Severe Falciparum Malaria in a Returning Traveller
A branching clinical case simulation for a patient presenting with fever, rigors, and jaundice for three days. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 4medium20 min6 stages
- Patient
- 29 years, male
- Presenting complaint
- Fever, rigors, and jaundice for three days
- Decision stages
- History, Examination, Investigations, Diagnosis, Treatment, Monitoring
The presentation
Welcome to the emergency department of a district general hospital. You are the FY1 doctor on call. A 29-year-old man, Daniel Okafor, has just been triaged. He returned from Nigeria 10 days ago and for the past 3 days has had fever, rigors, and noticed that his eyes and skin are turning yellow. The triage nurse has recorded the initial observations. Your task is to assess and manage this patient. Remember to think systematically.
What this case teaches
Consider malaria in every febrile traveller; recognise the features of severe falciparum malaria; start intravenous artesunate; monitor glucose and for complications.
How the case unfolds
- 1Taking a historyHistory
- 2Physical examinationExamination
- 3Further testsInvestigations
- 4Formulate a diagnosisDiagnosis
- 5Immediate managementTreatment
- 6Ongoing careMonitoring
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
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A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.