506
Case639591011080140187240
2.90959101106090
A639729011087
local748729011061121174228260
doctor,1038729011088148201234294334359
on1427729011088148
call,1605729011080133166199230
examined1866729011081140195287321381434494
a2390729011081
35-year-old2500729011088148188249300354394435495528588
woman,31187290110115175268321381411
T.,35597290110101122152
at3741729011081114
home.3885729011088148241294324
She4238729011094154208
complained4475729011081140234294327381414474527587
of5092729011087127
acute5249729011081133193226280
abdominal639867011053113173233326360420473506
pain1175867011063116149209
radiating141486701104296156189242276309369429
to187386701103696
the199986701103696149
lower217886701103696182235276
back,2484867011062115169229259
nausea,2773867011062115175221276330359
and3162867011056115175
dizziness,336786701106396149203237297351397444474
which3873867011087147180234293
had4196867011062117176
begun4402867011062116176235295
two4727867011036122182
days4941867011062115177221
earlier.5192867011057110149183216269310332
The6391005011073133187
patient8551005011069123156189243302336
suspected12211005011056116163223276329362415475
that17261005011043103156189
her19451005011070123163
pain21381005011070123156216
was23941005011086139185
related26091005011050103136189222277336
to29751005011043103
food31081005011050110170230
poisoning.33681005011069129162209269329363423483512
The39101005011082142196
doctor,41351005011070130183216276316341
after45061005011063102135189228
consulting47641005011064123183230290323357390451511
with53131005011086121154214
the639114301103393147
patient,8161143011080133166199253312346376
palpated12221143011080134166226280313366426
her16781143011080134174
abdomen,18831143011073133193253346399459489
recommended24021143011060114167227320413467527587640700
a31321143011074
diet,32361143011080113166200230
and34961143011073133193
prescribed37191143011080120174220274313347407460519
No-Spa.426911430110107167210277338391421
A472011430110107
day48491143011080134195
later,50721143011054107140194234259
the53611143011054114167
patient6391281011060113146180233293326
was10041281011086139185
taken1219128101104295155209268
by15171281011068129
ambulance16731281011063155217277310363423477529
to22321281011041101
the23631281011042102156
hospital25491281011068128174234268301355388
with29741281011087120153213
signs3217128101105689149208255
of35021281011068108
generalized36401281011068120180233273327359393446500560
peritonitis,42301281011068121161194227287347381414448495525
where47931281011087147200239296
she51181281011055115169
died53161281011069102154214
the639141901103393147
following8161419011043103136170230316350410470
day.13161419011063116177197
An15481419011087147
autopsy17251419011056116150210270317378
revealed2131141901104397157210263296350410
pathological25711419011063117150210270303363424456511564597
findings3198141901104377137197230290351397
consistent36251419011057116176223256303337390450483
with41421419011086121154214
an43861419011057117
ectopic45331419011056109142202262295349
pregnancy,49121419011063104157218276330389444504525
a54681419011056
ruptured6391557011040100160193253293346406
left10751557011048102143176
fallopian12811557011055109142175236296329382442
tube,17531557011049109170224253
a20361557011069
large21361557011048102142200253
amount24191557011068161221281341375
of28241557011075116
blood29701557011076109170230290
in32901557011049109
the34291557011049109162
pelvic36211557011076130163223256310
cavity,39601557011069123183216249311331
purulent43221557011076136176236269322382415
salpingitis,47671557011063116149209242303364396429463510540
and53371557011069128189
generalized6391695011060112172226265319351385438492552
peritonitis.12211695011060113153187220280340374407441488518
Questions6391833011087147200246279313373433480
for11491833011040100140
discussion:1318183301106093140194253300347380440500534
1)8191971011060100
Determine9991971011087140173226266359392452506
what15341971011087147201234
defect17981971011060113153207260292
in2120197101103494
medical22451971011094147207240293346379
care26541971011053107147200
is2883197101103481
illustrated2994197101103367100160207240280334367420481
by35051971011060121
this3653197101103494127174
case?38571971011053106153207260
2)8192109011060100
