Prince Charles Hospital

  • 7-year-old female, day 3 ICU, with scleroderma, pulmonary fibrosis and pulmonary hypertension, presenting with haemoptysis and respiratory failure. Clinical findings included signs of scleroderma with CREST, blood-stained respiratory secretions, bronchial breathing at left base with diffuse crackles, aortic regurgitation and hepatomegaly.
  • Candidates were directed to identify the key clinical findings and to provide a management plan.