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180 matches for “severe malaria” — showing 91–120
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…

Tropical Pyomyositis · Pyomyositis in sickle-cell disease — perioperative management ★ HY difficulty 4/5

Kofi, a 14-year-old schoolboy, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 3-week history of right thigh pain and swelling. He has sickle-cell diseas…

Abdominal Trauma - Blunt and Penetrating · Pancreatic trauma - operative management difficulty 4/5

A 45-year-old man is brought to the Korle Bu surgical emergency unit after a motorcycle accident in which his abdomen struck the handlebar. He is haemodynamically stable: blood pressure 124/78 mmHg, h…

Child Health: Paediatric Emergencies · ETAT triage with hypoglycaemia in severe malaria difficulty 3/5

A 14-month-old girl, Ama, is brought to a district hospital emergency room in the Brong-Ahafo Region. The nurse at triage notes she is breathing but unconscious and unresponsive to voice. Her skin is …

Child Health: Paediatric Infections · Severe malaria — recognising co-existing severe anaemia difficulty 3/5

A 5-year-old boy, Yaw, is brought to a district hospital in the Northern Region with a 2-day history of high fever, vomiting, and confusion. His rapid malaria test is positive. He is unrousable (GCS 8…

Child Health: Paediatric Infections · Severe malaria — complications and pathophysiology difficulty 4/5

A 5-year-old boy, Yaw, is admitted with fever for 4 days, prostration, and inability to sit up. He had a generalised tonic-clonic seizure lasting 4 minutes en route to hospital. Blood glucose on arriv…

Child Health: Paediatric Infections · Severe malaria — weight-based artesunate dosing difficulty 3/5

A 4-year-old boy, Kwame, is brought to the emergency department at Komfo Anokye Teaching Hospital with a 3-day history of fever and a single witnessed generalised convulsion lasting 4 minutes at home.…

Child Health: Paediatric Infections · Haemoglobinuria as a complication of severe malaria difficulty 4/5

A 6-year-old girl named Akosua is admitted to a regional hospital in the Northern Region with a 5-day history of fever, headache, and progressive confusion. Examination reveals a temperature of 40.1 °…

Child Health: Paediatric Infections · Severe malaria — transfusion threshold difficulty 4/5

A 2-year-old boy named Yaw is admitted to Tamale Teaching Hospital with a 3-day history of fever and is found to have severe falciparum malaria complicated by haemoglobinuria (passage of dark brown ur…

Child Health: Paediatric Infections · Hypoglycaemia as a complication of severe malaria difficulty 3/5

A 5-year-old boy, Yaw, is admitted to Tamale Teaching Hospital with severe malaria. He has been given IV artesunate and his level of consciousness is improving. On routine blood glucose monitoring 2 h…

Child Health: Paediatric Infections · Severe malaria — acute kidney injury difficulty 4/5

A 4-year-old boy named Kwabena is brought to the emergency department at Komfo Anokye Teaching Hospital by his mother. He has had fever for 3 days and has been vomiting. On examination he is febrile (…

Community Health: Disease Control & Primary Care · Malaria control — pre-referral management at CHPS level difficulty 3/5

A community health officer at a CHPS compound in the Bono East Region has recorded 12 confirmed malaria cases in children under five over the past two weeks. She has a stock of rapid diagnostic test (…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Hypoglycaemia correction in paediatric severe malaria difficulty 3/5

A 6-year-old boy named Kofi is brought to the emergency department of a regional hospital in the Ashanti Region. His mother says he has had fever for three days and this morning developed generalised …

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Cerebral malaria — recurrent hypoglycaemia monitoring difficulty 3/5

A 9-year-old boy, Kofi, is admitted to the paediatric emergency unit at Tamale Teaching Hospital with a 3-day history of fever and progressive drowsiness. His mother reports he has not been treated fo…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Distinguishing bacterial meningitis from cerebral malaria difficulty 2/5

A 34-year-old woman, Abena, is brought to the emergency department at Komfo Anokye Teaching Hospital after being found unresponsive at home. Her husband reports she has had a severe headache for two d…

Emergency Medicine: Altered Consciousness, Seizures & Stroke · Recurrent hypoglycaemia in cerebral malaria difficulty 3/5

A 5-year-old girl, Akosua, is admitted to the paediatric ward at a regional hospital with a 3-day history of fever, and she is now unresponsive. A rapid diagnostic test for malaria is strongly positiv…