Paediatrics

“A 14 year old girl presents with a history of chronic renal failure due to Haemolytic Uraemic Syndrome 6 years ago.
She had a failed renal transplant and is currently managed on nightly peritoneal dialysis.

Recently she developed shortness of breath and underwent echocardiography which demonstrated a fractional shortening of 12% and evidence of clots in her atrium and required admission to PICU
for management.
Discuss the management of Haemolytic Uraemic Syndrome in children.”
“Discuss the potential complications of PD in children/ weigh up the relative risks of PD vs
CVHDF”.
Nine out of sixteen 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.