Case Report Template 2017

Keywords 

Hashimoto’s thyroiditis, autoimmune disease

Word count

word count <2000 words

Author/s

Tori Kute
Kerri Falk

Abstract

Hashimoto’s thyroiditis is an autoimmune disease. Hashimoto’s thyroiditis is often associated with arthralgia, myalgia, can lead to myopathy. Physical therapy can assist with the neuromuscular and musculoskeletal materializations that are seen in many patients with the condition.1 Physical therapy emphasis is on restoring the secondary effects of the disease such as restoration of joint range of motion, alleviation of pain in joints and muscles, and restoring strength due to muscle weakness. This case study depicts what may be seen in a patient coming to Physical therapy with Hashimoto’s thyroiditis as well as clinical impression, interventions, and outcomes.

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Introduction

The introduction is where we a clear idea of what is particularly interesting about the case we want to describe.

Case Presentation

This is the part of the paper in which we introduce the raw data. First, we describe the complaint that brought the patient to us. It is often useful to use the patient’s own words. Next, we introduce the important information that we obtained from our history-taking.

• Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, use relative dates i.e. years or months or days relative to onset of injury or start of treatment, patient/family goals)
• Demographic Information: (occupation/vocation, gender, age, etc.)
• Medical diagnosis if applicable
• Co-morbidities
• Previous care or treatment
• Self Report Outcome Measures
• Physical Performance Measures
• Objective : Physical Examination Tests and Measures

Clinical Impression

Summarization of examination findings, working diagnosis and targeted interventions

Intervention

• Phases of Interventions (e.g. protective phase, mobility phase, etc.)
• Dosage and Parameters
• Rationale for Progression
• Co-interventions if applicable (e.g. injection therapy, medications)

Outcomes

Findings Over time

Discussion

Summary Statement which should include related findings in the literature, potential impact on clinical practices

Acknowledgements

If someone provided assistance with the preparation of the case study, we thank them briefly. It is neither necessary nor conventional to thank the patient (although we appreciate what they have taught us). It would generally be regarded as excessive and inappropriate to thank others, such as teachers or colleagues who did not directly participate in preparation of the paper.

Related Pages

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References

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