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200213P - CASE REPORT AND CASE SERIES PRESENTED AT CRC COURSE KFMC

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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