BMJ CASE REPORT TEMPLET

 

TITLE OF CASE

TIPS:

        Please use a clinical and straight forward title that accurately reflects the diagnosis and main point of the case report

        Do not include “a case report”, “review”, “literature review”, “rare case”, “first case” in the title

        Do not use cryptic, humorous or play-on-word titles

        There should be no exclamation mark in the title

        Do not put the patient’s age, sex or ethnicity in the title

SUMMARY

TIPS:

        This is a summary of the entire manuscript and is freely available online

        It is the equivalent of an abstract

        Use a maximum of 150 words summarising the case presentation and outcome

        Describe the essential information of the case and emphasise the learning points

        The SUMMARY is distinct from the BACKGROUND section below - do not copy and paste

        When submitting to ScholarOne copy this summary on to the relevant section

BACKGROUND

TIPS:

        Give the context of your manuscript

        Is this a prevalent health problem?

        Is there a clear message?

        The BACKGROUND is distinct from the SUMMARY section above. Do not copy and paste

CASE PRESENTATION

TIPS:

        Give a comprehensive account of the presenting features, including the medical/social/family history

        This is the patient’s story – anonymise the manuscript as far as possible. Do not write the exact age (write “in his 20s” instead). Ethnicities and exact occupations should be avoided unless essential to clinical discussion. Place names and calendar dates are to be avoided – use regions of the world and “2 months/days later”, for example, instead.

        Do not name your institution in the text (or in the patient perspective section). If necessary use phrases such as “presented to the/our Emergency Department”, “was referred to our tertiary specialist unit”…

        How did the patient present? Signs and symptoms…

        What is the relevant history? Why is this relevant?

        Explain your findings and how they influenced your decisions

        Do not use abbreviations for diseases or investigations

        Use internationally accepted units for measurements

        Use only scientific names of drugs. Include the manufacturer in brackets when describing equipment

        Present information in ways that are easy to follow. Use diagrammatic flowcharts and timelines where appropriate. Results may be tabulated or presented graphically. Make clear that you have drawn figures and that these have not been taken from other publications or Internet sources.

INVESTIGATIONS If relevant

TIPS:

        All investigations that create a background (baseline) picture are relevant

        All investigations that are crucial to management decisions should be discussed in full – include the limitations of investigations and problems in their interpretation

        Choose appropriate images and videos to illustrate your point. Remove all details that identify the patient

        We do not publish images that include the patient’s face. Do not upload these.

        Images and videos should be fully annotated. Use arrows and labels with explanations so that readers may understand easily and may learn from these. Do not show the patient’s face in the video.

DIFFERENTIAL DIAGNOSIS If relevant

TIPS:

        Please do not list diagnoses. We want to understand how the final diagnosis was teased out. This is often the most important section and should be discussed in full

        All working diagnoses need to be substantiated

 

TREATMENT If relevant

TIPS:

        Include pharmacological and non-pharmacological treatment, e.g. surgery, physiotherapy, supportive care

        Please carefully check details of dosage and frequency (including loading doses and changes in dosage)

        We do not publish manuscripts about the efficacy of new treatments, new combinations of treatments, existing treatments used for new indications, or the results of phase 2 trials

        We do not publish case reports that describe off-label use of a drug

        We do not publish manuscripts where the patient is currently enrolled in a clinical trial whether this relates to the treatment you describe or otherwise

        If your patient was previously treated as part of a clinical trial and this is relevant to the current case description, please, give full details of the trial with citations and explain exactly how this relates to the current case description. Is the trial ongoing? Are the authors of the manuscript the trial organisers? If not, are the trial organisers aware of the submission of this manuscript? This information should be disclosed in full in the author statements at submission.

