Royal Melbourne Hospital

  • 47-year-old man, day 4 in ICU following an out of hospital cardiac arrest. Clinical findings included GCS E3M6VT, dysconjugate gaze, hyporeflexia and ankle clonus, systolic murmur and renal replacement therapy. Candidates were asked to assess him from a neurological point of view. Discussion points included the neurological prognosis and the possible causes of the renal failure