CaseReport病例报告的书写.ppt

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,*,Case Report Writing,11/10/2024,1,Writing:Case report,A case report is a detailed report of the symptoms,signs,diagnosis,treatment and follow-up of one or two individual patients.It usually describe an unusual or novel occurrence.,11/10/2024,2,Writing:Case report,Case reports permit discovery of new diseases and unexpected effects(adverse or beneficial)as well as the study of mechanisms,and they play an important role in medical education.Case reports and series have a high sensitivity for detecting novelty and therefore remain one of the cornerstones of medical progress;they provide many new ideas in medicine.(Vandenbroucke,2001),11/10/2024,3,Writing:Case report,Famous scientific case reports,The discovery of AIDS in Los Angeles in 1981,Sigmund Freud reported on numerous cases,including Anna O.,Dora,Little Hans,Rat man,and Wolf man,Paul Broca reported on language impairment following left hemisphere lesions in the 1860s,The discovery of congenital malformation of neonatals caused by ingestion of thalidomide by the mothers of these babies,11/10/2024,4,Writing:Case report,Types of case reports,Most case reports are on one of six topics:,1)An unexpected association between diseases or symptoms.,2)An unexpected event in the course of observing or treating,a patient.,3)Findings that shed new light on the possible pathogenesis,of a disease or an adverse effect.,4)Unique or rare features of a disease.,5)Unique therapeutic approaches.,6)A positional or quantitative variation of the anatomical,structures.,11/10/2024,5,Writing:Case report,Stages in writing a case report,Finding a rare case,Literature search,Collecting information related to the case,including consent from the patient,Revising and editing,11/10/2024,6,Writing:Case report,Structure of a case report:,Introduction,Case Presentation,Discussion,References,11/10/2024,7,1.Introduction,The introduction is a brief overview of the larger problem,addressed by the case.The overlying message of the,section is,“X is important to understand because For,example:,“Small cell carcinoma of the,prostate is extremely rare.When,it does occur,it is usually in,concordance with prostatic,adenocarcinoma Because this,condition is rare,no standard,treatment regimen has been,established,11/10/2024,8,After the problem is described,many authors close,the introduction section by describing in one,sentence the patient who represents the case.,“This case report describes,clinical characteristics of a,67-year old man with small,carcinoma of the prostate.,This creates a smooth,transition to the next section,The Case.,11/10/2024,9,Special Language Structures,Defining an illness/term,or presenting the concerned issue,is,Small cell carcinoma of the prostate is extremely rare.,Acute angle closure glaucoma is a great mimic of the,other ocular,neurological and gastrointestinal,condition.,2,.is,but/however,Nasal bleeding is a common illness,but simple,analysis indicates that patients with,hematopathy,who,also suffer nasal bleeding accounts for 5.1%of total,nasal bleeding cases.,11/10/2024,10,Special Language Structures,Presenting the case(s)with peculiarities,1.,we report/present one patient with,We report one case of,we present two children patients with gonorrhea who were misdiagnosed as other diseases.,2.,is not fully understood/remains controversial,The pathogenic mechanism of aplastic disease is not fully understood.,The mechanism of angle closure glaucoma remains controversial.,11/10/2024,11,2.The case,As in a case presentation,first describe the person,then,provide a history of the presenting condition.Next,reveal the results of the,physical exam and relevant,tests,and describe the,treatment.Finally,describe,the expected outcome of the,treatment plan and contrast,it to the actual outcome,when something unusual,occurs.,11/10/2024,12,2.The case(,cont,),Description of the patient,History of presenting condition,Physical exam and tests,Diagnosis&treatment,Actual outcome,11/10/2024,13,1.A woman/man agedwas admitted with/for,A(age)patient withwas seen/admitted/presented oneself/came to,Late one afternoon,a 31-year-old grocery delivery driver presented himself to the emergency department complaining of left-sided chest pain.,2.The patient complained of/described,The patient complained of some difficulty urinating,but urine output was quite good.,11/10/2024,14,History:Present since morning,the patients pain radiated to his left jaw and down his left arm.The pain increased with deep respiration or strenuous activity.He was sweaty and dizzy.He complained of a cough with bloody sputum.This patient did a lot of heavy lifting,up to 100 pounds at a time.He first noted pain when getting into his truck after a delivery.,11/10/2024,15,1.were/appeared/showed/revealed(ab)normal/,(but),The right renal artery and branch arteries appeared,normal without evidence of occlusion or stenosis,from intrinsic vascular disease.,2.No abnormality was found on,3.displayed/。