Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_225»
«MEDICAL WRITING: CASE ABSTRACT_225»
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·What is an abstract?
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Hypothyroidism in a
five-year-old boy with rhabdomyolysis and recent history of cardiac tamponade:
a case report
Cardiac tamponade is a rare
manifestation of hypothyroidism, and a less rare cause of pericardial effusion.
The accumulation of the pericardial fluid is gradual, and often does not
compromise cardiac hemodynamic function. There is a relationship between the
severity and chronicity of the disease with the presence of pericardial
effusion. There are few cases describing associated pericardial tamponade
published in the literature. When a tamponade occurs, a concomitant provocative
factor such as a viral pericarditis may be related. Our patient's case appears
to be the youngest patient described so far.
We report the case of a previously
healthy five-year-old Hispanic (non-indigenous) boy who developed
rhabdomyolysis with a history of a recent pericardial effusion and tamponade
two months before that required the placement of a percutaneous pericardial
drainage. Pericardial effusion was considered to be viral. Later on
readmission, clinical primary hypothyroidism was diagnosed and thought to be
associated with the previous cardiac tamponade. He developed rhabdomyolysis,
which was considered to be autoimmune and was treated with steroids. The level
of creatine phosphate kinase and creatine kinase MB fraction returned to within
the reference rangeone week after our patient was started on steroids and three
weeks after he was started on thyroid hormones.
Physicians should consider
hypothyroidism as a differential diagnosis in patients with pericardial
effusion. Pericardial effusion may progress and cause a cardiac tamponade with
hemodynamic instability. The fact that our patient did not have any
manifestations of hypothyroidism might have delayed diagnosis.
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1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
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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?
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