Write 4 page essay on the topic Clinical Decision Making.The American Board of Internal Medicine (ABIM) stipulates that honour, integrity and accountability and duty should be the pillar of a professi

Write 4 page essay on the topic Clinical Decision Making.

The American Board of Internal Medicine (ABIM) stipulates that honour, integrity and accountability and duty should be the pillar of a professional assessment. The South Australia Ambulance Service failed to observe these rules of professionalism. This is evident in the manner they approached Mr. Markantonakis, first by questioning the patient personally despite the pain that he was going through. Similarly, despite being told by the patient’s wife about the patient’s past medical problems, the officers further demonstrate their lack of professionalism and ethics by seeming to refuse to acknowledge the wife’s account of the patient’s prior problems Further, they also fail to perform extensive physical assessment of the patient as required in the practice so to have an account of how to further contain the situation. As a matter of fact, the officers also overrule carrying out simple basic initial assessment procedures such as blood pressure measurement, opting to assess the patient by mere physical assessment procedure such as colour, as explained by the Eleni Markantonakis. The officers demonstrate poor professionalism by prejudging Mr. Markantonakis’s movements of pain, deeming as exaggeration, which they further aggravate by refusing to take the patient to his medical facility of choice citing congestion at the facility. Arnold (2006, pg. 503) asserts that professionalism entails respect for others, including patients, as the essence of humanity. Question 2 - From the coroner’s report, being a patient over sixty years of age, the first diagnosis would have been to consider diseases or infections where age sixty is a serious risk factor. A number of diseases that cause abdominal and back pains are usually associated with ageing, especially in men. - The observation of the major medical symptoms apart from the pain, such as skin colour and condition, nausea and vomiting and the heart rate. These may point to a number of diseases such as jaundice, as well as abdominal aortic aneurysm - Examination of the patient’s abdomen by palpation to examine whether there are any lamps, stiff or rigid abdomen, and pulsations in the abdominal region. This would pave way - For abdominal or back pain without any major symptoms, further tests can include carrying out an Angiogram. Following confirmation of a lamp, the size of the lamp can be determined using a CT scan of the abdominal area. This can be confirmed by an ultrasound crucial for determination of the exact location of the lamp, the nature of the lamp whether inflammation or blood clots. - Ultrasound is quite crucial, especially when abdominal aortic aneurysm among other conditions is suspected because it aids in measuring the size and other important aspects of the condition to help determine the risk for rapture. - The above diagnoses can provide a confirmation of the patient’s condition as abdominal aortic aneurysm. Additionally, depending on the size of the lamp, that is, the possibility of rapture, immediate open abdominal aortic aneurysm repair surgery would be recommended. - The repair can include the replacement of the abnormal vessel with an artificial Dacron graft or performing an endovascular stent grafting (Bhimji 2012). Question 3 As explained by Mrs.