PGIM MD ObGyn case studies
PGIM MD ObGyn · Put your knowledge to work in context.
The Doctor of Medicine (MD) in Obstetrics and Gynaecology is a higher specialist qualification delivered through the Postgraduate Institute of Medicine (PGIM), University of Colombo, Sri Lanka. It sits within the institute's MD programme stream, alongside its certificate, diploma and MSc offerings, and is intended for medical graduates who have completed basic postgraduate training and are working towards specialist practice in obstetrics and gynaecology, most commonly inside the Sri Lankan state health system. The PGIM MD ObGyn case studies are 5 cases and about 5,408 words.
1Severe pre-eclampsia at 31 weeks in a district hospital without neonatal ventilation
A 29-year-old primigravida at 31+2 weeks by a dating scan presents to a district hospital three hours by road from the tertiary unit. She has had a frontal headache and epigastric pain for three days and today reports blurred vision.
1,042 words, about 5 min2Previous shoulder dystocia with gestational diabetes: caesarean or vaginal birth at 37 weeks
A 34-year-old woman, G3P2, attends the antenatal clinic at 37+4 weeks. She has gestational diabetes treated with metformin 1 g twice daily since 26 weeks; fasting glucose is 5.6 mmol/L and HbA1c 6.1%.
1,046 words, about 5 min3Planning birth at 41 weeks after one previous caesarean for fetal distress
A 30-year-old woman, G2P1, attends the antenatal clinic at 40+6 weeks. Her first pregnancy ended in an emergency caesarean section two years ago at 8 cm dilatation for recurrent late decelerations; the baby weighed 3.4 kg and her postoperative course was uncomplicated.
1,121 words, about 6 min4Postmenopausal bleeding on tamoxifen with a thick endometrium and a non-diagnostic office biopsy
A 63-year-old woman, para 2, has taken tamoxifen 20 mg daily for four years after breast-conserving surgery and radiotherapy for an oestrogen receptor-positive carcinoma. She reports three episodes of postmenopausal bleeding in the last two months together with a pinkish discharge.
1,094 words, about 5 min5A stable tubal ectopic with a rising hCG: methotrexate or surgery?
A 29-year-old woman, G2P1, presents to the early pregnancy unit with five days of light vaginal spotting and intermittent left iliac fossa pain. Her last menstrual period was seven weeks ago and a home pregnancy test was positive ten days ago.
1,105 words, about 6 min