PGIM MD Medicine case studies
PGIM MD Medicine · Put your knowledge to work in context.
The MD in Medicine is a postgraduate medical qualification administered by the Postgraduate Institute of Medicine (PGIM), University of Colombo, Sri Lanka. The PGIM website lists MD among its admissions categories alongside Certificates, Diplomas and MSc programmes, and places examinations under a dedicated section covering procedures, calendars, applications, circulars and results. The PGIM MD Medicine case studies are 5 cases and about 5,166 words.
1Seizures, Sodium 108, and Two New Drugs
A 64-year-old woman is brought to the emergency department after a witnessed generalised tonic-clonic seizure; a second seizure occurs during CT, which is normal. She has a three-week history of nausea, poor appetite and increasing confusion.
1,051 words, about 5 min2Hyperkalaemia After an Ankle Sprain
A 71-year-old man with heart failure and reduced ejection fraction (LVEF 28%), type 2 diabetes and CKD stage 3b (baseline creatinine 168 µmol/L, eGFR 32) attends with two weeks of worsening lethargy, nausea and reduced oral intake. Ten days ago his GP prescribed ibuprofen 400 mg three times daily for an ankle sprain.
1,092 words, about 5 min3Breathless, Blue, and Better Lying Flat
A 54-year-old man with alcohol-related cirrhosis (Child-Pugh B, MELD 14, no ascites, platelets 78 ×10⁹/L) is referred with six months of progressive breathlessness. He reports that breathlessness is worse standing and improves lying flat, and he has noticed his fingertips are blue.
991 words, about 5 min4Falls, Aspirin and a Very High Stroke Risk
An 82-year-old woman with permanent atrial fibrillation attends for review. She lives alone with carers twice daily, has hypertension, type 2 diabetes and mild cognitive impairment, and had a transient ischaemic attack two years ago.
1,081 words, about 5 min5Ascending Weakness and a Falling Vital Capacity
A 29-year-old woman presents with five days of progressive symmetrical weakness that began in the feet and has ascended to the thighs and hands. She cannot walk unaided and has noticed slurred, nasal speech since this morning.
951 words, about 5 min