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Old 10-20-2012
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Arrow Gyrus Daily Questions; Ethics #1

A 19-year-oki man who is HIV-positive tells his physician that he is regularly having unprotected sex with his 18-year-old girl-friend. The girlfriend does not know the patient's HIV status and the patient refuses to tell her. The physician has notified state health authorities about the situation, but cannot confirm that the state has contacted the girl-friend. At this time the physician should
(A) inform the police about the patient's HIV status
(B) keep the information about the patient's HIV status confidential
(C) inform the girlfriend of the patient's HIV status
(D) inform the girlfriend's parents of the patient's HIV status
(E) advise the girlfriend not to have unpro-tected sex with the patient but do not tell her why
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(C) inform the girlfriend of the patient's HIV status
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yes C........
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C, confidentiality ends when others are at risk, so after proper authority notification and trying to persuade the patient to disclose his HIV status to his girlfriend, the next best step is to personally inform the girlfriend that she is at risk.
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c................
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Old 10-21-2012
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(C) inform the girlfriend of the patient's HIV status
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Make the patient have unprotected sex with the state health department official responsible for the mess.
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(C) inform the girlfriend of the patient's HIV status
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Old 10-22-2012
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.The answer is C.

If the patient refuses to tell his girlfriend, the physician herself must notify public health authorities and, if they do not act on this information, in some jurisdictions, also inform the endangered partner. if the patient had agreed to tell his girlfriend about his HIV status, the physician should set up an appointment to see the patient and partner together to ensure that the patient discloses to the partner.
The usual standards of physician-patient confidentiality do not apply here since the patient's failure to use condoms poses a significant threat to his girlfriend's life (Tarasoff decision). If the patient is using condoms, the physician does not have to inform his partner of his HIV-positive status. However, even if he is using condoms, the physician should encourage the patient to disclose his medical condition to his sexual partner. Not all states require reporting of
HIV positive patients
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