kiranmayi
Forum Guru
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An 88-year-old male complaining of abdominal pain enters the emergency room with his wife. A mini-mental status exam reveals pronounced forgetfulness and confusion. The patient is discovered to have acute appendicitis requiring immediate surgery. He is unable to understand the situation and cannot provide informed consent. Which of the following further actions must the physician take?
A. Do not perform surgery
B. Have another doctor confirm the necessity of surgery
C. Obtain a court order to perform surgery
D. Obtain consent from his wife to perform surgery
E. Try to persuade the patient to consent to surgery
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| dxtxpx
Forum Guru
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d) get consent from his wife
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| asmi
Forum Hero
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YEP.. D
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| drrabines
Forum Elite
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What happened if the wife did not consent??? What would you do????
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| peekay
Forum Guru
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if wife refused than court order
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| crista
Forum Guru
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i understood that when it's an emergency(acute appendicitis requiring immediate surgery), the doctor should perform what is needed; so why isn't it B/
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| Bela
Forum Guru
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Yeah, I'd agree with Crista. This is an emergency case and you don't need the wife's permission to do surgery.
The signature of another physician seems like the best choice there given that the option "Proceed with sx" is not given.
Besides, peekay, do you think u'd have enough time for a court order if this is is an emergency case???
Kiran, where did u get this question from?
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La vita e bella!
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| peekay
Forum Guru
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bela i said IF wife refuses THAN court orders. which means i agreedt to
" consent from wife"
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| shawn333
Forum Senior
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that is strange , what we practice in UK . if emergency , no one to conscent , (wife refuses to consent ) DO THE EMERGENCY SURGERY ANYWAY .
HMMMMMMM PERFoRATED APPENDIX ..... ouch .
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Time Wounds all Heals , Contain the damage .
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