Viva 2

A 56-year-old male is brought to the Emergency Department with trauma following a motor vehicle accident. His initial blood tests reveal the following results:

Parameter

Result

Reference Range

Bilirubin

18 µmol/L

0 – 18

Aspartate Transaminase (AST)

730 U/L *

0 – 30

Alanine Aminotransferase (ALT)

1034 U/L *

0 – 30

Alkaline Phosphatase (ALP)

130 U/L *

30 – 100

Gamma Glutamyl Transferase (GGT)

94 U/L *

0 – 35

Total protein

62 g/L

60 – 82

Albumin

36 g/L

36 – 52

Blood glucose

12.1 mmol/L *

4.0 – 6.0

International normalised ratio (INR)

1.1

What is your interpretation of these results?

(This viva dealt with the management of traumatic liver injury.)

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.