instruction stringclasses 1
value | input stringlengths 1.47k 3.51M | output stringlengths 126 21.1k |
|---|---|---|
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 28, 'gender': 'M', 'symptoms': 'Left shoulder, back, and jaw pain', 'medical_history': ['- HCV cirrhosis: type 1a c/b ascites, jaundice, encephalopathy, \n1 \ncm enhancing focus in liver, diagnosed ___ years ago, cirrhosis \ndiagnosed ___ years ago; likely secondary to blood transfusion in ... | {'final_diagnoses': ['Chronic kidney disease stage 3', 'Osteopenia'], 'procedures': ['None'], 'visit_summary': 'BRIEF HOSPITAL COURSE\n=====================\nMs. ___ is a ___ year old woman with a past medical history of \nHCV cirrhosis s/p liver transplant in ___ with multiple \ncomplications, recurrent HCV s/p treatm... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'M', 'symptoms': 'Weakness and fatigue', 'medical_history': ['PAST ONCOLOGIC HISTORY (per OMR):\n___: ___ 18,000 with lymphocytosis. FISH was positive for\n13q and 17p Diagnosed with CLL, Rai Stage IV.\n *lost to follow up*\n ___: found to have marked leukocytosis, anemia, an... | {'final_diagnoses': ['Diffuse large B cell lymphoma'], 'procedures': ['None'], 'visit_summary': "Mr. ___ is a ___ gentleman w/ PMH CLL diagnosed in ___ \n(treated with ibrutinib since ___, complicated by Richter \ntransformation to diffuse large B cell lymphoma, questionable \nparoxysmal AFib, and HTN who presents with... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 21, 'gender': 'M', 'symptoms': 'Pericardial effusion', 'medical_history': ['-CAD: DES to pLAD ___', '-Presumed AF (but not on ___ or our records)', 'Other PMH:', '-End stage renal disease on hemodialysis ___, ___, ___', '-Peripheral arterial disease (s/p toe amputations)', '-DM2 (insulin-man... | {'final_diagnoses': ['Pericardial effusion with tamponade', 'PEA cardiac arrest', 'Cardiogenic shock', 'Transaminitis', 'Diabetes', 'Hypertension', 'End-stage renal disease on hemodialysis', 'Toe amputations', 'Anemia', 'Left upper extremity swelling around fistula'], 'procedures': ['___ RIJ', '___ Pericardiocentesis',... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 50, 'gender': 'M', 'symptoms': 'Dyspnea', 'medical_history': ['1. Papillary Thyroid Cancer - Stage III (T3, Nx, MO)', '2. Hypertension', '3. Stroke ___ likely due to small vessel disease, residual \ndysarthria', '4. Hypercholesterolemia', '5. Morbid obesity', '6. Osteoarthritis', '7. Sleep ... | {'final_diagnoses': ['Hypertension', 'Allergic Rhinitis'], 'procedures': ['none'], 'visit_summary': 'ASSESSMENT & PLAN: \n___ with past medical history of HTN,HL, obesity, CVA, papillary \nthyroid cancer and history of reactive airway disease presents \nwith shortness of breath and conjunctivitis. \n. \n# Dyspnea P... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 88, 'gender': 'F', 'symptoms': 'Left Lower Extremity Pain and Swelling', 'medical_history': ['Seizure', 'orthostatic hypotension', 'Type 2 DM', 'Subdural hematoma', 'diverticulosis', 'urinary incontenence', 'RLE DVT', 'IVC filter ___', 'craniotomy ___'], 'family_history': 'nc', 'present_illn... | {'final_diagnoses': ['Left Lower Extremity DVT'], 'procedures': ['none on this admission'], 'visit_summary': '___ admitted to vascular service with extensive acute left \nileofemoral DVT and chronic right femoral CVT. Leg is swollen \nbut no evidence of phlegmasia. Started leg elevation, heparin \nand initiation of an... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'M', 'symptoms': 'PRIMARY ONCOLOGIST: Dr. ___\nPRIMARY DIAGNOSIS: CNS lymphoma\nCHIEF COMPLAINT: headache', 'medical_history': ['___ is a ___ right-handed ___\nwomwn, with history of hypertension, hyperlipidemia, \npre-diabetes\nand arthritis, who has CNS lymphoma. She had:', ... | {'final_diagnoses': ['PRIMARY: Headache', 'SECONDARY: CNS Lymphoma'], 'procedures': ['None'], 'visit_summary': "___ is a ___ year old female with history of Afib, \nsubsegmental PE, h/o recurrent sinusitis, and CNS lymphoma \nrefractory to MTX therapy s/p CNS radiation ___ and recent \nconcern for tumor recurrence vs r... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'M', 'symptoms': 'Black Stools', 'medical_history': ['1. Depression/anxiety.', '2. Hypertension.', '3. Hyperlipidemia.', '4. Aortic stenosis.', '5. Macular degeneration.', '6. Cataracts.', '7. Hearing loss.', '8. Hypothyroidism.', '9. Vitamin D deficiency.', '10. Chro... | {'final_diagnoses': ['GI bleed'], 'procedures': ['EGD'], 'visit_summary': '#.GIB:. She presented with melena and HCT drop an. EGD revealed \nmultiple non-bleeding erosions in antrum, non-bleeding ulcer in \npyloric channel. Erythema & congestion of duodenal bulb \ncompartible w/ mild bulbar duodenitis. Tested positive ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'M', 'symptoms': 'jaundice, elevated LFTs', 'medical_history': ['None'], 'family_history': 'No family history of liver disease, diabetes or CAD.', 'present_illness': '___ yo F with no significant past medical history presents with \njaundice. The patient was in her USOH when sh... | {'final_diagnoses': ['Drug induced liver injury'], 'procedures': ['Liver biopsy ___'], 'visit_summary': 'This is a ___ year old female with no significant past medical \nhistory presenting with jaundice, tea colored urine, tan colored \nstools and found to have marked transaminitis and bilirubinemia \nlikely secondary ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'M', 'symptoms': 'shortness of breath, lower extremity edema', 'medical_history': ['Past Oncologic history (per OMR): She developed anorexia and a \n10-pound weight loss in ___. Pelvic U/S ___ showed \nenlarged ovaries (R > L); MRI on ___ showed an enhancing \nright ovary con... | {'final_diagnoses': ['Pulmonary Embolism', 'DVT', 'Acute blood loss anemia', 'GI bleeding, NOS', 'Acute on Chronic Diastolic Heart Failure', 'Diarrhea', 'Acute Renal Failure', 'Metastatic Pancreatic Cancer', 'Atrial Fibrillation', 'Coronary Artery Disease', 'Hypertension, benign', 'Type II DM, uncontrolled'], 'procedur... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 55, 'gender': 'M', 'symptoms': 'Bilateral leg pain', 'medical_history': ['Prostate CA', 'Renal cell CA', 'NSCLC', 'Hypertension', '?Pancreatic CA'], 'family_history': 'Per OMR: Brother died of lung cancer and emphysema. His sister \nhad lupus.', 'present_illness': '___ with PMH of NSCLC, pro... | {'final_diagnoses': ['Acute Renal Failure', 'Leg Cramps'], 'procedures': ['None'], 'visit_summary': "Follow-up Labs: ___ 08:50AM \nGlucose-94 UreaN-36* Creat-1.1 Na-144 K-4.5 Cl-114* HCO3-17* \nAnGap-___. Acute renal failure: Likely secondary to poor PO intake with \nsignificant improvement after IV fluids. Patient was... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'M', 'symptoms': 'arrhythmia', 'medical_history': ['CARDIAC RISK FACTORS: +hypertension, +dyslipidemia', 'CARDIAC HISTORY: \n- CABG: None\n- PERCUTANEOUS CORONARY INTERVENTIONS: None\n- PACING/ICD: None', "OTHER PAST MEDICAL HISTORY: \nbilat knee replacements\nhypertension... | {'final_diagnoses': ['atrial fibrillation', 'hypertension'], 'procedures': ['None'], 'visit_summary': "MR. ___ is a ___ year old male with PMH of htn, \nhyperlipidemia, now presenting with new afib. \n\n#Afib - \nThe patient presented to the ___ emergency room after being \nfound to be tachycardic prior to a colonoscop... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 33, 'gender': 'M', 'symptoms': '___', 'medical_history': ['Pancreatic ampullary cancer circa ___, s/p Whipple', 'HTN', 'EtOH Abuse', 'CAD s/p stent approx ___ years ago', 'Gout'], 'family_history': 'Heavy Family History for Alcohol use', 'present_illness': '___ HTN, gout, HL, CAD s/p cardiac... | {'final_diagnoses': ['upper GI bleed secondary to jejunal ulcers', 'Acute blood loss anemia', 'CAD', 'HTN'], 'procedures': ['EGD scope peformed under GA on ___'], 'visit_summary': "___ with history of HTN, gout, HL, CAD s/p cardiac stents on \nPlavix, distant pancreatic ca s/p whipple, previous UPPER GI \nBleed, who wa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 31, 'gender': 'F', 'symptoms': 'Chest pain / Shortness of breath', 'medical_history': ['HTN', 'Diabetes Mellitus', 'Hyperlipidemia', 'Anxiety', 'Insomnia', 'Osteoarthritis- s/p b/l knee replacements and hip replacement', 'Aortic Stenosis'], 'family_history': 'Mother died at ___ with angina. ... | {'final_diagnoses': ['Coronary artery disease', 'Severe Aortic Stenosis', 'Gastrointestinal Bleed', 'Diastolic Congestive Heart Failure', 'Hypertension', 'Diabetes Mellitus', 'Pancytopenia'], 'procedures': ['Cardiac Catheterization'], 'visit_summary': "Ms. ___ is a ___ yo F who presented to ___\n___ with chest pain, in... