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180 matches for “severe malaria” — showing 1–30
Allergic Reactions · Refractory anaphylaxis management ★ HY difficulty 4/5

Mohammed, a 42-year-old man with no known drug allergies, collapses 20 minutes after receiving IV quinine for severe malaria at a district hospital in the Northern Region. He develops diffuse flushing…

Cardiology · Brugada pattern ECG ★ HY difficulty 4/5

A 48-year-old man is brought to a district hospital in Brong-Ahafo Region with sudden onset of severe chest pain that began 90 minutes ago while he was at rest. He has no prior cardiac history. Vitals…

Cardiology · Ruptured AAA — emergency management ★ HY difficulty 3/5

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…

Child Health: Paediatric Emergencies · ETAT triage categories ★ HY difficulty 2/5

A 3-year-old boy, Kofi, is brought to the emergency department of Komfo Anokye Teaching Hospital by his mother. On arrival he is unconscious and not responding to voice. His respiratory rate is 48 bre…

Child Health: Paediatric Infections · Severe malaria in children ★ HY difficulty 2/5

A 4-year-old boy, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital with a 2-day history of fever, vomiting, and two episodes of generalised tonic-clonic seizures lasting…

Child Health: Paediatric Infections · Severe malaria — treatment and immediate management ★ HY difficulty 2/5

A 4-year-old boy, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital with a 2-day history of fever and repeated convulsions. His mother reports he has had three seizures t…

Child Health: Paediatric Infections · Tuberculous meningitis — diagnosis and management ★ HY difficulty 4/5

A 6-year-old girl, Ama, is admitted to the children's ward at Tamale Teaching Hospital with a 3-day history of fever, severe headache, and progressive drowsiness. She lives in the Northern Region. On …

Child Health: Paediatric Infections · Severe malaria — first-line parenteral treatment ★ HY difficulty 2/5

Kwame, a 4-year-old boy from Brong-Ahafo, is brought to Komfo Anokye Teaching Hospital after two days of high fever and vomiting. On examination he is unconscious (Blantyre Coma Score 2), has respirat…

Community Health: Disease Control & Primary Care · Malaria control — community-level management of severe malaria ★ HY difficulty 3/5

A district health team in the Bono Region reviews malaria data for the past quarter. The under-five malaria case fatality rate at the district hospital has risen from 0.8% to 2.4% over three months. F…

Critical Care · ECMO criteria and contraindications in ARDS ★ HY difficulty 4/5

A 55-year-old woman, Adwoa, is ventilated in the Komfo Anokye ICU for severe ARDS secondary to falciparum malaria with pulmonary involvement. She has been on ARDSnet ventilation for 72 hours: FiO2 1.0…

Critical Care · Dexmedetomidine for cooperative weaning ★ HY difficulty 2/5

A 38-year-old woman, Afia, is being weaned from mechanical ventilation in the ED-ICU at Komfo Anokye Teaching Hospital after a 4-day course for ARDS secondary to severe falciparum malaria. She is haem…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Cerebral malaria — weight-based artesunate dosing ★ HY difficulty 3/5

A 6-year-old boy named Kwabena is brought to the children's emergency unit at Cape Coast Teaching Hospital with a 2-day history of fever, progressive drowsiness, and abnormal movements. His mother say…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Cerebral malaria — immediate combined management ★ HY difficulty 3/5

A 10-year-old boy named Yaw is brought to the emergency department at Tamale Teaching Hospital with a 2-day history of fever and progressive unconsciousness. He lives in a malaria-endemic area and has…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Artesunate dosing by weight in severe/cerebral malaria ★ HY difficulty 2/5

A 9-year-old girl, Abena, is brought to the emergency department at Ho Teaching Hospital with a 3-day history of fever and progressive drowsiness. Her mother says she has not been eating and was vomit…

Gallstone Disease · Gallstone pancreatitis — management ★ HY difficulty 3/5

Yaa, a 34-year-old woman, presents to a district hospital in the Northern Region with a 5-day history of severe epigastric and left upper quadrant pain radiating to the back, associated with vomiting …

HIV in the Emergency Department · Immune reconstitution inflammatory syndrome ★ HY difficulty 4/5

