Writing

How to Write a Case Report as a Medical Student

Spencer LanoueSpencer Lanoue
Writing

Writing a case report as a medical student can be a rewarding experience. It offers a chance to dive deep into an interesting case and contribute to medical literature. If you've been staring at your notes, feeling overwhelmed by where to start or how to organize your thoughts, you're in the right place. We'll break down the process into manageable steps. This will help you craft a compelling and informative case report.

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Why Write a Case Report?

You might wonder why bother writing a case report in the first place. Well, think of it as your opportunity to shine a light on unusual or unique medical cases that can offer new insights or learning opportunities for others. Case reports can highlight rare diseases, novel treatments, or unexpected complications. They often serve as a stepping stone for medical students to build their research skills.

Beyond the academic benefits, writing a case report helps develop your analytical and writing abilities. It's like solving a mystery where you piece together patient history, clinical findings, and outcomes to present a clear and insightful narrative. Plus, having your name on a published report can be a fantastic addition to your resume.

Choosing the Right Case

The first step in writing a case report is selecting the right case. But how do you know if a case is worth reporting? Here are a few things to consider:

  • Rarity: If the case involves a rare condition or an uncommon presentation of a common disease, it might be worth writing about.
  • Educational Value: Does the case offer a learning point? For example, it might illustrate an important aspect of diagnosis or management.
  • Unusual Complications: A case with unexpected complications or an unusual response to treatment can provide valuable insights.
  • Novel Treatment: If the case involves an innovative treatment approach, it can be beneficial to share your findings.

Once you've identified a potential case, discuss it with your supervisor or a mentor. They can offer guidance on the case's suitability for a report and help you focus on the key points to highlight.

Structuring Your Case Report

Case reports generally follow a specific structure. Think of this as your roadmap, guiding you through the writing process. Here's a typical outline:

  1. Abstract: A brief summary of the case and its significance.
  2. Introduction: An overview of the relevant medical literature and the case's importance.
  3. Case Presentation: Detailed information about the patient, their symptoms, diagnosis, and treatment.
  4. Discussion: An analysis of the case, comparing it with existing literature, and discussing any implications.
  5. Conclusion: A summary of key findings and their relevance.
  6. References: Citing all the sources and literature you've referred to in your report.

Let's delve into each of these sections in more detail to help you write a compelling report.

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Crafting an Engaging Abstract

The abstract is your first impression, so make it count. It should be concise yet informative, summarizing the key aspects of the case and why it matters. A well-written abstract can captivate the reader's attention and encourage them to read on.

Here's a quick formula to follow:

  • Background: One sentence on the context or rarity of the case.
  • Case Summary: A brief overview of the patient's presentation, diagnosis, and treatment.
  • Conclusion: Highlight the case's significance or what makes it unique.
Background: Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial infarction in young women. 
Case Summary: A 35-year-old woman presented with acute chest pain and was diagnosed with SCAD via coronary angiography. She was successfully managed with conservative treatment. 
Conclusion: This case highlights the importance of considering SCAD in young women with typical angina symptoms.

Writing the Introduction

Your introduction sets the stage for the reader. Here, you lay out the background information and explain why the case is noteworthy. While you don't need to dive deeply into the medical literature, providing a brief overview of what is known about the topic can be helpful.

Start with a general statement about the condition or issue, followed by specific details about the case. For example, if your case involves a rare disease, mention its prevalence and why it presents a diagnostic challenge.

Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndrome, particularly in young women. 
Despite its rarity, SCAD accounts for a significant number of myocardial infarctions in women under 50. 
This report discusses a case of SCAD in a young woman, highlighting diagnostic challenges and management strategies.

The Case Presentation

This section is the heart of your case report, where you provide all the relevant details about the patient. Imagine you're telling a story. Start from the beginning and proceed logically through the patient's journey.

Include the following details:

  • Patient Information: Age, gender, relevant medical history.
  • Presenting Complaints: Symptoms and their onset.
  • Clinical Findings: Physical examination results, lab tests, imaging findings.
  • Diagnosis: How the diagnosis was reached, including differential diagnoses considered.
  • Treatment: Describe the treatment plan and any interventions.
  • Outcome: Patient's progress and follow-up.

Be thorough but concise. Use subheadings if necessary to organize the information clearly.

Analyzing the Case in the Discussion

This is where you get to share your insights and analysis. Discuss how your case compares to what's already known. Are there any differences in presentation or outcomes? What lessons can be learned?

Consider the following points:

  • Comparison: Compare your case with similar cases in the literature.
  • Implications: Discuss any new insights or questions raised by the case.
  • Limitations: Acknowledge any limitations or areas for further research.

Remember, the discussion is your chance to demonstrate critical thinking and contribute to the broader medical conversation.

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Summarizing with a Strong Conclusion

Your conclusion should encapsulate the key takeaways from the case. What makes this case important? How does it contribute to medical knowledge or practice?

Keep it brief—just a few sentences summarizing the main points and their relevance.

This case of SCAD in a young woman underscores the need for heightened awareness of this condition in young patients presenting with myocardial infarction. 
Early recognition and conservative management may lead to favorable outcomes.

Referencing: Giving Credit Where It's Due

References are an essential part of any academic writing. They show the depth of your research and give credit to the original authors. Ensure your references are up-to-date and relevant to your case.

Use a consistent citation style as required by the journal or publication you're submitting to. Whether it's APA, Vancouver, or another style, pay attention to the details. Proper referencing is crucial for credibility.

Polishing Your Case Report

Before you hit submit, take some time to polish your report. Here are a few tips:

  • Proofread: Check for grammatical errors, typos, and clarity.
  • Seek Feedback: Have a mentor or peer review your report for suggestions.
  • Revise: Be open to making changes to improve the overall quality.

Remember, writing is a skill that improves with practice. Don't be discouraged by revisions. They're a normal part of the process. And if you're looking for a tool to streamline your writing, consider using Spell. It helps you draft and edit with AI, making the process faster and easier.

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Submitting Your Case Report

Once your case report is polished and ready, it's time to submit it for publication. Choose a journal that fits the topic and audience of your report. Follow the submission guidelines carefully, as each journal has its own specific requirements.

Consider reaching out to your mentor or supervisor for advice on choosing the right journal. They can also help you navigate the submission process and provide support as needed.

Embrace the Learning Process

Writing a case report is an excellent learning opportunity. It takes time and effort, but the skills you gain are invaluable. Whether your report gets published or not, the process itself is a chance to deepen your understanding and grow as a medical professional.

So, embrace the challenge, and don't hesitate to ask for help when needed. With practice, you'll become more confident in your writing abilities. Who knows, you might even enjoy it!

Final Thoughts

Writing a case report as a medical student is both a challenge and a rewarding experience. It allows you to contribute to medical knowledge while honing your writing skills. And if you're looking for a tool to make the process smoother, Spell is here to help. Its AI features can turn the daunting task of writing into a more manageable and efficient process. Happy writing!

Spencer Lanoue

Spencer Lanoue

Spencer has been working in product and growth for the last 10 years. He's currently Head of Growth at Sugardoh. Before that he worked at Bump Boxes, Buffer, UserTesting, and a few other early-stage startups.