Viva 4

A previously well, 19 year old man has been referred to you by the Emergency Department. He sustained a finger laceration that required debridement and suturing 3 days previously.

He has presented today with profound fatigue and lassitude and has been dizzy on standing today. He has also been complaining of a sore throat for the last few days.

The clinical findings include: HR 137

BP 78/50 Temp 39.7 C RR 28

SpO2 100% on 2 litres via nasal prongs

How would you proceed?

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.