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3. Table of contents
01 Abstract
02 Introduction
03 Case presentation
04 Discussion
05 Conclusion
06 Roadmap
5. Abstract
In the abstract of your case report, you should provide a
concise summary of the key aspects of the case.
This includes:
● Briefly describing the patient's condition and relevant
clinical findings
● Highlighting any unique or rare features of the case
● Mentioning the main interventions or treatments
employed and their outcomes
6. Importance
Introduction
Highlight the significance and
educational value of the case.
Emphasize the uniqueness, rarity, or
complexity of the presented case, and
explain how it contributes to the
existing knowledge or clinical practice
Provide a brief overview of the
condition or disease being discussed
in the case. Include pertinent
information about its prevalence,
clinical manifestations and any
relevant previous studies or literature
Background
7. Case presentation
Patient profile Clinical findings
Include essential demographic
information such as age,
gender, and medical history.
Describe the patient's chief
complaint and the timeline of
symptoms leading to the final
diagnosis for patient
Present an overview of the
patient's physical examination
findings, laboratory test results
and any imaging or diagnostic
procedures. Highlight key
abnormalities that aid in the
final diagnosis
Outline the diagnostic process,
including the reasoning behind
the chosen investigations and
tests. Discuss the results, their
interpretation and their
contribution to reaching the
final diagnosis
Diagnostic workup
8. Explore potential diagnoses based on the
patient's presentation and relevant findings.
Discuss distinguishing features for each and
reasons for inclusion/exclusion
Present the confirmed diagnosis and explain
diagnostic criteria. Outline the chosen treatment
approach and rationale behind it
Describe the patient's progression, treatment
response and any significant events or
complications. Summarize the final outcome
Discuss the case's educational value,
highlighting unique aspects. Share insights
gained, including diagnostic challenges,
treatment considerations or disease
mechanisms
Discussion
Differential diagnosis
Clinical course
Treatment
Lesson learned
9. Patients on the study
20,000
Received placebo treatment
50,000
5,000
Had secondary effects
10. Use percentages in your case report to quantify and communicate
the frequency or proportion of important findings or outcomes
95%
11. FACTORES ASOCIADOS AL DOLOR
POSTOPERATORIO
A nivel mundial se describe presencia de dolor no
controlado hasta en el 80% de los pacientes durante el
postoperatorio.
Se plantea como una problemática no dependiente
de un solo factor, si no a una serie de factores que en
conjunto explicarían la variabilidad en la magnitud del
dolor experimentado por cada paciente.
Frecuentemente se describen diferentes factores:
Dependientes del
paciente
Dependientes de la
intervención y la
técnica quirúrgica
Dependientes de la
técnica anestésica
12. Address any diagnostic
challenges, emphasizing the
importance of thorough
investigation and clinical
reasoning of the pathology
Highlight successful outcomes
achieved through the chosen
treatment approach, showcasing
effectiveness for the treatment of
the pathology studied
Emphasize the case's educational
value, impact on medical
knowledge, professional
development, and learning
Identify areas for future
investigation that have emerged
from the case, stimulating
advancements that may be
beneficial for the treatment
Edad Sexo
Factores
socioculturales
Summarize valuable lessons
learned, providing insights to
guide future clinical decision -
making and enhance care
End with a concise concluding
statement, summarizing the
overall significance of the case.
Studies, diagnosis and
proposed treatments
Etnicos Psicologicos
Antecedentes
personales
DEPENDIENTES DEL PACIENTE
13. La localización de la intervención.
La naturaleza y duración de la intervención.
El tipo y la extensión de la lesión.
Los traumatismos quirúrgicos subyacentes.
Las complicaciones relacionadas con la
intervención.
Dependientes del Tipo de Intervención
Quirúrgica
Dependientes de la Intervención y la Técnica
Quirúrgica
Dependientes de la Técnica Anestésica
Antecedentes farmacológicos
Pre-medicación.
Tipo de anestesia.
Forma de administración del analgésico
durante la intervención.
Duración de la intervención.
14. EVALUACIÓN DEL DOLOR
Los instrumentos utilizados habitualmente para la
valoración clínica de la intensidad del dolor son
diferentes escalas. Estas tienen que cumplir una serie
de características para ser aceptadas, como son:
Aplicabilidad.
Fiabilidad.
Validez.
Versatilidad.
Idoneidad.
16. This is a table
Age Gender M. history Symptoms Diagnosis
Patient 1 45 Male Hypertension Symptom Diagnosis 1
Patient 2 32 Female Asthma Symptom Diagnosis 2
Patient 3 60 Male Diabetes Symptom Diagnosis 3
Patient 4 50 Female None Symptom Diagnosis 4
Patient 5 28 Male None Symptom Diagnosis 5
Patient 6 70 Female Osteoarthritis Symptom Diagnosis 6
17. Milestones reached
Initial presentation
with chief complaint
Diagnostic evaluation
and investigations
Confirmation of
the diagnosis
Initiation of
appropriate treatment
Monitoring response
for treatment
Resolution of
presenting symptoms
Follow-up assessment
for outcomes
Case discussion and
lessons learned
18. Case presentation: medical history
About the patient
Patient’s age 42 years old
Gender Female
Medical
conditions Chest pain, shortness of breath
Previous
treatments None reported
Introduction
She has been experiencing these
symptoms for the past 2 days, with the
pain increasing in intensity and frequency
Key findings
● Summarize the most important or relevant
aspects of the patient's medical history
● Use bullet points to present the key findings in a
clear and organized manner
Conclusions
In this section, summarize the key findings
from the medical history
Provide an overview of the implications for
the current diagnosis and treatment plan
1
2
19. Discussion
Introduction:
● Briefly summarize the main findings and results of the case report
● Mention the purpose of the discussion and what will be covered
Main discussion:
● Present different perspectives and opinions on the findings, based on the literature and other relevant sources
● Use bullet points to highlight key arguments and counterarguments
● Address any limitations or weaknesses of the study and suggest potential solutions or areas for further research
Conclusions:
Summarize the key points of the discussion and their implications for clinical practice or future research
Offer any final recommendations or take-home messages for the audience
20. Outcomes and recommendations
Start
Outcome
Outcome Outcome
1 2 3
A. Write your recommendation
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C. Write your recommendation
D. Write your recommendation
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B. Write your recommendation
C. Write your recommendation
D. Write your recommendation
A. Write your recommendation
B. Write your recommendation
C. Write your recommendation
D. Write your recommendation
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33. JANUARY FEBRUARY MARCH APRIL
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El dolor agudo postoperatorio (DAPO) no controlado tiene impacto sobre recuperación, morbilidad e incluso la perpetuación del dolor con impacto en la calidad de vida.
El dolor agudo postoperatorio (DAPO) no controlado tiene impacto sobre recuperación, morbilidad e incluso la perpetuación del dolor con impacto en la calidad de vida.
