Cardiology
High Complexity
A 52-Year-Old Male with Sudden Onset Chest Pain and Diaphoresis
📅 March 2024
Presented with classic STEMI features. ECG showed ST elevation in leads II, III, aVF. Managed with aspirin, clopidogrel, and urgent PCI. Discharged with dual antiplatelet therapy and statin.
Learning Points:
- Rapid STEMI recognition
- Timely reperfusion therapy
- Post-MI medication management
✅ Full recovery, discharged Day 5
Endocrinology
High Complexity
Diabetic Ketoacidosis in a 19-Year-Old Newly Diagnosed T1DM Patient
📅 June 2024
Adolescent presenting with polyuria, polydipsia, weight loss, and Kussmaul breathing. Blood glucose 28 mmol/L, ketones ++++. Managed with IV fluids, insulin infusion, and electrolyte replacement.
Learning Points:
- DKA diagnostic criteria
- Fluid resuscitation protocol
- Insulin infusion management
- Electrolyte monitoring
✅ Resolved in 24 hours, transitioned to subcutaneous insulin
Paediatrics
Medium Complexity
Paediatric Case: 3-Year-Old with Febrile Convulsions
📅 October 2024
Child presented with first episode of generalised tonic-clonic seizure lasting 3 minutes associated with fever of 39.5°C. Workup negative for meningitis. Diagnosed as simple febrile seizure.
Learning Points:
- Febrile seizure classification
- Ruling out meningitis
- Parental counselling
- Recurrence risk assessment
✅ Discharged with parent education, no recurrence at follow-up