Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_407»
«MEDICAL WRITING: CASE ABSTRACT_407»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
complicated by the use of anti-hypertensive drugs during pregnancy: a case
Hypertensive syndromes in
pregnancy are one of the leading causes of obstetric admissions into intensive
care units. They are related to changes in the central nervous system caused by
a decrease in cerebral perfusion pressure, indicated by an increase in
intracranial pressure. These changes in pressure usually result from acute
injuries or a decrease in the mean arterial pressure due to iatrogenic action
or shock. However, other vascular disorders may contribute to similar
A 15-year-old girl was admitted to
our hospital complaining of severe headaches since the eighth month of
pregnancy, and presented with an arterial blood pressure of 180/120 mmHg. The
diagnostic hypothesis was pre-eclampsia. Our patient's blood pressure levels
remained elevated, and she was submitted to a cesarean section. After the
procedure, she was referred to our infirmary, presenting with a blank distant
look and with no interaction with the environment, dyslalia, and labial and
upper and lower right limb paresis. She was confused and unable to speak, but
responded to painful stimuli as she conveyed abdominal pain at superficial and
deep palpation. The hypothesis of post-partum psychosis was suggested. She was
then transferred to our intensive care unit, maintaining an impassive attitude
in bed but reacting to external stimuli. Results of a computed tomography scan
revealed ischemic infarction of the territory of her left middle cerebral
artery. A selective cerebral arteriography showed bilateral occlusion of her
internal carotid artery in the intracranial position, prebifurcation and
angiodysplasia in the cervical segments of her internal carotid artery. Sixteen
days after hospital admission, our patient died.
This data shows the need for
careful monitoring of hypertensive syndromes in pregnancy cases, especially in
cases with a history of chronic hypertension or with vascular alterations, It also
highlights the need for constant supervision of blood pressure levels during
the use of anti-hypertensive medications.
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?