Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_356»
«MEDICAL WRITING: CASE ABSTRACT_356»
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·What is an abstract?
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Twin reversed arterial
perfusion (TRAP) sequence in association with VACTERL association: a case
Twin reversed arterial perfusion
(TRAP) sequence is a rare complication of multiple pregnancy caused by defects
in early embryogenesis. The pump twin supplies the acardiac recipient twin with
blood, and although the pump twin is usually structurally normal, congenital
anomalies have sometimes been reported. We report a unique case of twin
reversed arterial perfusion sequence with a prenatal diagnosis of VACTERL
association in the surviving pump twin.
A 24-year-old Caucasian woman
presented at 11 weeks' gestation with a monochorionic, monoamniotic twin
pregnancy. A reversed arterial flow was noted on a Doppler imaging study coming
from the larger, apparently normal twin to the smaller, grossly abnormal twin,
and a diagnosis of twin reversed arterial perfusion sequence was made. Cardiac
activity was undetectable in the recipient twin by 16 weeks' gestation. Further
detailed assessment at 18 weeks' gestation revealed multiple congenital
anomalies of the surviving pump twin, in keeping with a diagnosis of VACTERL
association. A live infant girl was delivered at 39 weeks by elective cesarean
section. She underwent extensive surgery with subsequent normal development at
the age of two years.
The co-existence of two rare and
complex conditions in this unique case raises interesting questions about the
role of early defects in embryogenesis and their subsequent effects on fetal
development. This case also highlights the importance of prenatal diagnosis of
major congenital anomalies to the plan treatment, reduce morbidity and aid the
survival of affected children.
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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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