OMSB General Surgery (OEGS) case studies
OMSB General Surgery (OEGS) · Put your knowledge to work in context.
The General Surgery program is one of the 18 educational programs through which the Oman Medical Specialty Board (OMSB) develops, maintains and monitors postgraduate medical education and residency training in Oman. OMSB describes itself as an autonomous body furthering the growth of human resources for health through developing specialized physicians and assuring the competencies of health care professionals. The OMSB General Surgery (OEGS) case studies are 5 cases and about 4,437 words.
1Fever, Jaundice and Confusion at 02:00: Severe Cholangitis When ERCP Is Unavailable
A 71-year-old man presents at 02:00 with 36 hours of right upper quadrant pain, fever of 39.1 °C, and confusion that started this evening. He has hypertension, type 2 diabetes with HbA1c 8.6%, and atrial fibrillation on apixaban 5 mg twice daily, last dose 14 hours ago.
877 words, about 4 min2Day Four After Anterior Resection: Tachycardia, Oliguria and Peri-Anastomotic Gas
A 58-year-old woman is on day 4 after a laparoscopic anterior resection with a stapled colorectal anastomosis 10 cm from the anal verge for a T3 sigmoid adenocarcinoma. She has type 2 diabetes and a BMI of 33.
872 words, about 4 min3Grade III Splenic Injury with a Blush: Borderline Physiology and a Clock
A 26-year-old man is brought in after a high-speed motorcycle collision. He is alert, GCS 15, and complains of left upper abdominal and left shoulder tip pain.
935 words, about 5 min4Incarcerated Umbilical Hernia in a Child-Pugh B Cirrhotic: Operating on a High-Risk Patient
A 64-year-old man with alcohol-related cirrhosis (Child-Pugh B, MELD 15, diuretic-controlled ascites) presents with a painful umbilical swelling that appeared 8 hours ago and cannot be reduced. He has vomited twice.
861 words, about 4 min5Obstructing Sigmoid Cancer in a Cardiac Patient: Stent, Stoma or Resection Tonight?
A 79-year-old woman presents with 5 days of absolute constipation, progressive abdominal distension and vomiting. She has ischaemic heart disease with a drug-eluting stent placed 14 months ago, heart failure with an ejection fraction of 35%, and permanent atrial fibrillation on apixaban.
892 words, about 4 min