PGIM MD Psychiatry case studies
PGIM MD Psychiatry · Put your knowledge to work in context.
The Doctor of Medicine (MD) in Psychiatry is a postgraduate training programme and examination conducted by the Board of Study in Psychiatry of the Postgraduate Institute of Medicine (PGIM), University of Colombo, Sri Lanka. Successful completion leads to board certification as a specialist in psychiatry in Sri Lanka. The PGIM MD Psychiatry case studies are 5 cases and about 4,121 words.
1Older man with Parkinson's disease: hallucinations, falls and a daughter who wants every psychotropic stopped
Mr S, 71, has had idiopathic Parkinson's disease for nine years. His regimen is levodopa/carbidopa 100/25 mg four times daily, pramipexole prolonged-release 1.5 mg each morning, rasagiline 1 mg daily, and quetiapine 25 mg at night, which his general practitioner added three weeks ago for poor sleep.
883 words, about 4 min2Sixteen-year-old with severe anorexia nervosa: refusal, divided parents, no local bed
A 16-year-old schoolgirl is brought to the eating disorders clinic by her parents. She has lost 14 kg over eight months and now weighs 38 kg at 165 cm (BMI 13.9).
850 words, about 4 min3Delirium on the surgical ICU: one nurse to four patients and a demand for 10 mg haloperidol
Mr P, 58, is day three after emergency laparotomy for a perforated duodenal ulcer. He is septic on meropenem, has a nasogastric tube, a urinary catheter, two abdominal drains and a morphine patient-controlled analgesia pump; his sodium is 128 mmol/L and CRP 210 mg/L.
812 words, about 4 min4Pregnant woman with heroin dependence: detox on demand versus opioid agonist treatment
A 29-year-old woman at 20 weeks of pregnancy is referred from the antenatal clinic with rhinorrhoea, piloerection, dilated pupils, yawning and abdominal cramps. She smokes heroin, roughly 1 g a day, and has had three previous inpatient detoxifications in the last four years, each followed by relapse within weeks.
742 words, about 4 min5A court report, an envelope of money and a consultant who knows the family
You are the senior registrar in a district psychiatric unit. Six weeks ago a 34-year-old man with schizophrenia was assessed by you after he stabbed a neighbour during an argument.
834 words, about 4 min