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:
- [Ventilation, oxygenation, saturation levels]
- [Relevant blood gas values]
❤️ Cardiopulmonary:
- [Heart rhythm, auscultation findings]
🌡️ Temperature & Infection:
- [Fever status, current antibiotics]
- 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]