Presented at CRC course held at King Fahad Medical City, Riyadh on 13 February 2020 by Professor Omar Hasan Kasule Sr. MB ChB (MUK), MPH (Harvard), DrPH (Harvard), Member of the Institutional Review Board, King Fahad Medical City
CONTENTS OF A CASE REPORT (Narrative on One Patient)
• Patient demographics,
• Symptoms,
• Signs,
• Diagnosis,
• Treatment,
• Response to treatment,
• Literature review (case reports with review of the literature).
CASE SERIES (Narrative on 2 or More Patients)
• Report of symptoms, signs, treatment, and response for 2 or more patients.
• A case series is usually no more than 10-15 patients.
• Case study report on a larger number of patients is analyzed statistically and is considered research.
WHY A CASE REPORT?
• Rare disease
• Unexpected disease presentation or diagnosis
• Rare or unexpected cause of disease or adverse
• New therapeutic approach
• Unexpected anatomy or physiology
ADVANTAGES OF CASE REPORTS
• Detection of new phenomena.
• Cover all aspects of disease care in one report.
• Used for medical education as problem-based learning.
• Case reports can identify new findings and generate hypotheses for further research.
• Quick to prepare and publish.
• Special journals for case reports.
DISADVANTAGES OF CASE REPORTS
• Case reports are not reliable because they are not based on scientific sampling
• Case reports are at the bottom of the ladder of evidence because they are anecdotal evidence
• Publication bias because only the rare and exotic get published
• Not accessible, general journals publish few
EXAMPLE OF A CASE REPORT - 1
EXAMPLE OF A CASE REPORT - 2
EXAMPLE OF A CASE REPORT - 3
EXAMPLE OF A CASE REPORT - 4
EXAMPLE OF A CASE REPORT - 5