Kofi, a 45-year-old lorry driver, is brought to a district hospital in Brong-Ahafo after being found confused at a roadside. Bystanders report he was shaking about 20 minutes ago. He is known to have …

HIV in the Emergency Department · Cryptococcal meningitis ★ HY difficulty 4/5

Mohammed, a 28-year-old man, presents to a regional hospital ED in the Northern Region with a 5-day history of severe headache, photophobia, and two episodes of vomiting. His family reports he has bee…

Haematology · Vaso-occlusive crisis analgesia ★ HY difficulty 2/5

Kwame, a 14-year-old known sickle cell disease (HbSS) patient, is brought to the Komfo Anokye ED by his mother with a 2-day history of severe bilateral leg pain. He has had three similar admissions th…

Infectious Disease · Typhoid perforation — antibiotic selection ★ HY difficulty 4/5

A 22-year-old woman, Afia, is admitted to a regional hospital ED in the Volta Region. She gives a 16-day history of fever, headache, and loose stools for which she self-medicated with amoxicillin purc…

Infectious Disease / Neurology · Dexamethasone before antibiotics in bacterial meningitis ★ HY difficulty 3/5

A 19-year-old man, Mohammed, is brought by family to the district hospital emergency room in the Northern Region during the dry harmattan season. He has had fever, severe headache, and neck stiffness …

Infectious Disease / Neurology · Bacterial meningitis — dexamethasone timing ★ HY difficulty 3/5

A 19-year-old man, Mohammed, is brought by family to a district hospital in the Northern Region during the dry season (February). He has had fever, severe headache, and neck stiffness for 18 hours. He…

Infectious Disease / Surgical Emergencies · Pre-transfer stabilisation — typhoid perforation ★ HY difficulty 4/5

A 14-year-old girl, Adwoa, is brought to the district hospital emergency room in the Volta Region. Her parents report three weeks of progressive fever treated with paracetamol at home. Today she devel…

Infectious Disease / Tropical Medicine · Severe malarial anaemia with shock — pre-referral management ★ HY difficulty 4/5

A 6-year-old girl named Abena is brought to a district hospital in the Bono East Region by her father. She has had five days of fever and has become increasingly lethargic over the last 24 hours. She …

Infectious Disease / Tropical Medicine · Cerebral malaria with hypoglycaemia ★ HY difficulty 3/5

A 7-year-old boy named Kwame is brought to the emergency centre at Komfo Anokye Teaching Hospital by his mother after two days of fever, vomiting, and progressive drowsiness. Over the past four hours …

Infectious Disease / Tropical Medicine · Cholera — severe dehydration IV fluid protocol ★ HY difficulty 2/5

A 28-year-old woman named Akosua is brought to a district hospital in the Volta Region by her family. She began vomiting and passing profuse, watery stools approximately 8 hours ago. She has had no fe…

Infectious Disease / Tropical Medicine · Cholera — aggressive IV fluid resuscitation in shock ★ HY difficulty 3/5

During a rainy season flood, a district hospital in the Northern Region receives 12 patients over 48 hours with profuse watery diarrhoea described as 'rice-water' stools. The first patient is Alhassan…

Infectious Disease / Tropical Medicine · Ribavirin indications in Lassa fever ★ HY difficulty 3/5

A 28-year-old man, Kwesi, is admitted to the Komfo Anokye Teaching Hospital ED from Brong-Ahafo with a 7-day febrile illness. He has severe headache, myalgia, vomiting, and now has bleeding gums and h…

Infectious Disease / Tropical Medicine · IV artesunate dosing ★ HY difficulty 3/5

A 52-year-old man named Mohammed is brought to the regional hospital emergency department in the Northern Region after being found confused at home. His family reports five days of fever, poor oral in…

Infectious Disease / Tropical Medicine · Yellow fever clinical features vs malaria ★ HY difficulty 3/5

A 34-year-old farmer, Kofi, is brought to a district hospital in the Northern Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and backache. On examination: temperature 39.…

Infectious Disease / Tropical Medicine · Yellow fever supportive care — drug avoidance ★ HY difficulty 2/5

A 38-year-old woman, Ama, is seen in the ED of a regional hospital in the Savannah Region with a 3-day history of fever, severe headache, nausea, and myalgia. She returned from a 2-week farming expedi…