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Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'F', 'symptoms': 'Abdominal pain', 'medical_history': ['ONCOLOGY HISTORY:\n___ Presented with 3 month history of abdominal pain.\n___ Endovaginal ultrasound: Uterus was slightly enlarged\nat 7.6 x 4.2 x 3.5 cm. She appeared to have a right fundal\nsubserosal fibroid. The endome... | {'final_diagnoses': ['spontaneous bacterial peritonitis', 'abdominal pain', 'mucinous peritoneal carcinomatosis (likely ovarian primary)'], 'procedures': ['guided paracentesis'], 'visit_summary': 'yo F with history of HTN, DL, DM, mucinous peritoneal \ncarcinomatosis on paclitaxel/gemcitabine, presumed ovarian \norigin... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 48, 'gender': 'F', 'symptoms': 'abdominal pain', 'medical_history': ['___:', 'HLD', 'Mesenteric ischemia', 's/p celiac artery stent placement in ___ c/b re-stenosis', 's/p SMA stent placement', 's/p ___: Balloon angioplasty of in-stent superior mesenteric artery stenosis c/b left brachial ps... | {'final_diagnoses': ['Perforated duodenal ulcer', 'early cirrhosis'], 'procedures': ['___ - Exploratory laparotomy, duodenal primary repair with ___ patch, placement of a post pyloric and post duodenal repair Dobbhoff tube.'], 'visit_summary': "Mr. ___ is a ___ gentleman with a history of alcohol abuse, chronic\npancre... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 34, 'gender': 'M', 'symptoms': 'Dyspnea', 'medical_history': ['-HFpEF', '-Diabetes mellitus II', '-Hypertension', '-Anxiety', '-Autonomic dysfunction (orthostatic hypotension)', '-Hyperlipidemia', '-Right distal fibular fracture ___', '-L1 and L4 compression fractures', '-Peripheral neuropat... | {'final_diagnoses': ['chronic pleural effusions, likely malignant', 'CHF exacerbation', 'hypercarbic respiratory distress'], 'procedures': ['- fistulogram with tPA administration and ballooning for AV \nfistula clot', '- removal and replacement of Pleurx catheter for malpositioned \ncatheter'], 'visit_summary': '___ yo... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'F', 'symptoms': 'Encephalopathy', 'medical_history': ['___ disease', 'Bipolar disorder', 'Anemia, suspected myelodysplastic syndrome (followed by \nHeme/Onc)', 'Diet-controlled diabetes mellitus', 'Hypertension', 'Primary hyperparathyroidism', 'Anxiety', 'Mild intellectual dis... | {'final_diagnoses': ['Enterococcal Urinary Tract Infection', 'Aspiration pneumonia', 'Hypernatremia', 'Hypercalcemia', 'Catatonia', 'Anemia', '___ disease'], 'procedures': ['None'], 'visit_summary': "ASSESSMENT & PLAN: ___ h/o Bipolar d/o, ___ disease, \nmultiple recent admissions for AMS thought to be \nmedication/psy... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'F', 'symptoms': 'behavioral problems', 'medical_history': ['1. Schizophprenia vs schizoaffective disorder-manic type: Last \nhospitalization was a few weeks ago at ___ for \naggressive behavior at ___. Psychiatrist: \nDr ___ at ___ ___ per OMR.', '2. Diabetes mellitus type II'... | {'final_diagnoses': ['Agitation', 'Schizophrenia vs shcizoaffective disorder', 'T10 fracture'], 'procedures': ['none'], 'visit_summary': '___ with a history of schizophrenia, hypertension, diabetes and \nrecent T10 fracture, presenting from rehab with behavioral \nproblems. \n. \nBehavioral problems: The patient was ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'F', 'symptoms': 's/p fall', 'medical_history': ['HTN', 'diverticulosis', 'hypercholesterolemia', 'hypothyroid', 'constipation', 'obesity', 'colonic polyps'], 'family_history': 'n/a', 'present_illness': 'Ms. ___ is a ___ year old female who had a mechanical fall.\nShe presented... | {'final_diagnoses': ['s/p fall', 'Left proximal humerus fracture', 'Left tibial shaft fracture', 'Right lower lobe lung nodule - incidental finding on CTA'], 'procedures': ['___: IM nail left tibia'], 'visit_summary': 'Ms. ___ presented to the ___ on ___ after a mechanical \nfall. She was evaluated by the orthopaedic... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'F', 'symptoms': 'difficulty reading', 'medical_history': ['1. Percutaneous discectomy in ___.', '2. Gastric cancer status post subtotal gastrectomy and \nradiation\n chemotherapy.', '3. Hairy cell Leukemia.', '4. Lyme disease.', '5. HTN', '6. BPH'], 'family_histor... | {'final_diagnoses': ['1. Transient Ischemic Attack (TIA)', '1. Hypertension'], 'procedures': ['none'], 'visit_summary': '___ yo RH man with PMH significant for HTN, BPH, hairy cell \nleukemia who was in his USOH on day of admission until 14:00 \nwhen he noted difficulty reading a ___\neditorial and difficulty finding w... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 46, 'gender': 'F', 'symptoms': 'Syncope', 'medical_history': ['lung cancer: diagnosed ___: T4 N0 Mx disease, s/p chemotherapy, \nradiation therapy, resection with no recurrence, followed by Dr. \n___', 'PPD: s/p 9 months of INH ___', 'GERD', 'depression', 'anxiety', 'allergic rhinitis'], 'fa... | {'final_diagnoses': ['Syncope', 'Cough'], 'procedures': ['None'], 'visit_summary': '___ yo man with a h/o lung CA, + PPD, anxiety, GERD who presents \nfrom home s/p syncope.\n.\n#Syncope: Patient presented with drop-attack suspicious for \ncardiac event such as arrhythmia. No acute EKG changes to \nsuggest MI and enzym... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 55, 'gender': 'F', 'symptoms': 'Right leg pain', 'medical_history': ['h/o CVA x2 ___ yrs ago (3 months apart), started on Plavix for \nlife ', 'ASD', 'Hypercholesterolemia', 'HTN', 'Bipolar d/o', 'h/o Polio as a child, residual R sided weakness', 's/p multiple eye surgeries', 'h/o prostate C... | {'final_diagnoses': ['Right tibial plateau fracture'], 'procedures': ['___: ORIF Right tibial plateau fracture'], 'visit_summary': "The patient was admitted on ___ to the orthopedic service. \nHe was consnented and brought to the operating room on ___ \nfor fixation of his tibial plateau fracture. He tolerated the \n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 55, 'gender': 'F', 'symptoms': 'Fall', 'medical_history': ['1. Diabetes', '2. Hypertension', '3. Arthritis'], 'family_history': 'Diabetes in close family members\n1 son passed away from cancer ___ (unclear what type)', 'present_illness': 'Patient not able to provide accurate history. HPI bas... | {'final_diagnoses': ['Dementia', 'Urinary Tract Infection', 'Hypertension', 'Bradycardia', 'Chronic Kidney Disease'], 'procedures': ['None'], 'visit_summary': "Ms. ___ is a ___ yo woman with a history of hypertension, \ndiabetes (HgA1c 6.1%) who presented s/p unwitnessed fall with \n?LOC, found to have small SDH and na... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'F', 'symptoms': 'Headache', 'medical_history': ["MedHx: \n-Atrial fibrillation s/p cardioversion ___ and ___, normal \np-MIBI \n-Hypertension \n-Asthma \n-Barrett's esophagitis \n-Renal insufficiency \n-s/p R TKR ___, L TKR ___ \n-Osteoarthritis"], 'family_history': 'NC'... | {'final_diagnoses': ["Primary: \n-Hypertensive urgency \n-CHF \n-s/p R TKA \nSecondary: \nMedHx: \n-Atrial fibrillation s/p cardioversion ___ and ___, normal \np-MIBI \n-Hypertension \n-Barrett's esophagitis \n-Renal insufficiency \n-s/p R TKR ___, L TKR ___ \n-Osteoarthritis"], 'procedures': ['None'], 'visi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 46, 'gender': 'F', 'symptoms': 'Chest pain', 'medical_history': ['HTN', 'HLD', 'OSA', 'CAD s/p PCI ___ (due to exertional chest pain)', '___: The coronary system was left dominant system. The distal \ncircumflex was not well visualized on repeat evaluation. There \nappeared to be more sign... | {'final_diagnoses': ['Chest pain'], 'procedures': ['Cardiac catheterization'], 'visit_summary': 'Mr. ___ is a ___ gentleman with HTN, HLD, OSA, and CAD \n(s/p DES to distal LCx, OM3, PDA x2 in ___ who presented to \nthe ED with exertional chest pain that is similar to his prior \nanginal pain.\n\n# Unstable angina. TI... