Unspecified hospital in Sydney

  • 78-year-old female, day 2 in the ICU, with a left haemothorax following a recent fall. Clinical findings included intubated and ventilated, left intercostal catheters with 700ml of blood, multiple previous AV fistulae, currently on CVVHDF, multiple bruises, left leg splinted. Chest x-ray demonstrated persistent left haemothorax.
  • Candidates were asked to assess the patient with regards to the contributors to her current clinical state and make a plan for ongoing management.