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 is the original CICM stem, acquired from their publicly available past papers. However, because the college do not make the rest of the viva text or marking criteria available, the rest has been confabulated. It sounds like a plausible viva and it can be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.