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 84, 'gender': 'M', 'symptoms': 'ectopic pregnancy', 'medical_history': ['Ob/gyn hx:', '- G1P1- pLTCS at term for AOD', '- denies h/o abnl pap, STD', '- LMP ___', 'PMHx: denies', 'PSHx CS x1'], 'family_history': 'NC', 'present_illness': '___ yo G1P1 with +HCG, 6w1d by ___ reports that she had... | {'final_diagnoses': ['ectopic pregnancy'], 'procedures': ['laparoscopic salphingectomy'], 'visit_summary': 'On ___, Ms. ___ was admitted to the gynecology service \nafter undergoing laparoscopy left salpingectomy for ectopic \npregnancyPlease see the operative report for full details. Her \npost-operative course was un... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 89, 'gender': 'M', 'symptoms': 'vertigo', 'medical_history': ['HTN', 'cardiac stents', 'GERD', 'hiatal hernia', 'stroke in ___ - right cerebellar with residual vertigo/ataxia ', 'Right knee replacement', 'HLD', 'kidney stones', 'arthritis', 'nasal surgery', 'vocal cord polyps', 'urethral str... | {'final_diagnoses': ['peripheral Vertigo'], 'procedures': ['NONE'], 'visit_summary': 'Ms ___ is a ___ year old right handed woman with a recent left \nMCA embolic stroke and prior right cerebellar stroke in ___ \npresenting with acute onset of vertigo. Episodes have been \ntransient but now with severe nausea and pers... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 68, 'gender': 'F', 'symptoms': 'L sided weakness', 'medical_history': ['CAD, cath ___ with 2VD', 'Dyslipidemia', 'Peptic ulcer disease', 'Varicose veins s/p vein ablation and stripping', 'Raynauds', 'Cataracts', 'Sleep apnea'], 'family_history': 'His aunt had a stroke in her ___. His grandmo... | {'final_diagnoses': ['TIA versus psychosomatic complaint'], 'procedures': ['None'], 'visit_summary': '___ yo right-handed man with a history of CAD who presented \n___ shortly after an episode of lightheadedness, slurred \nspeech, and sudden left-sided weakness and numbness in the face, \narm, and leg that occurred fol... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'M', 'symptoms': 'left knee pain', 'medical_history': ['MEDICAL HISTORY: ', '# ___ s/p Cyberknife', '# Essential thrombocytosis. Now taking Hydroxyurea', '# GERD', '# orthostatic hypotension on fludrocortisone', '# scoliosis', '# osteoporosis with recently diagnosed T9 compres... | {'final_diagnoses': ['left knee osteoarthritis'], 'procedures': ['left total knee replacement'], 'visit_summary': "The patient was admitted to the orthopaedic surgery service and \nwas taken to the operating room for above described procedure. \nPlease see separately dictated operative report for details. The \nsurgery... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'F', 'symptoms': 'crampy abdominal pain', 'medical_history': ['Hypertension, varicose veins, and hyperlipidemia; chronic liver disease demonstrated as outpatient and stable with elevation in baseline LFTs', 's/p varicose vein stripping.', 's/p surgical repair of complex right t... | {'final_diagnoses': ['Small bowel obstruction secondary to carcinomatosis with intra-abdominal mesenteric and small bowel carcinomatosis with malignant ascites and diffuse carcinomatosis.', 'Post op ileus', 'Superficial wound infection'], 'procedures': ['Exploratory laparotomy', 'lysis of adhesions', 'omental biopsy', ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 34, 'gender': 'F', 'symptoms': 'Increased stump pain and discharge', 'medical_history': ['1. Right AKA and left BKA secondary to osteomyelitis \n- biopsy of bone on ___, corneybacterium, \nbacteroides, got two weeks vancomycin/flagyl back ___ ___ and \nleft AMA \n- admitted ___ and got cou... | {'final_diagnoses': ['Asymptomatic bacteriuria', 'Chronic osteomyelitis', 'Right above knee amputation', 'Left below knee amputation', 'Left inguinal ulcer', 'Paraplegia'], 'procedures': ['None'], 'visit_summary': 'The patient is a ___ year old male with a history of paraplegia \nand bilateral ___ amputations that are ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 68, 'gender': 'F', 'symptoms': 'Weight Gain / Dyspnea / Leg Swelling', 'medical_history': ['Acute Diastolic Congestive Heart Failure secondary to \nHypertensive Cardiomyopathy EF60-65%', 'Hypertension with Hypertensive Crisis ___', 'Type II Diabetes Mellitus (uncontrolled with complications,... | {'final_diagnoses': ['Acute Diastolic Congestive Heart Failure', 'Hypertensive Cardiomyopathy', 'Hypertensive Crisis', 'Concern of Bilateral Renal Artery Stenosis', 'Type II Diabetes Mellitus complicated and uncontrolled', 'Interstitial Lung Disease', 'Gastroesophageal Reflux Disease', 'Incidental Imaging Findings (bre... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'F', 'symptoms': 'Back pain, chest pain', 'medical_history': ["Hypothyroidism s/p RAI for Grave's disease", 'Hypertension'], 'family_history': 'Family and mother both had tremors when they \nwere older. He has five siblings, two of them are older and \nnone of them have tremo... | {'final_diagnoses': ['T10-T11 vertebral fracture', 'Hypertension', 'Hyperlipidemia', 'Hypothyroidism'], 'procedures': ['None'], 'visit_summary': "This is a ___ y/o M with hx of HTN, hypothyroidism, who presents \nwith new back pain with chest pain x 5 days, found now to have \nT10-Tll fracture. \n. \n#. Back pain: Th... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'M', 'symptoms': 'chest pressure', 'medical_history': ['Epilepsy - followed by Dr. ___', 'Hypertension', 'Glaucoma', 'Cataracts', 'S/P hysterectomy and tubal ligation.', '.', 'Cardiac Risk Factors: - Diabetes, -Dyslipidemia, +Hypertension', '.', 'Cardiac History:', 'CABG: n/a',... | {'final_diagnoses': ['Atypical Chest pain possibly anxiety'], 'procedures': ['cardiac catheterization'], 'visit_summary': "Ms. ___ is a ___ female with a history of seizure \ndisorder and hypertension who presented to the ED yesterday with \natypical cardiac symptoms. \n.\n#. CAD/Chest Pressure: Thep patient presents ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 81, 'gender': 'M', 'symptoms': 'Rectal cancer', 'medical_history': ['transgender FTM', 'depression', 'anxiety', 'migraines'], 'family_history': 'per ___ medical record', 'present_illness': 'T2N0 stage 1 rectal adenocarcinoma', 'medications': [{'medication': 'PNEUMOcoccal 23-valent polysaccha... | {'final_diagnoses': ['T2N0 stage 1 rectal adenocarcinoma'], 'procedures': ['Robotic Laparoscopic Low Anterior Resection with total abdominal hysterectomy with bilateral salpingo-oophorectomy'], 'visit_summary': "Mr. ___ presented to ___ holding at ___ on ___ \nfor a robotic low anterior resection (with TAH-BSO). He \nt... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 21, 'gender': 'M', 'symptoms': 'Headache, dizziness, neck pain, left facial weakness', 'medical_history': ['-HTN', '-Multiple Thyroid nodules, has seen endocrine in the past, most\nrecently last fall, but had cancelled next f/u apt', '-Headache', '-Back pain'], 'family_history': 'No known hi... | {'final_diagnoses': ['Cervicalgia', 'Migraine with Complicated Features'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ is a ___ year-old female with PMHx of HTN, thyroid \nnodules, headache and back pain who was admitted to the stroke \nservice to exclude an acute cerebrovascular event. She presented \nwith sever... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 39, 'gender': 'M', 'symptoms': 'Abdominal pain, nausea', 'medical_history': ['COPD', 'CAD s/p stent placement', 'Hypertension', 'Arthritis', 'Glaucoma'], 'family_history': 'Diabetes, mother with heart problems.', 'present_illness': 'Patient is an ___ year old female with a history of COPD (n... | {'final_diagnoses': ['Acute cholecystitis'], 'procedures': ['Laparoscopic cholecystectomy'], 'visit_summary': "Ms. ___ is an ___ year old female with a history of COPD \n(not on home O2), mild dementia, known gallstones complicated by \nprior episodes of pancreatitis, choledocholithiasis and \ncholangitis s/p ERCP with... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'M', 'symptoms': 'Appendicitis', 'medical_history': ['none'], 'family_history': 'N/A', 'present_illness': '___ p/w RLQ abdominal pain x 4 days, with acute appendicitis. \nPatient started having pain localized to RLQ on \n___ and gradually got worse. This am he had n/v \nand was... | {'final_diagnoses': ['Appendicitis'], 'procedures': ['___: Laparoscopic appendectomy'], 'visit_summary': 'The patient was admitted to the Acute Care Surgery service after \nhis laparoscopic appendectomy. He tolerated the procedure well. \nPlease see full Operative Note for details. After a brief, \nuneventful stay in t... