Adpkd Ethical Dilemma

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Autosomal Dominant Polycystic Kidney Disease or (ADPKD) and Ethical Dilemma.

Many years ago, my sister and I always drop off my niece to her mother-in- law’s house for babysitting before she goes to work. I have frequently noticed that her mother-in-law has a protruding abdomen. These seem to be peculiar to me personally. However, it never crossed my mind concerning a medical anomaly. A few years later, her mother-in-law passed away. When I inquired regarding the cause of her passing, my brother-in-law told this writer, it is due to Polycystic Kidney Disease (PKD).

According to (Bennett, Rahbari-Oskoui, Chapman, Perrone, & Sheridan, 2014) ADPKD is the most common hereditary kidney disease, resulting 1 in every 400 to 1000 people; kidneys become
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According to (Srivastava & Patel, 2014, p. 306) ultrasonography (US) is the diagnostic imaging of choice in that, it is inexpensive, readily available and lack of radiation exposure. Not to mention, (Crist, McVay, & Marocco, 2013, p. 7) added that when advocating for an appropriate screening device and examination, a cost vs. gain equation usually enters the decision-making process. My niece completed her renal ultrasound test, and the result turned out to be negative. Also, the doctor performed a genetic testing as strongly recommended to her. Furthermore, (Srivastava & Patel, 2014, p. 306) believed that a young at-risk patient who is asymptomatic and has negative findings on renal ultrasound would benefit from genetic testing as a confirmatory test since it does not rely upon age-specific criteria. Her genetic test is also negative, meaning that there is no defective gene found.

As shown above, we took the risk of not disclosing the genetic anomaly from our niece, not to be insensitive, rather prepare her mind and emotions from when the time comes that she has to attempt one on one with the screening test to find out her fate.
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