Royal Brisbane Hospital

  • A 36 year old lady who has had gastric bypass surgery, and follow up laparotomies for bleeding and failed to thrive. Candidates asked to assess patient, identify ongoing management issues.
  • Slow wean
  • Enterobacter in abd fluid
  • On TPN
  • Ongoing temperatures
    Areas of weakness identified by examiners:
    • Failure to identify multiplicity of problems
    • Lack of clear management plan
    • Lack of clear antibiotic plan
    • Candidates failed to clearly state how they would investigate new sepsis