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'F', 'symptoms': 'vomiting, diarrhea', 'medical_history': ['1) HTN', '2) asthma', '3) adenocarcinoma/bronchoalveolar carcinoma - s/p resection of \nadenocarcinoma of lung ___', '4) DM', '5) systolic CHF, last EF of 20%', '6) CAD'], 'family_history': "Mother died of diabetic com... | {'final_diagnoses': ['infectious gastroenteritis (pre-formed toxin)'], 'procedures': ['None'], 'visit_summary': '___ h/o CHF EF 20% with one day of acute onset, severe N/V, \ndiarrhea.', 'medications_prescribed': ['1. Albuterol Inhaler ___ PUFF IH Q4H:PRN SOB, wheeze \nhold for HR > 100 ', '2. Calcium Carbonate 500 mg ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'M', 'symptoms': 'hand pain', 'medical_history': ['Rotator cuff problems', 'h/o peritonsilar abscess (age ___'], 'family_history': 'noncontributory', 'present_illness': 'The patient is a ___ y/o M who developed a pimple on his left \nhand 10 days PTA ___. The pimple expanded in... | {'final_diagnoses': ['Left hand cellulitis.'], 'procedures': ['Incision and drainage of wound.'], 'visit_summary': "___ yo man presents with cellulitis and abscess refractory to \noutpatient treatment.\n\nIn the ED, his exam was impressive for significant edema and \nerythema. XRAY was negative for subcutaneous air. An... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'M', 'symptoms': 'generalized weakness', 'medical_history': ['Colorectal cancer - ___ Status post treatment with \nresection\nand adjuvant radiation.', 'CAD status post MI', 'Squamous cell carcinoma of the bilateral lower extremities -\nThe patient underwent excision of a squam... | {'final_diagnoses': ['Partial Bowel Obstruction', 'Acute Renal Failure', 'Urinary Tract Infection'], 'procedures': ['bilateral nephrostomy tube placement'], 'visit_summary': "Pt is an ___ you F w/ a history of remote colon CA and recent dx \nof metastatic cancer in the abdomen (unknown primary) who \npresents w/ a part... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'M', 'symptoms': '___ with righ t3cm interpolar renal mass', 'medical_history': ['NEPHROLITHIASIS', 'ECZEMA', 'RENAL MASS', 'GASTROESOPHAGEAL REFLUX', 'CATARACTS', 'HYPERLIPIDEMIA', 'MUSCULOSKELETAL', 'OSTEOARTHRITIS', '___ ESOPHAGUS'], 'family_history': 'Mother died of emphyse... | {'final_diagnoses': ['PREOPERATIVE DIAGNOSIS: Renal mass suspicious for renal cell\ncarcinoma and renal cyst', 'POSTOPERATIVE DIAGNOSIS: same'], 'procedures': ['Right robotic-assisted laparoscopic partial nephrectomy.', 'Laparoscopic renal cyst decortication (separate\n procedure).'], 'visit_summary': 'Mr. ___ was... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'F', 'symptoms': 'GIB', 'medical_history': ['Osteopenia', 'Pure hypercholesterolemia', 'HTN', 'Osteoarthritis', 'Low back pain', 'CKD', 'GI bleed', 'CAD'], 'family_history': 'non-contributory', 'present_illness': 'This is a very pleasant ___ year old female with PMHx significan... | {'final_diagnoses': ['- Probable diverticular bleed', '- Acute blood loss anemia'], 'procedures': ['EGD/Colonoscopy at ___ ___'], 'visit_summary': 'w/ CAD, CKD, HTN, DM2, and diverticulosis who was admitted \nto ___ ___ w/ 2d BRBPR and is transferred given concern \nfor ongoing active bleed and potential need for ___ i... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 89, 'gender': 'F', 'symptoms': 'Confusion, somnolence.', 'medical_history': ['Glioblastoma, right frontal', 'Prostate cancer', 'Hypertension', 'Dyslipidemia', 'Radical prostatectomy and lymph node dissection', 'left ankle surgery', 'knee surgery', 'anxiety', 'insomnia', 'claustrophobia'], 'f... | {'final_diagnoses': ['Somnolence.', 'Glioblastoma multiforme.', 'History of seizures.', 'Cognitive deficits (difficulty thinking clearly and with \nmemory).', 'Hypertension (high blood pressure).'], 'procedures': ['None.'], 'visit_summary': 'man with right GBM on bevacizumab admitted for transient \nsomnolence. Somnol... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 65, 'gender': 'F', 'symptoms': 'Dyspnea', 'medical_history': ['- Mantle cell lymphoma ', '- Pulmonary nodular lesions showing necrotizing granulomatous \ninflammation with positive acid-fast rods ', '- Positive for the above-mentioned left upper lobectomy for lung\ncancer in ___ and for the ... | {'final_diagnoses': ['MDS', '___', 'COPD', '___:', 'Pulmonary Nodules'], 'procedures': ['None'], 'visit_summary': '___ male with a distant h/o lung cancer s/p LUL lobectomy in\n___, mantle cell lymphoma s/p chemotherapy in remission, MDS,\nCHF (last EF 35% with multiple admits requiring diuresis for CHF\nexacerbation),... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 33, 'gender': 'M', 'symptoms': 'Exertional chest pain', 'medical_history': ['Hypertension', 'Dyslipidemia'], 'family_history': 'Denies premature CAD.', 'present_illness': 'Mr. ___ is a ___ year old male with several month history of \nexertional angina and shortness of breath. Workup ultimat... | {'final_diagnoses': ['Coronary artery disease s/p Off Pump CABG', 'Postoperative Atrial Fibrillation', 'Postoperative Anemia', 'Hypertension', 'Elevated cholesterol'], 'procedures': ['___ Off pump coronary artery bypass graft x4 (left internal \nmammary artery > left anterior descending, saphenous vein graft \n> diagon... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'F', 'symptoms': 'Abdominal pain', 'medical_history': ['PGyn: hx of chlamydia ___, treated; denies other STI or abnl \nPap\nsmear. Currently sexually active with ___ male partner.', '___: G1P1 ___ x1', 'PMH: syncope, depression', 'PSH: denies', 'Meds: none', 'All: NKDA'], 'fami... | {'final_diagnoses': ['Pyosalpinx'], 'procedures': ['None'], 'visit_summary': 'On ___, Ms. ___ was admitted to the gynecology service \nfor IV antibiotic treatment of pyosalpinx. \n\nOn admission, patient was started on IV antibiotics and pelvic \npain was controlled with PO tylenol and oxycodone. On hospital \nday #2 s... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'M', 'symptoms': 'Dyspnea, L Hand Swelling, R Leg Swelling', 'medical_history': ['- CAD with the following interventions: \n A. ___ - 2.5 x 18 Cypher to LAD \n B. ___ - inferior STEMI with overlapping Endeavor stents to\n\n the distal RCA \n C. ___ - ISR RCA stent status pos... | {'final_diagnoses': ['Left upper extremity cellulitis', 'Right lower extremity cellulitis', 'acute on chronic systolic heart failure', 'peripheral vascular disease'], 'procedures': ['None'], 'visit_summary': '___ w/ PMh of HFrEF (LVEF=35%) s/p AICD, severe PVD w/ R fem-pop \nartery bypass graft (___), CAD s/p CABG (___... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'F', 'symptoms': 'fever', 'medical_history': ['-s/p CT fluoroscopy guided radiofrequency ablation of a 1.3 cm \nright adrenal functioning adenoma (___)', '- living-related renal transplant on ___ for ESRD related \nto HTN, on tacrolimus/mycophenolate', '- Hypertension', '- Hy... | {'final_diagnoses': ['urinary tract infection', 'bloodstream infection', 'history of renal transplant'], 'procedures': ['NONE'], 'visit_summary': "___ y/o M with hx of LRRT in ___, HTN, DM presenting with fever, \nchills, hyperglycemia, and hyperkalemia, found to have \nenterococcus on blood and urine cultures concerni... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'M', 'symptoms': 'LLE pain and difficulty walking', 'medical_history': ['Afib with pacemaker (___)', 'HTN', 'HL', 'CHF ___ EF)', 'MI (___), Stable Angina', 'Lumbar Stenosis, Lumbar Laminectomy/Fusion ___, Cervical Fusion \n___', 'OA, Arthritis, Gout', 'Obesity', 'Reflux', 'BPH'... | {'final_diagnoses': ['Lateral extracavitary diskectomy and fusion, L4-L5.', 'Interbody reconstruction with biomechanical device.', 'Allograft, morselized, for fusion.'], 'procedures': ['___ L4-5 Lateral Fusion', '___ L4-5 Far Lateral Decompression and \nPosterior Fusion'], 'visit_summary': "Patient was admitted to the ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'Syncope', 'medical_history': ['Dementia', 'Atrial fibrillation', 'Gout', 'Hypertension'], 'family_history': 'He thinks his mother had DM but he cannot remember what other \ndiseases run in his family.', 'present_illness': 'The history is obtained from the ED p... | {'final_diagnoses': ['Syncope', 'Chronic renal insufficiency'], 'procedures': ['None'], 'visit_summary': "year old male with HTN and atrial fibrillation on coumadin \nwho presents after a syncopal episode. \n.