What99921090110113174227260
principles12892109011060100133193247280340373427473
of17922109011060100
medical19222109011093146206239293347380
ethics2332210901105386146180233280
and26422109011053112172
legal2844210901103487148200233
norms31072109011060120161254301
were34382109011087140179232
violated3700210901106093153186240273326386
by41162109011060122
the4266210901103393148
doctor?44432109011060120174206268308361
Case6392385011080140187240
3.909238501106090
A6392524011087
woman7622524011087148242297357
in11512524011039100
labor,1282252401103994155216257287
N.,16052524011087118149
was17902524011086140188
admitted20092524011059120214249283318373433
to24732524011038100
the2604252401103999154
infectious27882524011040101142196249283317379440488
diseases3307252401106699147201255303357404
ward37482524011087141182242
of40222524011065106
the4159252401103999154
city's4344252401105993127190210257
clinical4632252401105993128189224278332366
infectious50302524011050111152206260294329390450498
diseases639266201106094142197251298353400
hospital10702662011070131177238273306361395
with15062662011087121154216
a17532662011062
diagnosis18452662011068103157218278339387421469
of23462662011069110
acute24862662011062116177211266
respiratory27832662011049103150211246287340374435476538
viral33492662011069104145199233
infection,36132662011043105146200254287322383445476
acute41202662011062116176210265
tracheobronchitis,4416266201104284138192252306367428469530591645706740774809857888
and53342662011063123183
acute6392800011053107168202257
pneumonia.9262800011091153207268362423484519573604
Her156028000110118172212
pregnancy18032800011090131185246306360421475538
was237028000110117172219
38-3926202800011091152198259320
weeks.297128000110118172226286334365
Obstetrician-gynecologist3367280001101181792262613163503914254805125676286727327938529089621022105711181179121212601295
B.469328000110111142
administered48662800011084145239274335369417451506546600660
conservative6392938011053114175223277318378433467501563617
therapy12872938011057118173213267328390
in17052938011057118
the18562938011057118172
advanced20592938011077138199253314368422483
stage25732938011070105160220273
of28772938011084125
the30342938011057118173
infectious32372938011058119160221274308343404465512
disease,37802938011084119167221275322377407
ignoring42172938011058119179240281315376438
N.'s468529380110110141164210
test49262938011058112160194
results,51512938011064118166227261296344374
which6393076011087147182237297
indicated9673076011042103164198252306340395455
fetal14533076011049103137191225
hypoxia17093076011069131190251312346401
and21413076011061122183
increasing23553076011042102156197251305352386448509
gestosis28943076011068121170204266313348395
(severe3320307601104896150211265306360
toxicosis37103076011042103163198252313361395443
of41833076011068109
pregnancy),43223076011069110164224284339399454517555586
which49473076011087148182237297
is5276307601104189
an53963076011061121
indication639321401103395156190245299333367427489
for11593214011041101143
surgical13323214011048109150211244299353387
delivery.17503214011061114148183244299339401429
The22113214011073134189
doctor24303214011061122177211272313
refused,2774321401104195135196244298359390
resulting3195321401104195142204238273307367429
in3654321401103496
the3781321401103495150
death39613214011061116170204265
of42563214011061102
N.43903214011086117
and45383214011055115176
the4746321401103495150
fetus.4926321401104195129189237268
Questions6393352011087147200246279313373433480
for11493352011040100140
discussion:1318335201106094140193253300347380440500534
1)8523490011060100
Determine9933490011087140173226266359392452506
what15283490011087147201234
defect17923490011060113153207260292
in2114349001103494
medical22393490011094147207240293346379
care26483490011053107147200
is2877349001103481
illustrated2988349001103367100160207240280334367420481
by34993490011060121
this3647349001103494127174
case?38513490011053106153207260
2)8523628011060100
What99236280110114174228260
principles12823628011060100134194247280340373427473
of17853628011060100
medical19153628011094147206240293347380
ethics2325362801105387147180233280
and26353628011053113173
legal2838362801103386147199232
norms31003628011060120161255301
were34313628011087140180233
