WASOG Patient Cases Powerpoint template for authors 1 AVAILABLE CATEGORIES 1 Relevant information is structured by category. Please do not change the categories. The most important ones are: Case Overview: Summarise all important key aspects of the case Medical history and tests: Provide the patient details (age, gender, etc) and symptoms including relevant background information of the patient – this helps to classify the cases for the prospective audience Imaging: Images play a pivotal role in diagnosis. Images taken with any imaging technique (X-ray, CT, HRCT, MRI, ultrasound) can be inserted here. 2 AVAILABLE CATEGORIES 2 Lung function: Show all case-relevant parameters measured during lung function tests at a glance (e.g. FVC, FEV, DLCO). Laboratory: Provide laboratory test results (including immunological, haematological and metabolic assessment, antibodies) Biopsy/Pathology: Show which procedure was used and any pathologic findings or results Diagnosis: Provide an explanation of the final diagnosis based on the test results 3 AVAILABLE CATEGORIES 3 Expert opinion: Add your professional opinion of the case, based on the results and procedure used. You can also provide additional background information and further literature on the patient case. Learnings from the case: Highlight the most important outcomes of the case – this is of high educational value for the audience 4 QUESTIONS AND ANSWERS To improve the learning outcome for a specific case, you are invited to create 2-3 case-relevant multiple-choice questions. A short explanation for the solution should be included. 5 CATEGORY OVERVIEW The following categories are available • Case overview • Pathology • Medical history and tests • Diagnosis • Sounds • Expert opinion • Imaging • Learnings from the case • Lung function • Outpatient clinic • Laboratory • Operating theatre • Bronchoscopy • Hospice • Biopsy 6 YOUR PATIENT CASE 7 PATIENT CASE DETAILS Title of the case [please fill in] Author/s [please fill in] Date of submission [please fill in] Language of the case [please fill in] Focus [Diagnostic or Treatment?] Age and Sex of Patient [please fill in] Lung disease type [please fill in, eg IPF, Sarcoidosis…] Radiologic pattern [please fill in if applicable, eg UIP, NSIP, COP…] Radiologic features [please fill in if applicable, eg honeycombing, emphysema…] 8 CASE OVERVIEW Short description 09 MEDICAL HISTORY AND TESTS (Date) Initial visit • Age and sex? • Smoker? • Occupational hazards? • Environmental hazards? Clinical data Symptoms? Excluded disease? Physical examination Auscultation? 10 SOUNDS (Date) What did you hear? What does this mean? Do you have a recording which you can include? → conclusion 11 IMAGING (CHEST X-RAY) (Date) What did you see? What does this mean? If available, please include image! → conclusion 12 IMAGING (HRCT) (Date) Short summary of the HRCT findings • Patterns detected? • Patterns not detected? → conclusion 13 IMAGING (HRCT; IMAGES) (Date) Insert HRCT images here Lesions? Please use high quality images, mark the lesions (circles, arrows) and describe and explain what can be seen 14 LUNG FUNCTION (Date) Please include lung function measurement values, for example… • Forced expiration measurements • Lung volume measurements • Pulmonary diffusion measurements • Cardio pulmonary exercise testing (CPET) • Walking tests (eg 6 minute walk test) -> Please state the main observations/conclusions 15 LABORATORY Laboratory results (Date) For example LDH Results Conclusion? Immunology ACE Serum precipitins Haematology Biochemistry Metabolic assessement Autoantibodies Precipitating antibodies 16 BRONCHOSCOPY (Date) • Macroscopic assessment? • Bronchial aspirate? • BAL differential cell count: BAL differential cell count Alveolar macrophages Neutrophils Lymphocytes Eosinophils → Please highlight and explain important results 17 BIOPSY (Date) • Type of biopsy • Which lungs and what sections? • Why was it decided to do a biopsy? 18 PATHOLOGY Summary of pathologic findings (Date) • Patterns detected? • Patterns not detected? → conclusion 19 PATHOLOGY (IMAGES) (Date) Insert image here Lesions? Please mark and explain all characteristics which can be seen (eg Fibroblastic foci, Honeycombing, Temporal heterogeneity, Sub-pleural predominance) 20 EXPERT OPINION Please give your personal opinion on any topic (eg, HRCT interpretation, eligible treatment options in the specific situation or reasoning behind a given therapy.) 21 DIAGNOSIS (Date) Histologically …… Radiologically ….. Differential diagnosis? This leads to the conclusion that this patient …. 22 WARD (Date) If possible, please elaborate 23 PULMONARY REHABILITATION (Date) If possible, please elaborate 24 OUTPATIENT CLINIC (Date) If possible, please elaborate 25 OPERATING THEATRE (Date) If possible, please elaborate • Why? • Condition of the patient? • Consequences? • Include CT or Xray scan if available 26 HOSPICE (Date) If possible, please elaborate 27 QUESTION 1 • Question: • Answer 1: • Answer 2: • Answer 3: • Answer 4: • Correct answer: ANSWER 1 Author’s solution: Please explain the answer, provide literature if feasible. 29 LEARNINGS FROM THE CASE Please fill in the most important take home messages for audience for this case (if you see this, this means/do that….) The most important take home messages of the case are: 1) 2) 3) 30 THANK YOU! Please mail your case report to wasog@gosker.nl. After peer review it will be published on this website. 31