One of a physician’s patients, a well-respected citizen in a small community, saw the doctor with a complaint of blood in his urine (hematuria). The physician asked the patient if he’d had any new sexual partners recently, and the patient admitted that he had. The physician explained to the patient that his urine specimen had been positive for the STI chlamydia. The physician urged the patient to discuss his medical condition with the patient’s wife, who was also the physician’s patient, but the man was reluctant.

Discussion Questions:

If the patient refuses to confide in the wife, what should the physician do?
What are the legal issues in this case? What are the ethical issues?

Answer:

The physician must:

*report the communicable disease to the appropriate authorities

*Warn the patient that he must do so.*

Hopefully, the patient will speak with his wife

Legal issues: Patient confidentiality: reporting a communicable disease.

Ethics issues: Notifying the wife

Explanation:

Hope this helps!

The physician must: report the communicable disease to the appropriate authorities, Warn the patient that he must do so. Hopefully, the patient will speak with his wife Legal issues: Patient confidentiality: reporting a communicable disease.Ethics issues: Notifying the wife.

A communicable disease is one that can spread from one person to another by a variety of channels, including contact with blood or bodily fluids, breathing in an airborne virus, or being bitten by an insect.

Infectious infections that must be reported include HIV, hepatitis A, B, and C, measles, salmonella, measles, and blood-borne illnesses. The most frequent methods of transmission are feces-oral transmission, food transmission, sexual contact, insect bites, contact with contaminated formice, droplets, or skin contact.

Thus, The physician must: report the communicable disease.

For more information about communicable disease, click here:

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