CLINICAL CONUNDRUM

CLINICO-PATHOLOGICAL CASE COMPETITION

Winners list – CPC

Total participants – 17

  • Best Case – SIGMOID VOLVULUS WITH GANGRENE – T3 PREGNANCY by DR RAMESH KUMARAVEL from KOVAI MEDICAL CENTRE AND HOSPITAL, COIMBATORE
  • Best Resident Case discussion – The Mysterious Wheeze – TPE Secondary to Microfilariasis by DR BHANU JAMWAL from MANIPAL HOPITAL, OLD AIRPORT ROAD, BANGALORE

The Clinical Pathological Case (CPC) competition is an effective teaching tool to develop critical thinking specially when faced with a diagnostic dilemma.

There are 2 parts to a CPC competition –

  1. Each participating institution submits an interesting case which they have found challenging and which has good learning points.
    The case submitted has to be an actual case seen and managed in the Emergency department of the institution concerned and not a fictitious case or one taken from another institution or the internet.
  2. Each institution will receive an interesting case with the accompanying history and relevant investigations and they will have to arrive at a diagnosis based on the information given.
    Important and key clinical examination findings should be given by the team that submits a case as the key essence of the CPC competition is to encourage diagnosis based on history and clinical examination findings.  A key Investigation may be masked for the purpose of the competition.

The CPC competition is completely anonymous. The participating teams will not be aware about which institution their case belongs to.

Participation Outline:

  • One faculty & one resident from each institute will be taking part in the CPC competition
  • FACULTY SPOTLIGHT – The faculty will introduce the case that has been submitted by their institution.
  • RESIDENT CASE REVIEW -The resident from the institution that this case has been given to will then present the case and arrive at the diagnosis.
  • FACULTY VERDICT -The faculty from the institution that has submitted the case will then disclose the diagnosis with the relevant facts that has led to that diagnosis.

Presentation timelines

  • Faculty Spotlight – 5 Minutes
  • Resident Case Review – 10 Minutes
  • Faculty Verdict – 5 minutes.

Case Submission Details

  • Unusual presentations of common diagnoses or typical presentations of unusual diagnoses make the best cases for CPC presentation.
  • Highly complex cases with multiple diagnoses are best avoided.
  • The case should be Relevant in the Emergency Medicine Context.
  • There must be an opportunity to be able to logically approach the case, discuss the differentials & arrive at the best possible diagnosis.
  • The Case –
    • The case submitted must have the chief complaint, the history of present illness, past medical and surgical history, social history, medications, and allergies. The vital signs and physical examination findings in detail should be provided.
    • All Investigations or diagnostic study values/images are to be given without final report/inference and with the respective institute names removed in them. 

KEY TIMELINES:

Last date for Initial Case Submission – 5th Sep 2025.

Case allocation date – 1st October 2025.

Resident Case Review Final submission date 30th October 2025.

CLINICAL CONUNDRUM Competition- 1-3 November 2025.

How to participate

1. Use the ppt theme and prepare the case.

Download ppt theme

2. Submit via google form

Form Closed.

Wait for the CPC committee to get back.