Viva 2

Infectious diseases

Scenario:  You are asked by the Emergency Department to review a 44 year old woman with known hepatitis C. She has presented with abdominal distension, and has not passed urine for over a day. On examination she is drowsy and obviously jaundiced.  Her BP is 80/40 and she has a heart rate of 110.
Introductory question:  What is your initial approach?

Eleven out of twenty-eight candidates passed this section.

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.