A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by his family with a 3-day history of progressive dyspnoea and orthopnoea. He has a background of poorly controlled hypertension f…
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A 61-year-old man presents to the Korle Bu Emergency Centre with a 2-day history of progressive breathlessness and near-syncope. He is known to have lung cancer and completed a course of chemotherapy …
Akosua, a 58-year-old woman with known hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 3 hours of central chest tightness radiating to her left arm. Her ECG shows ST depression …
Mohammed, a 67-year-old man with ischaemic heart disease and a previous anterior MI two years ago, is brought to Korle Bu emergency centre by relatives with a 30-minute history of palpitations, presyn…
Akua, a 68-year-old woman with a 10-year history of hypertensive heart disease, is brought to the Komfo Anokye ED by relatives with a 4-hour history of worsening breathlessness and orthopnoea. She is …
A 54-year-old man, Kwame, collapses in the waiting area of a regional hospital ED in Ashanti Region. CPR is initiated immediately. He is found to be in ventricular fibrillation. He receives three cons…
A 58-year-old man, Yaw, is referred from a district hospital to the Komfo Anokye ED in Kumasi following an inferior STEMI treated 6 hours ago with streptokinase. On arrival he is alert. Vitals: heart …
Yaw, a 54-year-old construction worker with no prior cardiac history, presents to a district hospital in the Bono Region with exertional chest discomfort for the past 4 days, each episode lasting 10–1…
A 39-year-old man, Mohammed, presents to a district hospital in Northern Region with palpitations and near-syncope. He has a history of ischaemic heart disease. On arrival: HR 210 bpm, BP 74/40 mmHg, …
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…
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…
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…
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…
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 …
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…