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 29, 'gender': 'F', 'symptoms': 'Back pain, Neck pain', 'medical_history': ['ADD', 'chronic sinus infections s/p sinus surgery ___', 'chronic back pain', 'spinal stenosis', 'anxiety'], 'family_history': 'NC', 'present_illness': 'Ms. ___ is a ___ old female with chronic back pain,\nknown steno... | {'final_diagnoses': ['T12-L1 epidural abscess', 'Bacterial meningitis', 'Bacteremia'], 'procedures': ['T12-L1 laminectomy and evacuation of epidural abscess', 'placement'], 'visit_summary': "On ___ the patient was sent from ___ with \nconcerns for meningitis and for MRI spine. MRI spine in ___ ED \nwas concerning for T... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 46, 'gender': 'F', 'symptoms': 'shortness of breath, fatigue, fast heart rate', 'medical_history': ['Hypertension', 'Hyperlipidemia', "Sjogren's", "___'s thyroiditis", 'Diastolic congestive heart failure', 'Paroxysmal atrial fibrillation', 'Obstructive sleep apnea', 'Anxiety', 'Morbid obesit... | {'final_diagnoses': ['Atrial fibrillation', 'Hypothyroidism', 'Heart failure with preserved ejection fraction', 'Chronic kidney disease', 'hypertension', 'Obstructive sleep apnea'], 'procedures': ['None'], 'visit_summary': "___ female with medical history notable for atrial \nfibrillation, HFpEF, hypertension, OSA, obe... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'Displaced percutaneous cholecystostomy', 'medical_history': ['EtOH abuse, sober x ___ years ', 'morbid obesity and h/o gastric bypass surgery ', 'PAF ', 'hyperthyroidism -amiodarone induced ', 'Duodudenal ulcer -many years ago ', 'Ulcer at anastamosis from... | {'final_diagnoses': ['Displaced percutaneous cholecystostomy tube ', 'Sepsis', 'Uncontrolled arial fibrillation with rapid ventricular response'], 'procedures': ['___: Diagnostic laparoscopy, biliary drain removal and \nreplacement, extensive lysis of adhesions, vac placement, hernia \nrepair.', '___: Transesophageal E... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'Altered Mental Status', 'medical_history': ['___', 'Dementia', 'L Humerus ORIF on ___, pt in rehab since and not the same'], 'family_history': 'no CAD', 'present_illness': "___ yo ___ speaking male w/severe ___, Dementia, DVT, \nwho presents with altered menta... | {'final_diagnoses': ['Expired'], 'procedures': ['None'], 'visit_summary': "___ yo ___ speaking male w/severe ___, Dementia, DVT, \nwho presented with altered mental status and lethargy from \nnursing home and was found to be hypotensive. He was briefly \ntreated for septic shock in the ICU and then transferred to the \... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 75, 'gender': 'M', 'symptoms': 'chest ___', 'medical_history': ['Motorcycle accident in ___ which resulting in traumatic brain \ninjury requiring 3 week hospital stay and bowel resection.'], 'family_history': 'Father had ___, mother lived to old age', 'present_illness': 'This is a ___ with a... | {'final_diagnoses': ['Musculoskeletal versus neuropathic radicular ___'], 'procedures': ['none'], 'visit_summary': '___/P: ___ with a previous history of traumatic brain injury and \nbowel resection following motorcycle accident in ___ who now \npresents with chest ___\n.1. Chest ___:\nClinical picture is most c/w tho... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 71, 'gender': 'F', 'symptoms': 'Descending colon cancer', 'medical_history': ['PMH: Denies', 'PSH: Appendectomy'], 'family_history': 'Non-contributory. No colon cancer history.', 'present_illness': 'The patient is a ___ male who was on a routine screening \ncolonoscopy found to have a nearly... | {'final_diagnoses': ['Descending colon cancer'], 'procedures': ['___: Laparoscopic left colectomy', '___: Exploratory laparotomy, small-bowel resection', '___: CT-guided drainage of fluid collection', '___: U/S-guided drainage of fluid collection'], 'visit_summary': "NEURO/PAIN: The patient was maintained on IV pain me... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 89, 'gender': 'F', 'symptoms': 'hypoxia and hypercarbia', 'medical_history': ['# CAD: 2VD s/p inferior STEMI & BMS->LCX ___', '- cath ___: 30% ___ LAD, 60% mid-LCx before patent OM1 stent, \n100% RCA occlusion with good L->R collaterals', '# PVD s/p stenting of the right common iliac artery,... | {'final_diagnoses': ['COPD exacerbation', 'Acute on chronic diastolic heart failure', 'Obstructive sleep apnea', 'Secondary polycythemia', 'Coronary artery disease', 'Peripheral vascular disease', 'Diabetes mellitus, type 2', 'Hypercholesterolemia', 'Hypertension', 'Obesity'], 'procedures': ['none'], 'visit_summary': "... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'M', 'symptoms': 'unsteady', 'medical_history': ['Chronic abdominal pain, with nausea/vomiting, weight loss', 'Complex Partial Seizures', 'Non-epileptic seizures', 'PTSD', 'Dissociative disorder'], 'family_history': 'Non-contributory, no history of neurologic disease', 'present... | {'final_diagnoses': ['Pseudoseizure/Somatization disorder (due to high stress levels)', 'Diplopia', 'Non-epileptiform seizures', 'h/o partical complex seizures', 'Depression', 'Vitamin B12 Deficiency'], 'procedures': ['none'], 'visit_summary': 'Patient is a ___ year old female with history of non-epileptiform \nseizure... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 28, 'gender': 'F', 'symptoms': 'Back Pain', 'medical_history': ['- Hypertension', '- GERD', '- Proteinuria', '- H/o tuberculosis as a teenager'], 'family_history': '- Patient reports no known family history of cancer. He says \neveryone in his family have been healthy.', 'present_illness': '... | {'final_diagnoses': ['Lung mass consistent with non-small cell adenocarcinoma of the \nlung', 'Spine lesion consistent with a metastatic lesion from lung \ncancer'], 'procedures': ['Bronchoscopy (___)', 'Thoracentesis (___)'], 'visit_summary': '___ with mid back and RLE pain secondary to metastatic L4 lesion, \nadmitte... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 37, 'gender': 'M', 'symptoms': 'Acute kidney injury and altered mental status', 'medical_history': ['DM-2', 'HTN', 'HLD-controlled with diet', 'LBP', 'BPH', 'Glaucoma', 'Asthma', 'CKD, baseline Cr ~1.5'], 'family_history': 'No family history of heart, liver, or kidney disease. ', 'present_i... | {'final_diagnoses': ['- Acute on chronic renal failure', '- Toxic-metabolic encephalopathy', '- Bradycardia due to ___ with variable block', '- Ventriculomegaly NOS (atrophy vs communicating hydrocephalus)', '- Catheter associated UTI', '- Chronic back pain', '- CKD stage III', '- Diabetes mellitus type II'], 'procedur... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 41, 'gender': 'M', 'symptoms': 'nausea and hematemesis', 'medical_history': ['1. gastric bypass surgery ___ - lost 225 lbs since, was \noriginally 360 lbs. done at ___ ', '2. gastric ulcers', '3. "enlarged spleen" on imaging ___ ', '4. L-eye corneal ulcer ___ contact use ', '5. h/o cocaine... | {'final_diagnoses': ['1. Gastric ulcers', '2. Depression', '3. S/P gastric bypass ___'], 'procedures': ['Upper Endoscopy ___'], 'visit_summary': 'Ms. ___ was admitted to the hospital, made NPO and \nhydrated with IV fluids. An attempt was made at nasogastric \ntube placement however she adamently refused. The GI servi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'M', 'symptoms': 'BLE Leg pain and tingling when he walks', 'medical_history': ['Significant for CML, chronic hepatitis\nwith cirrhosis and back pain.', 'His past surgical history is significant for an umbilical \nhernia.'], 'family_history': None, 'present_illness': 'Mr ___ pr... | {'final_diagnoses': ['Lumbar Stenosis', 'Lumbar Disk Herniation'], 'procedures': ['BILATERAL L4,L5 LAMINECTOMY on ___ with Dr. ___'], 'visit_summary': "Patient was admitted to the ___ Spine Surgery Service and \ntaken to the Operating Room for the above procedure.Refer to the \ndictated operative note for further detai... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'M', 'symptoms': 'L arm numbness', 'medical_history': ['-DM (untreated - was taking his FSBG every third day, as \ninstructed by his PCP)', '-HTN (untreated - no details known)', '-prior injury to his RH with a lawn mower'], 'family_history': '-brother: died of MI at age ___\n... | {'final_diagnoses': ['Stroke'], 'procedures': ['None'], 'visit_summary': 'The patient was admitted to the Neurology Service. Near-complete \nspontaneous resolution of complaints - subjectively only subtle \nresidual upward drift of the R arm on pronator drift testing. \n\nMRI revealed scattered small infarcts in the L ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 37, 'gender': 'M', 'symptoms': 'Alcohol Abuse', 'medical_history': ['H/o pancreatitis secondary to alchol abues', 'Alcoholism', 'Hypertension'], 'family_history': 'Father had kidney cancer', 'present_illness': "Mr. ___ is a ___ year old ___ M with hx of \npancreatitis and alcohol abuse p/w n... | {'final_diagnoses': ['Alcohol Withdrawal'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ is a ___ year old ___ M with hx of \npancreatitis and alcohol abuse p/w nausea, vomiting, and \ntremulousness in the setting of week-long alcohol binge.\n.\n#. Alcohol Abuse: Patient tremulous, mildly hypertensive, \ntachycard... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 40, 'gender': 'M', 'symptoms': 'shortness of breath', 'medical_history': ['CAD s/p DES in ___', 'Type II Diabetes', 'Hypertension', 'HLD', 'CKD 3 (baseline Cr 1.4)', 'Chronic left bundle branch block', 'Left hip ORIF', 'Right Knee replacement', 'H/o back surgery'], 'family_history': 'FAMILY ... | {'final_diagnoses': ['Stress Cardiomyopathy, resolved', 'Non-ST elevation myocardial infarction', 'Coronary Artery Disease', 'Acute Kidney Injury', 'Hypertension', 'Diabetes'], 'procedures': ['___ Coronary Catheterization'], 'visit_summary': "TRANSITIONAL ISSUES\n=====================\n- Discharge wt: 124.34 lb\n- Disc... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'F', 'symptoms': 'abdominal pain', 'medical_history': ['- s/p cholecystectomy ___', '- s/p ERCP with stone and sludge removal ___', '- s/p prostatectomy (prostate cancer ___', '- s/p cataract ___'], 'family_history': 'Sister - ___\nMother - ___\nFather - throat cancer', 'presen... | {'final_diagnoses': ['Choledocolithiasis', 'Duodenal Perforation'], 'procedures': ['ERCP with spincterotomy and stent placement'], 'visit_summary': '___ s/p CCY and prior ERCP for symptomatic biliary sludge \npresented for ERCP.\n\nACTIVE ISSUES:\n# Choledocolithiasis s/p ERCP with duodenal perforation: Patient \nwas a... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'Shortness of breath', 'medical_history': ['FROM ADMISSION NOTE', '-Diabetes Type 2', '-Hypertension', '-Heart murmur (per patient report)', '-Arthritis', '-GERD', '-Atopic dermatitis', '-Hearing loss', '-Chronic venous insufficiency'], 'family_history': 'FROM ... | {'final_diagnoses': ['Anemia, chronic blood loss', 'Acute on chronic diastolic heart failure', 'Acute on chronic kidney injury', 'Asymptomatic bacteriuria', 'Chronic knee pain'], 'procedures': ['Esophagogastroduodenoscopy (___)', 'Colonoscopy (___)'], 'visit_summary': '___ female with a history of colon cancer status p... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'F', 'symptoms': 'High blood pressure', 'medical_history': ['CKD Stage III (attributed to HTN nephrosclerosis vs. CREST)', "CREST syndrome (telangiectasias, Raynaud's, pulmonary HTN)", 'HTN', 'DM type II (diet controlled)', 'Hypothyroidism'], 'family_history': 'Mother with hist... | {'final_diagnoses': ['Primary: Hypertensive Urgency', 'Secondary: Chronic Kidney Disease', 'Anemia'], 'procedures': ['None'], 'visit_summary': 'Hypertensive urgency: Pt was sent from clinic for a BP of \n230s/60s. In the ED on arrival it was still elevated, and she \nwas given po nifedipine and lisinopril (at her hom... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'M', 'symptoms': 'BRBPR', 'medical_history': ['-Diverticulosis, entire colon, c/b recurrent GIB, last ___ and \nthen admitted with GIB of unknown etiology felt to not be c/w \ndiverticulosis in ___', '-HTN', '-PAF on Coumadin', '-BPH', '-CKD, stage III', '-Renal cysts', '-CVA',... | {'final_diagnoses': ['Lower GI bleed', 'Supratherapeutic INR', 'Atrial fibrillation', 'cerebrovascular accident', 'hypertension'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ is a ___ yo gentleman with a PMH of afib c/b CVA (on \ncoumadin), cardiomyopathy and valvular disease, known \ndiverticulosis and hemorrhoi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 35, 'gender': 'M', 'symptoms': 'hypokalemia', 'medical_history': ['CAD', 'HLD', 'HTN', 'thyroid disease', 'dementia'], 'family_history': 'borther with lung cancer, 2 bothers with prostate cancer, \nbrother with MI at age ___', 'present_illness': 'Ms. ___ is an ___ woman with recently dx with... | {'final_diagnoses': ['Pancreatic mass- suspicious for pancreatic adenocarcinoma', 'Hypokalemia'], 'procedures': ['EUS ___'], 'visit_summary': '___ yo female with h/o newly diagnosed pancreatic mass concerning \nfor pancreatic adenocarcinoma who presents with hypokalemia.\n\n# Pancreatic mass:\n# Biliary obstruction:\nT... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'F', 'symptoms': 'SOB', 'medical_history': ['- Metastatic endometrial CA with lung metastases and recurrent \npleural and pericardial effusions requiring QOD drainage via \npleurex catheter ', '- Upper extremity dvts on fondaparinux ', '- Afib with RVR ', 'ONC history (from ... | {'final_diagnoses': ['Expired'], 'procedures': ['None'], 'visit_summary': "Assessment and Plan: ___ F with h/o metastatic endometrial CA \ncomplicated by bilateral pleural effusions and pericardial \neffusion requiring intermittent drainage via pleuradex catheter \nand bilateral upper extremity DVTs on fondaparinux and... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'Chest Pain, Dyspnea On Exertion', 'medical_history': ['-Cardiac arrhythmia, for which he had an ablation procedure', '-BPH', '-Mitral valve insufficiency', '-Bladder cancer for which he had surgery, elevated PSA, and a \nneck mass.', '-GERD'], 'family_history'... | {'final_diagnoses': ['PRIMARY DIAGNOSIS: Microvascular Coronary Artery Disease'], 'procedures': ['Cardiac cath ___'], 'visit_summary': ' ___ hx of CKD, hyperthyroidism, treated hepatitis C, who \npresents with chest pain; intermittent episodes with exertion \nfor the last few months but now occurring more frequently. \... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'M', 'symptoms': 'Abnormal labs', 'medical_history': ['EtOH abuse, No h/o withdrawal seizures.', 'Tobacco use', 'pancytopenia'], 'family_history': 'No family history of heart attacks, strokes. No\nfamily history of liver problems.', 'present_illness': '___ w/ ETOH cirrhosis who... | {'final_diagnoses': ['Alcoholic cirrhosis', 'Upper GI bleed', 'Acute Kidney Injury', 'Alcohol abuse', 'Pancytopenia'], 'procedures': ['EGD with thermal ablation ___'], 'visit_summary': '___ yo M with alcohol cirrhosis, alcohol hepatitis (DF<32 on \nadmission) c/b portal HTN, large ascites s/p LVP, transferred to \n___ ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 45, 'gender': 'M', 'symptoms': 'Altered Mental Status, Abdominal Mass', 'medical_history': ['Hypertension', 'HYPERTENSION', 'URINARY INCONTINENCE', 'DEPRESSION', 'NON-MELANOMA SKIN CA', '"LUNG DRAINED" FOR PNA -CHILDHOOD', 'VARICOSE VEIN STRIPPING', 'TTE ___ SHOWED MILD MR, MILD PULMONARY AR... | {'final_diagnoses': ['Renal cell cancer with invasion of the liver', 'Atrial fibrillation off comadin', 'Chronic diastolic failure'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ is a ___ year old female, with past history of \nHypertension, Urinary Incontinence, Dementia, presenting with \nfall, with workup c/f a... