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Writing a Clinical Vignette (Case Report) Abstract

Pay Writing A Case Report In Medicine

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A Guide to Writing Case Reports

Introduction: the importance of case reports
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Remember to put down everything that you find out in notes. It is critical that you have everything documented, should you need to return to some point of your study. Also, write down what you think about those findings and how you have come to them. If you used calculations or testings for finding a possible solution to a problem, they also need to be thoroughly documented in detail.

This is your advice on what can be done to eliminate, solve, or at least minimize a problem in the case. There should be recommendations for each problem that you have found out. They can be shaped in the form of plain text or put in a table. They must be detailed and include not only the solution but also a plan of actions that need to be done to achieve positive results.

Each solution should answer the following questions:. Here you summarize your analysis of the case from the perspective of the objectives — both compulsory and desired ones. Remember to follow the recommendations from your professor regarding your conclusions to the letter, especially when it comes to your original assumptions. Same as with any other academic writing , a case study report needs to be carefully planned before writing.

The plan or the structure of your report will most probably start taking shape in your head as early as the beginning of your investigation.

First, make up your preliminary outline with all the sections and subsections. Since this outline is for your use only, it does not necessarily have to be in the format of a list, like with most academic papers that you have to submit. You can make it in any format that you find convenient — for example, a mind map. Then, just sort your notes by adding them to the corresponding sections and subsections.

Creating the outline will help you visualize the order in which you will put the bits of information that you have in your notes. Mind that this outline does not need to be final, and you are free to change it as your ideas develop.

Only when you see that it is finalized, you can translate your outline into the contents page of your case study report. Create a schedule for your writing and follow it strictly. Meticulously plan how much time you can spare on writing and editing your report. Exceed the time limits for each portion of work in case you find some section harder to write than others and need some extra time for them.

It is recommended to begin with the sections about which you feel most confident. Naturally, these will be the sections that are your won to the biggest extent: The auxiliary and secondary sections are the ones to finish with. These are the introduction, reference list, appendices, etc. Your case study report is meant for someone to read it. Therefore, you should always imagine this person or group of people when writing your report.

Your at this point, imaginary readership should have the decisive vote over your choice of style, language, and, of course, content. Clearly, you use different language when speaking, for example, to one person versus when you are talking before an audience of people.

So, try your best to think about what the people in your readership need to know, what they want to hear and in what form, etc. Answering the following questions will help you understand your readership better.

Relevant and useful website links will be used throughout to allow the reader easy access to further information on BMC requirements. I also hope to impart to the reader a brief overview of case report editorial flow in both JMCR and BMCRN along with the complementary relationship between both journals. I will also give anecdotes of how I personally approach things. What exactly is a case report? From peer-reviewed journals to Wikipedia and yes, I read Wikipedia like we all do definitions are readily available and generally agreed upon.

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. Things start at the bedside or in the office with the most important person involved: Patients and their stories including from their friends, coworkers, and family are our portal to writing the case report. Patients both in-patients and out-patients are assessed, we confer with colleagues, appropriate investigations then follow, and treatment if possible begins.

If I encounter an in-patient on call then I follow him or her throughout his or her hospitalization and, I hope, timely discharge. The patient is then followed and reexamined in the office over the course of time to see how the clinical course evolves. I usually wait 6 months over the course of multiple visits before I actually begin to write a case report so as to allow enough time for the clinical course to play out.

Of course if the patient is hospitalized with an acute and rapid illness then this time may be much shorter, but I still follow him or her with daily neurologic examinations.

When an interesting condition is encountered in either the hospital or the office setting, I discuss the case in person with both my local neurology colleagues and colleagues of other specialties to see if they have encountered before the clinical scenario that I am dealing with at the time.

This is usually a quick face-to-face nursing station conversation. If the case is particularly challenging then I will contact my local university colleagues for their opinion especially if an urgent transfer needs to be arranged.

Indeed, the Internet seems to have become our modern day replacement for office water cooler conversations. Further reading is then supplemented by both PubMed [ 12 ] free and Cases Database also free [ 13 ] see later. If I feel that a particular patient warrants a case report, then I continue to read more and more. There are also medical list servers and medical online communities to which one can post a case with de-identified images online and petition the advice of colleagues worldwide.

I have always preferred an in-person encounter to discuss a case with a colleague or professor, but given the current day and age daily workload, travel costs, time away from the office and family, and so on , I have found Internet-based discussion keeping all patient information anonymous of course very helpful. The BMC series is a group of open access, peer-reviewed journals that spans most areas of biological and clinical research.

Some of these publish case reports within their respective disciplines, and some do not [ 17 ]. JMCR is an online, open access journal under BMC auspices dedicated mainly to the publication of high quality case reports, and aims to contribute to the expansion of current medical knowledge please see specific publication criteria below.

In the 5 years since its launch, JMCR has published over case reports. BMCRN is also an online, open access journal under BMC auspices publishing scientifically sound research across all fields of biology and medicine. The journal provides a home for short publications, case series, and incremental updates to previous work with the intention of reducing the loss suffered by the research community when such results remain unpublished.

