What kind of ‘evidence’ should be included?
Evidence should be from peer-reviewed journals or clinical care guidelines that are based on peer-reviewed studies or systematic-reviews.
The ‘evidence’ may pertain to:
The development or modification of an intervention or diagnostic technique to deal with a clinical problem. Here, you want to concentrate on the evidence for the new or modified intervention, the direct application to the patient, and the setting in which it was used. Remember that the patient history and examination should indicate why the patient is appropriate for the new or modified intervention.
An approach to the intervention or diagnosis of a condition or presentation that is based on existing evidence. Here, you want to concentrate on the evidence for the diagnostic approach or diagnostic interpretation and why it is appropriate for the patient and setting. If the approach to intervention or diagnosis was originally developed for another condition or setting, than explain how it could be overlooked or why it was relevant in your case (if relevant). Be sure to comment on how the evidence was identified and used, or should have been identified and used.
Conflicting, missing, or incomplete evidence relating to a common, unique, or complicated patient case. Here, you want to concentrate on describing the case and the potential evidence that could, should, or was applied. Be sure to also concentrate on how/why the evidence is conflicting, missing, or incomplete. Remember to suggest how the evidence can be improved to benefit cases like the one you are presenting.
OR your case report might include a combination of the above.