Unspecified hospital in Adelaide

67-year-old male, one month in ICU, transferred from SE Asia following a prolonged acute illness with liver abscess, sepsis and multi-organ failure. Background included CNS lymphoma. Findings on examination included tracheostomy, old craniotomy scar, breathing spontaneously on humidified oxygen with decreased breath sounds on the right, deconditioning and critical illness weakness syndrome with significant proximal weakness.

Candidates were directed to examine him and outline a management plan.

Discussion points included interpretation of the neuromuscular signs, respiratory weaning and interpretation of abnormal liver function tests.