Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_267»
«MEDICAL WRITING: CASE ABSTRACT_267»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Prolactinoma presenting as
chronic anaemia with osteoporosis: a case report
Unexplained anaemia is a rare mode
of presentation for prolactinoma. We describe a case of a man, with chronic
anaemia ascribed to old age. Six years later, he was evaluated and diagnosed
with a prolactinoma and resultant osteoporosis. Prolactinoma in old people may
present insidiously with chronic anaemia and osteoporosis with or without
We describe the case of a
70-year-old Caucasian man who presented with mild anaemia and tiredness. His
anaemia was investigated and ascribed to senescence. Endocrine causes were not
considered or tested for. Six years later, he was again referred. Reassessment
and direct questioning revealed long-standing sexual dysfunction. It was also
discovered that our patient had fractured his radius twice, with minor trauma,
during the preceding year. His serum prolactin was massively increased and a
magnetic resonance imaging (MRI) scan of the head demonstrated a pituitary mass
consistent with a prolactinoma. Dual X-ray absorptiometry revealed
osteoporosis. Treatment of the prolactinoma led to a reduction in his serum
prolactin with a rise in his haemoglobin to normal levels. This suggested that
the prolactinoma was present during the initial presentation and was the cause
of his anaemia.
This case highlights the
importance of fully evaluating and investigating unexplained anaemia in older
people and that endocrine causes should be considered. Osteoporosis also
requires evaluation with secondary causes considered.
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?