HIV patient wants to go back to work! - USMLE Forums
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Go Back   USMLE Forums > USMLE Step 2 CS Forum > USMLE Step 2 CS Prep Tips > USMLE Step 2 CS SP Challenges

USMLE Step 2 CS SP Challenges Challenging situations presented by the Standardized Patient (SP) during the the USMLE Step 2 CS Encounter.


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Old 03-13-2012
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Medicolegal and Ethics HIV patient wants to go back to work!

If the SP comes with the presenting complain of fatigue and you suspect its a case of HIV and then he asks u if he can go back to work. can we tell he can? if its something not contagious and harmful for the patient aren't u suppose to tell him he can go back to work.
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Old 03-13-2012
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Hi, this is just my opinion I am not entirely sure: your no one question i think the man can go back to work, the only cases i know where the sp should not go back to work are severe back pain, there may be more cases.
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Old 03-13-2012
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HIV patients can go to work as long as their work does not involve the risk of transmitting body fluids to co-workers.

Infectious patients such as those with viral upper respiratory tract infections and meningitis should not go back to work until they are non-infectious (few days to 2 weeks).

Another challenge:
HIV patient asks you if he/she should disclose his HIV status to his boss!
Answer:
He/she is not obligated to do so.

Another challenge:
HIV patient asks you if he/she should inform the spouse or sexual partner.
Answer:
He/she is not obligated. But you should everything you can do to convince the patient to tell. If they insist, you can report him/her to the health authorities and they'll then tell the sexual partner.

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CS-Challenge, MedicoLegal-Ethics

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