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135 matches for “severe malaria” — showing 61–90
Tropical Medicine · Fever in the returned traveller - severe falciparum malaria ★ HY difficulty 2/5

Kwame, a 34-year-old secondary school teacher from Accra, presents to the Korle Bu Emergency Centre with a 4-day history of high-grade fever, rigors, headache, and vomiting. He returned 10 days ago fr…

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

Kwame, a 34-year-old subsistence farmer from a rural community near Kintampo in the Brong-Ahafo region, is brought to the district hospital A&E by relatives after two days of high fever and progressiv…

Tropical Medicine · Acute HIV seroconversion illness and testing window ★ HY difficulty 3/5

Adwoa, a 26-year-old secondary school teacher in Kumasi, presents to the Komfo Anokye ED with a 10-day history of fever, severe sore throat, cervical lymphadenopathy, and a generalised maculopapular r…

Tropical Medicine · IRIS and ART complications - NRTI lactic acidosis ★ HY difficulty 3/5

Mohammed, a 41-year-old long-distance truck driver from Tamale who frequently travels to Burkina Faso, was diagnosed with HIV (CD4 count 120 cells/µL) six weeks ago at Tamale Teaching Hospital and sta…

Tropical Medicine · Acute Katayama syndrome - Schistosoma mansoni ★ HY difficulty 2/5

Kofi, a 19-year-old male student from Kumasi, presents to Komfo Anokye ED with a 3-week history of fever, urticarial rash, dry cough, and myalgia. He returned 6 weeks ago from a 2-month rural placemen…

Tropical Medicine · Viral haemorrhagic fever - Lassa fever risk stratification and isolation ★ HY difficulty 4/5

Fatima, a 45-year-old trader who regularly travels between Accra and the Guinea–Sierra Leone border for business, presents to the Korle Bu emergency centre with a 6-day history of fever, severe sore t…

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

Kwame, a 34-year-old schoolteacher from Accra, presents to the Korle Bu emergency centre with a 4-day history of fever, rigors, and headache. He returned 10 days ago from a 3-week visit to a rural are…

Tropical Medicine · Severe falciparum malaria - fluid resuscitation caution (FEAST trial) ★ HY difficulty 3/5

A 5-year-old girl, Yaa, is brought to a district hospital A&E in Nkoranza, Brong-Ahafo region, with 2 days of fever, vomiting, and reduced consciousness. She lives in a rural village; her family uses …

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

Kwame, a 34-year-old subsistence farmer from Kintampo district in Brong-Ahafo region, was diagnosed with smear-positive pulmonary TB and HIV co-infection (CD4 count 58 cells/µL) three weeks ago at the…

Tropical Medicine · Severe acute malnutrition - hypoglycaemia management ★ HY difficulty 3/5

A 3-year-old boy named Kofi is admitted to the paediatric ward of a regional hospital in the Central Region. He was brought by his grandmother after 5 days of lethargy, refusal to feed, and two episod…

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

Mohammed, a 22-year-old male student from Tamale, is brought to Tamale Teaching Hospital A&E with a 9-day history of fever, confusion, and inability to care for himself. His family reports he had been…

Tropical Medicine · Typhoid fever - fluoroquinolone resistance and empirical antibiotic choice ★ HY difficulty 4/5

Mohammed, a 35-year-old trader who regularly travels between Tamale and Burkina Faso, presents to Tamale Teaching Hospital ED with 9 days of fever, anorexia, and abdominal pain. He drinks street-vende…

Tropical Medicine · Severe malarial anaemia - transfusion threshold in children ★ HY difficulty 2/5

A 3-year-old boy, Kofi, is brought to the Komfo Anokye Teaching Hospital emergency centre in Kumasi by his grandmother. He has had fever and poor feeding for 4 days. He lives in a peri-urban area of A…

Tropical Medicine · Zika virus - congenital syndrome and pregnancy ★ HY difficulty 3/5

Adwoa, a 26-year-old nurse at a district hospital in the Volta Region, presents to the Korle Bu emergency centre at 18 weeks of pregnancy. She returned 3 weeks ago from a 2-week deployment to an area …

Tropical Medicine · Lassa fever - antiviral therapy and isolation ★ HY difficulty 3/5

Fatima, a 28-year-old nurse at a district hospital in the Volta Region, presents to the Korle Bu Emergency Centre with a 5-day history of fever, severe sore throat, and progressive dysphagia. She repo…

