Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_406»
«MEDICAL WRITING: CASE ABSTRACT_406»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
emphysema presenting in a woman on the intensive care unit: case report and
review of literature
Pulmonary interstitial emphysema
is a life-threatening form of ventilator-induced lung injury. We present one of
the few reported adult cases of pulmonary interstitial emphysema in a woman
with respiratory failure admitted to our intensive care unit.
An 87-year-old Caucasian woman
with a diagnosis of community-acquired pneumonia was admitted to our intensive
care unit requiring invasive ventilation. The combination of a poor oxygenation
index and bilateral alveolar/interstitial infiltrates on a chest radiograph
fulfilled the criteria for adult respiratory distress syndrome; the cause was
thought to be a combination of the direct pneumonic pulmonary injury and
extrapulmonary severe sepsis. By day seven, the fraction of inspired oxygen,
peak airway and positive end expiratory pressures weaned sufficiently to allow
an uncomplicated percutaneous tracheostomy. On day 10, problems with
ventilation necessitated recruitment maneuvers with a Mapleson C circuit, after
which dramatic surgical emphysema was noted. An upper airway bronchoscopy
showed no obvious tracheal wall injury, and computed tomography of her chest
showed extensive surgical emphysema, perivascular emphysema and peribronchial
emphysema, which were consistent with a diagnosis of pulmonary interstitial
emphysema. Over the following days, despite protective ventilatory strategies
and intercostal tube thoracostomy, lung compliance along with oxygenation
deteriorated and our patient died on day 14.
The development of pulmonary
interstitial emphysema is a rare but real risk when caring for patients with
worsening lung compliance on the intensive care unit. Improved awareness of the
condition, early protective ventilation strategies and timely treatment of any
of the lethal complications will hopefully result in improved survival from the
condition in adults.
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?