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2131 matches for “Ghana” — showing 1261–1290
Tropical Medicine · Acute Katayama syndrome - Schistosoma mansoni ★ HY difficulty 2/5

Kofi, a 19-year-old male student from Kumasi, presents to Komfo Anokye ED with a 3-week history of fever, urticarial rash, dry cough, and myalgia. He returned 6 weeks ago from a 2-month rural placemen…

Tropical Medicine · Cholera - paediatric severe dehydration ★ HY difficulty 3/5

A 7-year-old girl, Abena, is brought to the paediatric ward of a district hospital in the Brong-Ahafo Region by her mother during a reported cholera outbreak in their village. She has had watery diarr…

Tropical Medicine · Viral haemorrhagic fever - Lassa fever risk stratification and isolation ★ HY difficulty 4/5

Fatima, a 45-year-old trader who regularly travels between Accra and the Guinea–Sierra Leone border for business, presents to the Korle Bu emergency centre with a 6-day history of fever, severe sore t…

Tropical Medicine · HIV non-occupational post-exposure prophylaxis ★ HY difficulty 2/5

Akosua, a 19-year-old female university student in Accra, attends the Korle Bu emergency centre requesting post-exposure prophylaxis. She reports unprotected vaginal intercourse with a male partner of…

Tropical Medicine · Severe falciparum malaria - returned traveller ★ HY difficulty 2/5

Kwame, a 34-year-old schoolteacher from Accra, presents to the Korle Bu emergency centre with a 4-day history of fever, rigors, and headache. He returned 10 days ago from a 3-week visit to a rural are…

Tropical Medicine · Severe falciparum malaria - fluid resuscitation caution (FEAST trial) ★ HY difficulty 3/5

A 5-year-old girl, Yaa, is brought to a district hospital A&E in Nkoranza, Brong-Ahafo region, with 2 days of fever, vomiting, and reduced consciousness. She lives in a rural village; her family uses …

Tropical Medicine · HIV-associated opportunistic infections - Toxoplasma encephalitis ★ HY difficulty 3/5

Yaa, a 38-year-old HIV-positive market trader from Accra, presents to Korle Bu emergency centre with a 10-day history of worsening headache, low-grade fever, and confusion. She has been on ART (tenofo…

Tropical Medicine · IRIS and ART complications - ART timing in cryptococcal meningitis ★ HY difficulty 4/5

Akua, a 28-year-old secondary school teacher from Kumasi, is known HIV-positive (CD4 count 42 cells/µL, not yet on ART) and was admitted to Komfo Anokye Teaching Hospital with a 10-day history of prog…

Tropical Medicine · Uncomplicated falciparum malaria - paediatric AL dosing ★ HY difficulty 2/5

Esi, a 4-year-old girl weighing 16 kg, is brought to a district hospital A&E in the Central region by her mother with 3 days of fever, poor feeding, and one episode of vomiting. The family lives near …

Tropical Medicine · Malaria in pregnancy - treatment ★ HY difficulty 3/5

Ama, a 24-year-old primigravida at 20 weeks gestation, attends the antenatal clinic at a regional hospital in the Central Region with a 2-day history of fever, headache, and generalised malaise. She l…

Tropical Medicine · IRIS and ART complications - Paradoxical TB-IRIS ★ HY difficulty 3/5

Kwame, a 34-year-old subsistence farmer from Kintampo district in Brong-Ahafo region, was diagnosed with smear-positive pulmonary TB and HIV co-infection (CD4 count 58 cells/µL) three weeks ago at the…

Tropical Medicine · Severe acute malnutrition - hypoglycaemia management ★ HY difficulty 3/5

A 3-year-old boy named Kofi is admitted to the paediatric ward of a regional hospital in the Central Region. He was brought by his grandmother after 5 days of lethargy, refusal to feed, and two episod…

Tropical Medicine · Typhoid fever - encephalopathy and relative bradycardia ★ HY difficulty 3/5

Mohammed, a 22-year-old male student from Tamale, is brought to Tamale Teaching Hospital A&E with a 9-day history of fever, confusion, and inability to care for himself. His family reports he had been…

Tropical Medicine · Buruli ulcer - WHO categorisation and surgical management ★ HY difficulty 3/5

Akua, a 28-year-old subsistence farmer from the Kintampo North district of Brong-Ahafo region, presents to the regional hospital A&E with a 10-week history of a painless nodule on her left lower leg t…

Tropical Medicine · Clinical rabies - palliative management ★ HY difficulty 2/5

Adwoa, a 42-year-old woman, is brought to Komfo Anokye Teaching Hospital ED from a district hospital in Ashanti Region. She was bitten on the right forearm by a dog 8 weeks ago; the wound was cleaned …