\nSyncope: DDx includes arrhythmia vs. dehydration. Infection \nunlikely as CXR and urine culture unremarkable,... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 33, 'gender': 'M', 'symptoms': 'primary low transverse cesarean section\npre-eclampsia, severe by BPs\npost partum hemorrhage', 'medical_history': None, 'family_history': None, 'present_illness': None, 'medications': [{'medication': 'Vancomycin', 'proc_type': 'IV Piggyback', 'status': 'Disco... | {'final_diagnoses': ['primary low transverse cesarean section', 'severe pre-eclampsia', 'anemia and s/p blood transfusion'], 'procedures': ['primary low transverse cesarean section'], 'visit_summary': "Ms. ___ is a ___ year old G1P0 who underwent a primary low \ntransverse cesarean section on ___ for arrest of dilation... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'biliary colic', 'medical_history': ['non-insulin dependent diabetes mellitus', 'hypertension', 'hyperlipidemia', 'cholelithiasis', 'thallasemia trait'], 'family_history': 'No history of cardiac disease', 'present_illness': '___ s/p perc cholecystostomy on ___ ... | {'final_diagnoses': ['Acute cholecystitis'], 'procedures': ['___: Laparoscopic converted to open cholecystectomy'], 'visit_summary': 'Patient was admitted to acute care surgery on the day of his \nscheduled operation. He was taken to the operating room on HD1 \n(___) for a laparoscopic cholecystectomy.The operation wa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 34, 'gender': 'F', 'symptoms': 'Scheduled for high dose MTX', 'medical_history': ['1) Primary CNS lymphoma (dx ___: High-grade large B cell \nlymphoma\n- s/p open craniotomy (___)\n- s/p 19 cycles HD MTX', '2) Basal cell carcinoma', '3) Hypertension', '4) Hypercholesteremia', '5) Hypogonadis... | {'final_diagnoses': ['CNS lymphoma'], 'procedures': ['High Dose Methotrexate'], 'visit_summary': '#. CNS Lymphoma: By trend of his MRIs, his disease appears to be \nresponding to HD-MTX. He was started on IVF of D5W + 3amps \nNaHCO3 at 150cc/hr until urine pH = 8.0, then change to D51/2 NS \n+ 1amp NaHCO3 at 150cc/hr. ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'M', 'symptoms': 'symptomatic fibroid uterus', 'medical_history': ['OB AND GYN HISTORY: As above. In addition, the patient has a \nremote history of abnormal Pap, status post cervical LEEP. For \nmany years now, she has had normal Pap smears including her last \nPap that was... | {'final_diagnoses': ['fibroid uterus', 'left adnexal cyst'], 'procedures': ['laparoscopic supracervical hysterectomy', 'left \nsalpongo-oophorectomy', 'repair of vaginal vault defect'], 'visit_summary': 'On ___, Ms. ___ was admitted to the gynecology service \nafter undergoing a laparoscopic hysterectomy and left \nsal... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 38, 'gender': 'F', 'symptoms': '"I had been feeling down for quite some time."', 'medical_history': ['Past psychiatric history: Per Dr. ___ (___),\nconfirmed with patient and updated as relevant:\n-Diagnoses: no formal diagnoses\n-Hospitalizations: 2 brief ___ day) inpatient hospitalizations... | {'final_diagnoses': ['Major depressive disorder'], 'procedures': ['Bilateral wrist lacerations s/p repair in ___ on ___', 'Prolene sutures placed on right; ___ Prolene sutures placed on left.'], 'visit_summary': '1. LEGAL & SAFETY:\nOn admission on ___, the patient refused to sign a conditional \nvoluntary agreement an... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 82, 'gender': 'M', 'symptoms': 'asymptomatic pul nodule', 'medical_history': ['Arthritis', 'h/o asthma', 's/p discectomy ___', 's/p CCY ___'], 'family_history': 'Father, sister with asthma\nFather, deceased, pancreatic cancer\nBoth grandmothers, deceased, ? one with lung ca', 'present_illnes... | {'final_diagnoses': ['Left upper lobe non-small-cell lung cancer.', 'Right upper lobe collapse'], 'procedures': ['Flexible bronchoscopy.', 'Cervical mediastinoscopy.', 'Left thoracotomy and left upper lobectomy.'], 'visit_summary': 'Ms. ___ was admitted to the hospital and taken to the \nOperating Room where she underw... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 78, 'gender': 'M', 'symptoms': 'Unruptured cerebral aneurysm', 'medical_history': ['Significant for hysterectomy in ___ and\ntubal ligation in ___.'], 'family_history': 'Family History: Significant for mother who is alive with\ndiabetes, father who is alive with chronic arthritis. She has\... | {'final_diagnoses': ['Left Middle Cerebral Artery aneurysm'], 'procedures': ['Left crani for L MCA aneurysm clipping'], 'visit_summary': 'Ms. ___ presented to the hospital for an elective left \ncraniotomy for clipping of a left MCA bioforcation aneurysm \nclipping. Details of the operative course can be found in the ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'F', 'symptoms': 'Pain', 'medical_history': ['POBHx: G1 current', 'PGynHx: denies h/o STIs or abnormal paps', 'PMH: h/o hypothyroidism per pt, not on medications', 'PSH: appy ___'], 'family_history': 'non-contributory', 'present_illness': '___ G1 @ ___ presents with gradually i... | {'final_diagnoses': ['pregnancy at 38w3d', 'abdominal pain due to fibroids'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ was admitted to the antepartum service for \npain control. She received Tylenol and oral dilaudid as needed. \n She was seen by the maternal fetal medicine service in \nconsultation. They re... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'F', 'symptoms': 'Chiari Malformation', 'medical_history': ['- Chiari Malformation type I ', '- second degree heart block ', '- umbilical hernia ', '- Vit D deficiency ', '- Hep C'], 'family_history': 'non contributory', 'present_illness': '___ year old female who presented to ... | {'final_diagnoses': ['Chiari Malformation'], 'procedures': ['___ - Suboccipital craniotomy for chiari malformation \ndecompression'], 'visit_summary': "___ year old female who presented with shoulder and neck pain, \nMRI findings of chiari malformation. \n\n#Chiari Malformation\nPatient underwent suboccipital craniotom... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 33, 'gender': 'F', 'symptoms': 'Pulmonary Embolism', 'medical_history': ['1. Post-polio neurologic deficits.', '2. Hypertension.', '3. Prostate cancer.', '4. Renal mass on the left kidney concerning for RCC.'], 'family_history': 'No family history of bleeding or clotting disorders.', 'pr... | {'final_diagnoses': ['Pulmonary Embolism', 'Deep Venous Thrombosis'], 'procedures': ['None'], 'visit_summary': 'PATIENT:\n___ with h/o RCC and prostate cancer who presented with \npleuritic chest pain, subsequently found to have PE on CTA.\n\nACUTE ISSUES: \n# Pulmonary embolus / DVT: Patient admitted with PE diagnose... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'F', 'symptoms': 'Inguinal Hernia', 'medical_history': ['GERD', 'Diverticulosis'], 'family_history': 'Non-Contributory', 'present_illness': '___ is a ___ year old male who presents with \nincarceration of his left inguinal hernia. He has a ___ year \nhistory of left inguinal he... | {'final_diagnoses': ['Incarcerated left inguinal hernia.'], 'procedures': ['___: Left inguinal herniorrhaphy with mesh plug and patch.'], 'visit_summary': 'Patient is a ___ year old male with pmh significant for left \ninguinal hernia and GERD. Patient presented to the emergency \ndepartment with complaints of inguinal... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 51, 'gender': 'M', 'symptoms': 'Bright red blood with BM', 'medical_history': ['- CAD s/p CABG in ___', '----> LIMA to LAD', '----> SVG to OM1', '----> SVG to RCA ', '- Diverticular bleed ___', '- Hypercholesterolemia', '- Esophageal stricture s/p dilatation'], 'family_history': '- Mother: D... | {'final_diagnoses': ['1. Lower GI Bleed'], 'procedures': ['None.'], 'visit_summary': "PRIMARY REASON FOR ADMISSION:\n___ M with history of presumed sigmoid diverticular bleed \nrequiring 12 units pRBCs p/w 1 episode of hematochezia on \nmorning of admission.\n\nACTIVE DIAGNOSES:\n\n# Hematochezia: The differential for... