Endocrine & Metabolic Emergencies — WACS Viva & Clinical Scenarios (Medicine)

Exam-style endocrine & metabolic emergencies viva scenarios with examiner probes and model answers for ANAESTHESIA fellowship candidates.

Scenarios covered

• SCENARIO 1: A 19-year-old newly diagnosed Type 1 diabetic presenting with acute appendicitis and severe DKA (pH 7.08, blood glucose 30 mmol/L, K+ 5.8 mmol/L)
• SCENARIO 2: A 72-year-old female presenting with severe dehydration, altered mental status, and HHS (blood glucose 48 mmol/L, serum osmolality 365 mOsm/kg)
• SCENARIO 3: A 35-year-old female with an undiagnosed neck swelling developing hyperthermia, tachyarrhythmias, and severe agitation post-laparotomy
• SCENARIO 4: A 42-year-old male on long-term systemic corticosteroids for nephrotic syndrome presenting in refractory hypotensive shock after emergency surgery
• SCENARIO 5: A 60-year-old hypothermic, bradycardic, and obtunded female presenting in myxoedema coma following an acute chest infection