Ethical Scenarios

Question 1

You have a 10 year old child with a phimosis. What are the causes of phimosis?

Answer 1

Trauma or infection [BXO]

Question 2

What are the main indications for a circumcision in a child?

Answer 2

BXO mainly, the majority of the time it would be reassurance to the parents and encourage foreskin stretching. phimosis is likely to resolve when the boy is prepubescent

Question 3

You examine the child and note cigarette marks in his legs, what do you do?

Answer 3

Patient safety is the highest priority and I am concerned of a Non-accidental Injury. I would ensure the patient and parent stays in the room and make sure they do not leave the hospital premises.
I would contact my consultant in the clinic or the on-call consultant regarding my concerns and search for guidance in the local policy for handling Non-accidental injuries. If neither of us know I would get in contact with the paediatric registrar on-call for advice and how to move forward with this.

Question 4

Dealing with a colleague who smells of alcohol.

Answer 4

.

Question 5

Dealing with a patient with a new diagnosed HIV and doesn’t want to tell partner.

Answer 5

.

Question 6

Patient who is verbally abusive to you and ward staff.

Answer 6

.