violated3693362801106093153187240273327387
by41103628011060122
the4259362801103494148
doctor?44373628011060120173206267307360
Case6394042011080140187240
4.909404201106090
Before6394180011080132172232273326
the9944180011042102155
abortion,11794180011061121181221254288348408438
the16474180011041101155
doctor18324180011068128181214274314
administered21764180011061121214247308341388421475514568627
ammonia28334180011061154248308368401455
locally33184180011041101154208240274335
instead36804180011041101148181235288347
of40574180011069109
novocaine.41964180011069129189249302355388448501531
This47594180011082142175222
resulted50114180011049102148208241274328388
in54294180011041101
necrosis6394318011060113166206266312346392
of10614318011063103
the1194431801103696149
vagina,13734318011062116176208268323352
part17554318011063117157190
of19754318011062102
the2107431801103595150
rectum,2286431801104396150182242336366
bladder,2682431801106296149209269322363393
and31054318011056115175
ureter.33104318011063103157190243283312
The36544318011074134188
measures38744318011093146201247307347401447
taken4351431801103689149202262
saved46434318011049103163216275
the4948431801103696151
patient's51284318011062116149182236295330351397
life,639445601103367107160189
but8584456011060120154
she10424456011047107160
was12324456011086139185
left1447445601103487127160
with16374456011087120153214
a18824456011053
first-degree1965445601103973113159192233293346407446500552
disability.2547445601106093140193253287320354387450477
Questions6394594011087147200246279313373433480
for11494594011040100140
discussion:1318459401106093140193253300347380440500534
1)8524732011060100
Determine9934732011087140173226266359392452506
what15284732011087147201234
defect17924732011060113153207260292
in2114473201103494
medical22394732011094147207240293346379
care26484732011053107147200
is2877473201103481
illustrated2988473201103367100160207240280334367422482
by35004732011060121
this3649473201103393127174
case?38534732011053106152206259
2)8524870011060100
What99248700110114174228260
principles12824870011060100134194247280340373427473
of17854870011060100
medical19154870011094147206240293347380
ethics2325487001105387147180233280
and26354870011053113173
legal2838487001103386147199232
norms31004870011060120161255301
were34314870011087140180233
violated3693487001106093153187240273327387
by41104870011060122
the4259487001103494148
doctor?44374870011060120173206267307360
Patient6395150010873132172205260326366
rights1035515001085386146213253300
and13655150010860127193
doctor's15895150010867127180220280333366412
responsibilities20315150010854104150217278344391425492526559593633666719766
Case6395284011080140187240
5.909528401106090
Consider6395422011080140200247280341394433
two11025422011034120180
situations1312542201104780114174227260294354414460
where18025422011087147200240293
parents21245422011060115154207267300347
refuse2501542201104094133193240293
medical28245422011093148208242295348381
care:32355422011053106146200232
8195551068107
A9995560011087
mentally11105560011094147207240294327360423
disabled1563556001106093140193253286340399
newborn19925560011063116202263323363423
dies2445556001106295148195
of26705560011062102
pneumonia.28025560011062122175235328388448482537566
The34025560011073133186
infant's3618556001103595135189248281304350
life3998556001103669109163
could41905560011055115175208268
have44885560011063116177230
been47475560011063116169228
saved50055560011049102162216276
with53135560011087120154214
antibiotics.9995698011053113146180240273333367400454500530
8195827068107
The9995836011073133187
newborn12155836011067120207267327367427
suffers16725836011054114154192245285331
from2033583601104888148242
anal23055836011061120173206
atresia2541583601106194134188234267321
and28925836011060120180
Down31105836011086146233292
syndrome.34345836011053115172232272332425480509
Immediate39735836011048140234287347380433467521
surgical45245836011053115155213245298352384
intervention49385836011041101134188228288342401434468528588
would9995974011087147207240300
likely1329597401104881141195228289
have16445974011075129188242
saved19155974011061114174227287
the22335974011048108161
newborn's24245974011074127213273333373433455501
life,2955597401104881121175204
but31895974011074134167
