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3. Table of contents
01 04
02 05
03 06
Abstract
Introduction
Case presentation
Discussion
Conclusion
Roadmap
5. Abstract
In the abstract of your case report, you should
provide a concise summary of the key aspects of
the case. This includes:
● Briefly describing the patient's condition
and relevant clinical findings
● Highlighting any unique or rare features of
the case
● Mentioning the main interventions or
treatments employed and their respective
outcomes
6. Importance
Introduction
Highlight the significance and
educational value of the case.
Emphasize the uniqueness, rarity,
or complexity of the presented
case, and explain how it
contributes to the existing
knowledge or clinical practice
Provide a brief overview of the
condition or disease being
discussed in the case. Include
pertinent information about its
prevalence, clinical manifestations
and any relevant previous studies
or literature
Background
7. Case presentation
Patient profile
Clinical findings
Include essential demographic information such as age, gender, and medical history. Describe the
patient's chief complaint and the timeline of symptoms leading to the diagnosis
Present an overview of the patient's physical examination findings, laboratory test results and any
imaging or diagnostic procedures. Highlight key abnormalities that aid in the diagnosis
Outline the diagnostic process, including the reasoning behind the chosen investigations and tests.
Discuss the results, their interpretation and their contribution to reaching the final diagnosis
Diagnostic workup
8. Explore potential diagnoses based on
the patient's presentation and relevant
findings. Discuss distinguishing features
for each and reasons for
inclusion/exclusion
Present the confirmed diagnosis and
explain diagnostic criteria. Outline the
chosen treatment approach and rationale
behind it
Describe the patient's progression,
treatment response and any significant
events or complications. Summarize the
final outcome
Discuss the case's educational value,
highlighting unique aspects. Share
insights gained, including diagnostic
challenges, treatment considerations or
disease mechanisms
Discussion
Differential diagnosis
Clinical course
Treatment
Lesson learned
9. Conclusion
Address any diagnostic challenges, emphasizing the importance of
thorough investigation and clinical reasoning
Highlight successful outcomes achieved through the chosen
treatment approach, showcasing effectiveness
Emphasize the case's educational value, impact on medical
knowledge, professional development, and learning
Identify areas for future investigation that have emerged from the
case, stimulating advancements
Challenge
Success
Lessons
Summarize valuable lessons learned, providing insights to guide
future clinical decision-making and enhance care
End with a concise concluding statement, summarizing the overall
significance of the case
Significance
Research
Summary
10. Patients on the study
20,000
Received placebo treatment
50,000
5,000
Had secondary effects
11. Use percentages in your case report to
quantify and communicate the frequency or
proportion of important findings or outcomes
95%
12. A picture is worth
a thousand words
Using an image in your case report enhances
visual representation and provides a concise and
impactful way to present key findings or illustrate
important aspects of the case
13. This is a graph
Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Understanding the
numbers
Incorporating a graph in your case report
offers several advantages. It allows for the
clear visualization and concise
representation of data trends,
comparisons, or correlations. By
presenting information in a visual format,
graphs enable readers to quickly grasp
and interpret complex findings
14. This is a table
Age Gender M. history Symptoms Diagnosis
Patient 1 45 Male Hypertension Symptom Diagnosis 1
Patient 2 32 Female Asthma Symptom Diagnosis 2
Patient 3 60 Male Diabetes Symptom Diagnosis 3
Patient 4 50 Female None Symptom Diagnosis 4
Patient 5 28 Male None Symptom Diagnosis 5
Patient 6 70 Female Osteoarthritis Symptom Diagnosis 6
15. Milestones reached
Initial presentation with
chief complaint
Diagnostic evaluation
and investigations
Confirmation of
the diagnosis
Initiation of appropriate
treatment
01
02
03
04
Monitoring response
to treatment
Follow-up assessment
for outcomes
Confirmation of
the diagnosis
Case discussion and
lessons learned
05
06
07
08
16. Case presentation: medical history
About the patient
Patient’s age 42 years old
Gender Female
Medical
conditions
Chest pain, shortness of breath
Previous
treatments
None reported
Introduction
She has been experiencing these
symptoms for the past 2 days, with
the pain increasing in intensity and
frequency
Key findings
● Summarize the most important or relevant
aspects of the patient's medical history
● Use bullet points to present the key findings in a
clear and organized manner
Conclusions
In this section, summarize the key findings
from the medical history
Provide an overview of the implications for
the current diagnosis and treatment plan
01
02
17. Discussion
● Briefly summarize the main
findings and results of the
case report
● Mention the purpose of the
discussion and what will be
covered
● Present different
perspectives and opinions
on the findings, based on
the literature and other
relevant sources
● Use bullet points to
highlight key arguments
and counterarguments
● Address any limitations or
weaknesses of the study
and suggest potential
solutions or areas for
further research
● Summarize the key points
of the discussion and their
implications for clinical
practice or future research
● Offer any final
recommendations or take-
home messages for the
audience
Introduction Main discussion Conclusions
01 02 03
18. Outcomes and recommendations
Start
Outcome
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Outcome
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Outcome
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● Write your recommendation
● Write your recommendation
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“Despite being red,
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