Medical Student Case Report Format

Medical Student Case Report Format


Title:

  • Should be concise and reflect the case or condition being discussed.

Abstract:

  • A summary (150-250 words) outlining the key points of the case, including the patient's presentation, diagnosis, treatment, and outcome.


1. Introduction:

  • Overview of the medical condition being discussed.

  • Significance of the case concerning the current medical literature.

  • A brief mention of why the case is unusual or educational.


2. Case Presentation:

  1. Patient Information:

    • Age, gender, relevant medical history, and presenting complaints.

    • Any relevant social or family history.

  2. Clinical Findings:

    • Symptoms, physical exam findings, and vital signs.

  3. Investigations:

    • Laboratory tests, imaging studies, and other diagnostic tests.

    • Include significant results that contributed to the diagnosis.

  4. Diagnosis:

    • Final diagnosis with a detailed explanation, supported by clinical and diagnostic findings.

    • Differential diagnoses were considered and why they were excluded.


3. Discussion:

  • Analyzes the case in depth.

  • The pathophysiology of the condition, treatment options, and any complications.

  • Review of similar cases in the literature (citing key studies or articles).

  • Explanation of the treatment plan and rationale.

  • Prognosis and potential follow-up care.


4. Conclusion:

  • Summary of key learning points from the case.

  • Relevance to clinical practice, highlighting any important lessons or new insights.


References:

  • Citations of sources referenced in the case, such as journal articles, textbooks, and case reports. Follow appropriate citation guidelines (APA, AMA, etc.).

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