his33865974011075108155
intelligence35715974011048108141195228261295355407467520573
would417359740110101161221255315
eventually45185974011067128181241274334387421454515
reach50615974011054108161214273
the53645974011048108161
level999611201103387147200233
of12626112011068108
a14006112011062
four-year-old14926112011048108168210250310361415455496556589649
child,21716112011063123156190250280
and24816112011062121181
his26926112011068102148
life2870611201104276116169
expectancy30706112011061121182235288321375435488550
would36566112011086146206240300
be39876112011068121
approximately41386112011063122182222282342376470523556609643704
twenty48696112011043130183243276339
years.52356112011071122176215262292
The9996250011073133187
parents12156250011060113153207266300346
prefer15916250011060100154193247287
that1908625001103393146179
the2117625001103394148
child22956250011053112146179239
die2564625001106094147
a27416250011053
natural28246250011060113146206246300333
death.31876250011060113166199260290
Questions6396388011087147200246279313373433480
for11496388011040100140
discussion1318638801106093140193253300347380440500
1)8196526011060100
What99965260110113174227260
clash1289652601105387140186246
of15656526011060100
ethical1695652601105386146179233286319
principles20446526011060100133194248280340374427474
underlies25486526011060120180233272306339392439
the3017652601103393146
ethical3193652601105486146180235287320
conflict35436526011054114174214246280333366
between39396526011060114147234288340400
parents43696526011060114154207267301347
and47466526011054114174
doctors?49506526011060120173206266306352406
2)8196664011060100
What99966640110113174227260
is1289666401105197
the14166664011051111164
position16106664011076136183216250283344404
of20446664011076116
medical22056664011094147207240294347379
ethics?26146664011071103163197250297350
(See:29966664011057123177229262
International32886664011058116150203243303356389422483543596629
Code39476664011097157217270
of42476664011076116
Medical441066640110106160219254307360393
Ethics,48336664011090124184217270317347
WMA522666640110114221308
Venice9996802011087126186219273326
Declaration13626802011087140193226279320373406439499559
(1983),19516802011047107167227288328358
UNESCO23466802011087173246313393480
Universal28636802011086146180240293334380434466
Declaration33686802011086140192225278318372405438499559
on39576802011067127
Bioethics41226802011080113173226259319353406453
and46056802011061120180
Human48226802011087147240294353
Rights52126802011080114175234267314
(2005),9996940011040100160220280320350
Declaration137969400110101155208241294334388421454515575
on19846940011075135
Patients'21496940011084137170203257317350397418
Rights25966940011096130190249282329
Policy29556940011082143176209263325
in33076940011049110
Europe,34476940011089149189249309362392
UN386969400110102189
Declaration408869400110102155209242295335389422455515575
on46936940011076136
the48596940011049109162
Rights50516940011095129189248281328
of54146940011075115
Disabled9997078011087120167220280313366426
and14557078011054113173
Mentally165870780110106160219253306339373435
Retarded21217078011080135168221261320373433
Persons)25847078011067120161208268328374414
Case6397354011080140187240
6.909735401106090
A6397492011087
child7527492011053112146179240
was10267492011087140186
admitted12427492011058118211244278312365425
from1697749201104383142237
a19647492011057
country20507492011057117177237270310372
health24507492011064118170203237297
camp27777492011058111204264
to3072749201103797
the3199749201103797150
nearest33797492011063117171210263309343
hospital37537492011063123170230264297350384
by41677492011063124
ambulance43197492011058152212272305359418472524
with48787492011086120153213
an51217492011057116
acute52687492011057110171205258
surgical6397630011047107147204236291344376
emergency.10457630011068161214254313366425479539560
The16367630011086146199
situation1866763001106093126187240273306367427
was23367630011086140186
rapidly25527630011053107166200260293355
deteriorating.29347630011075128162215255288348388441474507567629657
But36217630011095154187
instead38387630011047107154187241293353
of42217630011074114
immediately43657630011046140233287347380433466519553615
saving50087630011059113172206266327
the53647630011046108161