Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_423»
«MEDICAL WRITING: CASE ABSTRACT_423»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Perforated gastric corpus in
a strangulated paraesophageal hernia: a case report
Patients with paraesophageal
hernias often present secondary to chronic symptomatology. Infrequently, acute
intestinal ischemia and perforation can occur as a consequence of
paraesophageal hernias with potentially dire consequences.
An 86-year-old obtunded male
presented to the emergency department with hypotension and severe back and
abdominal pain. An emergency abdominal CT scan was ordered with a presumptive
diagnosis of ruptured abdominal aortic aneurysm. CT topograms revealed
extensive free intra-abdominal air and herniated abdominal viscera into the
right hemithorax. Prior to completion of the CT study, the patient sustained a
cardiopulmonary arrest. Surgery was consulted, but the patient was unable to be
revived. Post-mortem examination revealed gross contamination within the
abdomen and a giant, incarcerated, hiatal hernia with organoaxial volvulus and
Current recommendations call for
prompt repair of giant hiatal hernias before they become symptomatic due to the
increased risk of strangulation. Torsion of the stomach in large hiatal hernias
frequently leads to a fatal complication such as this warranting elective
repair as soon as possible.
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?