Scenario
An 86 year old woman is brought to your Emergency Department from her nursing home with two days of drowsiness and decreased oral intake.
Question
Describe and interpret her investigations (100%)
Haematology and biochemical results
Answer
FACEM VAQ Exam 2009.1 – Question 3
- The overall pass rate for this question was 62/81 (76.5%)
- The examiners felt that this was fair and straight forward question that was poorly answered by a relatively large number of candidates.
- Pass criteria were recognition of the raised WCC with neutrophilia, impaired renal function, obstructive liver function test abnormalities and the likelihood of underlying sepsis.
- Poor answers failed to synthesise the abnormalities into likely differential diagnoses.
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