Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_428»
«MEDICAL WRITING: CASE ABSTRACT_428»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
An unusual cause of chyluria
after radiofrequency ablation of a renal cell carcinoma: a case report
This report highlights a rare
cause of chyluria occurring after radiofrequency ablation of a renal cell
carcinoma. The condition requires a high index of suspicion, as it may not be
diagnosed routinely on imaging follow-up after treatment. As chyluria can vary
from no symptoms to hypoproteinemia, hypolipidemia and impaired immune
function, prompt diagnosis will allow timely management of symptoms.
During a routine renal
examination, an otherwise fit and well 79-year-old Caucasian man was found to
have a peripherally situated tumor. He underwent renal radiofrequency ablation
as primary treatment. Periodic imaging follow-up over two years showed no evidence
of residual or recurrent disease within the zonal ablation. The routine imaging
protocol at St James's Hospital included upper abdomen only for kidney
assessment; pelvic examination was not included. However, our patient underwent
a computed tomography scan of his abdomen and pelvis at the request of his
local urologist, around two and a half years after the renal radiofrequency
ablation. A fat-fluid level was seen within the urinary bladder, consistent
with chyluria. As our patient was asymptomatic, he was treated conservatively.
It is important to be aware of
chyluria as a possible complication of renal radiofrequency ablation, and to
recognize the fat-fluid level sign within the bladder or collecting system on
computed tomography scans. As most institutions do not routinely perform
computed tomography scans of the pelvis as part of their follow-up protocol
after renal radiofrequency ablation, a high index of suspicion is required for
diagnosis. Routine urine analysis for fat should be considered, as prompt
diagnosis is crucial to guide management for symptomatic patients.
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?