A case report is a detailed presentation of a unique patient case that adds value to existing medical knowledge. Follow these steps to write a clear and structured case report:

1. Title

• Create a concise and informative title.
• Include key information like the condition, intervention, and outcome.
• Example: "Rare Presentation of Cleft Lip with Associated Palatal Defect in a Newborn"
  
  

  2. Abstract

  • Write a structured summary (150–250 words).
  • Include:
    • Background – Why is this case important?
    • Case Presentation – Key clinical details.
    • Conclusion – Lessons learned or clinical significance.

  3. Introduction

  • Provide context and relevance.
  • Explain why the case is unique or important.
  • Include a brief review of related literature (2–3 references).

  4. Case Presentation

  • Patient Information
    • Age, gender, and relevant medical history.
  • Clinical Findings
    • Symptoms and physical examination results.
  • Diagnostic Assessment
    • Tests performed (e.g., imaging, labs) and their results.
  • Treatment
    • Medical or surgical interventions.
  • Outcome
    • Follow-up details and patient response.

  5. Discussion

  • Compare the case to similar cases in literature.
  • Highlight the uniqueness or novelty.
  • Discuss challenges, misdiagnoses, or unexpected findings.
  • Provide clinical insights or recommendations.

  6. Conclusion

  • Summarize the key learning points.
  • Explain how this case could influence clinical practice.

  7. References

  • List all sources cited in the case report using a standard format (e.g., APA, Vancouver).

  8. Acknowledgments (Optional)

  • Thank contributors or funding sources.

  ✅ Tips for Success

  ✔️ Keep it clear and concise.
  ✔️ Use medical terminology appropriately.
  ✔️ Avoid patient identifiers (follow HIPAA compliance).
  ✔️ Focus on clinical relevance and teaching value.