Viva 5

A 67 year old man with a history of heavy alcohol use was found collapsed, unresponsive, and smelling of alcohol. On admission he was noted to have abdominal distention with thin, gaunt facies and cachexia. In the Emergency Department he had a massive haematemesis  requiring  resuscitation.  A  gastroscopy  was  performed  with  banding  of several oesophageal varices. He subsequently arrives in your ICU intubated and ventilated and haemodynamically stable.

1. Comment on this patient’s likely nutritional status.

The rest of the viva focussed on assessment of nutritional status and enteral nutrition.

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.