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No, extended consent is not implied.
Implied consent (tacit consent) is the most common variety and is generally accepted in the practice of a family physician or consultant who generally prescribes medicines after noting the history of the patient and physical examination. The fact that a patient comes to a doctor for treatment of an ailment implies that he is agreeable to medical examination in the general sense. This is implied consent and would encompass physical examination (not intimate examination), palpation, percussion, auscultation and routine sonography (which would include echocardiography).
Implied consent is consent assessed when the surrounding circumstances lead a reasonable person to believe that consent has been granted even though word of agreement were not direct, express or explicit.