- 59-year-old male, day 5 ICU, following laparotomy for ischaemic bowel with decompensated liver cirrhosis. Clinical findings included reduced GCS, jaundice and the presence of an open abdomen with tension sutures and 2 drains and a heparin infusion. Candidates were asked to examine him, identify the issues and formulate a management plan. Other discussion points included interpretation of imaging, weaning plan, management of coagulation status and nutritional support.