Renal, Hepatic & Severe Electrolyte Derangements — WACS Viva & Clinical Scenarios (Medicine)

Exam-style renal, hepatic & severe electrolyte derangements viva scenarios with examiner probes and model answers for ANAESTHESIA fellowship candidates.

Scenarios covered

• SCENARIO 1: A 52-year-old male with end-stage renal disease presenting with missed dialysis, severe hyperkalaemia (K+ 7.8 mmol/L), and sine-wave ECG changes
• SCENARIO 2: A 38-year-old marathon runner presenting with severe acute symptomatic hyponatraemia (Na+ 112 mmol/L) and generalized tonic-clonic seizures
• SCENARIO 3: A 46-year-old male with hepatitis B-related decompensated cirrhosis presenting with massive haematemesis, haemorrhagic shock, and Grade III encephalopathy
• SCENARIO 4: A 24-year-old female presenting with anuric acute kidney injury and severe high-anion-gap metabolic acidosis (pH 6.95, HCO3 6 mmol/L) following herbal medicine ingestion
• SCENARIO 5: A 50-year-old male with severe chronic liver disease and refractory ascites developing acute oliguric hepatorenal syndrome