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180 matches for “severe malaria” — showing 151–180
Paediatric Emergency Medicine · Cholera — paediatric IV fluid resuscitation volumes difficulty 3/5

A 5-year-old boy named Kofi is carried into a district hospital in the Bono East Region by his mother. He has had watery diarrhoea for 10 hours and has not urinated for 6 hours. He is lethargic and hi…

Paediatric Emergency Medicine · Danger signs and co-infection management difficulty 4/5

Yaa, a 3-year-old girl, is brought to the Tamale Teaching Hospital ED with cough for 5 days. She has had one seizure at home lasting about 2 minutes (now resolved). Temperature 39.8°C, RR 50 breaths/m…

Paediatric Emergency Medicine · WHO classification of dehydration severity difficulty 2/5

A mother brings her 14-month-old son, Kofi, to a district hospital in Brong-Ahafo. He has had watery diarrhoea 8 times and vomited 3 times over the past 18 hours. He is irritable and crying. Vitals: H…

Paediatric Emergency Medicine · WHO IMCI fast breathing classification and threshold application difficulty 3/5

Abena, a 4-year-old girl, is brought to a district hospital in Brong-Ahafo Region with a 2-day history of cough and fever. She is eating and drinking normally. On examination: temperature 38.2°C, HR 1…

Respiratory Emergencies · Aspiration pneumonia and lung abscess difficulty 3/5

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…

Respiratory Emergencies · COPD exacerbation — antibiotic indications difficulty 2/5

A 58-year-old man is seen at a district hospital emergency unit in the Northern Region. He has a chronic productive cough and uses salbutamol inhalers. He presents with 4 days of increased breathlessn…

Surgery: Acute Abdomen · Typhoid intestinal perforation difficulty 3/5

Ama, a 30-year-old nurse, is admitted to a regional hospital in the third week of a febrile illness that was treated as malaria without improvement. She develops sudden severe generalised abdominal pa…

Tropical Medicine · Dengue fever - returned traveller difficulty 3/5

Kofi, a 22-year-old student, presents to the regional hospital A&E in Tamale with a 5-day history of sudden-onset high fever, severe retro-orbital headache, myalgia, and a generalised maculopapular ra…

Tropical Medicine · Severe falciparum malaria - pulmonary oedema difficulty 4/5

Kofi, a 45-year-old cocoa farmer from Western Region, is referred to the regional hospital A&E on day 3 of a febrile illness with worsening breathlessness. He has no prior cardiac history and has not …

Tropical Medicine · Crimean-Congo haemorrhagic fever - diagnosis difficulty 4/5

Ama, a 42-year-old livestock trader, presents to a regional hospital A&E in the Upper East Region with a 4-day history of fever, severe headache, myalgia, and back pain. She returned 6 days ago from a…

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

Ama, a 19-year-old university student in Accra, presents to a regional hospital A&E with 8 days of fever, severe headache, and increasing drowsiness. She returned 12 days ago from a two-week visit to …

Tropical Medicine · Severe falciparum malaria - post-malaria neurological syndrome difficulty 4/5

A 6-year-old boy named Mensah is reviewed on the paediatric ward at a regional hospital in the Central Region, three weeks after successful treatment for confirmed cerebral malaria with IV artesunate …

Tropical Medicine · Severe acute malnutrition - sepsis and empirical antibiotics difficulty 3/5

A 2.5-year-old girl named Akua is admitted to the paediatric ward of a district hospital in the Ashanti Region. She was brought by her father, a cocoa farmer, after 10 days of progressive oedema and s…

Tropical Medicine · Severe scrub typhus - IV doxycycline - encephalitis difficulty 4/5

Kofi, a 38-year-old cocoa farm labourer from the Ashanti Region, is brought to the district hospital A&E by relatives with a 12-day history of fever, severe headache, altered consciousness, and a gene…

Tropical Medicine · Chikungunya arthralgia - diagnosis and management difficulty 3/5

Mohammed, a 45-year-old subsistence farmer from the Brong-Ahafo region, presents to a district hospital A&E 10 days after returning from a 2-week pilgrimage to Mecca, Saudi Arabia. He reports severe b…

