PGIM MD Family Medicine case studies
PGIM MD Family Medicine · Put your knowledge to work in context.
The MD in Family Medicine is a postgraduate medical qualification administered through the Postgraduate Institute of Medicine (PGIM), University of Colombo, Sri Lanka. PGIM's own site organises its work around admissions, certificates, diplomas, MSc and MD programmes, research support and examinations, and the MD sits within that postgraduate training and examination structure. The PGIM MD Family Medicine case studies are 5 cases and about 3,962 words.
1The 58-year-old with a falling eGFR who wants to stop metformin
Mr Rahman, 58, attends for his quarterly diabetes review. He has had type 2 diabetes for 11 years, with hypertension and dyslipidaemia.
617 words, about 3 min2Forty-two cases of watery diarrhoea and a magistrate who wants cholera confirmed by morning
You are the medical officer in charge of a block primary health centre serving about 210,000 people. In five days, 42 people from three neighbouring villages have presented with acute watery diarrhoea; nine needed intravenous fluids, and two are children under five with some dehydration.
918 words, about 5 min3The resident's depression prevalence study and the ethics committee's question
A second-year family medicine resident proposes a dissertation: "Prevalence and predictors of undiagnosed depression among adults attending three urban primary health centres." She will enrol 400 consecutive adults in the waiting room over eight weeks, administer the PHQ-9 in the local language, and define depression as a score of 10 or more. She will record age, sex, income, chronic illness and family history, and analyse predictors with multivariable logistic regression.
867 words, about 4 min4The CRP-for-cough paper and the stewardship committee
A colleague forwards a paper: a prospective single-centre diagnostic accuracy study of point-of-care C-reactive protein in 312 adults presenting with acute cough of less than three weeks. The reference standard was pneumonia on chest radiograph, reported by a radiologist blinded to the CRP result; prevalence was 6%.
883 words, about 4 min5A 15-year-old asking for contraception and disclosing coerced sex
A 15-year-old girl attends the evening clinic alone and asks for contraception. She says her boyfriend is 22 and that on two occasions intercourse was "not really what I wanted".
677 words, about 3 min