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135 matches for “severe malaria” — showing 31–60
Paediatric Emergency Medicine · WHO IMCI fast-breathing classification ★ HY difficulty 2/5

A 14-month-old girl, Abena, is brought to a district hospital in Brong-Ahafo by her mother with a 3-day history of cough and fever. She is alert and feeding normally. Temperature 38.4°C, respiratory r…

Paediatric Emergency Medicine · Bronchiolitis — nasopharyngeal suction ★ HY difficulty 2/5

Kofi, a 3-month-old boy, is brought to a district hospital in Brong-Ahafo Region by his mother. He has had two days of cough, coryza, and feeding difficulty. Today he is breathing rapidly and has made…

Paediatric Emergency Medicine · Chest indrawing as severity sign ★ HY difficulty 3/5

At a regional hospital emergency department, a 4-year-old girl, Afia, presents with 4 days of cough, fever, and rapid breathing. Her mother reports she has not been eating today. Vitals: temperature 3…

Paediatric Emergency Medicine · Sepsis - NICE NG143 Recognition ★ HY difficulty 3/5

A 4-month-old girl, weighing 6 kg, is brought to the regional hospital paediatric A&E by her mother from a CHPS compound with a 2-day history of fever and poor feeding. On assessment: HR 178 bpm, RR 6…

Paediatric Emergency Medicine · Paediatric hypoglycaemia in severe malaria ★ HY difficulty 4/5

A 7-year-old boy, Yaw, is brought to the district hospital in the Upper East Region by his mother after having two seizure episodes at home over the past 4 hours. He has been feverish for two days. He…

Paediatric Emergency Medicine · Weight-based drug doses - status epilepticus first-line benzodiazepine ★ HY difficulty 3/5

A 5-year-old boy, Yaw, weighing 20 kg, presents to the paediatric A&E at Tamale Teaching Hospital with a 20-minute history of generalised tonic-clonic seizures. He remains fitting. His mother reports …

Paediatric Emergency Medicine · Severe Malaria - Hypoglycaemia and Seizure ★ HY difficulty 3/5

Kofi, a 2-year-old boy weighing 12 kg, is brought to Korle Bu paediatric ED by his father with 2 days of high fever and now two generalised tonic-clonic seizures in the last hour. The seizure is ongoi…

Paediatric Emergency Medicine · Fluid bolus resuscitation in septic shock ★ HY difficulty 3/5

Afia, a 2-year-old girl, is brought to the Komfo Anokye ED by ambulance from a district hospital in Ashanti Region. She has had fever and diarrhoea for three days. On arrival: temperature 38.9°C, hear…

Paediatric Emergency Medicine · Septic Shock - Fluid Bolus Strategy ★ HY difficulty 4/5

Kwame is a 3-year-old boy weighing 14 kg, brought to the Komfo Anokye paediatric resus bay with 3 days of fever, vomiting, and progressive drowsiness. Vitals: HR 158 bpm, RR 38 breaths/min, BP 72/40 m…

Paediatric Emergency Medicine · Severe Malaria - Hypoglycaemia Management ★ HY difficulty 3/5

Kwame, a 4-year-old boy weighing 16 kg, is brought to the regional hospital paediatric A&E in Brong-Ahafo by his mother after 3 days of fever and vomiting. On arrival: HR 138 bpm, RR 28/min, temperatu…

Paediatric Emergency Medicine · Danger signs and escalation from Plan B to Plan C ★ HY difficulty 4/5

A 10-month-old infant, Mohammed, weighing 8 kg, is referred from a district hospital in the Upper West Region to a regional hospital. He was started on WHO Plan B oral rehydration therapy 4 hours ago …

Paediatric Emergency Medicine · Status Epilepticus - Glucose check and hypoglycaemia correction ★ HY difficulty 3/5

Kwame, a 5-year-old boy weighing 18 kg, presents to a district hospital in Brong-Ahafo with a fever of 39.4°C and a generalised seizure that began 5 minutes ago. The nurse administers buccal midazolam…

Paediatric Emergency Medicine · Severe pneumonia — oxygen and IV antibiotics ★ HY difficulty 2/5

A 9-month-old boy named Kwame is brought to the Komfo Anokye Teaching Hospital emergency centre. He has had cough and fast breathing for 2 days. On examination: temperature 38.9°C, respiratory rate 62…

Paediatric Emergency Medicine / Infectious Disease · Hypoglycaemia in severe paediatric malaria — glucose route and concentration ★ HY difficulty 4/5

A 4-year-old girl, Yaa, is brought to a district hospital in the Northern Region by her mother. She is unresponsive with generalised tonic-clonic convulsions lasting approximately 5 minutes on arrival…

Toxicology - Methaemoglobinaemia · Methylene blue mechanism and G6PD contraindication ★ HY difficulty 4/5

