| Author | 8 Posts |
Perhaps
Forum Elite
Topics: 61
Posts: 162
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A 72-year-old man is brought to the physician by his daughter because of painless jaundice for 1 month. His wife died 10 years ago, and his daughter is his only child. Before examining the patient, the daughter asks to speak privately with the physician and asks that she be given the results of any tests. She specifically requests that he not be given any "bad news." The patient is alert. His vital signs are within normal limits. Examination shows scleral icterus and jaundice. There is mild abdominal tenderness on palpation. He is oriented to person, place, and time. A CT scan of the abdomen shows a pancreatic mass with bile duct obstruction and probable metastatic lesions in the liver. Which of the following is the most appropriate next step?
A) Abide by the daughter's wishes
B) Ask the patient if he wishes to discuss his test results, preferably with his daughter present
C) Tell the daughter it is a legal requirement to tell the patient any and all results of medical testing
D) Consult with the hospital attorney
E) Ask another physician to take over the patient's care
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| shumaila
Forum Elite
Topics: 58
Posts: 347
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B
but I am little confused with C too
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| sunny2
Forum Elite
Topics: 51
Posts: 385
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B. you have to ask the patient if he wishes to know about the result - this is your duty rest all is secondary.
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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B. is the answer
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| HighHopes
Forum Senior
Topics: 12
Posts: 165
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1- ask the patient what (s)he think about his/ her problem
2- ask if (s)he wants to know the result
3- expalin the result privatly unless patient wishes to have family around..
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| achilles
Forum Guru
Topics: 87
Posts: 1,217
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out of the given options, i'll go for B.
the best thing to do would be ask the patient the reason of why not to disclose the results to the patient. sometimes there is a valid reason for not doing so and if it is in the best interest of the patient then the results can be withheld. ( i had a similar question in UW)
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| Perhaps
Forum Elite
Topics: 61
Posts: 162
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I picked C but now I agree it is B.
But why the presence of his daughter? I would have no doubt if only ask the patient.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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B
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