This document outlines a 13-item checklist for writing case reports. It includes key elements such as providing a title that indicates it is a case report and highlights the main point of interest. The abstract should introduce what makes the case unique and its contributions, summarize the main symptoms, diagnoses, interventions, and outcomes, and state the main lessons learned. The body of the report should provide demographic and medical history, clinical findings, diagnostic process and reasoning, treatment details, follow-up outcomes, discussion of strengths/limitations and relevant literature, and conclusions. Informed consent from the patient should also be addressed.
This document outlines a 13-item checklist for writing case reports. It includes key elements such as providing a title that indicates it is a case report and highlights the main point of interest. The abstract should introduce what makes the case unique and its contributions, summarize the main symptoms, diagnoses, interventions, and outcomes, and state the main lessons learned. The body of the report should provide demographic and medical history, clinical findings, diagnostic process and reasoning, treatment details, follow-up outcomes, discussion of strengths/limitations and relevant literature, and conclusions. Informed consent from the patient should also be addressed.
This document outlines a 13-item checklist for writing case reports. It includes key elements such as providing a title that indicates it is a case report and highlights the main point of interest. The abstract should introduce what makes the case unique and its contributions, summarize the main symptoms, diagnoses, interventions, and outcomes, and state the main lessons learned. The body of the report should provide demographic and medical history, clinical findings, diagnostic process and reasoning, treatment details, follow-up outcomes, discussion of strengths/limitations and relevant literature, and conclusions. Informed consent from the patient should also be addressed.
This document outlines a 13-item checklist for writing case reports. It includes key elements such as providing a title that indicates it is a case report and highlights the main point of interest. The abstract should introduce what makes the case unique and its contributions, summarize the main symptoms, diagnoses, interventions, and outcomes, and state the main lessons learned. The body of the report should provide demographic and medical history, clinical findings, diagnostic process and reasoning, treatment details, follow-up outcomes, discussion of strengths/limitations and relevant literature, and conclusions. Informed consent from the patient should also be addressed.
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CARE Checklist (2013) of information to include when writing a case report
Topic Item Checklist item description Reported on page
Title 1 The words “case report” should be in the title along with what is of greatest interest in this case Key Words 2 The key elements of this case in 2 to 5 key words Abstract 3a Introduction—What is unique about this case? What does it add to the medical literature? 3b The main symptoms of the patient and the important clinical findings 3c The main diagnoses, therapeutics interventions, and outcomes 3d Conclusion—What are the main “take-away” lessons from this case? Introduction 4 Brief background summary of this case referencing the relevant medical literature Patient Information 5a Demographic information (such as age, gender, ethnicity, occupation) 5b Main symptoms of the patient (his or her chief complaints) 5c Medical, family, and psychosocial history including co-morbidities, and relevant genetic information 5d Relevant past interventions and their outcomes Clinical Findings 6 Describe the relevant physical examination (PE) findings Timeline 7 Depict important milestones related to your diagnoses and interventions (table or figure) Diagnostic Assessment 8a Diagnostic methods (such as PE, laboratory testing, imaging, questionnaires) 8b Diagnostic challenges (such as financial, language, or cultural) 8c Diagnostic reasoning including other diagnoses considered 8d Prognostic characteristics (such as staging in oncology) where applicable Therapeutic Intervention 9a Types of intervention (such as pharmacologic, surgical, preventive, self-care) 9b Administration of intervention (such as dosage, strength, duration) 9c Changes in intervention (with rationale) Follow-up and Outcomes 10a Clinician-assessed outcomes and when appropriate patient-assessed outcomes 10b Important follow-up test results 10c Intervention adherence and tolerability (How was this assessed?) 10d Adverse and unanticipated events Discussion 11a Discussion of the strengths and limitations in the management of this case 11b Discussion of the relevant medical literature 11c The rationale for conclusions (including assessment of possible causes) 11d The main “take-away” lessons of this case report Patient Perspective 12 Did the patient share his or her perspective or experience? (Include when appropriate) Informed Consent 13 Did the patient give informed consent? Please provide if requested Yes ___ No ___