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  #1  
Old 09-08-2012
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Medicolegal and Ethics ethical issues

A 34 yr old male comes to physician for evaluation of his genital ulcer from 3 days.....on further laboratory tests physician confirms it as syphilis...on hearing the news pt. become nervous and exits hospital with fear,next day he visit again for further concern and tells the physician abt how he felt embarrassed the other day...physician further asks abt telling the news to his partners...pt. says he felt shy on telling his partner and insists the physician not to disclose his disease to his partner..what's the next best approach of the physician to this pt..?

a) wait till the pt's next visit and ask him whether he disclosed his partner as he need time
b) physician must tell the partner at any case though pt. unwanted it
c) physician must convince the pt. that he will disclose himself to the partner and tells "your partner will give you syphilis "
d) physician must threaten the pt. abt informing cops for guilt of unprotected sex.
e) convince the pt and leave this to the health department
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  #2  
Old 09-08-2012
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Syphilis must be reported to the health department ,So Convince the pat and notify the health department and then leave the rest on them.

SO its E.

Have You made this q?
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Old 09-08-2012
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B , although it would be E if E was meant comment above me mentioned.
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Old 09-08-2012
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Quote:
Originally Posted by Doc4Step1 View Post
Syphilis must be reported to the health department ,So Convince the pat and notify the health department and then leave the rest on them.

SO its E.

Have You made this q?
yup..why ? is there anything wrong in it?
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Old 09-08-2012
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Quote:
Originally Posted by venky2600 View Post
yup..is there anything wrong in it?
No,not at all. overall its a nice question but Option B and E are a little confusing.
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Old 09-09-2012
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so is d answer E ???
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Old 09-09-2012
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i think its ...as physicians we convince the patient that if u don tell...i would tell
and report it to the health department
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Old 09-09-2012
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Correct Answer E is the answer

yes, the correct answer is E) convince the pt. and report it to health dept.

dealing with pts with STD's are very sensitive and should be taken extreme care ....here the pt. is embarassed of his diagnosis and informing his partner too...he also insisted the doctor to kept it confidential....in this circumstances the most appropriate decision taken is reporting it to department of health......dept. of health deals it in very secure way.they inform the pt. and partner that they are risk from a particular cause, so they advise them to be precautious not telling the fact of the pt....

B) physician must tell the partner at any case.....comes into account when the question clearly states serious harm to the partner/others from pt..like if she is a pregnant or the pt. have multiple partners stated in the question
STD's doesn't mean that the confidentiality must be broken...should also be deal with care... as the pt. clearly stated the physician to be kept confidential ,autonomy must be respected unless the harm is seen.....

but, the better way is to encourage the pt to inform the partner

A) physician can't wait till the next visit because it's the infective disease...should be dealt as early as possible

C) though the first sentence is right..., physician can't say in disrespectful manner to the partner...

D) physician has no right in this particular case in informing the cops as no serious harm is suspected ....
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