Tropical Medicine · IRIS and ART Complications - NRTI Lactic Acidosis ★ HY difficulty 3/5

Yaw, a 42-year-old male lorry driver, was commenced on a first-line ART regimen containing zidovudine/lamivudine/nevirapine 14 months ago at an ART clinic in Tamale. He presents to the Tamale Teaching…

Tropical Medicine · Rickettsial disease - empirical doxycycline, no eschar ★ HY difficulty 2/5

Yaa, a 22-year-old secondary school student from Accra, presents to Korle Bu Emergency Centre with 4 days of fever, severe headache, myalgia, and a maculopapular rash on her trunk and upper limbs. She…

Tropical Medicine · Severe falciparum malaria - fluid resuscitation and FEAST trial implications ★ HY difficulty 4/5

A 2-year-old boy named Kwabena is brought to the regional hospital A&E in the Ashanti Region by his father after three days of fever and vomiting. He lives in a peri-urban community with poor sanitati…

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

A 4-year-old boy, Kwame, is brought by his mother to the district hospital A&E in Kintampo, Brong-Ahafo region, after 3 days of fever and progressive drowsiness. He lives in a rural farming community …

Tropical Medicine · T. brucei gambiense - staging and CSF examination ★ HY difficulty 3/5

Kwame, a 38-year-old cocoa farmer from a rural community near Sunyani in the Brong-Ahafo region, presents to the district hospital A&E with a 3-week history of intermittent fever, severe headaches, an…

Tropical Medicine · T. brucei gambiense - clinical staging and CSF examination ★ HY difficulty 3/5

Kofi, a 38-year-old cocoa farmer from the Bono East region, is brought to a district hospital A&E by relatives after three weeks of intermittent fever, severe headaches, and progressive confusion. He …

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

Kwame, a 34-year-old cattle herder from the Savannah region near Tamale, presents to Tamale Teaching Hospital A&E with a 5-day history of fever (temperature 39.4°C), severe headache, and a rash that b…

Tropical Medicine · Leptospirosis - Weil's syndrome - IV penicillin treatment ★ HY difficulty 3/5

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

Tropical Medicine · Dengue warning signs - WHO 2009 classification ★ HY difficulty 3/5

Kwame, a 34-year-old cocoa farmer from Brong-Ahafo region, is brought to the regional hospital A&E on day 5 of fever. He reports severe abdominal pain, persistent vomiting for 12 hours, and noticed bl…

Tropical Medicine · Severe falciparum malaria - cerebral malaria / Blantyre Coma Score ★ HY difficulty 3/5

A 4-year-old boy named Kofi is brought by his mother to the district hospital A&E in the Brong-Ahafo region after two days of high fever and progressive drowsiness. He lives in a rural farming communi…

Bites and Stings · Marine envenomation — stingray difficulty 3/5

Kofi, a 38-year-old fisherman, presents to a coastal district hospital in the Central Region after stepping on something in the sea while wading into shallow water. He describes immediate, excruciatin…

Emergency Ultrasound · Dynamic fluid responsiveness assessment with passive leg raise difficulty 3/5

A 29-year-old woman, Fatima, presents to a district hospital in the Northern Region with fever, rigors, and confusion for two days. She is 28 weeks pregnant. Vitals: BP 85/55 mmHg, HR 132 bpm, RR 28/m…

Environmental Emergencies · Heatstroke — Multi-organ Dysfunction and Rhabdomyolysis difficulty 4/5

Yaw, a 28-year-old long-distance runner, arrives at Komfo Anokye Teaching Hospital ED 90 minutes after collapsing at the finish line of a road race in Kumasi. He received no cooling at the scene. He i…

Geriatric Emergency Medicine · Delirium precipitants and management difficulty 2/5

A 68-year-old retired teacher, Yaw, is assessed in the emergency centre at Komfo Anokye Teaching Hospital. His wife says he has been confused and agitated for three days. She confirms he had no cognit…

HIV in the Emergency Department · Immune reconstitution inflammatory syndrome difficulty 4/5

Abena, a 31-year-old HIV-positive woman, was started on a first-line ART regimen (tenofovir/lamivudine/dolutegravir) 5 weeks ago with a pre-treatment CD4 count of 38 cells/μL. She now presents to a re…