the ethical risks and potential consequences later in life of not disclosing a patient’s CAIS diagnosis and treatment. Conversely, what would the consequences be for disclosing
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Can We Talk About Sex?
Abstract: A three–year–old female undergoes elective inguinal hernia repair and unexpectedly is found to have testes in the hernia sacs. A recommendation is made not to disclose the patient’s genotype to her mother. This case study addresses the ethical conflict of whether to disclose the patient’s male genotype to the parent that has been raising the child as female.
This case highlights the ethical risks and potential consequences later in life of not disclosing a patient’s CAIS diagnosis and treatment. Conversely, what would the consequences be for disclosing?
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- Can We Talk About Sex? Mindy B. Statter Abstract: A three–year–old female undergoes elective inguinal hernia repair and unexpectedly is found to have testes in the hernia sacs. A recommendation is made not to disclose the patient’s genotype to her mother. This case study addresses the ethical conflict of whether to disclose the patient’s male genotype to the parent that has been raising the child as female. B. Now that disclosure of a CAIS diagnosis is mandatory, what responsibility would a parent potentially have to override a doctor’s recommendations for gender maintenance?Answer with reason: When counseling parents about genetic transmission of an X-linked disorder, which concept does the nurse keep in mind? a. An X-linked disorder can be traced through the paternal lineage. b. A female can only pass an X-liked disorder to a son c. A male can pass an X-linked mutation to a son or a daughter d. A male with a mutation in an X-linked gene will manifest the disease. 5) The nurse explains to parents that if both of them are carriers of an autosomal recessive genetic mutation, the chance of each child NOT inheriting the disease (affected) is a. 25% c. 0% b. 75% d. 50% 0Using the symptoms presented, research online to determine the nature of the disorder, its mechanism (what causes the disorder) and also any complications and treatment options that may exist. A 24-year old patient presents with the following symptoms: Presents as normal external male Close examination reveals small testes Gynecomastia (development of breasts) Genetic karyotyping revealed XX Further genetic testing determines the patient is SRY-positive Smaller than average in height and weight Diagnosis: Mechanism: Possible Complications and Recommendations:
- Identify if the following statements refer to 1. Monozygotic twins 2. Fraternal twins 3. Both Divides through the process of mitosis: Two eggs released and ovulation: One egg is fertilized: Are always the same gender: Genetically Unique: Genetically Identical: More common in women who undergo fertility treatment: Share a placenta:How might the following individuals respond to or feel about these definitions? 1)A woman who ended a pregnancy, for whatever reason 2)A couple who have had a spontaneous abortion 3)A person with a disease that one day may be treated with stem cells. 4)A couple who have unsuccessfully tried to conceive for a decade.Question:- Ben and Elise are pregnant with their 3rd child. The two prior pregnancies resulted in healthy boys but they are still concerned because Elise's first cousin was just diagnosed with DMD (Duchene muscular dystrophy – x-linked). Ben has three healthy brothers and no aunts or uncles. Elise has two healthy brothers and only the one maternal aunt with the son with DMD. What is the chance that Ben and Elise will have a child with DMD? a.1/20 b.1/140 c.1/209
- A 14-year-old boy experiences severe, prolonged bleeding following a tooth extraction. He also has a history of multiple episodes of painful joint swelling following minor trauma. His parents have no bleeding problems. Evaluation shows that the patient has an inherited disorder and that one of his parents is a genetic carrier. His older sister, who does not have this condition, is pregnant. She does not know the sex of her child. She asks about the risk that her child will be affected. Which of the following is the best estimate that this child will have the disease?A couple contemplating a pregnancy are in today for an appointment at a genetic counselling clinic to identify and interpret their risk of an inherited disorder. The nurse explains during teaching that all the following are characteristic features of fragile X chromosome of a 3-year-old male child EXCEPT: a. Macroorchidism b. Autistic behavior c. Intellectual disability d. Characteristic facial features e. Hyperextensible finger jointsPresent a note on : Breast Cancer: The Ambiguities and Ethics of Genetic Testing
- A young lady requesting abortion since she isn't prepared for a child and has no work. Identify and explain the following: - Act or the object of the act: - Intention: (good or bad? Why?) - Circumstances: (increase the good, decrease the good, increase the malice, decrease the malice, choose and why?) - Is the act good or bad? Justify answer using the different bioethical theoriesPatient A's History Patient A is the nearly-full-term fetus of a forty year old female. Chromosomes were obtained from fetal epithelial cells acquired through amniocentesis. Patient A's Karyotype See attached picture 1. Using the correct notation for interpreting karyotypes, give your diagnosis for the conditions of each patient. (standard notation and phenotype (e.g. 47, XY, +21, male Down syndrome)): ReferencesMrs. Xexy Lucero, G0, who is planning to become pregnant tells Nurse Sasha, "I am scared. My brother Zanjo, who was born 2 years after I was, died a month after he was born. My mother says that he had a very serious genetic defect. I don't know what to do." Which of the following responses are appropriate for Nurse Zasha to make? (Select all that apply). a. I Think your mother should make an appointment to meet with your obstetrician. I'm sure she knows a lot more about your brother's illness than she is telling you." b. There are a number of tests that can be performed during your pregnancy tO Screen the baby for genetic diseases." c. lt is almost impossible to figure out what happened way back then, but l'm sure everything will be fine with your baby." d. Do you think your mother would allow your brother's body to be unearthed so that it could be tested for the genetic disease? e. I will discuss your concerns with your Obstetrician. I am sure your doctor will refer you to agenetic…