Table of Contents

Case report

Case report is a detailed report of the symptoms, signs, diagnosis, treatment, and followup of an individual patient. Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrence. Some case reports also contain a literature review of other reported cases.

Why Case Reports?

Data collection from the point of care integrating clinical expertise with external evidence informs the delivery of high-quality individualized healthcare. “Good case reporting demands a clear focus, to make explicit to the audience why a particular observation is important in the context of existing knowledge.” (Vandenbroucke 2001).

see CARE guidelines.

General University Hospital of Alicante Cases



🧠 Case Report: [Insert concise case title here]

👨‍⚕️ Authors: [Your Name], MD; [Collaborator's Name], MD [Department or Institution Name]

[Brief summary of the case, including diagnosis, key interventions, and why it's relevant]

🩺 Case Presentation

[Patient age, weight, origin or referral source, presenting complaint] [Initial clinical assessment and context] [Key past medical history if relevant]

[Describe any tests (e.g., EEG, MRI, CT) that were pending or scheduled]

🧪 Clinical Findings

🫁 Respiratory:

❤️ Cardiopulmonary:

🌡️ Temperature & Infection:

  • Diuresis: [normal / decreased]
  • Renal function: [e.g., creatinine, urea]
  • Hematology: [Hb, platelets, WBC]
  • Electrolytes: [Na⁺, K⁺, etc.]
  • Coagulation: [PT, INR, aPTT]
  • [Consultations requested (e.g., Neurosurgery)]
  • [Medications started or adjusted]
  • [Surgical planning or scheduling]
  • [Nutrition, sedation, or ventilation strategy]
  • [Monitoring or follow-up orders]

🧠 Final Diagnosis (if applicable)

[Insert final diagnosis if confirmed (e.g., Cystic craniopharyngioma)]

🏷️ Keywords

case_report [diagnosis] [department] [keywords]