Phys Vivas · haematological
Bleeding Disorders AND Thrombocytopenia — Viva Defence
DCE viva defence for Bleeding Disorders AND Thrombocytopenia.
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Target exams
Bleeding Disorders AND Thrombocytopenia Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Bleeding Disorders AND Thrombocytopenia. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Ahn SY, Hong J, Kim JS, Kim SH, et al. Korean expert consensus on the management of thrombotic thrombocytopenic purpura Korean J Intern Med, 2026.PMID 42438901
- [2]Bierlein JG, Kurosch M, Mager R, Sasca D, et al. Acute hemophagocytic lymphohistiocytosis in a patient treated for stone removal via percutaneous nephrolithotomy: a case report and literature review Int J Surg Case Rep, 2026.PMID 42416426
- [3]Banerjee P, Allsup D, Uglow E, Hauff C, et al. A case of immune thrombocytopenia complicated by catastrophic antiphospholipid antibody syndrome and subsequent intramuscular haemorrhage J Med Case Rep, 2026.PMID 42415122
- [4]Zhou X, Liu Y, Zhang P, Shan N Precision targeting of CD38 in immune thrombocytopenia: Mechanistic foundations and therapeutic implications Eur J Pharmacol, 2026.PMID 41905452
- [5]Mingot-Castellano ME, Álvarez Román MT, Bastida JM, Butta N, et al. Navigating the Hemostatic Balance: Anticoagulation and Antiplatelet Therapy in Patients with Thrombocytopenia J Clin Med, 2026.PMID 41899195
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962