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'F', 'symptoms': 'Abdominal/Back pain', 'medical_history': ['HTN', 'diverticulitis', 'pancreatitis', 'anemia', 'obesity', 'ventral hernia', 'h/o positive PPD', 'menopause', '___'], 'family_history': 'n/c', 'present_illness': '___ s/p EVAR for AAA that was emergently treated aft... | {'final_diagnoses': ['Known AAA s/p EVAR', 'Constipation'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ was admitted to the vascular service on ___ \nafter undergoing a CT scan in the ER which showed:\n\n1. Interval increase in size of the aneurysm sac with a type 2 \nendoleak(s) \nwithout evidence of rupture or ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'F', 'symptoms': 'weakness', 'medical_history': ['ESRD: s/p renal transplant ___, c/b chronic graft failure; \njust recently started tacrolimus; on prednisone 5 mg daily', 'HIV: CD4 of 376 on ___.', 'HTN', 'DM: poorly controlled; recent A1c 10.8', 'MGUS: UPEP and SPEP in ___ sh... | {'final_diagnoses': ['Dehydration', 'End-stage renal disease', 'Renal transplant graft rejection', 'Hypertension'], 'procedures': ['None'], 'visit_summary': '___ male with complex medical history including \nend-stage renal disease status post transplant rejection \ncurrently on hemodialysis ___, Th, ___, HIV (CD4 376)... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'M', 'symptoms': 'Tachycardia', 'medical_history': ['1. Atrial flutter s/p DCCV ___', '2. Mild aortic stenosis.', '3. Recurrent venous thromboemboli with lupus anticoagulant, on\nlifelong Coumadin.', '4. Peripheral arterial disease.', '5. Tobacco use disorder.', '6. Mixed dysli... | {'final_diagnoses': ['Atrial Flutter s/p ablation ___'], 'procedures': ['___: cardioversion & atrial flutter ablation'], 'visit_summary': '___ admitted with rapid heart rates found to be in atrial \nflutter, now s/p successful cardioversion and aflutter ablation.', 'medications_prescribed': ['Atorvastatin 40 mg PO QAM'... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 88, 'gender': 'M', 'symptoms': 'Aspirin and Acetaminophen overdose', 'medical_history': ['None'], 'family_history': 'None', 'present_illness': 'Patient is a ___ F who was transferred from ___ for \nintentional Tylenol and ASA overdose. Per report, patient\'s \nfriends were concerned and call... | {'final_diagnoses': ['Intentional overdose', 'Metabolic acidosis'], 'procedures': ['None'], 'visit_summary': '#Suicidal Ingestion: Aspirin: Patient ingested 30g ASA between \n___ on ___. ASA level at OSH was 36. Received activated \ncharcoal and was started on bicarb gtt for goal pH>7.4. Her VBG \nwas closely monitored... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 78, 'gender': 'M', 'symptoms': 'myalgias, chest pain, cough, fevers', 'medical_history': ['S/p hernia repair', '"Hole in heart"'], 'family_history': 'No family history of pulmonary disease.', 'present_illness': "This is a ___ year old man with limited significant past medical \nhistory who p... | {'final_diagnoses': ['Pneumonia', 'Parapneumonic effusion', 'Hypoxemia', 'Streph pharyngitis', 'Transaminitis'], 'procedures': ['Bronchoscopy on ___', 'VATS with pleural drain'], 'visit_summary': "This is a ___ year-old man admitted with multilobar pneumonia. \n\n# Pneumonia/respiratory symptoms: On admission, the pat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'F', 'symptoms': 'fever, vaginal bleeding, abd pain, SOB', 'medical_history': ['OBHx: G5P2(1)\n- SVD x3\n- TAB x2', 'GYNHx: \n- D&C x2\n- Denies hx of STIs', 'PMHx:\n- chronic hepatitis B ___: ALT26, AST22, HBcAb+, HAVAb+, HCVAb-, HBeAg -, HBeAb +, HBV VL not detected. On Virea... | {'final_diagnoses': ['Retained products of conception, s/p D&C', 'Acute blood loss anemia, s/p blood transfusion', 'Endometritis, s/p antibiotics', 'Recent intrauterine fetal demise due to parvovirus infection'], 'procedures': ['Dilation and curettage', 'blood transfusion'], 'visit_summary': "Ms. ___ is a ___ year old ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'M', 'symptoms': '"I have been freakin\' my friends out so they called my family. I \nwas trying to get them to see backwards like me."', 'medical_history': ['PSYCHIATRIC HISTORY (INCLUDE PRIOR HOSPITALIZATIONS, OUTPATIENT\nTREATMENTS, MEDICATION/ECT HISTORY, RESPONSE TO TREATM... | {'final_diagnoses': ['Multi-axis diagnosis:', 'I. Manic episode with psychotic features, most likely Bipolar \ndisorder, Type 1', 'II. Deferred', 'III. irregular menses.', 'IV. recently fired from job, ?relationship conflict', 'V. 55'], 'procedures': ['none'], 'visit_summary': '1. Legal Status: The pt was admitted to t... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'Hypercalcemia', 'medical_history': ['- status post living unrelated kidney transplantation in ___, creatinine stablen in 1.8 to 2.2 range in ___ and no \nproteinuria.', '- pancreas transplantation in ___', '- Immunosuppression: tacrolimus, Mycophenolate mofeti... | {'final_diagnoses': ['Hypercalcemia'], 'procedures': ['none'], 'visit_summary': 'Mr. ___ is a ___ with history of living unrelated kidney \ntransplantation in ___, on tacrolimus, Mycophenolate \nmotetil and prednisone; pancreas transplant in ___ \nhypertension; dyslipidemia; and bone mineral disease presenting \nfor ev... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'headache, aseptic meningitis', 'medical_history': ['Viral meningitis x 2', 'Pseudotumor cerebri', 'Migraines', 'Depression', 'LEEP procedure'], 'family_history': 'States there is a family history of HTN and diabetes. Mother is \n___ and has stage IV breast CA.... | {'final_diagnoses': ['HSV Viral meningitis'], 'procedures': ['Lumbar puncture'], 'visit_summary': "with history of pseudotumor cerebri, migraines, and viral \nmeningitis, presenting with headache. LP concerning for \nrecurrent meningitis.\n\n# Mollaret's Meningitis\n# Aseptic Meningitis: LP was consistent with aseptic ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 45, 'gender': 'F', 'symptoms': 'Dyspnea, fever', 'medical_history': ['+PPD status post INH treatment', 'Actinic keratosis', 'Allergic rhinitis', 'Cervical spine disease', 'Eczematous dermatitis', 'Glucose intolerance', 'Herpes Zoster', 'Hypertriglyceridemia', 'Hypertension', 'Psoriasis', 'Sp... | {'final_diagnoses': ['Community-acquired pneumonia', 'Sinus tachycardia', 'Chronic low back pain'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ is a ___ with history of hypertension, hyperlipidemia, \nchronic low back pain from degenerative disc disease, and mild \ncentrilobular emphysema who presented with sever... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 82, 'gender': 'F', 'symptoms': 'episodic presyncopal sx & chest discomfort, multiple episodes of recurrent monomorphic NSVT', 'medical_history': ['T2DM', 'HTN', 'HLD', 'PVCs', 'Acute Gout Flare'], 'family_history': None, 'present_illness': 'Ms. ___ is a ___ woman w/ hx T2DM, HTN, HLD, and PV... | {'final_diagnoses': ['Non-sustained Ventricular Tachycardia', 'Hypertension', 'Hyperlipidemia'], 'procedures': ['cardiac catheterization'], 'visit_summary': 'Ms. ___ is a ___ woman w/ hx T2DM, HTN, HLD, and PVCs who had \ninitially presented with several days of episodic presyncopal sx \n& chest discomfort, multiple ep... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'M', 'symptoms': 'Mouth and throat pain', 'medical_history': ['PAST ONCOLOGIC HISTORY:\n___: Presented with pelvic pain and heavy bleeding to PCP; US \nshowed possible fibroid, started on low dose OCP.\n___: Continued to have uterine bleeding for 2 months.\n___: Saw Dr. ___ US ... | {'final_diagnoses': ['Mucositis', 'Neutropenic fever', 'Thrombocytopenia (low platelet clotting cells)', 'Colitis', 'Nausea', 'Abdominal Pain'], 'procedures': ['None'], 'visit_summary': "A/P: ___ woman with refractory metastatic leiomyosarcoma to \nliver, lung, and bone admitted for mucositis and neutropenia in \nmidst... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 75, 'gender': 'M', 'symptoms': 'Acute on chronic appendicitis', 'medical_history': ['None'], 'family_history': 'Noncontributory', 'present_illness': 'Mr. ___ is a ___ gentleman with no significant \nmedical history who presents with acute right lower quadrant \npain.