Iraqi Board Internal Medicine case studies
Iraqi Board Internal Medicine · Put your knowledge to work in context.
The Iraqi Board in Internal Medicine is a specialist certification awarded through the Iraqi Board of Medical Specializations (Al-Majlis al-Iraqi li-l-Ikhtisasat al-Tibbiyya) to physicians who have completed structured postgraduate training in internal medicine and wish to be recognised as specialists. It is aimed at residents approaching the end of training and at physicians preparing to practise as consultant-level internists in hospitals, teaching institutions or outpatient practice. The Iraqi Board Internal Medicine case studies are 5 cases and about 3,334 words.
1A wet, hyperkalaemic heart failure patient with a wide QRS
A 68-year-old retired teacher with heart failure and reduced ejection fraction (ejection fraction 28%) is admitted with three weeks of worsening breathlessness. He is NYHA class III, has atrial fibrillation and takes apixaban.
665 words, about 3 min2Seizure in a woman on a thiazide with a sodium of 112
A 72-year-old woman is brought in after a generalised seizure. Three weeks earlier her GP started hydrochlorothiazide 25 mg daily for hypertension; she also takes fluoxetine 20 mg daily and has been drinking more water because of a dry mouth.
569 words, about 3 min3Vomiting, acidosis and a normal glucose on an SGLT2 inhibitor
A 52-year-old woman with type 2 diabetes treated with metformin 1 g twice daily and empagliflozin 25 mg daily presents with 24 hours of vomiting and abdominal pain after a gastroenteritis-like illness. She stopped all medication when the vomiting began and has taken almost no food.
717 words, about 4 min4Microangiopathic haemolytic anaemia with a normal coagulation screen
A 34-year-old woman presents with three days of fever, confusion and bruising. She takes no regular medication and has no recent travel.
605 words, about 3 min5Partially treated meningitis with a lymphocytic CSF
A 55-year-old man is brought to the emergency department with two days of fever, headache, neck stiffness and vomiting. His GP prescribed oral amoxicillin 1 g three times daily 24 hours earlier.
778 words, about 4 min