Royal Brisbane and Women’s Hospital

  • 79-year-old female, day 22 ICU with strangulated hiatus hernia was treated by gastrectomy and primary anastomosis. Clinical findings included global weakness, right-sided ICC sites, bronchial breath sounds at right base, decreased air entry with crackles at left base, abdominal wound and jejunostomy tube. o Candidates were directed to examine her with a view to establishing why she was difficult to wean.