Vasculitic Skin Lesions Viva

Long Case Viva Defence

Opening statement

"This patient presents with a problem best framed as Vasculitic Skin Lesions. 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]Balado-Simó P, Gimeno-Ribes E, Riera-Monroig J, Catalá-Gonzalo A, et al. Dermatological manifestations associated with chemsex J Eur Acad Dermatol Venereol, 2026.PMID 42434837
[2]Sharma Y, Nadig P, Das J, Iyengar V, et al. Henoch-Schoenlein purpura-like lesions in IL12RB1 and IL12B defects-a multi-centric experience from India Clin Exp Immunol, 2026.PMID 42366588
[3]Ribero Vargas DA, Ayala Monroy GA, Gómez Cerón LN, Aguilar Gómez M, et al. Retiform purpura and blue toe: an unusual presentation of systemic lupus erythematosus Clin Rheumatol, 2026.PMID 42329349
[4]Di Rocco M, Fantasia AR, Taro M, Loy A, et al. Systemic lupus erythematosus-like disease in a 6-year-old boy with prolidase deficiency J Inherit Metab Dis, 2007.PMID 17570078
[5]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
[6]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
[7]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
[8]Erol V, Güzel Z, Akgün İE, Ecer G Hydroxyurea-Associated Wunderlich Syndrome in Triple-Negative Myelofibrosis: A Case Report and Literature Review Case Rep Hematol, 2026.PMID 42182820

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]Balado-Simó P, Gimeno-Ribes E, Riera-Monroig J, Catalá-Gonzalo A, et al. Dermatological manifestations associated with chemsex J Eur Acad Dermatol Venereol, 2026.PMID 42434837
[2]Sharma Y, Nadig P, Das J, Iyengar V, et al. Henoch-Schoenlein purpura-like lesions in IL12RB1 and IL12B defects-a multi-centric experience from India Clin Exp Immunol, 2026.PMID 42366588
[3]Ribero Vargas DA, Ayala Monroy GA, Gómez Cerón LN, Aguilar Gómez M, et al. Retiform purpura and blue toe: an unusual presentation of systemic lupus erythematosus Clin Rheumatol, 2026.PMID 42329349
[4]Di Rocco M, Fantasia AR, Taro M, Loy A, et al. Systemic lupus erythematosus-like disease in a 6-year-old boy with prolidase deficiency J Inherit Metab Dis, 2007.PMID 17570078
[5]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
[6]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
[7]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
[8]Erol V, Güzel Z, Akgün İE, Ecer G Hydroxyurea-Associated Wunderlich Syndrome in Triple-Negative Myelofibrosis: A Case Report and Literature Review Case Rep Hematol, 2026.PMID 42182820

Vasculitic Skin Lesions — Viva Defence

Vasculitic Skin Lesions Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References

Vasculitic Skin Lesions — Viva Defence

Vasculitic Skin Lesions Viva

Long Case Viva Defence

Opening statement

Examiner questions

Short case

References