\n\nMr. ___ reports the o... | {'final_diagnoses': ['Acute on chronic appendicitis'], 'procedures': ['___ Lap appy'], 'visit_summary': 'Mr. ___ was admitted to the General Surgical Service on \n___ for evaluation and treatment of abdominal pain. \nAdmission abdominal/pelvic CT revealed acute appendicitis. The \npatient underwent laparoscopic append... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'F', 'symptoms': 'Right knee osteoarthritis', 'medical_history': ['PSYCHIATRIC HISTORY (INCLUDE PRIOR HOSPITALIZATIONS, OUTPATIENT\nTREATMENTS, MEDICATION/ECT HISTORY, RESPONSE TO TREATMENT,\nHISTORY OF HOMICIDAL/SUICIDAL/ASSAULTIVE BEHAVIOR): depresison\nsince ___ but never in... | {'final_diagnoses': ['Right knee osteoarthritis'], 'procedures': ['___: R TKR'], 'visit_summary': "The patient was admitted to the orthopedic surgery service and \nwas taken to the operating room for above described procedure. \nPlease see separately dictated operative report for details. The \nsurgery was uncomplicate... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'F', 'symptoms': 'A ___ woman with a history of AML \nsecondary to treatment for breast cancer who is being admitted \nnow Day + ___ following her nonmyeloablative cord blood \ntransplant \ndue to worsening dyspnea on exertion, chest pain and new \nopacities noted on chest ... | {'final_diagnoses': ['Acute Myeloid Leukemia status post stem cell transplant', 'Pneumonia', 'Diabetes Mellitus Type II'], 'procedures': ['Bronchoalveolar Lavage'], 'visit_summary': 'Mrs. ___ is a ___ woman with a history of secondary \nAML following her treatment with breast cancer with refractory \ndisease who is now... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 40, 'gender': 'M', 'symptoms': 'fever', 'medical_history': ['HCV (Secondary to blood transfusion following a stabbing in the \n___', 'Upper Extremity DVT', 'Alpha Thalessemia Minor? (Not confirmed)'], 'family_history': 'No family hx of Colon CA, Liver CA, DM or early CAD', 'present_illness':... | {'final_diagnoses': ['abdominal pain', 'flank pain', 'constipation'], 'procedures': ['none'], 'visit_summary': 'He was seen in the ED. IV fluid and pain medication were \nadministered. A CT scan done at ___ was reviewed showing 1 cm \ndilated appendix unchanged from ___, no stranding or other signs \nof inflammation. W... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 50, 'gender': 'M', 'symptoms': None, 'medical_history': ['Melanoma as above', 'hypophysitis secondary to ipilimumab', 'hypertension', 'atrial fib with rapid ventricular response', 'atrial flutter ablation ___', 'history of DVT status post IVC filter status post cholecystectomy', 'status post... | {'final_diagnoses': ['___ melanoma status post cycle 1 week 1 high-dose IL-2 therapy complicated by acute pulmonary edema and normal sinus tachycardia.'], 'procedures': ['central line placement', 'cardiac ablation'], 'visit_summary': 'The patient was admitted and went to Interventional Radiology for central line placem... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'Fall', 'medical_history': ['CAD s/p 3 vessel CABG', 'Diabetes', 'CHF', 'HTN', 'CKD w/renal artery stents'], 'family_history': 'nc', 'present_illness': 's/p fall from bed\n\n___ year old male with a PMH significant for CAD (s/p 3 vessel \nCABG), CHF, DM, HTN, C... | {'final_diagnoses': ['Acute on chronic subdural hemorrhage', 'Hypertensive emergency', 'Acute on chronic diastolic congestive heart failure', 'Chronic Kidney Disease, stage unspecified', 'Atrial Fibrillation'], 'procedures': ['SEPS DRAINAGE OF SUBDURAL HEMORRHAGE ___', 'Removal of drain ___'], 'visit_summary': '# Acute... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': '___, ___', 'medical_history': ['- COPD (on home O2 3L NC) ', '- HTN ', '- HLD ', '- CKD stage III ', '- AAA (managing medically, diameter 5.3cm on last ultrasound) ', '- Gout'], 'family_history': 'Mother had stroke at ___, died of MI at ___. Father died o... | {'final_diagnoses': ['Right Temporal Subdural Hematoma', 'Dehydration', 'Interstitial Pulmonary Fibrosis'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ is a ___ RHM with COPD (on O2 3L NC at home), stage \n3 CKD, HTN, HLD, and 5.4 cm AAA, with one week of DOE, multiple \nfalls with LOC, and a 4mm SDH. ', 'medicat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'F', 'symptoms': 'Chest Pain', 'medical_history': ['1. CARDIAC RISK FACTORS \n- Type 2 diabetes mellitus\n- Hypertension ', '2. CARDIAC HISTORY \n- Coronary artery disease, s/p MI with POBA (anatomy unknown)\n- Atrial fibrillation', '3. OTHER PAST MEDICAL HISTORY \n- Periph... | {'final_diagnoses': ['ATYPICAL CHEST PAIN', 'NONSUSTAINED VENTRICULAR TACHYCARDIA', 'T2DM', 'HTN', 'CAD', 'AF'], 'procedures': ['None'], 'visit_summary': '___ with CAD s/p MI and POBA, AF on Coumadin who presented after \nrecurrent intermittent chest pain/pressure radiating into his \nleft arm. Troponins were negative,... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'M', 'symptoms': 'SBO', 'medical_history': ['# Indeterminate colitis - reportedly diagnosed ___ ago.', '*** s/p lap total abd colectomy, end ileostomy ___ c/b \nintermittent bowel obstruction', '*** s/p diag laparoscopy, parastomal hernia repair, LOA ___ c/b ARDS, ? abd compart... | {'final_diagnoses': ['Resolved SBO'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ presented to the ___ emergency department as a \ntransfer from ___ with a diagnosis of small bowel \nobstruction. Upon presentation, his bowel obstruction was \nbeginning to resolve, however, given his extensive history of \nCRS sur... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 36, 'gender': 'M', 'symptoms': 'Dyspnea', 'medical_history': ['Atrial fibrillation', 'Cardiomyopathy', 'Alcohol abuse', 'Hypertension', 'Pancreatic cyst', 'Status post knee replacement', 'Hepatitis C cirrhosis', 'Back arthritis'], 'family_history': 'Positive for coronary artery disease (deta... | {'final_diagnoses': ['Dyspnea', 'EtOH intoxication/withdrawl', 'EtOH abuse', 'Hep C cirrhosis', 'History of cardiomyopathy', 'Hypertension'], 'procedures': ['None.'], 'visit_summary': '___ year old man with history of alcohol abuse, hepatitis c \ncirrhosis, cardiomyopathy, atrial fibrillation status post \ncardioversio... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'M', 'symptoms': 'bright red blood per rectum', 'medical_history': ['testicular cancer', 'myocardial contusion s/p accident \n(___)', 'chronic low back pain with spondylolisthesis', 'depression', 'HTN', 'hyperlipidemia', 'pancreatitis ___ ago', '-necrotic biliary pancreatitis i... | {'final_diagnoses': ['Duodenal ulcer with hemorrhage'], 'procedures': ['___ - EGD'], 'visit_summary': 'Mr. ___ is a ___ yo gentleman with a remote history of biliary \npancreatitis c/b necrosis and requiring pancreatic necrosectomy, \npresenting with syncope, orthostasis, and several episodes of \nlarge volume black st... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'M', 'symptoms': 'lightheadedness, BP lability, worsened gait', 'medical_history': ['Multiple system atrophy, parkinsonian type', '?REM behavior disorder', 'Osteoporosis', 'Lung nodules', 'Hypertension', 'Hyperlipidemia', 'Recurrent UTIs ___ neurogenic bladder', 'Basal cell car... | {'final_diagnoses': ['orthostatic hypotension', 'urinary tract infection', 'multiple systems atrophy'], 'procedures': ['none'], 'visit_summary': '___ is a ___ RH F with h/o multiple system atrophy \n(Parkinsonian type) who presented with progression of her \ndisease: worsening orthostatic hypotension, supine hypertensi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'F', 'symptoms': 'Mucosal bleeding, melena, "not feeling right"', 'medical_history': ['ETOH cirrhosis w/ hepatic encephalopathy', 'Alcohol use disorder c/b withdrawal seizures', 'Polysubstance use disorder', 'Alcoholic hepatitis', 'Thrombocytopenia', 'Cardiac murmur', 'Polyneur... | {'final_diagnoses': ['Acute blood loss anemia', 'Portal hypertensive gastropathy', 'Pancytopenia', 'Transaminitis', 'Alcohol use disorder', 'Alcoholic cirrhosis', 'Alcoholic hepatitis', 'Coagulopathy'], 'procedures': ['EGD ___'], 'visit_summary': 'Mr. ___ is a ___ yo M with history of ETOH cirrhosis c/b \nvarices and H... