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The value of case reports

16 Dec, 14 | by Dr Dean Jenkins

Can case reports reveal the clinical value of radiology?

An odd question I know but a team of researchers from Germany asked very much that in a recently published paper. They concluded with the following answer:

“In case reports published in a prominent general medical journal radiological imaging is an important key player in the diagnostic process. In many cases, it is also the diagnostic tool which ultimately leads to determining the final diagnosis.” (1)

We are glad to see the prominent journal being our very own BMJ Case Reports. One aim – of pulling nearly 10,000 case reports into one place – has been to explore what additional value can be found in the collection. Data mining to look at the diagnostic value of radiology in challenging cases is one of them and the authors of this paper argue the case for that.

Please feel free to use BMJ Case Reports in your methods section. It is one of the most prestigious places to be in a paper. What data mining would you look for?

1 Wiesinger I, Scharf G, Platz N, et al. Evaluation of the contribution of radiological imaging to the final diagnosis in medical case reports. Eur Radiol 2014;:1–6. doi:10.1007/s00330-014-3537-7

Data visualisation

Data mining – another use for Case Reports?

Rare Case Of Severe Cholangiopathy Following Critical Illness

12 Nov, 14 | by Kristy Ebanks

Severe Cholangiopathy

We have some very interesting images for you but, can you answer the questions below?

Picture_3 image1edit

1. What is secondary sclerosing cholangitis?
2. What are the causes?
3. What are the potential complications in the short and the long term?

If you don’t know the answers or want to know more read ’Rare Case Of Severe Cholangiopathy Following Critical Illness

Mandibular swelling in a 5 year old child

28 Oct, 14 | by Kristy Ebanks

Mandibular myofibroma

We have some very interesting images for you but, can you answer the questions below?

Figure_4 (4) Figure_3 (3) Figure_1 (28)

1. Would you regard this primarily as a tumor?
2. How important would the histopathological exam be?
3. How would you manage it?

If you don’t know the answers or want to know more read ’Mandibular swelling in a 5 year old child- Mandibular myofibroma

The case of persistent sinus tract of facial area from dental origin

13 Oct, 14 | by Kristy Ebanks

Conservative management of persistent sinus tract

We have some very interesting images for you, have a look at the reviewer’s question below

CASE-3 CASE-2 CASE-1

1) How can we differentiate dental sinus tract from actinomycosis, pyogenic granuloma and malignancy?

If you don’t know the answers or want to know more read ’Conservative management of persistent sinus tract of facial area from dental origin: a report of three cases

The case of Ameboma

1 Oct, 14 | by Kristy Ebanks

Resurfacing of a vanishing illness

We have some very interesting images for you but, can you answer the questions below?

Figure_2-Colonoscopic_image__showing__ulcerations_with_yellowish_exudates_in_the_caecum Figure_1-CT_abdomen_showing_irregular_wall_thickening_of_the_caecum.

1. What is seen at colonoscopy?
2. What would you do if you encountered this for the first time at colonoscopy?
3. How would you make sure treatment was successful?

If you don’t know the answers or want to know more read ’Ameboma – Resurfacing of a vanishing illness!’

The case of palliative rehabilitation in the preservation of personhood at the end of life

1 Oct, 14 | by Kristy Ebanks

Preservation of personhood at the end of life

We have some very interesting images for you, have a look at the reviewers commentary below

fig_2 (3) Fig_1_The_Ring_Theory_of_Personhood

 

If you don’t know the answers or want to know more read ’The role of palliative rehabilitation in the preservation of personhood at the end of life

The case of Peripheral Ossifying Fibroma

17 Sep, 14 | by Kristy Ebanks

Peripheral Ossifying Fibroma

We have some very interesting images for you but, can you answer the questions below?

Figure_2-_Mesio-distal_and_Labio-lingual_extension_of_growth. Figure_1-_Exophytic_growth_in_the_mandibular_anterior_region_crossing_midline-_Labial_view.

1. What would be your clinical diagnosis?
2. How would you manage this patient primarily?
3. What histological findings would you expect?

If you don’t know the answers or want to know more read ’An unusual presentation of peripheral ossifying fibroma in old aged male

The case of the Solid Blue Dot Tumour

13 Aug, 14 | by Kristy Ebanks

Minor salivary gland acinic cell adenocarcinoma

We have some very interesting images for you but, can you answer the questions below?

Fig_3 (4) Fig_4 (2)Fig_2 (2) Fig_1 (1)

1. Based on clinical presentation, would you consider a malignant disorder as a provisional diagnosis?
2. What would be your recommended approach in such a patient before a definitive diagnosis?
3. What about afterwards?

If you don’t know the answers or want to know more read ’Solid Blue Dot Tumour – Minor salivary gland acinic cell adenocarcinoma

The case of ectopic central incisor

13 Aug, 14 | by Kristy Ebanks

Aggressive dentigerous cyst

We have some very interesting images for you but, can you answer the questions below?

figure_4-Intraoral_Perioperative_view figure_3-Occlusal_view figure_2-IOPA_view figure_1-Intraoral_Preoperative_view

1. What would be your diagnosis upon presentation?
2. What ancillary examinations would you request and what my be your differential diagnosis based on the imagiological findings?
3. How would you manage this condition?

If you don’t know the answers or want to know more read ’Aggressive dentigerous cyst with ectopic central incisor

The case of brachial artery pseudoaneurysm

13 Aug, 14 | by Kristy Ebanks

Brachial artery pseudoaneurysm

We have some very interesting images for you but, can you answer the questions below?

Figure_1 Figure_2 Figure_3 Figure_4 Figure_5

1. What is the difference between an aneurysm and pseudoaneurysm?
2. What are the usual causes of pseudoaneurysm?
3. How might a fracture result in vascular injury?

If you don’t know the answers or want to know more read ’Brachial artery pseudoaneurysm

Most recent cases

Most recent cases