ABIM Endocrinology case studies
ABIM Endocrinology · Put your knowledge to work in context.
The Endocrinology, Diabetes and Metabolism Certification Examination is an ABIM subspecialty examination for physicians who have completed subspecialty training in endocrinology and are ready to demonstrate the knowledge, clinical judgment and skills required for independent practice. Certification tells patients, employers and credentialers that a physician has met a national standard in the discipline. The ABIM Endocrinology case studies are 5 cases and about 4,246 words.
1A "Good" A1c in Advanced CKD with Recurrent Severe Hypoglycemia
A 71-year-old man with type 2 diabetes for 22 years (eGFR 27 mL/min/1.73 m², urine albumin-to-creatinine ratio 640 mg/g), heart failure with preserved ejection fraction, and mild cognitive impairment (MoCA 22) is referred after two falls in three months and an emergency visit for confusion at which point-of-care glucose was 51 mg/dL. Medications: metformin 500 mg twice daily, glipizide 10 mg twice daily, insulin glargine 22 units at bedtime, lisinopril, furosemide.
875 words, about 4 min2Severe Hypertriglyceridemia After Pancreatitis: What Actually Lowers Risk
A 44-year-old man is seen five months after an episode of acute pancreatitis (lipase 1,200 U/L, no gallstones, no alcohol during admission) at which his triglyceride level was 3,240 mg/dL. Today's fasting lipids: triglycerides 1,860 mg/dL, LDL-C 86 mg/dL by calculation, HDL-C 28 mg/dL.
820 words, about 4 min3Amiodarone-Induced Thyrotoxicosis in a Patient with an Ejection Fraction of 30%
A 68-year-old man with ischemic cardiomyopathy (ejection fraction 30%, ICD in place) has taken amiodarone 200 mg daily for 26 months for recurrent atrial fibrillation. He presents with three months of palpitations, heat intolerance, and 5-kg weight loss; resting heart rate is 104.
813 words, about 4 min4Resistant Hypertension with a Positive Aldosterone-Renin Ratio - and Heart Failure
A 54-year-old woman has had hypertension for 12 years; it is 162/96 mmHg on lisinopril 40 mg, hydrochlorothiazide 25 mg, and amlodipine 10 mg daily. Potassium is 3.1 mmol/L despite potassium chloride 40 mEq daily.
852 words, about 4 min5Hypothalamic Amenorrhea in a Runner Who Wants to Conceive
A 29-year-old woman is referred for 14 months of amenorrhea. She runs 60–70 km per week and restricts carbohydrates; BMI is 17.6 kg/m².
886 words, about 4 min