Kuwait Board Psychiatry case studies
Kuwait Board Psychiatry · Put your knowledge to work in context.
The Kuwait Board in Psychiatry is a postgraduate specialist qualification for doctors who are training or have trained in psychiatry within the Kuwait Institute for Medical Specialization (KIMS) system. It is designed to certify that a candidate can assess, formulate and manage psychiatric illness safely and independently, across inpatient, outpatient and consultation settings. The Kuwait Board Psychiatry case studies are 5 cases and about 3,750 words.
1Post-operative confusion in an older man with depression
A 68-year-old retired teacher is assessed on day 2 after elective right total hip replacement under spinal anaesthesia. He has type 2 diabetes, hypertension and recurrent depressive disorder, for which he takes sertraline 100 mg daily and zopiclone 7.5 mg at night.
746 words, about 4 min2Treatment-resistant depression with a buried hypomanic episode
A 34-year-old bank accountant is referred with a 14-month major depressive episode (PHQ-9 21, GAD-7 12). She has had three prior episodes since age 22.
762 words, about 4 min3Fever and a low neutrophil count on clozapine
A 29-year-old Kuwaiti man with DSM-5 schizophrenia diagnosed at 21 has persistent auditory hallucinations and persecutory delusions despite trials of risperidone 6 mg, olanzapine 20 mg and haloperidol decanoate 200 mg monthly, each for at least 8 weeks with documented adherence. Clozapine was started 12 weeks ago and titrated to 300 mg nightly; his PANSS has fallen from 98 to 68 and he has returned to part-time work.
750 words, about 4 min4Alcohol withdrawal in a patient with significant liver disease
A 45-year-old oil-field supervisor is admitted with epigastric pain and vomiting; lipase is three times the upper limit of normal. He drinks approximately 700–1000 mL of whisky daily and has done so for 15 years, with morning tremor and a withdrawal seizure at home 2 days ago.
743 words, about 4 min5Agitation in dementia with Lewy bodies after a single dose of haloperidol
A 76-year-old retired head teacher is brought by his wife with a 2-year history of fluctuating alertness, vivid hallucinations of children playing in the garden, and dream-enactment behaviour in which he has punched and kicked her at night. He has mild symmetrical bradykinesia and rigidity, recurrent falls, and his blood pressure falls from 138/80 to 92/60 on standing.
749 words, about 4 min