Viva 2

You are reviewing a 62-year-old male who was admitted to the ICU 10 days ago with acute pancreatitis. He has not tolerated enteral feeding. He has a 30-pack year smoking history, and drinks between 4-8 standard drinks of alcohol per day. He has been intubated and ventilated for 6 days and the staff are concerned about gradually worsening gas exchange.

Give a differential diagnosis for the deterioration in gas exchange and discuss your approach to assessment.

(This viva dealt with the pathophysiology, diagnosis and management of abdominal compartment
syndrome.)

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.