Kuwait Board Internal Medicine case studies
Kuwait Board Internal Medicine · Put your knowledge to work in context.
The Kuwait Board in Internal Medicine is a national specialty qualification for physicians who have completed internship and are training toward consultant-level practice in Kuwait. It is intended for residents in accredited internal medicine programmes and for physicians who need a recognised credential to work as an internal medicine specialist within the Kuwaiti health system. The Kuwait Board Internal Medicine case studies are 5 cases and about 2,816 words.
1Bradycardia, Hyperkalemia and Visual Halos in a Patient on Digoxin
A 58-year-old man with heart failure with reduced ejection fraction (LVEF 30%) and permanent atrial fibrillation attends the emergency department with 3 days of nausea, vomiting, anorexia and "yellow-green halos" around lights. He is drowsy but rousable.
589 words, about 3 min2Seizure and Severe Hyponatremia After Starting a Thiazide
A 72-year-old woman is brought to the emergency department after a witnessed generalized tonic-clonic seizure lasting about 60 seconds. She was well until 10 days ago, when hydrochlorothiazide 25 mg daily was started for hypertension.
569 words, about 3 min3Fever and Confusion in a Returning Traveler With a Negative Malaria Test
A 38-year-old man presents with a 4-day history of fever up to 39.2°C, rigors, headache, myalgia and one episode of confusion reported by his wife. He returned 6 days ago from 3 weeks in Nigeria, including 5 days in a rural area of Ogun State, and took no malaria chemoprophylaxis.
614 words, about 3 min4Euglycemic Ketoacidosis in Type 1 Diabetes on an SGLT2 Inhibitor
A 29-year-old woman with type 1 diabetes for 12 years, managed with a hybrid closed-loop insulin pump, presents with 14 hours of vomiting, abdominal pain and deep breathing. For 3 months she has also taken empagliflozin 10 mg daily off-label to slow decline in eGFR (baseline 78 mL/min/1.73 m²).
534 words, about 3 min5Acute Stroke on Apixaban: Thrombolysis or Thrombectomy?
A 71-year-old man with atrial fibrillation, hypertension and a prior transient ischemic attack presents 2.5 hours after the sudden onset of right facial droop, dense right arm and leg weakness and expressive aphasia. He takes apixaban 5 mg twice daily; the last dose was 14 hours before symptom onset.
510 words, about 3 min