Prince of Wales Hospital

  • 79-year-old female, 5 days post laparotomy for small bowel obstruction with division of adhesions and small bowel resection. Background AF and hypothyroidism. Slow to wake and wean from invasive respiratory support. GIT failure with intolerance of enteral feeds, on TPN and new onset abdominal wound discharge. Candidates were directed to examine the patient with respect to assessment of nutritional status and fluid balance and failure to establish enteral feeds