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…
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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…
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…
Yaw, a 41-year-old taxi driver, presents to a regional hospital ED with a severe asthma attack. He has received nebulised salbutamol 5 mg three times, nebulised ipratropium 0.5 mg twice, and IV hydroc…
A 35-year-old woman, Esi, with no prior medical history is admitted to the Komfo Anokye ED after five days of progressive dyspnoea following a severe pneumonia. She is intubated and mechanically venti…
Kofi, a 35-year-old man with known asthma, presents to a regional hospital A&E. He is sitting upright, unable to speak in full sentences, RR 30/min, HR 122 bpm, SpO2 91% on 6 L/min oxygen via face mas…
A 9-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his parents. He has a known history of asthma and has had worsening wheeze and breathlessness for 6 hours, not responding to…
Kofi, a 61-year-old man with a 40 pack-year smoking history and known COPD (on home salbutamol and ipratropium inhalers), is brought to the regional hospital A&E in Brong-Ahafo by relatives after two …
A 67-year-old man, Mensah, is brought to a regional hospital A&E in the Northern Region after being found confused at home. He has a history of congestive cardiac failure managed with frusemide and ca…
Yaw, a 63-year-old man with COPD, is brought to Korle Bu emergency centre by relatives. He is alert and distressed, RR 30/min, SpO2 78% on air, HR 118/min, BP 142/88 mmHg. He is commenced on 28% Ventu…
A 55-year-old woman is brought to a district hospital in Brong-Ahafo by her family with acute severe asthma. She has received salbutamol nebulisation and IV hydrocortisone 200 mg. Forty minutes later …
A 72-year-old man, Yaw, attends the regional hospital A&E in Tamale with exertional dyspnoea for three days. His Wells score is calculated as 2 (low probability). D-dimer returns at 580 micrograms/L a…
A 52-year-old man, Yaw, is mechanically ventilated in the Korle Bu ICU for severe ARDS secondary to Gram-negative pneumonia. He is on volume-control ventilation: Vt 6 mL/kg PBW (336 mL), RR 22 breaths…
Abena, a 58-year-old woman with a 15-year history of severe COPD (on home salbutamol and beclomethasone inhalers), is brought to the emergency centre at Korle Bu Teaching Hospital by her family with a…