Medicolegal

Question 1

termination of physician-patient relationship

Answer 1

Must be done in writing via certified mail
15-30 days provisional care
Provide referral information
Notification that patient records will be sent to new physician with patient authorization

Question 2

sudden infant death syndrome (SIDS)

Answer 2

Unexplained infant death after thorough scene investigation, autopsy, and review of clinical record
Accounts for 1/2 of sudden unexpected infant death (SUID)

Question 3

SIDS risk factors

Answer 3

Maternal smoking (2x)
SIDS in earlier sibling (5x)
Prone or side sleep
Sleep on soft surface
Hyperthermia
Co-sleeping in first 3 months

Question 4

SIDS triple risk

Answer 4

1. vulnerable infant
2. critical development period in homeostatic control
3. exogenous stressor (upper RI, soft bedding, sleeping prone)