Tropical Medicine · Brucellosis - diagnosis and treatment difficulty 3/5

Ama, a 28-year-old woman, presents to a regional hospital A&E in the Ashanti region with a 10-day history of high-grade fever, drenching night sweats, severe headache, and lower back pain. She works a…

Tropical Medicine · Dengue fever - classification without warning signs difficulty 2/5

Akua, a 19-year-old university student in Accra, presents to the Korle Bu emergency centre on day 4 of illness with high fever, severe retro-orbital headache, and myalgia. She has not travelled outsid…

Tropical Medicine · Fever in the returned traveller - dengue fever difficulty 3/5

Kofi, a 22-year-old university student, presents to a regional hospital A&E in Kumasi with a 5-day history of sudden-onset high fever, severe retro-orbital headache, myalgia, and arthralgia. He return…

Tropical Medicine · VHF vs severe malaria - early febrile phase differentiation difficulty 4/5

Kofi, a 19-year-old student, is brought to the Komfo Anokye Teaching Hospital ED by relatives with a 3-day history of abrupt-onset high fever, severe headache, myalgia, and arthralgia. He returned 5 d…

Tropical Medicine · Leptospirosis - occupational exposure history in abattoir workers difficulty 3/5

Mohammed, a 38-year-old abattoir worker from Tamale, presents to Tamale Teaching Hospital A&E with 6 days of fever, chills, severe muscle pain, and red eyes. He handles cattle and goat carcasses daily…

Tropical Medicine · Severe falciparum malaria - pulmonary oedema and fluid management difficulty 4/5

Mohammed, a 45-year-old cattle herder from the Upper East Region, is referred to Tamale Teaching Hospital after five days of fever and cough. He lives in a rural area near Bolgatanga, sleeps outdoors …

Tropical Medicine · Lassa fever - distinguishing clinical features difficulty 3/5

Akua, a 31-year-old community health worker in the Eastern Region of Ghana, is referred to the regional hospital A&E with a 6-day history of fever, severe bilateral hearing loss, and proteinuria (3+ o…

Tropical Medicine · Severe falciparum malaria - blackwater fever difficulty 3/5

Akua, a 22-year-old student who grew up in Accra and recently returned from a 6-week rural placement in Northern Ghana, presents to Korle Bu Emergency Centre with a 5-day history of fever, rigors, and…

Tropical Medicine · Chikungunya - clinical features and management difficulty 2/5

Yaa, a 38-year-old teacher from Cape Coast, presents to the regional hospital A&E 10 days after returning from a visit to relatives in Côte d'Ivoire. She reports a 5-day history of high fever (now res…

Tropical Medicine · Crimean-Congo haemorrhagic fever - diagnosis difficulty 3/5

Yaa, a 22-year-old student, presents to Komfo Anokye ED with a 3-day history of fever, severe headache, myalgia, and a maculopapular rash on her trunk and arms. She returned 8 days ago from a 2-week a…

Tropical Medicine · Uncomplicated falciparum malaria - treatment failure difficulty 4/5

Mensah, a 45-year-old cocoa farmer from a rural community in the Western Region, presents to the district hospital A&E on day 4 of artemether-lumefantrine (AL) treatment for confirmed P. falciparum ma…

Tropical Medicine · Post-malaria neurological syndrome (PMNS) difficulty 4/5

A 7-year-old boy, Yaw, is admitted to the Korle Bu Teaching Hospital emergency centre in Accra after being referred from a district hospital in Volta region. He had severe malaria with cerebral involv…

Tropical Medicine · Severe acute malnutrition - vitamin A supplementation difficulty 4/5

A 14-month-old boy named Yaw is admitted to the Komfo Anokye Teaching Hospital emergency centre from a rural community in the Bono East Region. His mother reports 3 weeks of swollen legs and face, poo…

Tropical Medicine · Severe falciparum malaria - blackwater fever difficulty 4/5

Ama, a 38-year-old market trader from Kumasi, presents to the Komfo Anokye Teaching Hospital emergency centre with a 4-day history of fever, rigors, and passage of dark brown-black urine. She has a hi…

Tropical Medicine · Scrub typhus - eschar, pneumonitis, encephalopathy difficulty 4/5

Kofi, a 45-year-old cocoa farmer from the Ashanti Region, is brought to Komfo Anokye Teaching Hospital ED by relatives with 10 days of fever, confusion, and a productive cough. He has been sleeping in…