Tropical Medicine · HIV-associated opportunistic infections - CD4-stratified differential and TB/HIV co-infection ★ HY difficulty 4/5

Adwoa, a 52-year-old secondary school teacher from Cape Coast, is brought to the regional hospital A&E by her daughter after three weeks of productive cough, drenching night sweats, and weight loss of…

Tropical Medicine · MDR-TB suspicion and management ★ HY difficulty 3/5

Ama, a 19-year-old student nurse from Accra, presents to Korle Bu Emergency Centre with 5 weeks of productive cough, haemoptysis, and weight loss. She has been living in a crowded hostel and her roomm…

Tropical Medicine · Typhoid fever - fluoroquinolone resistance and empirical antibiotic choice ★ HY difficulty 4/5

Mohammed, a 35-year-old trader who regularly travels between Tamale and Burkina Faso, presents to Tamale Teaching Hospital ED with 9 days of fever, anorexia, and abdominal pain. He drinks street-vende…

Tropical Medicine · Acute Katayama syndrome - management in returned traveller ★ HY difficulty 4/5

A 24-year-old British medical student, Joseph, presents to Korle Bu Emergency Centre 5 weeks after returning from a 6-week global health elective in the Volta Region of Ghana, where he swam in Lake Vo…

Tropical Medicine · Severe malarial anaemia - transfusion threshold in children ★ HY difficulty 2/5

A 3-year-old boy, Kofi, is brought to the Komfo Anokye Teaching Hospital emergency centre in Kumasi by his grandmother. He has had fever and poor feeding for 4 days. He lives in a peri-urban area of A…

Tropical Medicine · Buruli ulcer - early presentation and management ★ HY difficulty 2/5

Kwame, a 10-year-old boy from Agogo in the Ashanti region, is brought to the district hospital by his parents with a 3-week history of a painless pre-ulcerative nodule on his left calf. The family liv…

Tropical Medicine · Lassa fever - antiviral therapy and isolation ★ HY difficulty 3/5

Fatima, a 28-year-old nurse at a district hospital in the Volta Region, presents to the Korle Bu Emergency Centre with a 5-day history of fever, severe sore throat, and progressive dysphagia. She repo…

Tropical Medicine · Hookworm-induced anaemia ★ HY difficulty 2/5

Adwoa, a 28-year-old subsistence farmer from a rural community in the Upper East Region, is referred to Tamale Teaching Hospital with a 4-month history of progressive exertional dyspnoea, palpitations…

Tropical Medicine · IRIS and ART Complications - NRTI Lactic Acidosis ★ HY difficulty 3/5

Yaw, a 42-year-old male lorry driver, was commenced on a first-line ART regimen containing zidovudine/lamivudine/nevirapine 14 months ago at an ART clinic in Tamale. He presents to the Tamale Teaching…

Tropical Medicine · IRIS and ART Complications - Cryptococcal Meningitis ART Timing ★ HY difficulty 4/5

Akua, a 28-year-old female secondary school teacher in Kumasi, presents to the Komfo Anokye ED with a two-week history of progressive severe headache, photophobia, and two episodes of vomiting. She wa…

Tropical Medicine · Strongyloides hyperinfection in immunosuppressed ★ HY difficulty 4/5

Kofi, a 44-year-old HIV-positive man known to the Komfo Anokye Teaching Hospital HIV clinic, presents to the emergency centre with a 5-day history of worsening cough, dyspnoea, haemoptysis, and severe…

Tropical Medicine · Buruli ulcer - antimicrobial treatment ★ HY difficulty 2/5

Kofi, a 14-year-old schoolboy from Nkawie district in the Ashanti region, is brought to the district hospital A&E by his mother with a 6-week history of a painless swelling on his right forearm that h…

Tropical Medicine · Cholera - severe dehydration and IV fluid management ★ HY difficulty 2/5

A 28-year-old fisherman named Kwame presents to the district hospital A&E in the Volta Region after two days of profuse, painless, watery diarrhoea described as 'rice-water' stools. He lives in a rive…

Tropical Medicine · Clinical rabies - palliative management ★ HY difficulty 3/5

Akua, a 35-year-old secondary school teacher from Accra, is brought to Korle Bu emergency centre by her family with a 4-day history of progressive agitation, inability to swallow water, profuse sweati…

Tropical Medicine · Pulmonary TB diagnosis - sputum AFB and GeneXpert ★ HY difficulty 2/5

Abena, a 34-year-old secondary school teacher from Kumasi, presents to the Komfo Anokye ED with a 6-week history of productive cough, drenching night sweats, and a 7 kg weight loss. She works in an ov…