Library home page

Item

Topic

Checklist Item Description

1

Title

The words "case report: should be in the title, along with area of focus

2

Keywords

Four to seven keywords - include "case report" as one of the keywords

3a

Abstract

Background: What does this case report add to the medical literature?

3b

Case summary: chief complaint, diagnoses, interventions, and outcomes

3c

Conclusion: What is the main "take-away" lesson from this case?

4

Introduction

The current standard of care and contributions of this case - with references (1-2 paragraphs)​

5

Timeline

Information from this case report organized into a timelines (table or figure)

6a

Patient Information

De-identified demographic and other patient or client specific information

6b

Chief complaint - what prompted the visit?

6c

Relevant history including past interventions and outcomes

7

Physical Exam

Relevant physical examination findings

8a

Diagnostic Assessment

Evaluations such as surveys, laboratory testing, imaging, etc.

8b

Diagnostic reasoning including other diagnoses considered and challenges

8c

Consider tables or figures linking assessment, diagnoses, and interventions

8d

Prognostic characteristics where applicable

9a

Interventions

Types such as lifestyle recommendations, treatments, medications, surgery

9b

Intervention administration such as dosage, frequency, and duration

9c

Note changes in intervention with explanation

9d

Other concurrent interventions

10a

Follow-up and Outcomes

Clinician assessment (and patient or client assessed outcomes when appropriate)

10b

Important follow-up diagnostic evaluations

10c

Assessment of intervention adherence and tolerability, including adverse events

11a

Discussion

Strengths and limitations in your approach to the case

11b

Specify how this case report informs practice or Clinical Practice Guidelines (CPG)

11c

How does this case report suggest a testable hypothesis?

11d

Conclusions and rationale

12

Patient Perspective

When appropriate, include the assessment of the patient or client on this episode of care

13

Informed Consent

Informed consent from the person who is the subject of this case report, required by most journals

14

Additional Information

Acknowledgement section; Competing Interests; IRB approval when required