Egyptian Board Internal Medicine case studies
Egyptian Board Internal Medicine · Put your knowledge to work in context.
The Egyptian Board Fellowship in Internal Medicine is a postgraduate specialty qualification for physicians who have completed their residency and want consultant-level recognition in internal medicine. It is aimed at clinicians practising in Egypt and abroad who need a structured, high-stakes assessment of broad internal-medicine competence rather than a single-subspecialty certificate. The Egyptian Board Internal Medicine case studies are 5 cases and about 3,792 words.
1Syncope, a Low Ejection Fraction and a Wide LBBB Three Months After Anterior MI
A 58-year-old man is reviewed in clinic 3 months after an anterior ST-elevation MI treated with primary PCI to the left anterior descending artery. He is NYHA class II, BP 112/70, pulse 68.
804 words, about 4 min2Hyperkalaemia with ECG Changes in Advanced CKD and Heart Failure
A 74-year-old woman with type 2 diabetes for 18 years and HFrEF (LVEF 40%) attends the emergency department with 3 days of watery diarrhoea and weakness. Medication: ramipril 10 mg daily, spironolactone 25 mg daily, empagliflozin 10 mg daily, furosemide 40 mg daily, metformin 1 g twice daily and atorvastatin.
757 words, about 4 min3New Graves Disease at 10 Weeks of Pregnancy
A 29-year-old woman, 10 weeks pregnant in her second pregnancy (the first ended in miscarriage at 8 weeks), presents with 6 weeks of palpitations, heat intolerance, 4 kg weight loss and tremor. Pulse 118 bpm, BP 128/68 mmHg, BMI 20, smooth diffuse goitre, no ophthalmopathy and no pretibial myxoedema.
767 words, about 4 min4Persistent MRSA Bacteraemia in a Haemodialysis Patient with a Tunnelled Catheter
A 61-year-old man on maintenance haemodialysis through a tunnelled right internal jugular catheter is admitted with a 2-day history of fever (39.2 °C), rigors during dialysis and malaise. Two sets of blood cultures taken at admission grow MRSA in both bottles within 18 hours.
715 words, about 4 min5Wake-Up Stroke with an M1 Occlusion: Time, Imaging and Reperfusion Decisions
A 68-year-old woman is brought to the emergency department at 07:10 after her husband found her at 06:30 unable to speak and with a weak right arm. She went to bed at 22:00 the previous night and was last seen well then.
749 words, about 4 min