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'F', 'symptoms': 'Fevers, fatigue', 'medical_history': ['Breast Cancer, as above', 'Asthma', 'Diabetes', 'Chronic rhinitis', 'Eczematous dermatitis', 'Vitamin B12 deficiency', 'Headaches', 'SP left mastectomy', 'SP tubal ligation'], 'family_history': 'Paternal aunt with breast ... | {'final_diagnoses': ['Febrile Neutropenia', 'NIDDM2', 'Asthma', 'Anemia in neoplastic disease', 'Stage 1A left breast cancer'], 'procedures': ['None'], 'visit_summary': '___ yo F with PMH of NIDDM2, L sided breast cancer on adjuvant \ndocetaxel/cyclophosphamide (last received on ___ who \npresents to ___ ED for evaluat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 34, 'gender': 'M', 'symptoms': 'Planned admission for long term monitoring while starting\nvimpat', 'medical_history': ['Complex partial seizures described as arm posturing, head drops,\ntonic UE stiffening, and decreased responsiveness lasting\nseconds-minutes but often cluster, s/p left VN... | {'final_diagnoses': ['Seizures'], 'procedures': ['None.'], 'visit_summary': 'Ms. ___ was admitted to the epilepsy service for video EEG \nmonitoring while adding vimpat to her anti-epileptic regimen. \nShe tolerated the vimpat titration without difficulty and will \ncontinue on 100mg BID outpatient for now. Her CPAP ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 77, 'gender': 'M', 'symptoms': 'RLE pain and swelling x6 days s/p mechanical fall', 'medical_history': ['ETOH cirrhosis decompensated by ascites, encephalopathy, and \nvarices'], 'family_history': 'No known family history of liver disease', 'present_illness': '___ w PMH EtOH cirrhosis (MELD ... | {'final_diagnoses': ['Hyponatremia', 'RLE cellulitis', 'EtOH cirrhosis'], 'procedures': ['None'], 'visit_summary': '___ w PMH EtOH cirrhosis (MELD score 17, Child ___ Class C, c/b \nencephalopathy, grade II varices; ascites and volume overload \nwith diuretic refractory d/t hyponatremia), presenting with \nright leg pa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 83, 'gender': 'F', 'symptoms': 'Back pain', 'medical_history': ['Gout', 'Depression', 'Hypertension', 'COPD', 'BPH', 'Hyperlipidemia', 'DVT/PE - on coumadin', 'OSA on CPAP', 'TIA/CVA', 'Left carotid stenosis', 'Hypertension', 'Asthma', 'PAD', 'Upper back surgery x2', 'Lumbar spine surgery x2... | {'final_diagnoses': ['# L1 compression fracture s/p kyphoplasty', '# Possible acute kidney injury'], 'procedures': ['L1 kyphoplasty'], 'visit_summary': "___ year old with HTN, OSA, hx of DVT/PE who presented to ___ \n___ with intractable back pain found to have acute L1 \ncompression fracture on imaging and requested t... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'M', 'symptoms': 'Fatigue and ?weakness', 'medical_history': ['-Anemia', '-Coronary artery disease s/p anterior infarct', '-Diabetes Mellitus', '-Hypertension', '-chronic systolic heart failure with LVEF 37% in ___'], 'family_history': 'Non-contributory', 'present_illness': "__... | {'final_diagnoses': ['Sigmoid colon cancer'], 'procedures': ['s/p COLECTOMY SIGMOID LAPAROSCOPIC', 'COLOSTOMY'], 'visit_summary': "TRANSITIONAL ISSUES: \n- monitor blood pressure on low dose lisinopirl started just \nprior to ___ for HF with reduced EF; uptitrate if able; captopril \nfrom prior has been held\n- monitor... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'M', 'symptoms': 'Meatabolic Encephalopathy', 'medical_history': ['Hypertension', 'Bilateral carotid stenosis', 'Aortic stenosis', 'Asthma', 'Obesity', 's/p hysterectomy', 'Diabetes Mellitus, Type II', 'Chronic renal indufficiency (1.5-1.7)', "Obstructive ___ apnea (has a machi... | {'final_diagnoses': ['Gout', 'Urinary tract infection'], 'procedures': ['None'], 'visit_summary': '1. Sepsis: Her urinalysis was abnormal concerning for a urinary \ntract infection, although culture negative, and treated wtih a 7 \nday course of ceftriaxone given concern for healthcare \nassociated organism. A renal u... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 75, 'gender': 'F', 'symptoms': 'Cycle 23 of High Dose Methotrexate', 'medical_history': ['1) Primary CNS lymphoma (dx ___: High-grade large B cell \nlymphoma\n- s/p open craniotomy (__)\n- s/p 20 cycles HD MTX', '2) Basal cell carcinoma', '3) Hypertension', '4) Hypercholesteremia', '5) Hypog... | {'final_diagnoses': ['Primary: Central nervous system lymphoma, status post high dose \nmethotrexate', 'Secondary: Hypertension, peripheral neuropathy'], 'procedures': ['None'], 'visit_summary': "This is a ___ year old man with a history of primary CNS \nlymphoma, admitted for cycle 23 of high dose methotrexate.\n\n# C... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'F', 'symptoms': 'shortness of breath', 'medical_history': ['--CAD - s/p 5V CABG ___ echo ___ cath ___ showed 3V \ndisease. Cath ___ w successful stenting of the LMCA into LAD \nwith Endeavor DES.', '--chronic diastolic CHF', '--CVA - subacute stroke R MCA in ___', '--COPD -- ... | {'final_diagnoses': ['Pneumonia', 'Acute on chronic CHF', 'Hyperglycemia', 'ESRD', 'CAD'], 'procedures': ['None'], 'visit_summary': '___ female with hx of CAD s/p 5v CABG, COPD, ESRD on HD, \nchronic diastolic CHF (EF 45-50%), DM, and PVD presenting with \ndyspnea, productive cough and chills and found to have left \nm... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'F', 'symptoms': 'Right lower abdominal incision with cloudy, foul smelling \ndrainage', 'medical_history': ['-colon cancer and kidney cancer ___ ___ and ___', '-breast cancer ___ ___ with Right mastectomy', '-Diabetes', '-high blood pressure', '-hernia surgery with mesh ___ an... | {'final_diagnoses': ['Right lower abdominal incision dehiscence and drainage'], 'procedures': ['None'], 'visit_summary': "The patient was admitted to the plastic surgery service on \n___ for observation and treatment of large amount of cloudy, \nfoul smelling drainage from her right lower abdominal incision \nline. Her... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'F', 'symptoms': 'crampy abdominal pain', 'medical_history': ['Breast cancer s/p lumpectomy and XRT completing ___', 'EtOH cirrhosis', 'Hypokalemia', 'History acute hepatitis', 'History salmonella', 'BCC and AK s/p cryosurgery', 'Depression', 'Migraine headaches', 'Alcohol use'... | {'final_diagnoses': ['Possible biliary stricture/mass versus choledocholithiasis'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ was admitted to the Transplant/Hepatobiliary and \nplaced NPO with IVF for hydration. Her urinary tract infecttion \nwas treated with ciprofloxacin. She required minimal pain \nmedica... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 74, 'gender': 'M', 'symptoms': '"Today was bad communication..miscommunication..have you ever\nheard of bed bugs..today they want to pack all my belongings and\nfumigate again I never thought it was possible b/o a\nmisunderstanding..I said no ..the time befor the silver\ndisappeared."', 'med... | {'final_diagnoses': ['I. Schizoaffective Disorder. Bipolar Subtype. Mixed', 'II. Dementia NOS', 'III. HTN, hyperlipidemia, DM2, CAD, Atrial Fibrillation', 'IV. Severe', 'V. 51'], 'procedures': ['None'], 'visit_summary': "Psychiatric Issues: Patient denied suicidality while on the \nunit. He re-iterated that his only he... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'M', 'symptoms': 'Left ___ and ___ toe gangrene', 'medical_history': ['-CHF (EF ~45% by patient report)', '-HTN', '-PVD', '-Diabetes mellitus'], 'family_history': 'Father with PVD. Sister with breast cancer. Cousin with colon \ncancer.', 'present_illness': '___ male with multip... | {'final_diagnoses': ['Dry gangrene of left ___ and ___ toes'], 'procedures': ['Amputation of left ___ and ___ toes'], 'visit_summary': 'Mr. ___ was admitted on ___ for surgical management of his \nleft toes grangrene. Given his anticoagulation requirements, he \nwas admitted one day prior to surgery. His INR was 3.3 an... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'M', 'symptoms': 'Abdominal Pain', 'medical_history': ['1. HTN', '2. Diverticulosis, h/o diverticulitis', '3. Internal hemorrhoids', '4. OSA', '5. GERD', '6. Recurrent mid-epigastric abdominal pain- Negative gastric\nemptying study. MRCP showed pancreatic divisum but no\npancre... | {'final_diagnoses': ['Primary Diagnosis: Chronic Abdominal Pain', 'Secondary Diagnoses: Hypertension'], 'procedures': ['None'], 'visit_summary': "Mr. ___ is a ___ yo man with an extensive history of abdominal \npain with mulitple ER visits for exacerbations of this pain, who \npresented with a flare of this pain.