Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_394»
«MEDICAL WRITING: CASE ABSTRACT_394»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
presenting as acute abdominal pain in a patient on automated peritoneal
dialysis: a case report
Presentations of abdominal pain in
patients on peritoneal dialysis deserve maximal attention and careful
differential diagnosis on admittance to medical care. In this case report a
gangrenous appendicitis in a patient on automated peritoneal dialysis is
We report the case of a
38-year-old Caucasian man with end-stage renal disease who was on automated
peritoneal dialysis and developed acute abdominal pain and cloudy peritoneal
dialysate. Negative microbiological cultures of the peritoneal dialysis fluid
and an abdominal ultrasonography misleadingly led to a diagnosis of culture
negative peritonitis. It was decided to remove the peritoneal catheter but the
clinical situation of the patient did not improve. An explorative laparotomy
was then carried out; diffuse peritonitis and gangrenous appendicitis were
found. An appendectomy was performed. Myocardial infarction and sepsis developed,
and the outcome was fatal.
A peritoneal dialysis patient with
abdominal pain that persists for more than 48 hours after the usual
antibiotic protocol for peritoneal dialysis-related peritonitis should
immediately alert the physician to the possibility of peritonitis caused by
intra-abdominal pathology. Not only peritoneal catheter removal is indicated in
patients whose clinical features worsen or fail to resolve with the established
intra-peritoneal antibiotic therapy but, after 72 hours, an early
laparoscopy should be done and in a case of correct indication (intra-abdominal
pathology) an early explorative laparotomy.
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?