 

OUTCOME AND FOLLOW-UP

TIP:

        Always include comprehensive follow-up data; this gives readers a clear understanding of outcome

        Follow-up data should include the health of the patient, return to daily activity and work, and after care arrangements

        The follow-up period should be defined. Please update follow up data after final revision of the manuscript so that outcome information is up-to-date

        Please include details of surveillance and up-to-date guidelines of disease outcome/monitoring

        Please state whether the patient has died, when and whether this is related to the illness described

 

 

DISCUSSION Include a very brief review of similar published cases

TIPS:

        This is the opportunity to describe mechanisms of pathology/injury, current guidelines, diagnostic pathways (use original diagrams to illustrate processes), and the points of interest of the case

        Cite up-to-date supporting literature

        Include a summary of similar published cases. Where appropriate these may be tabulated

        A summary of relevant clinical guidelines is important

        Please do not copy and paste from existing publications, texts or web resources (including material you have published yourself)

        Ensure that any content used from reference sources are clearly cited

        Use software to check for overlapping text before you submit

        Please do not reproduce tables or figures from other publications without obtaining permission for reproduction before submission

        Make clear (add a note in the legend) whether you have drawn your own figures

        We welcome all figures that illustrate clinical-pathological correlations – these add substantially to the learning value of the article

Are your conclusions supported by the clinical information described? Do you need to temper your conclusions? Have you described a possible causal association with adequate caution?

 

LEARNING POINTS/TAKE HOME MESSAGES 3-5 bullet points

THIS IS A REQUIRED FIELD

TIPS:

        This is the most crucial part of the case – what do you want readers to remember when seeing their own patients?

        Are your conclusions supported by the clinical information described?

        Are your learning points derived from the particular case described?

 

REFERENCES

TIPS:

        Include only relevant references, including guidelines, in Vancouver style

        Make sure your references actually support the points you make, are up-to-date and are correctly formatted

 

FIGURE/VIDEO CAPTIONS

TIPS:

        We do not have a limit on illustrations, but choose only what illustrates your case most effectively and ensure that the patient cannot not be recognised by cropping the image as closely as possible. We do not accept facial images

        Check that all patient identifying information has been removed from images

        We encourage colour images and videos. Please add arrows, captions and annotation. These substantially enhance the manuscript and add learning value

        Videos should be of 3-4 minutes duration, and include relevant labels and annotation. There should be no background noise or music. If narrated, the audio should be clearly heard and understood. Please do not include animated text. Animations should be used only for the purposes of explanation and should be the authors’ work and specific to the case

        Please visit the Author Hub for further information regarding formatting.

 

PATIENT’S PERSPECTIVE

TIPS:

        This is an important section and gives the patient/next of kin the opportunity to comment on their experience. This enhances the case report and is strongly encouraged

        This section is written by the patient (or close family) in their own words, in the first-person. This is an opportunity for us to understand the signs and symptoms the patient experienced, their thoughts and concerns, their experience of the treatment they received, recovery and adjustment to life after or with illness or disability

        Spelling and grammar should be corrected where necessary (as per the rest of the manuscript) by the authors and non-English perspectives should be translated by the authors. Please make clear who has written the perspective and indicate when this has been translated by the authors. Patients who prefer to share an audio or video perspective should have this transcribed by the authors. For the purposes of anonymity audio and video recordings are not published

        Please check that details that reveal the identity of the patient are avoided. These include calendar dates, locations and details of other family members

        Some published articles are picked up by the wider non-medical media and patients should be made aware of this, especially, when they contribute their perspective and when they give consent for publication

        Single sentences or statements of thanks to the clinical teams will not be published

 

INTELLECTUAL PROPERTY RIGHTS ASSIGNMENT OR LICENCE STATEMENT

I, [INSERT YOUR NAME IN FULL], the Author has the right to grant and does grant on behalf of all authors, an exclusive licence and/or a non-exclusive licence for contributions from authors who are: i) UK Crown employees; ii) where BMJ has agreed a CC-BY licence shall apply, and/or iii) in accordance with the relevant stated licence terms for US Federal Government Employees acting in the course of the their employment, on a worldwide basis to the BMJ Publishing Group Ltd (“BMJ”) and its licensees,  to permit this Work  (as defined in the below licence), if accepted, to be published in BMJ Case Reports and any other BMJ products and to exploit all rights, as set out in our licence author licence.

 

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