\n.\n#... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'M', 'symptoms': 'Chest pain', 'medical_history': ['Chronic Obstructive Pulmonary Disease', 'Coronary Artery Disease', 'Diabetes ___, Type II', 'Foot Drop, left', 'Hyperlipidemia', 'Hypertension', 'Lumbar Disc Disease s/p rod implant', 'Non-ST Elevation Myocardial Infarction', ... | {'final_diagnoses': ['Coronary Artery Disease', 'Carotid Artery Stenosis left 70-79%', 'Chronic Obstructive Pulmonary Disease', 'Diabetes ___, Type II', 'Foot Drop, left', 'Hyperlipidemia', 'Hypertension', 'Lumbar Disc Disease s/p rod implant', 'Non-ST Elevation Myocardial Infarction', 'Testicular Cancer s/p surgery an... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'F', 'symptoms': 'Cellulitis', 'medical_history': ['Asthma - has been admitted for this, never intubated', 'Morbid obesity', 'DM2 - several years, poorly controlled secondary to \nnon-compliance', 'Hyperlipidemia', 'Bipolar'], 'family_history': 'Asthma. Cancer on mothers side o... | {'final_diagnoses': ['RLE diabetic foot infection', 'Diabetes mellitus type II', 'Obesity', 'Peripheral neuropathy', 'Hypertension', 'Hyperlipidemia', 'Hypertriglyceridemia', 'Asthma'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ was admitted to the hospital with a right great toe \nulcer and right lower extremit... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 89, 'gender': 'F', 'symptoms': 'Somnolence', 'medical_history': ['HCV/EtOH cirrhosis c/b esophageal variceal bleeds s/p banding \nand TIPS in ___, hepatic encephalopathy (not on transplant \nlist, turned down at ___ and ___ due to relapse)', 'HCV genotype 3 -VL: 810,000 IU/mL. ___', 'h/o po... | {'final_diagnoses': ['Benzodiazepene overdose', 'Hepatic encephalopathy', 'Cirrhosis', 'Hypertension'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ is a ___ YOM with hep C/Etoh cirrhosis s/p TIPS \nwith frequent hospitalizations for hepatic encephalopathy who \npresents from ___ ED with altered mental status.\n.\... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 21, 'gender': 'F', 'symptoms': 'Chest pain', 'medical_history': ['1. CARDIAC RISK FACTORS: +Dyslipidemia, +Hypertension', '2. CARDIAC HISTORY:\n- CABG x3 ___ with LIMA to LAD, free RIMA to OM, SVG to RCA.\n-PERCUTANEOUS CORONARY INTERVENTIONS: prior to CABG ___', '3. OTHER PAST MEDICAL HISTO... | {'final_diagnoses': ['Atypical chest pain', 'Sinus bradycardia likely related to metoprolol'], 'procedures': ['None'], 'visit_summary': '___ s/p 3V CABG on ___ with Dr. ___ transferred in from \n___ with CP. Substernal CP feeling similar to ischemic pain \nwhich resolved with IV morphine and nitro. ECG showed sinus \nb... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 51, 'gender': 'F', 'symptoms': 'fatigue and shortness of breath', 'medical_history': ['Asthma, since age ___, intubated once in the ___', 'Osteoporosis', 'Recurrent sinus infections', 'Possible sleep apnea', 'GERD', 'Allergic rhinitis', 'MV prolapse ___ on echo', 'h/o dysplastic nevus', 'h/o... | {'final_diagnoses': ['Mitral valve prolapse s/p mitral valve repair', 'Pneumothorax with associated subcutaneous emphysema', 'Preop noted QTC prolongation resolved secondary medication (celexa)', 'Sinusitis present preop completed antibiotic course', 'Mechanical vision distortion', '- Asthma, since age ___, intubated o... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 30, 'gender': 'F', 'symptoms': 'Nephrolithiasis', 'medical_history': ['TURNER SYNDROME', 'HEARING LOSS', 'ELEVATED ALKALINE PHOSPHATASE', 'OSTEOPENIA', 'L KNEE INJURY ___', 'H/O THICKENED ENDOMETRIUM', 'H/O BASAL CELL CARCINOMA', 'H/O UPPER GASTROINTESTINAL BLEED', 'H/O GALLBLADDER POLYP'], ... | {'final_diagnoses': ['NEPHROLITHIASIS'], 'procedures': ['NONE during this admission'], 'visit_summary': 'Ms. ___ was admitted to urology for overnight observation \nfor possible given risk of sepsis (develop worsening septic \nphysiology and if so would recommend intervention with either \nurgent right PCN or right ure... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 84, 'gender': 'F', 'symptoms': 'dyspnea', 'medical_history': ['1. PMH sig for NICM, ___ Class II-III; TTE 3.14. ICD ___ \n___ Evera. \necho, cardiac cath ___: no CAD, EF 25 %, severe biventricular \ndiastolic dysfunction, severe \nleft ventricular sytolic dysfunction, moderate-severe MR,... | {'final_diagnoses': ['acute on chronic systolic heart failure', 'dementia', 'chronic kidney disease', 'insulin dependent diabetes', 'hypertension', 'dyslipidemia', 'hypothyroidism', 'asthma'], 'procedures': ['None'], 'visit_summary': 'with HFrEF (EF ___ in ___ ICD, IDDM, PVD, HTN, \nCKD, hypothyroidism, primary hyperp... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 78, 'gender': 'F', 'symptoms': 'Lethargy', 'medical_history': ['LLL lung mass-bhx at ___, TTF1+,napsin +, FDG + in\n lung, mediastinum and right adrenal. MRI Brain+ multiple \nlesions\n\n c/w metastatic disease as well as leptomeningeal involvemet.', 'Admitted to ___ on ___ with left facial ... | {'final_diagnoses': ['STAGE IV NON SMALL CELL LUNG CANCER WITH BRAIN METASTASES', 'ACUTE TOXIC METABOLIC ENCEPHALOPATHY', 'SEVERE MALNUTRITION'], 'procedures': ['None'], 'visit_summary': '___ year old female with PMH of non-small cell lung cancer with \nbrain metastasis, leptomeningeal disease, and seizures who \nprese... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 62, 'gender': 'F', 'symptoms': 'epigastric pain', 'medical_history': ['HTN', 'HLD', 'Esophageal Reflux, no ___ in ___ on EGD, medically managed'], 'family_history': 'Family History: noncontributory', 'present_illness': 'Mr. ___ is a ___ ___ speaking male with a PMHx\nsignificant GERD and H. ... | {'final_diagnoses': ['acute cholecystitis'], 'procedures': ['laparoscopic cholecystectomy'], 'visit_summary': "The patient was admitted to the General Surgical Service on ___ \nfor evaluation and treatment of abdominal pain. Admission RUQ \nultrasound revealed gallbladder sludge, and CT revealed a \ndistended gallblad... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 39, 'gender': 'M', 'symptoms': 'shortness of breath', 'medical_history': ['Acute hypoxic respiratory failure', 'Bilateral pneumonia', 'ILD with emphysema and bronciectasis flare up', 'report of acute on chronic renal failure with underlying \nchronic renal failures stage III', 'Recent acute ... | {'final_diagnoses': ['Refractory septic shock with respiratory and renal failure'], 'procedures': ['intubation', 'dialysis catheter placement', 'arterial line', 'central line'], 'visit_summary': 'This is a ___ yo M with ILD and bronchiectasis since ___, \nadmitted ___ for hypoxemic respiratory failure w/ \ntrach placem... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'low blood pressure, weakness', 'medical_history': ['esophageal\nulcer or esophagitis', 'GERD', 'Pertinent Oncologic history (include past therapies, surgeries,\netc.): Mr. ___ was in his usual state of health until about\n___ of this year when he noted eight l... | {'final_diagnoses': ['Hypotension', 'Severe protein calorie malnutrition', 'Bilateral hygromas with acute on chronic bleed', 'Leukocytosis', 'Metastatic urothelial cancer'], 'procedures': ['None'], 'visit_summary': 'with urothelial ca on chemo, presenting as a transfer from \n___ after found to be hypotensive and weak,... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 65, 'gender': 'M', 'symptoms': 'jaundice, abdominal pain', 'medical_history': ['HTN', 'HL', 'BPH', 'H/o colon ca', 'Lumbar spinal stenosis', 'Scoliosis/kyphosis', 'H/o ruptured Achilles tendon ___ levofloxacin treatment', 'H/o DVT s/p tendon rupture, now on coumadin', 'PROSTATIC HYPERTROPHY ... | {'final_diagnoses': ['# Right humeral fracture', '# Mechanical fall', '# Orthostatic hypotension', '#Atrial fibrillation', '#Cardiac amyloidosis'], 'procedures': ['none'], 'visit_summary': '___ year old male w/PMH of CHF, BPH presenting after fall from \nstanding with non operative right humeral fracture. He was \nunab... