Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_25»
«MEDICAL WRITING: CASE ABSTRACT_25»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
A rare case of intussusception
leading to the diagnosis of acquired immune deficiency syndrome: a case report
Although a common cause of
intestinal obstruction in children, intussusception is a rare event in the
adult population living in temperate regions. It has long been known that
various acquired immune deficiency syndrome related conditions of the bowel
such as lymphoma, lymphoid hyperplasia, cytomegalovirus colitis and Kaposi's
sarcoma can lead to intussusception. The diagnosis is particularly difficult in
this population of patients due to the non-specific nature of the symptoms as
well as the depressed immune response obscuring inflammation or ischemia.
Though the reported acquired immune deficiency syndrome associated cases of
intussusception refer to patients with known human immunodeficiency virus
infection, in our case we present an intestinal intussusception as the first
manifestation of human immunodeficiency virus infection.
A 58-year-old white heterosexual
Greek man with a clean medical record and no history of abdominal operation
presented to the emergency department with symptoms and signs of bowel
obstruction. Plain abdominal radiographs were highly suspicious for
intussusception which was eventually confirmed on a computed tomography scan.
Due to the patients clean medical record as well as the radiologic diagnosis of
intussusception, we promptly undertook further serologic tests for human
immunodeficiency virus and eventually established the diagnosis of acquired
immune deficiency syndrome. The patient was operated 3 days later and this
confirmed the diagnosis of small-bowel invagination due to a 4 cm polypoid
growing intraluminal tumor, the pathologic examination of which revealed a
diffuse high-grade B cell lymphoblastic lymphoma.
Human immunodeficiency virus
infection may have a silent course and gastrointestinal manifestations of the
disease leading to intussusception might be the first clinical sign. Patients
with intestinal intussusception, and the presence of risk factors for human
immunodeficiency virus infection should be eligible for serologic tests for
human immunodeficiency virus infection.
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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?
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
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