Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_67»
«MEDICAL WRITING: CASE ABSTRACT_67»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Retrosternal abscess after
trigger point injections in a pregnant woman: a case report
Although retrosternal abscess is a
well known complication of sternotomy and intravenous drug abuse, to date it
has not been described as a consequence of trigger point injections. There are
reported cases of serious complications as a result of this procedure including
epidural abscess, necrotizing fasciitis, osteomyelitis and gas gangrene.
A 37-year-old African-American
woman, who was 20 weeks pregnant, presented to our emergency room with
complaints of progressively worsening chest pain and shortness of breath over
the course of the last two months. She was undergoing trigger point injections
at multiple different sites including the sternoclavicular joint for chest pain
and dystonia. Two years previously she had developed a left-sided pneumothorax
as a result of this procedure, requiring chest tube placement and subsequent
pleurodesis. Her vital signs in our emergency room were normal except for
resting tachycardia, with a pulse of 100 beats per minute. A physical
examination revealed swelling and tenderness of the sternal notch with
tenderness to palpation over the left sternoclavicular joint. Laboratory data
was significant for a white blood count of 13.3 × 109/L with
82% granulocytes. A chest radiograph revealed left basilar scarring with
blunting of the left costophrenic angle. A computed tomography angiogram showed
a 4.7 cm abscess in the retrosternal region behind the manubrium with
associated sclerosis and cortical irregularity of the manubrium and left
Trigger point injection is
generally considered very safe. However, there are reported cases of serious
complications as a result of this procedure. A computed tomography scan of the
chest should strongly be considered in the evaluation of chest pain and
shortness of breath of unclear etiology in patients with even a remote history
of trigger point injections.
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?