chest pain, haemoptysis, or leg swelling. He has no p…
A 28-year-old woman, Akosua, presents to a regional hospital ED with a 6-hour history of worsening breathlessness and wheeze. She has known asthma and uses salbutamol inhaler as needed. On examination…
A 61-year-old woman, Afia, is confirmed to have acute pulmonary embolism on CTPA at Korle Bu emergency centre. She is haemodynamically stable: HR 108 bpm, BP 104/68 mmHg, RR 22/min, SpO2 91% on 4 L/mi…
Yaw, a 52-year-old subsistence farmer, presents to a district hospital in the Brong-Ahafo Region with a 3-week history of cough productive of foul-smelling, dark-brown sputum, fever, and 6 kg weight l…
Mohammed, a 23-year-old man, is in the Komfo Anokye ED resus bay with acute severe asthma. He has received three salbutamol 5 mg nebulisers, ipratropium 500 mcg, IV hydrocortisone 200 mg, and IV magne…
A 67-year-old woman is brought to the Korle Bu emergency centre with acute dyspnoea. She was recently treated for breast cancer. Vitals: HR 104, BP 110/70, RR 22, SpO2 93% on air. Wells score is calcu…
A 55-year-old woman, Adwoa, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with acute severe asthma. She received salbutamol nebulisers and IV hydrocortisone a…
A 45-year-old man, Yaw, presents to a regional hospital A&E with pleuritic chest pain and haemoptysis for 24 hours. He was recently diagnosed with HIV and started on antiretroviral therapy three weeks…
A 72-year-old woman, Adwoa, is referred from a district hospital in Brong-Ahafo to the regional A&E with a severe COPD exacerbation. She is alert and co-operative. Vitals: RR 32/min, SpO2 79% on room …
A 74-year-old man, Yaw, with severe COPD is admitted to Komfo Anokye ED following a moderate exacerbation. He was started on 28% Venturi mask oxygen, nebulised salbutamol, oral prednisolone, and amoxi…
A 9-year-old boy named Kwame is brought to a district hospital in the Northern Region by his mother with a 6-hour history of worsening cough, wheeze, and difficulty breathing. He was diagnosed with as…
Kwame, a 22-year-old male university student with no significant medical history, presents to the regional hospital ED in Kumasi with a 6-hour history of sudden-onset left-sided pleuritic chest pain a…
Yaw, a 61-year-old retired miner with known COPD, presents to a district hospital in the Ashanti Region with a 4-day history of increased dyspnoea, cough, and greenish sputum. He is not a known asthma…
Akua, a 34-year-old woman with a known history of severe persistent asthma, is brought to the Komfo Anokye ED in Kumasi after 6 hours of worsening dyspnoea unresponsive to her home salbutamol inhaler.…
Fatima, a 44-year-old market trader, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a one-week history of worsening dyspnoea and right calf pain and swell…
A 27-year-old man, Kofi, presents to a regional hospital ED with sudden pleuritic chest pain and mild breathlessness that began 3 hours ago. He is a non-smoker with no past medical history. He is 185 …
Fatima, a 34-year-old woman who is 32 weeks pregnant, presents to the Komfo Anokye ED with a 4-day history of fever, cough productive of yellow sputum, and worsening shortness of breath. She has no ch…
A mother brings her 18-month-old son, Kofi, to the district hospital in the Bono Region. She noticed him coughing and making noisy breathing sounds about 30 minutes ago while he was playing on the flo…
Ama, a 34-year-old woman with brittle asthma, is brought to the regional hospital A&E in Ashanti by her husband in extremis. She is obtunded, making minimal respiratory effort, with SpO2 unmeasurable …
Kwame, a 68-year-old man with known COPD, presents to a regional hospital ED in Kumasi with a 2-day history of worsening breathlessness and increased purulent sputum production. He smokes one pack per…
Afia, a 38-year-old woman who is a known smoker, presents to the Korle Bu emergency centre 14 months after her first episode of left-sided primary spontaneous pneumothorax (PSP), which was managed suc…
Mohammed, a 58-year-old fisherman, is brought to the Tamale Teaching Hospital ED by his colleague. The colleague reports that Mohammed was eating fried fish at a roadside chop bar an hour ago when he …