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'F', 'symptoms': 'palpitations and right sided chest pain', 'medical_history': ['1. CARDIAC RISK FACTORS: Dyslipidemia, Hypertension', '2. CARDIAC HISTORY: \n-CABG: 4V CABG ___ (LIMA->LAD, SVG->RCA, SVG->D1, SVG->OM/RI)', '-PERCUTANEOUS CORONARY INTERVENTIONS: \n-PACING/ICD: ... | {'final_diagnoses': ['-atrial fibrillation with rapid ventricular rate', '-coronary artery disease', '-hypertension', '-ulcerative colitis', '-hyperlipidemia', '-benign prostatic hypertrophy'], 'procedures': ['None'], 'visit_summary': "___ with CAD s/p CABG x4, paroxysmal atrial fibrillation (on \nCoumadin), hypertensi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'M', 'symptoms': 'Type 2 endoleak status post endovascular repair of abdominal \naortic aneurysm.', 'medical_history': ['Hypertension', 'AAA', 'diabetes'], 'family_history': 'n/c', 'present_illness': 'This is an ___ female with a history of endovascular \nrepair of abdominal ao... | {'final_diagnoses': ['___ w/p translumbar embo of AAA stent graft', 'Hypertension, AAA,DM'], 'procedures': ['1. Translumbar puncture of abdominal aortic aneurysm sac.', '2. Abdominal aortogram of aneurysm sac.', '3. Coil embolization of abdominal aortic aneurysm sac.'], 'visit_summary': 'Patient was pre op and consente... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 75, 'gender': 'F', 'symptoms': 'scrotal swelling', 'medical_history': ['?hx of uncontrolled AFib', 'asthma', 'hospitalized x2 for pneumonia (last time in ___, ___ \n___)', 'poor medical followup', 's/p Penectomy ___ and suprapubic catheter placement, perineal \nurethrostomy', 's/p Left finge... | {'final_diagnoses': ['Scrotal cellulitis', 'Epididymitis'], 'procedures': ['None'], 'visit_summary': "Mr. ___ is an ___ gentleman with h/o of poor medical \nfollow-up, as well as penile necrosis s/p penectomy who is \ntransferred from an OSH with testicular cellulitis and \nepididymitis.\n.\n## Scrotal swelling/erythem... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 19, 'gender': 'F', 'symptoms': 'hypoxia, shortness of breath, confusion', 'medical_history': ['1. CARDIAC RISK FACTORS: (+)Diabetes, Dyslipidemia, \n(+)Hypertension', '2. CARDIAC HISTORY: \n- CABG: s/p CABG ___', '- PERCUTANEOUS CORONARY INTERVENTIONS: ___', '- PACING/ICD: None', '3. OTHER ... | {'final_diagnoses': ['1. Pneumonia; Urinary Tract Infection; Metabolic Encephalopathy', '2. CKD stage IV (Creatinine baseline ??, previously \nDiastolic heart failure s/p multiple prior admits for CHF \nexacerbation \nHx of DVT s/p IVC filter \nPeripheral neuropathy ___ her feet \nAnemia of iron deficiency \nAsth... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 40, 'gender': 'F', 'symptoms': 'week 2 ___ ___', 'medical_history': ['PAST ONCOLOGIC HISTORY:\n___ year-old female with history of aggressive primary bone \nb-cell\nlymphoma diagnosed in ___ after presenting with persistent \nright\nankle pain. She was in remission since ___ after treatment\... | {'final_diagnoses': ['PRIMARY DIAGNOSIS', 'Relapsed/Refractory High Grade Lymphoma', 'Encounter for Immunotherapy', 'SECONDARY DIAGNOSIS', 'Thyroid Nodule'], 'procedures': ['none'], 'visit_summary': "Ms. ___ is a ___ woman with recurrent high grade \nlymphoma presenting for week 2 of BITE therapy on protocol \n___. \n\... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 85, 'gender': 'F', 'symptoms': 'Diarrhea and elevated blood glucose', 'medical_history': ['# Diabetes Mellitus Type 1 -- diagnosed age ___', '-- admission ___ to ___ for hyperglycemia', '# Epilepsy -- last seizure in ___ grade', '-- off meds since highschool', '# ADHD -- intermittent Concert... | {'final_diagnoses': ['Diabetic Ketoacidosis', 'Type I Diabetes Mellitus', 'Diarrhea'], 'procedures': ['None'], 'visit_summary': 'The patient is a ___ year old female with diabetes mellitus type \n1, seizure disorder, and asthma who presented to the ED with DKA \nand lactic acidosis in the setting of 3 days of diarrhea.... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'M', 'symptoms': 'Nausea, vomiting, diarrhea, and confusion', 'medical_history': ['DM', 'BPPV', '___ constipation', 'Depression', 'Diabetic Retinopathy', 'Hemorrhoids', 'Hx falls', 'Hearing loss', 'Glaucoma', 'Insomnia', 'Macular degeneration', 'Memory loss, typically recognize... | {'final_diagnoses': ['Gastroenteritis with severe sepsis due to Norovirus'], 'procedures': ['None.'], 'visit_summary': "# Gastroenteritis with severe sepsis (tachycardia, leukocytosis, \nencephalopathy) - She had sudden onset of n/v/d with associated \nworsening confusion. GI symptoms resolved shortly after \nadmission... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'M', 'symptoms': 'EtOH withdrawal', 'medical_history': ['- alcohol use disorder', '- hepatitis C', '- coronary artery disease (via coronary CTA and stress test)', '- atrial fibrillation', '- diabetes', '- hypertension', '- hyperlipidemia', '- hx CVA'], 'family_history': 'Father... | {'final_diagnoses': ['PRIMARY DIAGNOSES:', '-Alcohol withdrawal', '-Alcohol use disorder', '-Right greater trochanteric fracture', 'SECONDARY DIAGNOSES', '-Chronic pain secondary to OA, DJD, peripheral neuropathy-', '-___', '-Pancytopenia', '-Atrial fibrillation'], 'procedures': ['None'], 'visit_summary': 'Mr ___ is a ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 76, 'gender': 'M', 'symptoms': 'Right flank pain and dyspnea', 'medical_history': ['Hypertension', 'Hyperlipidemia', 'Systolic heart failure, history of low EF with improvement on \nTTE ___ (LVEF>55%)', 'Hx of inducible VT, s/p upgrade to a BiV ICD ___', 'CAD s/p CABG ___ s/p DES to LAD in _... | {'final_diagnoses': ['Acute on chronic kidney injury', 'Acute on chronic congestive heart failure', 'Hypertension', 'Hyperlipidemia', 'Atrial fibrillation/flutter', 'Diabetes mellitus', 'Obstructive sleep apnea ', 'Hypothyroidism', 'Gout', 'GERD'], 'procedures': ['None'], 'visit_summary': "___ year-old man with a histo... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'F', 'symptoms': 'elevated blood pressures at home, chest pressure', 'medical_history': ['OB Hx: G3P1\n- SVD, pre-eclampsia labs ___ WNL but pt given mag x12H pp for\nsevere range BPs\n- SVD ___ 34 WGA IOL pre-eclampsia (no mag)\n- SAB x 1', 'Gyn Hx: \n- HSV\n- Abnl pap with no... | {'final_diagnoses': ['Chronic hypertension with superimposed pre-eclampsia, postpartum'], 'procedures': ['none'], 'visit_summary': 'Ms. ___ was admitted to the postpartum floor to monitor her \nblood pressure and chest pain and to adjust her \nanti-hypertensive regimen. She was started on nifedipine CR 30mg \ndaily on ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 76, 'gender': 'M', 'symptoms': 'Aphasia', 'medical_history': ['HTN', 'HLD', 'RA', '___ esophagus', 'hernia repairs and appendectomy as a teenager.'], 'family_history': 'NC', 'present_illness': "___ yo M s/p recent craniotomy for evacuation acute on\nchronic SDH on ___ presents with multiple ... | {'final_diagnoses': ['Re-accumulation of left ___'], 'procedures': ['___: Left redo Crani for re-evacuaton ___'], 'visit_summary': "#SDH/CRANIOTOMY\nMr. ___ presented to the ED on ___ with word finding difficulty and aphasia. A head CT was done which showed re-accumulation of his SDH, he was subsequently brought to eme... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 22, 'gender': 'M', 'symptoms': 'inability to tolerate PO', 'medical_history': ['Gastroesophageal adenocarcinoma (as above)', 'CAD (multiple prior stents, most recently ___', 'HTN', 'Rhabdomyolysis (presumably statin-induced)', 'Chronic kidney disease', 'Multiple myeloma', 'CLL', 'Remote test... | {'final_diagnoses': ['Severe Malnutrition', 'Esophageal Cancer'], 'procedures': ['G-tube placement ___'], 'visit_summary': 'PMH of GERD, CKD, Multiple Myeloma (on treatment hold), \nGastroesophageal adenocarcinoma (s/p 2 of 5 planned weeks of \n___ + ___ planned XRT sessions), presented from clinic \nwith inability to ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'F', 'symptoms': 'abdominal pain', 'medical_history': ['___ disease: flares when she was younger, not currently on \ntherapy', 'Anxiety/depression ', 'Migraines'], 'family_history': 'Sister with ___ disease, paternal grandfather with stomach \ncancer', 'present_illness': "___ y... | {'final_diagnoses': ['Viral gastroenteritis', 'Dehydration', 'Migraine', 'Nausea / Epigastric abdominal pain / Diarrhea', 'Syncope'], 'procedures': ['None'], 'visit_summary': 'This is a ___ year old female with past medical history of \nmigraines, depression, recent travel to ___ admitted ___ \nwith several days of abd... