Skip to main content

Table 1 Essential elements of a nephrology case report

From: How to write a case report in nephrology

Acute kidney injury:

Serum creatinine (at presentation and at baseline), estimated glomerular filtration rate

24-hour urine output (if able to quantify)

Urine analysis (especially blood and protein in urine)

Urine microscopy

Imaging of kidneys (if available)

Medication review to evaluate for nephrotoxic medications

Acute glomerulonephritis/nephrotic syndrome:

Hypertension

Systemic symptoms/signs (edema, anasarca, arthritis or rash)

Urine analysis (especially blood and protein in urine)

Urine microscopy (specifically presence or absence of dysmorphic red blood cells or casts)

Urine albumin to creatinine ratio (urine protein to creatinine ratio or 24-hour urine protein)

Kidney biopsy findings

Kidney biopsy:

Light microscopy

Number of glomeruli obtained in biopsy sample

Proportion of glomeruli affected

Description of pathological findings (with hematoxylin and eosin or periodic acid–Schiff staining) and any special staining

Immunofluorescent microscopy

Type of immunoglobulin and complement evaluated

Staining pattern (location) and degree (trace to 3+)

Electron microscopy

Significant findings (helpful if images can be included)

Drug therapies in glomerular disorders:

Specify details on immunosuppression regimen for induction and maintenance, mode of administration (oral or intravenous), dose and frequency

Include details on evidence of remission or lack of response

Dialysis therapy:

State type of dialysis (intermittent hemodialysis, continuous renal replacement therapy or peritoneal dialysis)

Type of dialysis access

Dialysis prescription (frequency, duration, composition and volume of dialysate fluid) and any significant machine settings

Electrolyte and acid–base disorder:

Details of electrolyte disorder at baseline and at presentation

Appropriate blood and urine tests done to determine cause of electrolyte disorder

Treatment offered and if this led to correction of the electrolyte disorder

Imaging finding:

Type of study

Specialized imaging (with or without contrast) and images of the radiological studies: ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI)

Kidney transplant recipient:

State reason for kidney failure

Type of kidney transplant (deceased or living donor)

Human leukocyte antigen matching

Timing of transplantation

Any prior episodes of rejection

Prescribed immunosuppressants

Kidney stone:

Presenting symptoms

Imaging studies

Study of stone composition

24-hour urine studies (if any)

Treatment offered (urological intervention or stone prophylaxis)

  1. If an element is missing or unavailable, please state the absence of the data as a limitation. This practice assures the editor and reader that every possible attempt was made to obtain the piece of information and demonstrates appropriate thought processes