Egyptian Board Clinical Pathology case studies
Egyptian Board Clinical Pathology · Put your knowledge to work in context.
The Egyptian Board in Clinical Pathology is a specialty qualification for laboratory physicians and clinical pathologists who interpret and sign out diagnostic results rather than only run instruments. Candidates are usually medical graduates in a clinical pathology, clinical chemistry, haematology or microbiology training post, or senior laboratory scientists working toward a consultant-level role. The Egyptian Board Clinical Pathology case studies are 5 cases and about 4,653 words.
1Sodium of 124 mmol/L in a Patient With a Triglyceride of 34 mmol/L
A 58-year-old man with type 2 diabetes is admitted with severe epigastric pain radiating to the back and repeated vomiting; serum lipase is twelve times the upper reference limit and CT shows pancreatic necrosis. The admission sample is visibly milky.
880 words, about 4 min2Fever, Jaundice and Acute Kidney Injury Nine Days After Transfusion
A 52-year-old woman with chronic menorrhagia and a baseline haemoglobin of 6.5 g/dL received two units of packed red cells nine days ago; the pre-transfusion antibody screen and immediate-spin cross-match were negative. She now returns with fever, jaundice, dark urine and loin pain.
954 words, about 5 min3CMV IgM at 13 Weeks: Does This Mean Primary Infection?
A 31-year-old nursery nurse, 13 weeks into her first pregnancy, is referred after booking serology. The peripheral laboratory reports (ELISA, no avidity testing on site): CMV IgM index 2.9 (cut-off 1.0), CMV IgG 58 AU/mL (positive, cut-off 6), rubella IgG positive, toxoplasma IgG and IgM negative.
666 words, about 3 min4Both Parents Are Microcytic, One With a Normal HbA2
A 26-year-old woman at 10 weeks' gestation attends antenatal screening; her husband is her first cousin. She has had two uncomplicated pregnancies and one first-trimester miscarriage.
983 words, about 5 min5EQA Failure and a QC Shift After a Reagent Lot Change
The biochemistry laboratory of a 400-bed hospital holds ISO 15189 accreditation and measures HbA1c by cation-exchange HPLC on two identical instruments, running about 60 patient samples per day. In the latest national EQA cycle the result for one of the two survey samples was 7.8% against an assigned value of 6.9%, giving a z-score of 3.4; the second sample was acceptable (z = 0.6).
1,170 words, about 6 min