• Total word limit: 1000 (references not included)

• Write a short clinical vignette using the following format:
• ID (use a pseudonym and alter demographic info)
• CC
• PMHx
• HPI
• P/E
• Imaging (if there are privacy concerns try using a public-access database such as MedPix)
• Labs
• Impression & Plan

• Following the vignette, discuss the management strategy and identify any clinical pearls (examples: history-taking, physical exam techniques, imaging interpretation).

• Include a short synopsis of the topic discussed (50 word limit).

• Please ensure your text is fully blinded -  there should be no identification of patients.

• Figures/tables should be limited to a maximum number of 8.

• Please ensure your manuscript has been 'spell checked' and 'grammar checked'.

• Please obtain permission for the use of any copyrighted material.

• Please included a competing interests statement, even if you have no competing interests to declare.

• Please reference any and all cited works and list these works in a dedicated "Reference List" at the end of your paper.

• References should be formatted per AMA (11th ed.), be sure to include DOIs.