4 Cases

Question 1

A 56 year-old man is brought to the OR for
a re-operation to repair a heart valve
following a previous heart surgery i
ago. The patient state he is a Jehovah’s
Witness and refuses blood or blood
product transfusion for any reason, even if
the event of life-threatening blood loss.
“During surgery, you accidently opened the
right ventricle, causing massive blood loss.
What is your next step in management?

Answer 1

Respect patient decisions and prevent blood transfusion LE

Question 2

A 10 year-old boy was hit by a car while
crossing the street on his bike. The driver
of that car carried the child to the ER of
the nearby hospital. When you examined
the child he was unstable with evidence of
intraabdominal bleeding, on of the
workers in ER recognized the child and
called his father who requested no
intervention tell he comes and see his son.
What is your next step in management?

Answer 2

رفض قرارهم. لأنها حالة طوارئ

Question 3

• A 15 year-old sexually active boy attended you clinic requesting the treatment for gonorrhea sure of having the signs and symptoms. When tested proven positive.
What is your next step in management?

Answer 3

ماخبر اهله، أعامله كبالغ ، أتواصل مع جهات أخرى فيه حال كان الشخص ضحية عنف

Question 4

A 14 year-old married girl was brought
to ER with signs and symptoms of acute
appendicitis. You are planning to take
her to OR but she refuse.
What is your next step in management?

Answer 4

أعاملها ك adult لأنها متزوجة

Question 5

a child is in a motor vehicle accident and
sustains head trauma requiring surgery to
drain a hematoma that, if left untreated, will
be fatal.
A part of the surgery the child will need a
blood transfusion.
•The parents are Jehovah’s Witnesses and
refuse to give consent for the transfusion.
• The parents’ stated religious beliefs are that
accepting blood for their child would be a fate
worse than death. What should vou do?

Answer 5

نرفض The same right does not automatically extend for parents concerning their children. Parents cannot refuse life saving treatment for their child based on religious belief. The state has an interest in the
welfare of the child that exceeds the parental right to
deny therapy for the child if the child might die.

Question 6

A 30 year-old lady is unhappy with the
look of her nose and came to you as
the plastic surgeon for a nose-job
(rhinoplasty), taking further history
does not have any breathing problems,
and on examination she does not have
a nasal septal deviation.
What is your next step in
management?

Answer 6

نرفض