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50 matches for “severe malaria” — showing 31–50
Pathophysiology · Haematological pathophysiology ★ HY difficulty 3/5

A 28-year-old man, Kwabena, presents to the regional hospital A&E in Kumasi with high fever, rigors, and confusion after returning from a farming trip in a forested area. Blood cultures are sent and a…

Patient safety in emergency medicine · Cognitive bias — anchoring error ★ HY difficulty 2/5

A 38-year-old woman, Ama, presents to a district hospital A&E in Ashanti Region with fever, headache, and confusion. The triage nurse documents a temperature of 39.8°C, heart rate 118 bpm, respiratory…

Patient safety in emergency medicine · Common error types — anchoring bias ★ HY difficulty 2/5

A 34-year-old man, Yaw, presents to Korle Bu emergency centre with a two-day history of headache and fever. The first doctor who assessed him diagnosed malaria based on a positive RDT and commenced or…

Physiology · Oxygen-haemoglobin dissociation curve and Bohr effect ★ HY difficulty 2/5

A 30-year-old woman, Ama, is brought to the Komfo Anokye ED with high-grade fever (temperature 40.2°C), rigors, and altered consciousness following a 5-day history of febrile illness. Rapid diagnostic…

Rash — emergency presentations · Meningococcal sepsis recognition - non-blanching purpuric rash ★ HY difficulty 1/5

A 14-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo with a 12-hour history of fever, severe headache, and neck stiffness. On examination he is drowsy, temperature is 3…

Rash — emergency presentations · Meningococcal septicaemia - immediate antibiotic management ★ HY difficulty 2/5

A 28-year-old woman, Ama, presents to the regional hospital A&E in Tamale with a 6-hour history of fever, severe headache, and neck stiffness. She is drowsy but rousable. A non-blanching petechial ras…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame presents to a district hospital A&E in Brong-Ahafo with a 2-day history of productive cough, fever, and worsening confusion. On examination, his temperature is 38.9°C, he…

Sepsis and septic shock · Septic shock classical presentation ★ HY difficulty 1/5

A 45-year-old man named Kwame is brought to the regional hospital A&E in Kumasi with a 2-day history of productive cough, fever, and confusion. On examination, his temperature is 39.2°C, heart rate is…

Shock · Distributive shock — fluid resuscitation priority ★ HY difficulty 2/5

Mohammed, a 28-year-old man, is referred from a peripheral clinic to Komfo Anokye ED with a 3-day history of fever and rigors. On arrival he is drowsy, BP 76/50 mmHg, HR 136 bpm, temperature 39.8°C, a…

Shock · Distributive shock - severe malaria management ★ HY difficulty 2/5

Ama, a 28-year-old woman, presents to Komfo Anokye ED with a 2-day history of high fever, rigors, and vomiting. She has just returned from a farming community in the Northern Region. Her temperature i…

Approach to the emergency patient · Triage categories — YELLOW (delayed) difficulty 1/5

Adwoa, a 22-year-old student, presents to a regional hospital A&E with a 3-day history of fever, vomiting, and diarrhoea. She is alert, talking in full sentences, and mildly dehydrated. Her temperatur…

Fever in adults · Uncomplicated malaria — oral ACT first-line difficulty 2/5

Kwame, a 34-year-old farmer, presents to a district hospital in Brong-Ahafo with a 3-day history of high fever, rigors, and headache. He has been working in a rice field. On examination, temperature i…

Fever in children · Severe malaria — respiratory distress as severity criterion difficulty 2/5

A 4-year-old boy, Yaw, is brought to the Korle Bu emergency centre with 2 days of fever and rapid breathing. On examination he is febrile (39.0°C), has nasal flaring, subcostal recessions, and a respi…

Fever in children · Cerebral malaria — correct management sequence difficulty 3/5

A 7-year-old boy, Mensah, is seen at the Komfo Anokye ED with a 5-day history of fever and headache. His mother reports he had a convulsion at home. On examination, he is unresponsive to voice, has a …

Joint pain — acute monoarthritis · Gout vs septic arthritis — when aspiration is mandatory difficulty 2/5

A 62-year-old man, Yaw, with known hypertension on thiazide diuretics presents to a district hospital in Brong-Ahafo with sudden-onset severe pain and swelling of his right first metatarsophalangeal j…

Microbiology · Malaria difficulty 2/5

A medical student at Komfo Anokye is reviewing a thin blood film from a febrile 8-year-old boy named Kofi Mensah. The film shows erythrocytes of normal size containing ring-form trophozoites; several …

Neurological emergencies · NMS vs serotonin syndrome difficulty 2/5

A 28-year-old man, Kofi, is brought to Korle Bu emergency centre by friends. He was started on haloperidol for a psychiatric admission 5 days ago. Today he developed high fever (39.8°C), severe muscle…

Paediatric respiratory emergencies · Pneumonia classical presentation and recognition difficulty 2/5

A 3-year-old girl, Yaa, is brought to the district hospital A&E in Northern Region with a 2-day history of fever, cough, and fast breathing. Her temperature is 38.9 °C, respiratory rate is 50 breaths …

Paediatric respiratory emergencies · Community-acquired pneumonia in children — recognition difficulty 1/5

A 3-year-old girl, Yaa, is brought to a district hospital A&E in the Upper East region with a 2-day history of fever, cough, and fast breathing. Her temperature is 38.9°C, respiratory rate is 52/minut…

Pathophysiology · Metabolic response to insult difficulty 3/5

Ama, a 52-year-old trader, is brought to Korle Bu emergency centre following a 3-day history of high fever, confusion, and jaundice. A blood film confirms Plasmodium falciparum malaria with a parasite…