Case report

Those presentations that are of interest due to their novelty, low frequency of presentation, clinical variant, modification of surgical technique, or other characteristics that highlight the need for their publication are accepted.

• Authors: up to three.
• Maximum length: 3,000 words, not including bibliographical references.
• Bibliographic references: up to 30.
• Figures: up to six.

Title: it must correspond to the most interesting phenomenon (e.g. symptom, disease, diagnosis, test, intervention) that gives rise to the clinical description, treatment or technical variant used. Include the words “case report” in the title.

Abstract: structured as follows: Introduction that includes what the case brings new; Aim; Presentation of the case with the main symptoms of the patient, clinical findings, diagnoses, interventions and results; Conclusion where the main lessons learned with the clinical case are synthesized. It must have a limit of 250 words, and written in Spanish and English.

Keywords: from two to five words that will be obtained from the Descriptors in Health Sciences (DeCS).

Introduction: briefly summarize the background of the clinical case presented, making reference to the pertinent medical literature. At the end, the objective and the reasons for presenting the case must be declared.

Patient information: Describe demographic information (age, gender, skin color, profession); individual, family and psychosocial medical history – including diet, lifestyle and genetic information whenever possible – and details of comorbidities and previous interventions and their results.

Compliance with the ethical component of clinical research: describe the case approval process by the institution's research ethics committee and explain the procedure for obtaining informed consent from the patient to disclose their health situation (includes their permission to publish the pictures). These two supporting documents can be requested from the authors by the editorial committee if it is considered necessary. Adherence to removal of identifying information from all patient-related data must also be declared.

Patient Perspective: The patient should communicate their perspective or experience in the medical care received, whenever possible.

Clinical findings: Clinical findings: summarize the findings when performing the physical examination or examination of the patient. Regarding the main symptoms and signs in the patient, the onset, evolution and current state of the condition must be made explicit.

Calendar: Describe important dates and times in the case. For this, tables or figures can be used, always following the indications established for the original articles.

Diagnostic evaluation: summarize, preferably in paragraph format, the evaluation of laboratory, imaging, pathological and other diagnostic procedures; What makes the picture presented by the patient a peculiar case should be highlighted. Reference should also be made to economic, linguistic, cultural or other problems, which constituted limitations in the carried out diagnosis. Also describe the diagnostic reasoning, including other possible diagnoses considered and prognosis where appropriate.

Therapeutic intervention: describe the type or types of intervention (pharmacological, surgical, preventive, self-care); administration of the intervention (dose, concentration, duration); and any changes made with its justification.

Follow-up and results: summarize the follow-up to the case, including: results evaluated by the doctor and the patient, important results of the diagnostic tests of follow-up, evolution of the case and adverse and unexpected events.

In the previous paragraphs, a maximum of six figures will be used (photos, tables, family trees), signs (arrows, circles, or others) must be used to identify the structures commented on in the text.

Discussion: analyze and compare the main findings with other reported cases and with the pertinent medical literature. Point out the pathology, pathophysiology and its meaning. Analyze theories or hypotheses about the implications of the findings. Discuss differential diagnoses. Describe the difficulties in establishing the diagnosis or treatment of the case presented, highlight the strengths and limitations of the study and their possible influence on the results.

Conclusions: they must be clear, justify the presentation of the case and include the contributions to scientific knowledge, as well as the main lessons learned from the case report.

Bibliographic references: they must be written following the indications for all types of articles. The use of updated sources is required (50% of the last five years).

It is recommended to use the CARE checklist https://revistamedicahondurena.hn/dmsdocument/28-carechecklist-spanish-2013-pdf