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2131 matches for “Ghana” — showing 2071–2100
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 · Plasmodium species - blood film differentiation difficulty 3/5

Kwame, a 34-year-old cocoa farmer from Ashanti region, presents to Komfo Anokye ED with a 5-day history of cyclical fever occurring every 48 hours, rigors, and mild splenomegaly. He has no recent trav…

Tropical Medicine · Tropical pyomyositis - management difficulty 3/5

Yaw, a 19-year-old male secondary school student from a rural farming community in Ashanti Region, presents to Komfo Anokye Teaching Hospital ED with a 10-day history of severe, worsening left thigh p…

Tropical Medicine · Visceral leishmaniasis - HIV co-infection management and secondary prophylaxis difficulty 5/5

Mohammed, a 34-year-old cattle herder from a semi-arid community near Tamale, is referred to Tamale Teaching Hospital from a district hospital after four months of progressive weight loss (8 kg), inte…

Tropical Medicine · Rabies - WHO Category I exposure classification difficulty 2/5

Mohammed, a 19-year-old student, presents to a regional hospital A&E in the Northern Region after being licked on the face by a neighbour's apparently healthy dog while playing with it; the dog licked…

Tropical Medicine · Brucellosis - diagnosis in livestock worker difficulty 3/5

Kofi, a 34-year-old cattle farmer from the Upper East Region near Bolgatanga, presents to the Tamale Teaching Hospital ED with a 10-day history of intermittent fever, drenching night sweats, and deep …

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 · Zika virus and congenital Zika syndrome difficulty 3/5

Ama, a 28-year-old primary school teacher from Accra, presents to the Korle Bu emergency centre at 32 weeks gestation. She returned 10 days ago from a 3-week visit to relatives in Paramaribo, Suriname…

Tropical Medicine · Cholera - cholera bed and output monitoring difficulty 2/5

A 40-year-old male farmer named Yaw is admitted to the cholera treatment unit at a district hospital in the Brong-Ahafo Region during a confirmed outbreak. He has profuse 'rice-water' diarrhoea with s…

Tropical Medicine · IRIS and ART complications - Abacavir drug rash difficulty 3/5

Ama, a 22-year-old female university student from Accra with no prior medical history, was diagnosed with HIV (CD4 count 310 cells/µL) at a voluntary testing centre and commenced on abacavir 600 mg, l…

Tropical Medicine · Cholera - public health notification and outbreak response difficulty 2/5

A district medical officer in the Central Region receives a report from a community health nurse that three patients in the same village presented to the CHPS compound on the same day with profuse wat…

Tropical Medicine · Plasmodium species - blood film differentiation difficulty 4/5

Abena, a 19-year-old university student from Kumasi, presents to Komfo Anokye ED with a 6-day history of low-grade fever, mild headache, and fatigue. She returned 10 days ago from a 3-week visit to re…

Tropical Medicine · CSF examination for trypanosomes - staging criteria difficulty 4/5

Yaw, a 44-year-old lorry driver who regularly travels the Accra–Kumasi corridor and spent three months working in Côte d'Ivoire near the Taï Forest six months ago, is brought to Komfo Anokye Teaching …

Tropical Medicine · Eosinophilia evaluation difficulty 3/5

Ama, a 35-year-old primary school teacher from Kumasi, attends the Komfo Anokye outpatient A&E with a 2-week history of intermittent dry cough, low-grade fever, and urticarial rash. She returned from …

Tropical Medicine · Cutaneous anthrax - diagnosis and management difficulty 4/5

Mohammed, a 42-year-old cattle herder from a rural area in the Upper East region of Ghana, is brought by relatives to the district hospital A&E with a 5-day history of a painless ulcer on his right fo…

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

Yaw, a 38-year-old cocoa farmer from Juaboso district in Western North Region, was diagnosed with HIV (CD4 count 88 cells/µL) and pulmonary TB (smear-positive) four months ago. He completed the intens…

Tropical Medicine · IRIS and ART Complications - Abacavir Hypersensitivity difficulty 3/5

Ama, a 31-year-old female market trader in Accra, was commenced on abacavir/lamivudine/dolutegravir 12 days ago at an ART clinic after testing HIV-positive (CD4 count 210 cells/µL). She presents to th…

Tropical Medicine · HIV pre-exposure prophylaxis (PrEP) difficulty 3/5

Ama, a 22-year-old university student in Accra, attends a Korle Bu emergency centre walk-in clinic requesting HIV pre-exposure prophylaxis (PrEP). She reports being in a serodiscordant relationship — …

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

Yaa, a 45-year-old cocoa farmer from Offinso in the Ashanti region, presents to the district hospital with a 2-year history of a slowly enlarging warty lesion on her left lower leg. She injured the ar…

Tropical Medicine · Extrapulmonary TB - tuberculous pericarditis with tamponade difficulty 3/5

Mohammed, a 55-year-old retired prison officer from Tamale, presents to Tamale Teaching Hospital with a 4-month history of progressive dyspnoea on exertion, non-productive cough, and ankle swelling. H…

Tropical Medicine · Schistosomiasis - Hepatosplenic S. mansoni, pipe-stem fibrosis difficulty 4/5

Kofi, a 42-year-old subsistence rice farmer from the Afram Plains district, presents to the Komfo Anokye ED with a 6-month history of progressive abdominal swelling, fatigue, and two episodes of vomit…

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 · Snakebite envenomation - 20WBCT interpretation and antivenom decision-making difficulty 4/5

Yaa, a 52-year-old groundnut farmer from Damongo in the Savannah Region, is brought to the district hospital A&E 4 hours after a snakebite to her right hand. She did not see the snake clearly. She has…

Tropical Medicine · Eosinophilia evaluation - Strongyloides difficulty 3/5

Mohammed, a 34-year-old cattle herder from a rural community in Northern Region, presents to Tamale Teaching Hospital A&E with a six-month history of recurrent urticarial rashes, episodic wheeze, and …

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 · Uncomplicated falciparum malaria - treatment failure assessment difficulty 4/5

Yaw, a 42-year-old fisherman from a community along the Volta Lake in the Oti region, presents to a regional hospital A&E on day 3 of artemether-lumefantrine (AL) treatment for uncomplicated P. falcip…

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…