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180 matches for “severe malaria” — showing 31–60
Medicine: Infectious Diseases · Severe malaria — treatment ★ HY difficulty 2/5

Kwame, a 9-year-old boy, is brought to the emergency department of Komfo Anokye Teaching Hospital by his mother. He has had fever for three days and has been unconscious since this morning. On examina…

Medicine: Infectious Diseases · Severe malaria — hypoglycaemia management priority ★ HY difficulty 3/5

Kofi, a 34-year-old farmer from the Ashanti Region, is brought to Komfo Anokye Teaching Hospital with a 5-day history of high fever, severe headache, and confusion. His wife reports he has been unable…

Medicine: Infectious Diseases · Severe malaria – first-line treatment ★ HY difficulty 2/5

Kwame, a 28-year-old farmer from the Northern Region, is brought to Tamale Teaching Hospital in a coma. His wife reports a two-day history of fever, headache and vomiting before he became unresponsive…

Medicine: Infectious Diseases · Malaria in pregnancy — first-line treatment ★ HY difficulty 3/5

Fatima, a 25-year-old primigravida at 34 weeks of gestation, presents to the antenatal clinic at a district hospital in the Northern Region with a 5-day history of fever, rigors, and generalised body …

Medicine: Infectious Diseases · Meningococcal septicaemia — contraindications to lumbar puncture ★ HY difficulty 3/5

Yaw, a 34-year-old farmer from the Brong-Ahafo Region, is brought to Komfo Anokye Teaching Hospital with a 5-day history of high fever, severe headache, and confusion. On examination he is drowsy (GCS…

Medicine: Infectious Diseases · Severe malaria — treatment ★ HY difficulty 2/5

Kwame, a 28-year-old farmer from Brong-Ahafo, is brought to Komfo Anokye Teaching Hospital in a coma. His wife reports a two-day history of fever and vomiting before he became unconscious this morning…

Obstetric Emergencies · Typhoid perforation management in pregnancy ★ HY difficulty 4/5

Fatima, a 26-year-old woman in her 30th week of pregnancy, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital emergency department. She has had 18 days of feve…

Obstetric Emergencies · Pre-eclampsia and HELLP Syndrome ★ HY difficulty 3/5

A 32-year-old woman (G2P1) is referred from a district hospital in Brong-Ahafo to a regional hospital at 34 weeks gestation with a 4-hour history of severe headache, visual blurring, and epigastric pa…

Obstetric Emergencies · Empirical antibiotics at district level ★ HY difficulty 3/5

Afia, a 26-year-old woman, presents to a district hospital in Brong-Ahafo 8 days after a vaginal delivery at home. She has had fever for 5 days, lower abdominal cramps, and foul-smelling vaginal disch…

Obstetrics and Gynaecology · HELLP syndrome diagnosis ★ HY difficulty 3/5

Fatima, a 32-year-old G3P2 at 30 weeks gestation, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 2-day history of right upper quadrant pain, malaise, and vomiting.…

Paediatric Emergency Medicine · Severe Malaria - IV Artesunate Dose and Schedule ★ HY difficulty 2/5

Abena, a 6-year-old girl weighing 20 kg, is brought to the district hospital A&E in Ashanti Region with confirmed severe falciparum malaria. She is drowsy but responsive to voice (GCS 12/15), HR 130 b…

Paediatric Emergency Medicine · Inotrope and vasopressor choice in paediatric septic shock ★ HY difficulty 3/5

A 4-year-old boy named Yaw is referred from a health centre in Northern Ghana to the Tamale Teaching Hospital ED. He presented with 4 days of fever, diarrhoea, and 6 hours of not walking. On arrival: …

Paediatric Emergency Medicine · Sickle Cell Crisis - Splenic Sequestration ★ HY difficulty 3/5

Ama, a 5-year-old girl with HbSS sickle cell disease, weighing 18 kg, is referred urgently from a CHPS compound to the district hospital with a 6-hour history of progressive lethargy and abdominal dis…

Paediatric Emergency Medicine · Severe anaemia with heart failure in a child — transfusion ★ HY difficulty 3/5

A 6-year-old boy from a farming community, who walks barefoot, is brought in very pale and breathless. Respiratory rate is 48/min, heart rate 150/min, and the liver is 4 cm below the costal margin wit…

Paediatric Emergency Medicine · Severe Malarial Anaemia - Transfusion Threshold ★ HY difficulty 3/5

Yaw, a 3-year-old boy weighing 14 kg, is brought to Komfo Anokye paediatric resus bay with 4 days of fever and pallor. His mother reports he has not been eating. On arrival: HR 148 bpm, RR 38/min, tem…

Paediatric Emergency Medicine · Early recognition and management of meningococcal sepsis ★ HY difficulty 3/5

A 5-year-old boy is referred to the Komfo Anokye ED from a district hospital with a 6-hour history of sudden-onset high fever, severe headache, and refusal to walk. He has no prior illness. On arrival…

Paediatric Emergency Medicine · Gastroenteritis - Hypoglycaemia screen and treatment ★ HY difficulty 3/5

A 4-year-old girl, Abena, 16 kg, is assessed in the paediatric A&E of a regional hospital. She has had diarrhoea for 4 days and has been unable to eat for 2 days. Her mother reports she has been drows…

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 · 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…

Paediatric Emergency Medicine · Hypoglycaemia during paediatric resuscitation — 2 mL/kg of 10% glucose ★ HY difficulty 3/5

Ama, an 18-month-old girl (estimated weight 10 kg), is being resuscitated for septic shock with severe malaria. After a fluid bolus and IV artesunate, her capillary blood glucose is 2.1 mmol/L. She ha…

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 …