A 35-year-old woman, Akua, presents to the Komfo Anokye Teaching Hospital emergency centre after taking dapsone 300 mg orally (approximately 10 tablets of 30 mg) in a deliberate self-poisoning attempt…

Tropical Medicine · African tick-bite fever - eschar and empirical doxycycline ★ HY difficulty 2/5

Kwame, a 34-year-old subsistence farmer from the Brong-Ahafo region, presents to the district hospital A&E with a 5-day history of fever, severe headache, and a painful swelling in his right axilla. H…

Tropical Medicine · Leptospirosis - Weil syndrome: jaundice, AKI, haemorrhage ★ HY difficulty 3/5

Ama, a 28-year-old rice farmer from the Volta Region, presents to the regional hospital A&E with 7 days of high fever, severe myalgia (particularly in the calves), headache, and conjunctival suffusion…

Tropical Medicine · Severe falciparum malaria - cerebral malaria and IV artesunate dosing ★ HY difficulty 2/5

Kwame, a 28-year-old subsistence rice farmer from the Volta Region, is brought to a district hospital A&E by relatives after three days of high fever, headache, and progressive confusion. He has not t…

Tropical Medicine · Severe falciparum malaria - hypoglycaemia ★ HY difficulty 3/5

Yaw, a 28-year-old secondary school teacher, is referred from a CHPS compound to the regional hospital A&E in Tamale after three days of fever, vomiting, and progressive drowsiness. He lives in a peri…

Tropical Medicine · Severe falciparum malaria - paediatric IV artesunate dosing ★ HY difficulty 4/5

A 7-year-old girl named Yaa is admitted to Komfo Anokye Teaching Hospital paediatric ED from a village in the Kwabre East district after four days of fever, vomiting, and one witnessed generalised ton…

Tropical Medicine · VHF vs severe malaria - early febrile phase differentiation ★ HY difficulty 3/5

Kwame, a 38-year-old male teacher, presents to a district hospital A&E in the Ashanti Region with a 3-day history of fever, headache, and myalgia. He returned 5 days ago from a 2-week visit to relativ…

Tropical Medicine · Severe falciparum malaria - severe anaemia transfusion threshold ★ HY difficulty 3/5

Abena, a 6-year-old girl from a rural community in Brong-Ahafo Region, is brought to the district hospital paediatric ward by her mother after four days of fever and refusing to eat. She has had no pr…

Tropical Medicine · Severe Acute Malnutrition - Kwashiorkor vs Marasmus ★ HY difficulty 2/5

A 2-year-old boy named Kofi is brought to the district hospital A&E in Brong-Ahafo region by his mother, a subsistence farmer. She reports he has had poor appetite and swelling of both legs for three …

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

Yaw, a 34-year-old lorry driver, is brought to Komfo Anokye Teaching Hospital ED from a rural community in Ashanti Region after developing fever, rigors, and sudden-onset seizures on the roadside. He …

Tropical Medicine · Severe falciparum malaria - severe anaemia transfusion threshold ★ HY difficulty 3/5

Akua, a 6-year-old girl, is brought to the paediatric ward of a district hospital in the Ashanti region by her mother. She has had fever for five days and has been refusing food and breastfeeding for …

Tropical Medicine · Severe falciparum malaria - severe anaemia and transfusion threshold ★ HY difficulty 3/5

A 3-year-old girl named Akua is referred from a CHPS compound in the Upper East Region to Tamale Teaching Hospital paediatric ward. Her mother reports five days of fever and poor feeding; the child ha…

Tropical Medicine · Lassa fever - diagnosis and antiviral treatment ★ HY difficulty 3/5

Fatima, a 28-year-old nurse at a district hospital in the Volta Region, presents to the regional hospital A&E with a 5-day history of fever, severe sore throat, and odynophagia. She reports caring for…

Tropical Medicine · Dengue - warning signs and clinical classification ★ HY difficulty 3/5

Akua, a 19-year-old secondary school student from Kumasi, presents to the Komfo Anokye ED on day 4 of fever. She reports a 3-day history of high-grade fever, severe retro-orbital headache, myalgia, an…

Tropical Medicine · Leptospirosis - mild disease - oral doxycycline ★ HY difficulty 3/5

Abena, a 19-year-old secondary school student from Kumasi, presents to Komfo Anokye ED with a 4-day history of fever, severe headache, myalgia, and bilateral conjunctival suffusion. She spent the prev…

Tropical Medicine · Fever in the returned traveller - viral haemorrhagic fever risk stratification and isolation ★ HY difficulty 4/5

Fatima, a 31-year-old market trader, is brought by relatives to the Tamale Teaching Hospital ED. She returned 6 days ago from a 3-week trading trip to Kenema, Sierra Leone, where she had close contact…