Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_263»
«MEDICAL WRITING: CASE ABSTRACT_263»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Suicide attempt by
self-stabbing of the bladder: a case report
The presence of foreign bodies in
the bladder often falls within questionable practices in psychiatric settings
or in iatrogenic instances such as during endoscopy or migration of foreign
bodies around the bladder remaining after surgery on organs close to the
bladder. Psychiatric disorders have been reported in patients admitted for
self-introduction of foreign bodies in the bladder during an act of sexual
satisfaction. However, to the best of our knowledge, no similar case in the
context of suicide has been reported in the English-language literature.
A 56-year-old Moroccan man known
to have untreated paranoid schizophrenia and a history of several previous
suicide attempts was presented to the emergency unit of our hospital after
self-stabbing with a 15cm sewing needle. His stab wound was located at the
hypogastric region of the abdomen, with full penetration of the needle into the
abdomen. A computed tomographic scan showed a breach on the dome of the bladder
responsible for extravasation of the contrast dye, which revealed a peritoneal
cavity effusion of average abundance and a suspected lesion of the left pelvic
ureter. An exploratory laparotomy was performed. Approximately 1000mL of widely
dispersed fluid was observed in the abdominal cavity. During exploration of the
bladder, two centimetric intrabladder breaches were found, one of which was a
breach of the left pelvic ureter without other associated lesions. The breaches
were sutured, and a ureteral catheter was mounted. The patient’s post-operative
follow-up was unremarkable.
The wide variety of ways that
foreign bodies are introduced into the lower urinary tract pose diagnostic and
therapeutic difficulties for the urologist. Management of these patients is
facilitated by the use of endoscopy.
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·Why is it important
·Needs to be reported
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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
published in electronic databases?