Resident Medical Case Report Layout
Resident Medical Case Report
Author(s): [Name(s) of the resident(s)]
Institution: [Hospital/Medical Institution Name]
Date: [Date of Submission]
1. Abstract
A summary of the case, including key clinical features, diagnosis, treatment plan, and outcomes. Typically no more than 200-300 words.
2. Introduction
Provide context for the case by briefly discussing:
The clinical significance of the case.
Why the case is unique or important.
A brief review of relevant literature, if applicable.
3. Case Presentation
Provide detailed information on the patient’s case:
Patient Demographics: Age, gender, and relevant medical history.
Presenting Symptoms: Initial complaints and duration.
Clinical Findings: Physical examination, laboratory results, and imaging studies.
Diagnosis: Initial working diagnosis and any differential diagnoses.
Treatment Plan: Medications, procedures, surgeries, and any multidisciplinary involvement.
4. Discussion
Analyze and interpret the case:
Provide an in-depth discussion of the diagnosis, treatment, and outcome.
Compare the case with other similar cases or existing literature.
Highlight any diagnostic challenges or treatment modifications.
Discuss the implications of the case for clinical practice, education, or future research.
5. Conclusion
Summarize the key takeaways from the case report:
The outcome of the patient.
Lessons learned and relevance to medical practice.
Recommendations for future management or research in similar cases.
6. References
Cite all relevant literature, studies, or sources used in your case report. Follow the preferred citation style (APA, MLA, Chicago, etc.).
7. Acknowledgments
(Optional) Mention any individuals or institutions that helped in the preparation of the case report (e.g., attending physicians, nurses, or researchers).
8. Patient Consent
(Optional, but recommended for ethical and legal reasons)
Note whether the patient provided informed consent for publication and anonymity (if applicable).
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