BMCRN began publishing case reports in and now has a dedicated section for case reports [ 19 ]. Please read on to see the complementary relationship of case reporting between the two journals, how they relate to other journals in the BMC series, and further information on editorial work flow including specific publication criteria.

Since the launch of JMCR in and the more recent introduction of case reports to the BMCRN , which aims to have a broader scope, BMC has acknowledged and continues to acknowledge the value of case reports to the scientific literature. To further strengthen this commitment, BMC in conjunction with Michael Kidd have developed the invaluable new resource of Cases Database, a continually updated, freely accessible database of thousands of medical case reports from multiple other publishers, including Springer, British Medical Journal, and PubMed Central.

By aggregating case reports and facilitating comparison, Cases Database provides a simple resource to clinicians, researchers, regulators and patients to explore content and identify emerging trends [ 20 ]. It is very helpful in seeing if a particular condition has been reported before and what treatment the authors have performed. It is an invaluable resource which can be used to check and see if previous cases have been reported before and how other authors have managed their patients with similar clinical conditions.

When I last checked, Cases Database had in its repository 27, peer-reviewed medical case reports from journals! How does one determine when to write an actual case report? What constitutes and what are the criteria for publication?

JMCR [ 21 ] publishes original and interesting case reports that contribute significantly to medical knowledge. Manuscripts must meet one of the following criteria: BMCRN [ 22 ] has somewhat different publication criteria: BMCRN considers medical case reports that describe any clinical case. Case reports submitted to BMCRN do not need to be novel, but must be authentic cases and have some educational value along with representing at least an incremental advance in the field.

BMCRN will not consider case reports describing preventive or therapeutic interventions because these generally require stronger evidence. Both journals follow this format and accept submissions with these title structures. I tend to classify case reports in my mind generally as follows: Either type should have clear and concise take-home messages and teaching points.

Over the years that space has grown and, admittedly, I have cases dating back over the entire span of my years in practice now over 13 years which I simply have not gotten around to yet! If a BMC Series journal editorial team considers a submitted case report unsuitable for their respective specialty journal and now a growing list of Springer journals that BMC is now affiliated with , the authors are given the option to transfer their manuscript to BMCRN. The peer review comments which are open and identifiable at JMCR and blinded at BMCRN are then usually sent to the authors for appropriate revisions and rebuttals unless it is felt that the manuscript should be rejected outright, at which time the editorial office sends the authors an explanatory letter.

After these revisions and rebuttals have been performed, the revised manuscript and rebuttals are sent back to the respective editors for a final decision and recommendations. These decisions and recommendations are then forwarded on to the Editor-in-Chief for final approval for publication.

At JMCR , manuscripts are professionally copyedited before being sent off to the production team for publication, whereas at BMCRN the authors are requested to obtain their own professional copyediting if needed before publication the respective costs being reflected within the different article processing charges for both journals.

When the manuscripts are published in both journals, they are in the preliminary form before being converted to the final form after production. Author satisfaction consistently ranks high for the overall process in both journals. Now let us discuss the brass tacks of writing the actual case report by going through the individual sections that will comprise the manuscript. The first page of the manuscript should be a dedicated title page, including the title of the article.

The title should be a clear and short description of the case with a list of the full names, institutional addresses and email addresses for all authors. There should always be at least one corresponding author who is clearly identified. Abbreviations within the title should always be avoided. I also try to avoid any puns or overly cute wording within the title and try to keep things strictly descriptive and clear.

The title needs to accurately describe the case — after all, this may be all that someone reads. If a cute or clever title is used that obscures what the case is really about, then it may be even less likely that the manuscript is read.

It should not exceed words. Abbreviations or references within the Abstract should not be used. The Abstract should be structured into three sections: Background, an introduction about why this case is important and needs to be reported. Is it an original case report of interest to a particular clinical specialty of medicine or will it have a broader clinical impact across medicine?

Are any teaching points identified? I find this is the most important part because this is often all that people will read and its availability will allow easy retrieval from electronic databases and help researchers decide their level of interest in the case report. The Abstract should be a concise and condensed version of the case report and should include the same main sections of the main text and be as succinct as possible [ 3 ]. This is the last thing that I usually write as it tends to flow easily after I have invested my time in thought and writing of the manuscript.

This section is comprised of three to ten keywords representing the main content of the article. It is important for indexing the manuscript and easy online retrieval. The Introduction JMCR or Background BMCRN section should explain the background of the case, including the disorder, usual presentation and progression, and an explanation of the presentation if it is a new disease.

It should also include a brief literature review. This should give an introduction to the case report from the standpoint of those without specialist knowledge in the area, clearly explaining the background of the topic. It should end with a very brief statement of what is being reported in the article. The Introduction or Background serves as the sales pitch for the rest of the manuscript.

This should present all relevant details concerning the case. If it is a case series, then details must be included for all patients. This section may be broken into subsections with appropriate subheadings.

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