Cases in medicine

One minute case: It's 3 am and you are called because a patient, known case of MI, just admitted with dengue fever, says he experienced left-sided chest pain unrelated to exertion this evening, but there's no chest pain at the moment. They send you a picture of the ECG strip and these lab values, while you're walking to evaluate the patient: Platelets 226, Trop-I 0.01, Repeat Trop-I 0.03. You can tell them to live in the moment! Here's why: Despite T wave inversions in this ECG, this dengue-inflicted patient's asymptomatic at the moment, and so we've decided against ACS protocol.  But if patient complains of chest pain, YOU'VE TO administer oral aspirin and IV heparin, and observe. 

Do you want to make sure your Case Report is accepted, but not sure where to start? Then simply follow this guide. The guide contains personalized examp les that’ll help shape the final production of what is, for many, their first publication. For instance, with metformin, I saw that the risk of hypoglycemia is low, but viewing it from a different perspective, could the likelihood actually be lower with a particular dosage form and higher with another form? https://www.cureus.com/articles/62816-reactive-hypoglycemia-from-metformin-immediate-release-monotherapy-resolved-by-a-switch-to-metformin-extended-release-conceptualizing-their-concentration-time-curves Takeaway Always include follow-up data where you can; it gives a clear understanding of the outcome. The follow-up period should be defined. Another case report gave me a rough time. Firstly, tuberculosis-induced bronchiectasis has a high prevalence. A senior associate in my institute of pathology actually laughed it out saying the...