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 62, 'gender': 'F', 'symptoms': 'hyperbilirubinemia, leukocytosis, fever', 'medical_history': ['MSSA PNA and bacteremia', 'COPD', 'trach, long-term ventilation', 'anxiety', 'HTN'], 'family_history': 'Unknown', 'present_illness': 'Ms ___ is a ___, h/o COPD and MSSA PNA in ___ s/p \nintubation,... | {'final_diagnoses': ['hyperbilirubinemia, chronic respiratory failure, UTI', 'anxiety', 'anemia'], 'procedures': ['mechanical ventilation', 'PICC line placement'], 'visit_summary': '___ with h/o COPD and MSSA PNA in ___ s/p trach requiring \nchronic mechanical ventilation, with recent acute liver failure \nin ___ thoug... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 38, 'gender': 'M', 'symptoms': 'syncope', 'medical_history': ['- CAD s/p MI p/w PMVT (TO of AV groove after large bifurcating \nOM followed by TO of large lower pole of OM), s/p 1v-CABG with \nSVG-LCx on ___, s/p POBA to OM', '- Systolic congestive heart failure ', '- Ventricular tachycardi... | {'final_diagnoses': ['- ventricular fibrillation cardiac arrest', '- ST-segment elevation myocardial infarction', '- cardiogenic shock', '- end stage renal disease', '- mechanical aortic valve replacement', '- paroxysmal atrial fibrillation', '- type 2 diabetes mellitus'], 'procedures': ['___ - left heart catheterizat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'F', 'symptoms': 'back pain', 'medical_history': ['# Chronic low back pain as above', '#. Hep B - resolved', '#. Hep C - not treated', '#. History of pituitary tumor s/p transsphenoidal resection', '#. Hypertension'], 'family_history': 'non-contributory', 'present_illness': ' ... | {'final_diagnoses': ['Low back pain likely ___ spinal stenosis'], 'procedures': ['CT C/T/L spine'], 'visit_summary': ".___ yo WF w PMHx of chronic low back pain w acute on chronic \nexacerbation\n\n1. Low back pain -\n-CT C/T/L spine repeated per Ortho request and did not show \nchange\n-Per ortho, no surgical interven... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'M', 'symptoms': 'Recurrent cervical dysplasia', 'medical_history': ['SCIATICA', 'CONSTIPATION', 'DIABETES TYPE II', 'SLEEP APNEA', 'GASTROESOPHAGEAL REFLUX', 'IRRITABLE BOWEL SYNDROME', 'CHRONIC LT TRAPEZIUS PAIN', 'COMMINUTED FRACTURE DISTAL RADIUS AND AVULSION OF THE ULNAR',... | {'final_diagnoses': ['cervical dysplasia'], 'procedures': ['total laparoscopic hysterectomy', 'cystoscopy'], 'visit_summary': 'Ms. ___ was admitted to the gynecologic oncology service \nafter undergoing a total laparoscopic hysterectomy and bilateral \nsalpingo-oophorectomy on ___. Please see the operative report \nfor... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 62, 'gender': 'F', 'symptoms': 'Chest Pain / SOB', 'medical_history': ['None', 'Recent PCL reconstruction'], 'family_history': '- Father alive and well at ___. \n- Mother alive at ___ with thyroid disease. \n- No early CAD or sudden cardiac death.', 'present_illness': '___ healthy female w... | {'final_diagnoses': ['Chest Pain'], 'procedures': ['None'], 'visit_summary': '___ healthy female with no prior medical history s/p PCL \nreconstruction presented to the ED with chest pain, found to \nhave inferolateral changes on EKG (biphasic t waves and ST \nsegment depressions II, III, aVF). \n \n# Dyspnea:\n# C... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'M', 'symptoms': 'Fever, malaise, SOB', 'medical_history': ['- AAA dissection s/p emergent repair of Type A aortic \ndissection, stable on CT in ___.', '- HTN', '- HLD', '- Depression', '- ___ body disease, followed by Dr. ___', '- history of brain hemorrhage on MRI', '- left a... | {'final_diagnoses': ['Multi-focal pneumonia'], 'procedures': ['None'], 'visit_summary': ' ___ yo M h/o type A aortic dissection s/p emergent repair, HTN, \nHLD, OSA on ___ transferred from BI-N for worsening rsepiratory \ndistress \n\nACUTE ISSUES:\n# Multifocal pneumonia. Culture data mostly insufficient. \nHistory... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 40, 'gender': 'F', 'symptoms': 'Nausea, vomiting, abdominal pain', 'medical_history': ['Type 1 diabetes mellitus since age ___.', 'HTN', 'HLD', 'Left labial tear with surgical repair', 'Right partial retinal detachment s/p pars plana vitrectomy'], 'family_history': 'Grandmother passed away f... | {'final_diagnoses': ['Gastroenteritis', 'Diabetic ketoacidosis', 'Acute kidney injury', 'Hypertension'], 'procedures': ['None'], 'visit_summary': "Mr ___ is a ___ year old man with history of T1DM and \nHTN who presented with sudden onset N/V/D, subjective fever, \nabdominal pain and mild DKA. \n\nACUTE ISSUES:\n# Gast... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 31, 'gender': 'M', 'symptoms': 'GI bleed', 'medical_history': ['Alcohol abuse', 'HTN'], 'family_history': '___', 'present_illness': '___ year old gentleman with medical history of longstanding\nalcohol abuse, transferred from ___ for evaluation of UGIB.\n\n\nHe originally presented to ___ on... | {'final_diagnoses': ['Death'], 'procedures': ['___: exploratory laparotomy, splenectomy, open abdomen', '___: exploratory laparotomy, abdominal packing, open abdomen'], 'visit_summary': "Mr. ___ was admitted on ___. For more details, please see \nHPI. A code stroke was initiated due to anisocoria noted on \nadmission. ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'M', 'symptoms': 'Left middle finger pain', 'medical_history': ['HTN', 'none'], 'family_history': 'n/c', 'present_illness': '___ RHD with 3d h/o pain and swelling of left LF DIP for the \npast 10 days. Long h/o OA of hand with multiple ganglia of \nbilat DIP joints. About 10d... | {'final_diagnoses': ['cellulitis of left IF and septic joint of DIPJ'], 'procedures': ['none'], 'visit_summary': "The patient was admitted to the plastic surgery service on \n___ for treatment and observation of her pain and swelling \nof left long finger. Her finger was soaked in betadine and warm \nwater soaks TID. ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 45, 'gender': 'M', 'symptoms': 'Dyspnea, hypoxia', 'medical_history': ['# HTN', '# Paroxysmal SVT', '# Stage IV lung adenocarcinoma with EGFR exon 21 mutation L858R\n(T4MxM1a) \n -___: cough, dyspnea, chest tightness. HRCT: 31x17 mm \nirregular mass RLL, mult smaller nodules in both lungs \... | {'final_diagnoses': ['Stage IV Lung adenoCA'], 'procedures': ['None'], 'visit_summary': "ASSESSMENT & PLAN: ___ ___ woman h/o lung \nadenoCA(T4NXM1a) metastatic to the brain (currently taking \ngefitinib) who presents to emergency department with shortness \nof breath.\n\n# DYSPNEA\n# Extensive lung involvement R lung\... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 88, 'gender': 'M', 'symptoms': 'NSTEMI', 'medical_history': ['Type 2 diabetes.', 'Hypertension.', 'Tobacco abuse.', 'Allergic rhinitis.', 'Status post right fifth metacarpal fracture, repaired with\nscrews in ___.', 'Status post deviated septum repair as a teenager.', 'Hyperlipidemia.'], 'fa... | {'final_diagnoses': ['Non ST Elevation Myocardial Infarction', 'Diabetes mellitus type 2', 'Hypertension', 'Cigarette use'], 'procedures': ['___ Left cardiac catheterization s/p BMS x1'], 'visit_summary': "___ yoM with DM2, HTN, HLD who p/w R-sided chest pain with \nradiation to L arm for 1 hr, found to have troponins ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'F', 'symptoms': 'R breast pain', 'medical_history': ['Mantle cell lymphoma treated with chemotherapy and chest \nradiation ___', 'anemia', 'asthma', 'hypothyroid', 'GERD'], 'family_history': 'Mother was diagnosed with breast cancer at the age of ___. There \nis no other family... | {'final_diagnoses': ['Vascular insufficiency of ___ flap breast reconstruction.'], 'procedures': ['Exploration of the right breast for possible pedicle\n thrombosis.', 'Revision of right breast reconstruction'], 'visit_summary': 'The patient was admitted to the Plastic Surgery Service