Iraqi Board Clinical Pharmacy case studies
Iraqi Board Clinical Pharmacy · Put your knowledge to work in context.
The Iraqi Board in Clinical Pharmacy is a postgraduate specialty qualification for pharmacists who want to practise as clinical pharmacists within Iraq's hospital, teaching-hospital and ministry health systems. Candidates are typically pharmacy graduates who have completed, or are completing, structured residency-style training, and who are expected to make independent therapeutic decisions on wards rather than only dispense. The Iraqi Board Clinical Pharmacy case studies are 5 cases and about 3,763 words.
1Gentamicin in urosepsis: interpreting levels when renal function is reduced
A 70-year-old man (68 kg, 172 cm) is admitted with urosepsis. Blood and urine cultures grow Escherichia coli susceptible to gentamicin (MIC 1 mg/L), ceftriaxone (MIC 1 mg/L or less) and piperacillin-tazobactam; the isolate is ciprofloxacin-resistant and a phenotypic ESBL screen is negative.
831 words, about 4 min2Apixaban dose error and a bleeding duodenal ulcer in an elderly patient with atrial fibrillation
A 74-year-old woman with non-valvular atrial fibrillation (CHA2DS2-VASc 5, HAS-BLED 3) attends the emergency department with 2 days of melena and dizziness. She weighs 57 kg; serum creatinine is 1.6 mg/dL (eGFR 28 mL/min/1.73 m2) and has been stable for a year.
601 words, about 3 min3De-escalating broad-spectrum therapy in ESBL E. coli bacteraemia with a debrided foot infection
A 63-year-old man with type 2 diabetes (HbA1c 10.2%) is admitted with a deep diabetic foot infection and sepsis. He underwent surgical debridement on day 1.
787 words, about 4 min4Pre-Ramadan planning in type 2 diabetes with stage 3b CKD and previous hypoglycaemia
A 56-year-old man with type 2 diabetes for 12 years (HbA1c 9.1%, BMI 31 kg/m2) attends for pre-Ramadan counselling. He works as a taxi driver.
776 words, about 4 min5Tumour lysis syndrome in Burkitt lymphoma: rasburicase, G6PD status and limited stock
A 24-year-old man is diagnosed with Burkitt lymphoma; staging shows a bulky abdominal mass, white cell count 45 x 10^9/L and LDH 2100 U/L (about 5 times the upper limit of normal). On admission, potassium is 5.4 mmol/L, phosphate 1.8 mmol/L, corrected calcium 2.1 mmol/L, uric acid 640 umol/L (10.8 mg/dL), creatinine 1.3 mg/dL, and urine output is 60 mL/h with no obstruction on ultrasound.
768 words, about 4 min