Haemolytic Anaemia Viva

Long Case Viva Defence

Opening statement

"This patient presents with a problem best framed as Haemolytic Anaemia. 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]Dhaese S, Van den Bergh B, De Vriese A Off the Beaten Path: Pathogenic Mechanisms and Therapeutic Implications in Non-Complement Mediated Thrombotic Microangiopathies Kidney360, 2026.PMID 42467940
[2]Duca L, Fermo E, Bianchi P, Vercellati C, et al. Integrated enzymatic and molecular diagnosis of G6PD deficiency: a one-year experience identifying five novel variants Ann Hematol, 2026.PMID 42467236
[3]Peña Monge EM, Carrasco-Randrianarison N, Ponte-Fernandez K Secondary Evans Syndrome Associated with Localized Clear Cell Renal Cell Carcinoma: A Case Report and Brief Literature Review Eur J Case Rep Intern Med, 2026.PMID 42466227
[4]Dehghani M, Sariri F, Zeinalian M Recurrent perianal abscess and fistula in a patient with Glucose-6-phosphate dehydrogenase (G6PD) deficiency: a case report BMC Gastroenterol, 2026.PMID 42316031
[5]Chen X, Huang J, Shen Z, Zhu Q, et al. Erythrodermic psoriasis complicated by immune complex-mediated crescentic glomerulonephritis and atypical hemolytic uremic syndrome: a case report BMC Nephrol, 2026.PMID 41866478
[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

Long Case Viva Defence

Opening statement

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]Dhaese S, Van den Bergh B, De Vriese A Off the Beaten Path: Pathogenic Mechanisms and Therapeutic Implications in Non-Complement Mediated Thrombotic Microangiopathies Kidney360, 2026.PMID 42467940
[2]Duca L, Fermo E, Bianchi P, Vercellati C, et al. Integrated enzymatic and molecular diagnosis of G6PD deficiency: a one-year experience identifying five novel variants Ann Hematol, 2026.PMID 42467236
[3]Peña Monge EM, Carrasco-Randrianarison N, Ponte-Fernandez K Secondary Evans Syndrome Associated with Localized Clear Cell Renal Cell Carcinoma: A Case Report and Brief Literature Review Eur J Case Rep Intern Med, 2026.PMID 42466227
[4]Dehghani M, Sariri F, Zeinalian M Recurrent perianal abscess and fistula in a patient with Glucose-6-phosphate dehydrogenase (G6PD) deficiency: a case report BMC Gastroenterol, 2026.PMID 42316031
[5]Chen X, Huang J, Shen Z, Zhu Q, et al. Erythrodermic psoriasis complicated by immune complex-mediated crescentic glomerulonephritis and atypical hemolytic uremic syndrome: a case report BMC Nephrol, 2026.PMID 41866478
[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

Haemolytic Anaemia — Viva Defence

Haemolytic Anaemia Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References

Haemolytic Anaemia — Viva Defence

Haemolytic Anaemia Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References