PGIM MD Anaesthesiology case studies
PGIM MD Anaesthesiology · Put your knowledge to work in context.
The MD in Anaesthesiology is a postgraduate medical qualification offered through the Postgraduate Institute of Medicine (PGIM), University of Colombo, Sri Lanka. It is intended for medical graduates who have completed basic training and are pursuing specialist-level competence in anaesthesia, perioperative care and critical care. The PGIM MD Anaesthesiology case studies are 5 cases and about 4,788 words.
1Stridor at Rest with a Fixed Subglottic Recurrence
A 61-year-old man (118 kg, BMI 41, heavy smoker) presents with three weeks of progressive hoarseness and two days of stridor at rest. He had chemoradiotherapy for a supraglottic squamous carcinoma two years ago; CT now shows a supraglottic recurrence with subglottic extension.
948 words, about 5 min2Seizure and Wide QRS Four Minutes After a Supraclavicular Block
A 72 kg, 68-year-old man with treated hypertension is booked for open reduction and internal fixation of a displaced distal radius fracture. An ultrasound-guided supraclavicular brachial plexus block is performed with 40 mL of 0.5% bupivacaine with 1:200,000 adrenaline (200 mg), injected over about 90 seconds; aspiration is negative twice and spread looks satisfactory on the screen.
924 words, about 5 min3Refractory Hypoxaemia on Day Six of Influenza ARDS
A 38-year-old woman (160 cm, 78 kg actual, predicted body weight 57 kg) is on day 6 of ventilatory support for influenza A ARDS. She is sedated and ventilated in volume-controlled mode with a tidal volume of 350 mL, PEEP 16 cmH2O, FiO2 0.9, respiratory rate 30, and a plateau pressure of 34 cmH2O.
988 words, about 5 min4Laparoscopic Adrenalectomy After Ten Days of Phenoxybenzamine
A 44-year-old man with 12 months of paroxysmal headache, sweating and palpitations has a 5 cm right adrenal mass and 24-hour urinary metanephrines six times the upper limit of normal. He has been on phenoxybenzamine 10 mg twice daily for 10 days, plus amlodipine 5 mg.
940 words, about 5 min5Category 1 Caesarean with Severe Pre-eclampsia and a Falling Platelet Count
A 31-year-old woman (G2P1) at 35+4 weeks presents with severe pre-eclampsia: blood pressure 176/112 mmHg, persistent headache and visual scotomata, 3+ proteinuria, platelets 82 x 10^9/L (down from 148 two days earlier), AST 212 U/L, ALT 190 U/L, LDH 940 U/L, creatinine 112 micromol/L and urate 480 micromol/L. She has received a 4 g magnesium sulphate loading dose and is on 1 g/h, and a further dose of antihypertensive is due.
988 words, about 5 min