Unspecified hospital in Sydney

  • 69-year-old lady Day 2 ICU. Post coronary artery grafts and mitral valve repair. Background history of connective tissue disease. Clinical findings included sclerodactyly reduced radial pulse and brisk carotids, absent JVP, pedal oedema, paced cardiac rhythm, pansystolic murmur audible at the left sternal edge.
  • Candidates were informed she was day 2 following emergency cardiac surgery. They were asked to examine her cardiovascular system and overall state, and outline plans for ongoing management and ICU discharge.