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Digital Case Library

Learn by reasoning through real cases

Each case is a branching clinical journey mapped to NMC CBME competencies — with decisions, feedback, red flags, a community-health lens, and reflection. Search or filter by topic, difficulty, competency, or status.

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11 cases found

Intermediate
25 min

The Tired Shopkeeper — Type 2 Diabetes Mellitus

A 48-year-old shopkeeper with fatigue and polyuria. Build a stepwise diagnosis, risk-stratify, and design community-level management.

Competency: CM 3.4 / IM 3.x
Reasoning focus: Hypothesis generation from vague symptoms, threshold-based diagnosis, and translating individual care into population screening.
NCDScreeningChronic careCounseling
Intermediate
22 min

The Silent Pressure — Essential Hypertension

A 55-year-old teacher with an incidental high BP reading. Practise correct measurement, staging, risk assessment, and stepped management.

Competency: CM 3.4 / IM 1.x
Reasoning focus: Distinguishing true hypertension from measurement artefact/white-coat effect, cardiovascular risk stratification, and stepped pharmacological reasoning.
NCDScreeningCVD riskCounseling
Foundation
24 min

The First Visit — Antenatal Care

A 24-year-old primigravida at 12 weeks. Deliver risk-stratified antenatal care, recognise danger signs, and apply the community MCH package.

Competency: CM 9.x / OG 2.x
Reasoning focus: Risk stratification of pregnancy, recognition of danger signs, and integrating preventive/promotive care with the national MCH programme.
MCHPreventiveScreeningCounseling
Foundation
20 min

The Fourth Day — Postnatal Care

A 26-year-old woman on day 4 after a home-area delivery. Assess mother and newborn, spot danger signs, and support breastfeeding and family planning.

Competency: CM 9.x / OG 2.x
Reasoning focus: Parallel assessment of mother and newborn, danger-sign recognition, and preventive postnatal counseling.
MCHNewbornCounselingPreventive
Foundation
18 min

The Restless Toddler — Acute Diarrhoea

An 18-month-old with acute watery diarrhoea. Classify dehydration, choose the right rehydration plan, and prevent the next episode in the community.

Competency: CM 10.x / PE 20.x
Reasoning focus: Structured dehydration assessment and threshold-based selection of rehydration Plan A/B/C.
CommunicablePaediatricIMNCIPrevention
Foundation
15 min

The Sore Throat — Upper Respiratory Tract Infection

A 22-year-old with sore throat and cough asking for antibiotics. Practise viral-vs-bacterial reasoning and antibiotic stewardship.

Competency: CM 4.x / IM 4.x
Reasoning focus: Applying clinical prediction (Centor-type) reasoning to avoid unnecessary antibiotics while catching red flags.
CommunicableStewardshipRational prescribing
Intermediate
16 min

Burning and Frequency — Urinary Tract Infection

A 28-year-old woman with dysuria and frequency. Diagnose uncomplicated cystitis, decide when to investigate, and spot complicated features.

Competency: CM 4.x / IM 5.x
Reasoning focus: Separating uncomplicated cystitis from complicated/pyelonephritis and reasoning about when tests add value.
CommunicableDiagnosisRational prescribing
Advanced
22 min

Sudden Chest Pain — Emergency Triage

A 58-year-old man with acute central chest pain at a rural health centre. Triage the cannot-miss diagnoses, act on time, and arrange safe referral.

Competency: CM 4.x / IM 1.x
Reasoning focus: Prioritising life-threatening differentials under time pressure and initiating time-critical first response.
EmergencyTriageCVDReferral
Intermediate
20 min

Falling Off the Curve — Growth & Nutrition

A 14-month-old whose weight is faltering. Interpret the growth chart, classify undernutrition, and plan community-based management.

Competency: CM 10.x / PE 10.x
Reasoning focus: Reading a growth trajectory (not a single point) and classifying to drive the right level of intervention.
PaediatricNutritionScreeningPrevention
Advanced
28 min

A Cluster of Fevers — Outbreak Investigation

Several fever cases appear in one urban ward during the monsoon. Work through the steps of an outbreak investigation and vector control.

Competency: CM 8.x
Reasoning focus: Applying the systematic steps of outbreak investigation and epidemiological reasoning to guide action.
EpidemiologyOutbreakCommunicableVector control
Advanced
24 min

The Breathless Stone-Cutter — Occupational Health

A 45-year-old stone-quarry worker with progressive breathlessness. Link exposure to disease and design prevention across the worksite.

Competency: CM 6.x / 7.x
Reasoning focus: Causal reasoning from exposure to disease and shifting from individual treatment to workplace/community prevention.
OccupationalEnvironmentalPreventionRespiratory