Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_219»
«MEDICAL WRITING: CASE ABSTRACT_219»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Trivial trauma and delayed
rupture of a normal spleen: a case report
Although a majority of splenic
ruptures present acutely with a known mechanism of injury, a minority of
patients present days to weeks following trauma with a delayed rupture. Also
uncommon is the atraumatic rupture, the vast majority of which occur in
patients with underlying splenic pathology. A handful of cases of apparently
spontaneous rupture of a normal spleen are reported; however, there is debate
about whether these actually represent delayed ruptures following a history of
trauma that is not elicited. Although a few cases of delayed rupture of the
spleen following trivial trauma have been reported, the majority of these
present evidence of an underlying disease process. We found only two such cases
that documented a normal spleen and three cases where underlying splenic
pathology was not reported. We review the literature and discuss the phenomenon
of delayed rupture of the normal spleen following trivial trauma.
A 27-year-old Caucasian man with no
underlying splenic pathology presented with splenic rupture one week after
playfully wrestling with his partner. The patient did not present at the time
of the injury and only recalled it upon repeated questioning after computed
This case lends support to the
theory that the normal spleen can rupture some time after trivial trauma, which
seems like a more plausible explanation than rupture without cause. However,
given the dearth of similar reports in the literature, the possibility remains
that the association we have observed is not causational.
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?