for \nexploration of the right ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'F', 'symptoms': 'Pituitary macroadenoma', 'medical_history': ['Non-contributory'], 'family_history': 'Cancer, diabetes, kidney disease, neurological disease, gas \nintestinal problems', 'present_illness': 'Enerx Derival is a ___ year-old-male who was found to have a \npituitar... | {'final_diagnoses': ['Pituitary macroadenoma'], 'procedures': ['___: Endonasal transphenoidal resection of pituitary \nmacroadenoma'], 'visit_summary': '#Pituitary Macroadenoma \n___ who presented ___ for elective endonasal transphenoidal \nresection of pituitary macroadenoma. Please see separate \noperative report by ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'F', 'symptoms': 'Abdominal pain', 'medical_history': ['Depression', 'Eczema ', 'Amyopathic dermatomyositis', 'ILD ', 'diverticulosis'], 'family_history': 'Mother: HTN \n___: one passed away from drugs, otherwise healthy\nNo family history of malignancies, autoimmune or rheumat... | {'final_diagnoses': ['Monitoring Ostomy output/Prevention of Dehydration:', '*Keep well hydrated.', '*Replace fluid loss from ostomy daily.', '*Avoid only drinking plain water. Include Gatorade and/or other \nvitamin drinks to replace fluid.', '*Try to maintain ostomy output between 1000mL to 1500mL per day.', '*If Ost... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 42, 'gender': 'M', 'symptoms': 's/p fall', 'medical_history': ['HTN', 'CAD', 'HL', 'seizure d/o', 'depression'], 'family_history': '___', 'present_illness': '___ s/p unwitnessed fall ___. Brought to ___ ED by EMS, \ninitially conversant and neuro-intact, but decompensated quickly \nin ED. ... | {'final_diagnoses': ['s/p fall', 'SDH', 'SAH', 'Bilateral iliac wing fractures', 'Superior end plate fracture of L1'], 'procedures': ['none'], 'visit_summary': "On ___ Mr. ___ was admitted to ___ under the Acute Care \nService for management of his traumatic injuries. He was \ntransfused platelets and 3 units of PRBC'... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 30, 'gender': 'F', 'symptoms': 'Hematochezia and lower abdominal cramping', 'medical_history': ['1. Diverticulosis-associated colitis, diagnosed during workup \nfor the diverticular bleeding in the ___. Had a \ntrial of canasa, but was unable to tolerate it secondary to \ncramping pain.', '... | {'final_diagnoses': ['Gastrointestinal bleeding due to ischemic colitis', 'Steroid-induced hyperglycemia', 'Obstructive sleep apnea', 'Gastroesophageal reflux disease', 'Polymyalgia rheumatica'], 'procedures': ['Flexible sigmoidoscopy with biopsy'], 'visit_summary': "___ yo female with recently diagnosed PMR on prednis... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'M', 'symptoms': 'Admission for treatment of autoimmune idiopathic axonal\npolyneuropathy', 'medical_history': ['Severe idiopathic axonal sensorimotor polyneuropathy with\nsymptoms beginning in the late ___ or early ___. Symptoms began\nwith weakness and sensory loss in the leg... | {'final_diagnoses': ['Autoimmune sensory polyneuropathy'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ was admitted for scheduled PLEX. Course was complicated \nby partial SBO, managed conservatively with surgical \nconsultation with NG tube to suction. The SBO resolved. She \nfinished the 5 sessions of PLEX with... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'Abdominal pain, nausea', 'medical_history': ['Hypertension', 'Diabetes Mellitus Type 2', 'Coronary Artery Disease, s/p MI ___ and ___, s/p stent \nplacement', 'PUD -- last EGD revealed gastric ulcers'], 'family_history': 'CAD in mother and in all maternal aunt... | {'final_diagnoses': ['Acute on chronic mesenteric ischemia.', 'Patient expired.'], 'procedures': ['expired'], 'visit_summary': '___ year old female with CAD, borderline DM2, and PUD who was \nadmitted with failure to thrive and severe epigastric pain, \nnausea, and vomiting found to have acute on chronic mesenteric \ni... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 23, 'gender': 'F', 'symptoms': 'Abdominal pain, weight gain, confusion', 'medical_history': ['- EtOH cirrhosis (c/b ascites, encephalopathy, and varices)', '- Alcohol misuse', '- Anti-E antibody (requires E-antigen negative transfusions)'], 'family_history': 'No known family history of liver... | {'final_diagnoses': ['-Decompensated alcoholic liver cirrhosis ___ C)', '-Grade 1 alcoholic encephalopathy', '-Alcohol abuse', '-Hyponatremia', '-Anti-IgE antibody'], 'procedures': ['None'], 'visit_summary': "___ hx ETOH cirrhosis (c/b ascites, HE, Gr II varices, portal \nhypertensive gastropathy, hypervolemic hyponatr... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 48, 'gender': 'M', 'symptoms': 'chemotherapy cycle administration', 'medical_history': ['Past Oncologic History:\nOn ___ Mr. ___ underwent colonoscopy which showed \nhigh-grade\ndysplasia. A staging CT scan performed on ___ showed free\nair and he underwent emergency sigmoid colectomy with ... | {'final_diagnoses': ['colon cancer'], 'procedures': ['none'], 'visit_summary': "==========================\nBRIEF HOSPITAL SUMMARY\n==========================\nMr. ___ ___ year-old man with stage IV colon cancer, was \nadmitted to the ___ for a routine initiation of his second \ncycle of FOLFIRI. His chemotherapy was ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 51, 'gender': 'M', 'symptoms': 'Dyspnea', 'medical_history': ['Asthma', 'Diastolic heart failure', 'Diabetes mellitus Type 1 (since age ___: neuropathy, \ngastroparesis, nephropathy, & retinopathy', 'Sarcodosis (___)', 'Tracheostomy - ___ upper airway obstruction, sarcoid.', 'Arthritis - whe... | {'final_diagnoses': ['Acute on chronic diastolic heart failure', 'Asthma exacerbation', 'Tracheobronchitis', 'Sarcoid', 'Coronary artery disease status post coronary artery bypass \ngrafting', 'Hypertension', 'Type I diabetes mellitus', 'history of pulmonary hypertension', 'status post tracheostomy on chronic supplemen... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 19, 'gender': 'M', 'symptoms': 's/p ___ ileostomy takedown', 'medical_history': ['DVT/PE ___ on OCP--likely low level of Anti-Thrombin III', 'IBS', 'rectal cancer'], 'family_history': "Maternal GF with colon cancer at age ___, and h/o CVA's.\nFather with prostate cancer, s/p seed XRT.", 'pre... | {'final_diagnoses': ['rectal cancer', 'rectal CA s/p lap LAR with colonic J pouch and diverting loop \nileostomy ___, ex-lap/LOA ___, J pouch with leak on \npouchogram ___, bactermia/sepsis ___ after pouchogram.', 's/p L subclavian port-a-cath, DVT/PE in ___ while on oral \ncontraceptive, IBS'], 'procedures': ['___ ile... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'Shortness of Breath', 'medical_history': ['Mod to severe aortic stenosis s/p replacement (normal on echo \n___', 'PEA arrest ___ s/p permanent pacemaker (___)', 'Diastolic Heart failure (borderline normal RV wall fxn on echo \n___', 'Asthma', 'Chronic atrial f... | {'final_diagnoses': ['Congestive Heart Failure', 'Urinary Tract Infection'], 'procedures': ['None'], 'visit_summary': "___ YO M s/p CABG, aortic valve replacement, pacer placement and \nPEA arrest x2 in ___ and recent reported pneumonia presented \nwith increasing SOB over days to weeks and acutely increased \nconfusio... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'F', 'symptoms': 'Chronic pancreatitis', 'medical_history': ['1. Chronic pancreatitis \n-- s/p ERCP ___ for abdominal pain: type III sphincter \ndysfunction/sphincterotomy\n-- s/p EGD ___ for continued abdominal pain: WNL, \nEndoscopic U/S WNL\n-- s/p lap chole ___ for continue... | {'final_diagnoses': ['Chronic pancreatitis with pancreatic duct stricture.'], 'procedures': ['___: Central pancreatectomy with pancreaticojejunostomy.'], 'visit_summary': "The patient was admitted to the General Surgical Service for \nevaluation of the aforementioned problem. On ___, the \npatient underwent central pan... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'M', 'symptoms': 'Dysuria', 'medical_history': ['# Duodenal stricture and partial small bowel obstruction with \nchronic duodenitis', '# Chronic back pain since ___, s/p unknown surgery in ___, on \nchronic opiates (numerous pain clinic notes) for ___ years, \nevaluation by num... | {'final_diagnoses': ['PRIMARY DIAGNOSIS', 'Neurogenic bladder complicated by prior urinary tract infection ', 'SECONDARY DIAGNOSIS', 'Chronic pain'], 'procedures': ['Foley catheter placement ___ (removed ___'], 'visit_summary': "SUMMARY\n=======\n___ is a ___ male with a history of chronic pain on \nopiates and neuroge... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'F', 'symptoms': 'left lower extremity pain', 'medical_history': ['left tibia septic nonunion', 'multiple left tibia surgeries'], 'family_history': 'non-contributory.', 'present_illness': 'I met today with ___ and his partner.\n\nI saw ___ 4 weeks ago. At that time we spent qu... | {'final_diagnoses': ['septic left tibia nonunion'], 'procedures': ['Elective left below the knee amputation; ___ ___.'], 'visit_summary': "Hospitalization Summary (Direct Admit)\nThe patient presented as a same day admission for surgery. The \npatient was taken to the operating room on ___ for a below \nthe knee amputa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'F', 'symptoms': '"I\'m dizzy... I don\'t know... I\'m very stressed"', 'medical_history': ['PAST PSYCHIATRIC HISTORY:\n-Past diagnoses: Denies\n-Hospitalizations: Denies\n-Psychiatrist: None\n-Therapist: None\n-Medication and ECT trials: None\n-Self-injury/Suicide attempts: De... | {'final_diagnoses': ['Schizophrenia-paranoid, chronic, acute exacerbation'], 'procedures': ['None'], 'visit_summary': '1. LEGAL & SAFETY: \nOn admission, initially admitted on ___, which expired on \n___. The patient then signed a conditional voluntary \nagreement (Section 10 & 11) on ___ and remained on that level \n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'M', 'symptoms': 'abdominal pain', 'medical_history': ['metastatic colon cancer to mesentery and periumbilical wall', 'stage IIA colon CA ___', 'CAD s/p PCI, VAD, and ___ placement in ___', 'anxiety', 'depression', 'HLD', 'GERD'], 'family_history': 'No early CAD', 'present_illn... | {'final_diagnoses': ['Small Bowel obstruction', 'secondary', 'enterocutaneous fistulas', 'anemia'], 'procedures': ['Exploratory laparotomy with extensive lysis of adhesions.', 'Small bowel resection.', 'Bypassing jejuno colic enteroenterostomy.'], 'visit_summary': '___ year old female, s/p right hemi-colectomy for colo... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'Non-healing R foot ulcer and left lower extremity rest pain', 'medical_history': ['Alcohol abuse with history of withdrawal seizures, last \nseizure many years ago, Hypertension, Depression'], 'family_history': 'has h/o alcoholism in males in his family', 'pre... | {'final_diagnoses': ['Peripheral Vascular Disease', 'The common femoral artery was patent.', 'The profunda femoris artery was patent.', 'The superficial femoral artery had a 3-cm occlusion at\n its origin involving impinging on the profunda femoris\n origin. It reconstituted through a collateral, but\n occlude... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 43, 'gender': 'F', 'symptoms': 'persistent abdominal abscess/fluid collection', 'medical_history': ['- Moderately Severe COPD', '- Schizoaffective Disorder', '- CAD', '- Hypertension', '- Hyperlipidemia', '- Chronic dysarthria of unclear etiology', '- Osteoathritis of the knees s/p left TKL'... | {'final_diagnoses': ['PRIMARY DIAGNOSIS:\n-intraabdominal abscess', 'SECONDARY DIAGNOSIS:\n-acute cholecystitis s/p cholecystectomy'], 'procedures': ['None'], 'visit_summary': '___ with COPD, HTN, HFpEF, CAD, who presented with acute \ncholecystitis, s/p ERCP with stone removal and subsequent \nlaparascopic cholecystec... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'M', 'symptoms': 'foot wound', 'medical_history': ['IDDM2', 'CKD', 'Seasonal Allergies', 'Neuropathy', 'HTN', 'HLD', 'Charcot Right Foot', 'Left Knee Replacement ___', 'OSA on home CPAP'], 'family_history': None, 'present_illness': "HISTORY OF PRESENT ILLNESS: \n___ male with ... | {'final_diagnoses': ['surgical site infection', 'hypertension', 'diabetes', 'charcot foot'], 'procedures': ['NONE'], 'visit_summary': '___ male with history of diabetes and Charcot foot s/p \nrepair ___ presenting with right foot drainage consistent with \nwound infection. \n\nACTIVE ISSUES:\n\n#WOUND INFECTION: He pre... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 26, 'gender': 'F', 'symptoms': 'diarrhea and nausea', 'medical_history': ['-Coronary Artery Disease (s/p CABG x 5V at ___, done ___', '-Diabetes Mellitus -type II (diagnosed ___ years ago)', '-Hypercholesterolemia', '-Hypertension', '-systolic CHF (last EF 40% ___', '-Chronic Renal Insuffici... | {'final_diagnoses': ['-Clostridium difficile colitis', '-Diabetes Mellitus type II', '-Coronary Artery Disease', '-Congestive Heart Failure (systolic dysfunction, EF 40%, ___', '-Chronic renal disease (stage III)', '-Hypertension', '-left lower extremity Charcot Joint / recurrent infections'], 'procedures': ['None'], '... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'F', 'symptoms': 'Shortness of breath', 'medical_history': ['Hypertension', 'Hypothyroidism', 'Osteoporosis', 'Osteoarthritis', 'Hx of bleeding ulcer (per daughter)'], 'family_history': 'Mother died of "old age", father from stomach cancer. A sister \nis still alive and recent ... | {'final_diagnoses': ['Severe aortic stenosis', 'Coronary artery disease', 'Mitral regurgitation', 'Hypertension'], 'procedures': ['Left heart catheterization'], 'visit_summary': "Ms. ___ is a ___ with history of hypertension, \nhypothyroidism, osteoporosis and osteoarthritis who presents \nwith intermittent shortness o... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'M', 'symptoms': 'Adenocarcinoma of unknown primary s/p thoracoscopy with pleural \nbiopsies and talc pleurodesis', 'medical_history': ['Migraines', 'Pneumonia ___'], 'family_history': 'Father deceased age ___: hx of colon cancer and DVT\nMother age ___: syncope; hypotension\n2... | {'final_diagnoses': ['Poorly differentiated adenocarcinoma of unknown origin'], 'procedures': ['thoracoscopy with pleural biopsies and talc pleurodesis'], 'visit_summary': 'Ms. ___ is a ___ year old female who presented with a large \nright pleural effusion with cytology positive for poorly \ndifferentiated adenocarcin... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 55, 'gender': 'F', 'symptoms': 'weakness', 'medical_history': ['CAD p DES ___', 'HTN', 'HL'], 'family_history': 'NC', 'present_illness': 'This is a ___ whith history of CAD s/p stent in ___, HTN, HL who \npresents with weakness. \n. \nShe complains of runny noise and feeling fatigued over ... | {'final_diagnoses': ['Presumed c diff infection', 'Dehydration', 'Hypertension'], 'procedures': ['None'], 'visit_summary': '___ year old female with history of CAD s/p DES in ___, HTN, HL \nwho presents with weakness and fatigue. \n \n# Fever and leukocytosis: She was febrile on admission with \nleukocytosis, fatigue... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 46, 'gender': 'F', 'symptoms': 'cough, dyspnea', 'medical_history': ["PAST ONCOLOGIC HISTORY \nMs. ___ reports that she began having symptoms of shortness of\nbreath and cough back in the end of ___. Initially, in\nreviewing her medical records from there is a note from you on\n___ when she... | {'final_diagnoses': ['pulmonary embolism', 'pneumonia', 'breast cancer'], 'procedures': ['none'], 'visit_summary': "___ recently diagnosed with ER/PR positive, HER-2/neu negative \ninvasive ductal carcinoma of the breast with multiple metastases \nto bone s/p C1D1 Taxol on ___ who is transferred to ___ \nwith shortness... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'Asymptomatic L CEA', 'medical_history': ['DM', 'CRI', 'HTN', 'diabetic retinopathy', 'dermatomyositis', 'Raynaud disease', 'glaucoma', 's/p LLL VATS wedge resection for \nnodule ___'], 'family_history': 'Mother alive at ___ years old with hypertension, father ... | {'final_diagnoses': ['Carotid artery stenosis', 'DM', 'CRI', 'HTN'], 'procedures': ['L CEA'], 'visit_summary': "pt admiited\n\nLCEA without complications\n\nPACU - recovered - transfered to the VICUin stable condition\n\nBP control\n\ntranfered to the VICU\n\naline / foley / DC'd\n\nPt self caths\n\ntaking PO / ambulat... |
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