Viva 2

A 26 year old woman presents to the Emergency department having been found at home confused and jaundiced by her GP. Her GCS is E3V5M5 She has a Temp of 38 ˚C, BP 90/60, HR 90 and SpO2 94% on 4litres/min O2

She has a past history of alcoholism and intravenous drug abuse. Outline your initial assessment and management:

The rest of the viva focussed on fulminant hepatic failure and its assessment and management

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.