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Unformatted text preview: CARE Checklist (2013) of information to include when writing a case report I“: l E="-"-r-"==-r-4E' { Checklist item description Reported on Page Title 1 The words “case report" should be in the title along with the area of focus ...................... 1 Key Words 2 2 to 5 key words that identify areas covered in this case 2 Abstract 3a Introduction—What is unique about this case? What does it add to the medical literature? .................... 2 3b The main symptoms of the patient and the important clinical findings .......................... ............ 2 30 The main diagnoses, therapeutics interventions, and outcomes ........................................... 2 3d Conclusion—What are the main “take-away" lessons from this case? ......................... ............ 2 Introduction 4 One or two paragraphs summarizing why this case is unique with references ................... 3 Patient Information 5 a De-identified demographic information and other patient specific information .................... 3 Main concerns and symptoms of the 5b . patient ....................................................... 3 5c Medical, family, and psychosocial history including relevant genetic information (also see timeline). . . 3,4 Relevant past interventions and their outcomes ........................................... 5d ........ 3,4 Clinical Findings 6 Describe the relevant physical examination (PE) and other significant clinical findings. ............... 3,4 Timeline 7 Important information from the patient's history organized as a timeline ........................ Diagnostic 8a Diagnostic methods (such as PE, laboratory testing, imaging, surveys) ......................... Assessment ..... 4 3b Diagnostic challenges (such as access, financial, or cultural) ....................................... NA 8 c Diagnostic reasoning including other diagnoses considered ........................................ NA 3d Prognostic characteristics (such as staging in oncology) where applicable ...................... NA Therapeutic 9 a Types of intervention (such as pharmacologic, surgical, preventive, self-care) ................... Intervention ............ 45 9b Administration of intervention (such as dosage, strength, 4,5 duration) ........................................ Follovv-up and Outcomes Discussion Patient Perspective Informed Consent 9c 10a 10b 10c 101:! 11a 11b 11c 11d 12 13 Changes in intervention (with rationale) ............................................................... Clinician and patient-assessed outcomes (when appropriate) .................. Intervention adherence and tolerability (How was this assessed?) ......................................... Adverse and unanticipated events ................................................................... Discussion of the strengths and limitations in your approach to this case ....................... The primary “take-away" lessons of this case repon ................................................... When apprOpriate the patient should share their perspective on the treatments they received ...... NA NA NA NA NA Yes X No r ...
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