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Submission Checklist Clinicopathological Cases To facilitate prompt peer review, before submitting, please adhere to the following guidelines. Papers submitted without these features will be returned to the authors for completion. Submission Word Count Category Word count limit (excluding abstract, legends, and references) Abstract limit Figures and tables limit (combined) CPC 4000 N/A 3 Figures, 3 Tables Upload manuscript as a Microsoft Word document Entire paper in one document (but without title page) including text with tables and figures embedded within the paper in the order in which they are cited and references Blinded with all author information and study locations removed throughout Each individual table/figure with its associated legend and footnotes (if present) on the same page (All legends must be sufficiently explanatory that they could be understood without reference to the article itself.) Appendices should be uploaded as separate documents under Supplemental Files All authors full titles, affiliations, and contact emails Title page with author information (not to be shared with reviewer to maintain blinding) Cover letter including corresponding author and first author contact information Brief statement of justification, importance, and fit with the niche of the journal

Conflicts of interest (outside jobs, consultations, stocks, research support, financial interests, honoraria, speaker fees, military support, etc.) Address and complete contact information for corresponding author and first author Have you received any grants for your manuscript? Please answer this question in the form of a "yes" or "no" statement. If "yes", list any grants received for the manuscript, and if this includes an NIH or CDC grant, please provide the grant number. Are any authors on the manuscript members of one of WestJEM's sponsoring societies (ACOEP, California ACEP, & Cal/AAEM)? Please answer this question in the form of a "yes" or "no" statement. If "yes", state the names of the authors that are members. Title page should include Authors with respective titles (MD, PhD, MS, etc), institutions, and departments (12 author limit). Which meeting (if any) where the research was presented. Word count Corresponding author and first author with complete contact information including phone number(s). Individual files for figures, tables, and videos Images in original format (.jpeg,.png,.gif,.tiff,.bmp, etc) Videos must be in.mov,.mp4, or.flv format Tables in Microsoft Word documents Signed patient consent and permissions form acknowledging potential publication and accessibility on the internet for figures/videos containing a patient s face, eyes, other identifiers, children, or genitals Evidence of IRB approval, institutional policy or signed attestation by the corresponding author in the cover letter that institution does not require IRB approval for case reports and images.

Formatting Include title at the top of the first page (limited to 100 characters including spaces). Spell out all abbreviations no matter how obvious, for example, emergency department Continuous line numbering is included in left-hand margin [WORD directions: Page Layout Line Numbers Continuous] Text in 12 point Times New Roman font Entire manuscript is double-spaced including references All footnote numbering must be in superscript format (Ctrl shift +) with the number following punctuation per this example: to develop a standard of care. 23 3-5 Key teaching points required Headlines List major headlines in BOLD, UPPERCASE lettering without colon Subheadings are in bold and in title case lettering (first letter of each word is capitalized) Section headings: CASE PRESENTATION (RESIDENT NAME), CASE DISCUSSION (ATTENDING NAME), CASE OUTCOME (RESIDENT NAME), RESIDENT DISCUSSION, FINAL DIAGNOSIS, KEY TEACHING POINTS, REFERENCES Figures/Tables All figures/tables/videos to be referenced within text of manuscript in the order they appear Make sure that there are no titles or bold fonts in figures/images/tables Fully descriptive legends for each figure and table such that they could stand alone if removed from the context of the larger paper. Abbreviations in figures/tables must be spelled out or notated in legend or footnote, even if already done so in text Include an excel document of tables/figures as a supplementary file if present

All line art figures have a minimum resolution of 600 dots per inch (DPI) and images 300 DPI To check DPI: Right click image file, Click Properties, found under Details To change DPI: Open image using Photoshop, Click Image Image Size Resolution 600 pixels/inch Every figure/video includes contrasting black or white arrows clearly pointing to important (even obvious) findings Tables are made in a Microsoft Word document using "Insert Table" function Each column must have a heading Minimum size of 2 X 2 Every row/column, including subcategories (i.e. female and male subcategories below gender category) should be split into own cells. This includes corresponding data for each sub-category. Subcategories should be indented by 0.125 inches Sub-subcategories should be indented by 0.25 inches Example Table: Type fully descriptive legend here. (List all abbreviations here). Heading 1 Heading 2 Gender 0.00 Female 0.00 Male 0.00 Videos Up to 1 minute for radiologic findings such as ultrasound, CT, or MRI Up to 5 minutes for other videos (e.g. demonstrations of a procedure) Videos must be narrated or annotated Acknowledgements List any grants received for the manuscript, and if this includes an NIH or CDC grant then provide the grant number

Conflicts of interest if any exist Name anyone you would like to acknowledge who is not an author on the manuscript but contributed to the study References All submissions must contain references They must be listed in the order in which they first appear in text (not alphabetically) References follow the American Medical Association Citation Style Guide. (http://www.lib.jmu.edu/citation/amaguide.pdf) except: Authors: List up to three authors, before putting et al. If there are only two authors, replace comma between names with and Remove DOI Delete spaces between publication year, volume, issue, and page numbers In-text reference numbers should be placed after the period as a superscript, like this. 1 Arabic numerals (i.e. 1,2,3) are used instead of roman numerals (i.e. i, ii, iii) Journal names must be abbreviated and italicized