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 78, 'gender': 'F', 'symptoms': 'Concern for L Arm DVT', 'medical_history': ['Sarcoidosis: Diagnosed ___', 'Pacemaker implanation for RBBB & L anterior fasicular block with \nSarcoid', '- ___ Adapta dual-chamber pacemaker', '- Mode: MVP mode AAI/DDD', 'Migraines, still active problem', 'GERD'... | {'final_diagnoses': ['Left upper extremity DVT', 'Sarcoidosis'], 'procedures': ['CT angiogram with contrast'], 'visit_summary': "A ___ year old gentleman with sarcoidosis admitted for new LUE \nDVT 5 weeks after Pacemaker placement as confirmed by \nultrasound. \n\nPCP concerned that clot may be extending past scope of... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'cool, painful, pulseless right leg', 'medical_history': ['CARDIAC RISK FACTORS: Diabetes, Dyslipidemia, Hypertension', 'CARDIAC HISTORY:\n-CABG: None\n-PERCUTANEOUS CORONARY INTERVENTIONS: None\n-PACING/ICD: None', 'OTHER PAST MEDICAL HISTORY:\n-Type II DM\n-C... | {'final_diagnoses': ['Right lower extremity embolus and ischemia.'], 'procedures': ['Bilateral lower extremity angiography', 'R groin cutdown and \nembolectomy of pipliteal artery and profunda femoris artery', 'L \ncommon femoral ___ cutdown and bovine patch repair of L common \nfemoral artery'], 'visit_summary': 'On a... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'M', 'symptoms': 'Cough', 'medical_history': ['1. Hep C cirrhosis, followed by Dr. ___, complicated by \nesophageal variceal hemorrhage, ascites, portal vein thrombosis, \nhepatic hydrothorax, episodes of encephalopathy. ', '2. Type II DM ', '3. Inguinal and umbilical hernia ... | {'final_diagnoses': ['Primary Diagnoses: \nViral gastroenteritis \nRight sided hydrothorax \n. ', 'Secondary diagnoses: \n1. Hep C cirrhosis, followed by Dr. ___, complicated by \nesophageal variceal hemorrhage (2x, ___ and ___, ascites, \nportal vein thrombosis, hepatic hydrothorax, episodes of \nencephalopathy. ', '... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'M', 'symptoms': 'Back pain with urinary incontinence', 'medical_history': ['recurrent pyelonephritis', 'penis has tissue flap/ring that\nconstricts outflow and leads to retrograde flow', 'he has ___ infections per year for several years', 'surgery has been defered\ngiven his b... | {'final_diagnoses': ['Spinal stenosis L2-L5 with urinary incontinence'], 'procedures': ['L2-4 LAMINECTOMY/DECOMPRESSION'], 'visit_summary': 'The patient was admitted to the Orthopaedic Spine Service for \nspinal stenosis with urinary incontinence. The patient was \ntaken to the OR and underwent an uncomplicated poster... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'S/p fall', 'medical_history': ['-Insulin-dependent T2DM', '--Diabetic retinopathy', '-CKD Stage 5', '-HTN', '-Glaucoma'], 'family_history': 'unable to confirm', 'present_illness': '___ legally blind man with IDDM, Stage 5 CKD, HTN who presents \nwith hip pain ... | {'final_diagnoses': ['Displaced fracture of proximal femur', 'Repeated falls', 'Chronic kidney disease, Stage V', 'Type 2 diabetes mellitus, insulin-dependent', 'Respiratory failure', 'Anemia', 'Metabolic acidosis', 'Hypertension', 'Diabetic retinopathy', 'Glaucoma', 'Hyperkalemia'], 'procedures': ['Intubation (___)', ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'F', 'symptoms': 'progressively worsening back pain and leg weakness', 'medical_history': ['- As above, history of T2-T8 abscess w/ associated myelopathy \ns/p ___ T4-T8 laminectomy c/b resolving paraplegia L>R', '- Herpes Zoster flare in T6 distribution ___ resolved but with \... | {'final_diagnoses': ['Myelopathy Secondary to Herpes Zoster Infection'], 'procedures': ['none'], 'visit_summary': '___ RHM h/o T2-T8 abscess s/p laminectomy, T6 Zoster flare \npresented with recent worsening of L>RLE weakness and sensory \nloss concerning for association with VZV-related myelopathy, \neither due to act... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'M', 'symptoms': 'Motorcycle accident', 'medical_history': ['none', 'wrist surgery'], 'family_history': 'NC', 'present_illness': '___ YO M s/p motorcycle accident, found at scene with GCS of 15, \n+ LOC, brought to OSH where he was hemodynamically stable, \npan-scanned there sh... | {'final_diagnoses': ['s/p motorcycle accident', 'R SAH', 'L temporal bone fx ___ to ___ canal', 'focal area of jejunal thickening', 'comminuted L clavicle fx', 'grade 3 liver lac'], 'procedures': ['none'], 'visit_summary': "The patient was admitted to the acute care surgery service on \n___ for management of multiple t... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'M', 'symptoms': 'leg pain and swelling', 'medical_history': ['none'], 'family_history': 'no diseases that run in her family', 'present_illness': 'Ms. ___ is a ___ F without past medical care who was brought \nin by ambulance today for BLE pain and inability to ambulate. \nShe ... | {'final_diagnoses': ['lower extremity venous stasis', 'knee osteoarthritis'], 'procedures': ['none'], 'visit_summary': '___ y F with morbid obesity and no PCP care who presents to the \nED with several months of relatively acute leg swelling and leg \npain.\n\n# BLE pain: Likely from venous stasis dermatitis and obesit... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 77, 'gender': 'F', 'symptoms': 'Dyspnea', 'medical_history': ['1. Idiopathic Pulmonary Fibrosis \n- PFTS (___): FEV1 72% predicted, FVC 50% predicted', '2. Congestive heart failure, diastolic', '3. Hypertension', '4. Intermittent Atrial Tachycardia', '5. Diabetes Mellitus ___ HgA1C-7.0%)'],... | {'final_diagnoses': ['Diastolic Heart Failure - Acute', 'Interstitual Pulmonary Fibrosis'], 'procedures': ['None'], 'visit_summary': '___ with a history of IPF and diastolic heart failure, \npresenting with dyspnea and pulmonary edema. Originally \nadmitted to the ICU, was diuresed and O2 requirement improved. \n\n\... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'F', 'symptoms': 'SOB w/ exertion', 'medical_history': ['COPD on 3L home O2 with multiple hospitalizations; was in ICU \nfor COPD exacerbation in ___', '- FEV1 27% in ___', 'systolic CHF with dual chamber pacemaker and AICD ', '-placed ___', '-dilated cardiomyopathy with EF = _... | {'final_diagnoses': ['COPD exacerbation', 'Systolic heart failure'], 'procedures': ['...'], 'visit_summary': "___ with h/o COPD on 3L home O2, sCHF s/p ICD/Ppm, HTN, DM2 \npresents from ___ with worsening SOB with exertion x \n2 days\n. \n# SOB: On presentation to the ED, the patient appeared to be \nbreathing comfort... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'F', 'symptoms': 'Hematochezia', 'medical_history': ["Crohn's disease (seen on colonoscopy ___", 'Bipolar disorder in ___, and has previously been on \nlithium. One psychiatric hospitalization in ___ ___, \nduring which pt reports that he was raped.'], 'family_history': 'Unknow... | {'final_diagnoses': ['Hematochezia', 'Crohns Disease', 'Bipolar disorder'], 'procedures': ['None'], 'visit_summary': "Mr. ___ is a ___ who lives at ___ \n___ Mental ___) with PMH of Bipolar disorder and \nCrohn's disease c/b healed perianal fistula who presents with \nacute onset diffuse abdominal pain on the day of ad... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'F', 'symptoms': 'Fever, malaise', 'medical_history': ['- PE (not on AC)', '- CKD', '- CAD s/p CABG ___ (single vessel ___, s/p PCI to RCA \n(DES to RCA in ___', '- Type 2 DM on insulin', '- CVA', '- HTN', '- HLD', '- Polyneuropathy', '- Seizure disorder on AED', '- Glaucoma', ... | {'final_diagnoses': ['#Urinary Tract Infection', '#Acute on chronic heart failure with preserved ejection fraction', '#Urinary Retention'], 'procedures': ['none'], 'visit_summary': 'Ms. ___ is a ___ female with PMH CAD (s/p CABG \n___ ___ s/p PCI w/ DES to RCA ___, T2DM, HLD, PE (not \non AC), CVA, CKD, dementia, and m... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 88, 'gender': 'M', 'symptoms': 'BLE pain, LLE calf pain', 'medical_history': ['DM', 'HTN', 'COPD', 'atrial tachyarrhythmia', 'vertigo', 'AAA (3.6cm)'], 'family_history': 'n/c', 'present_illness': 'Pt. is a ___ yo female with significant h/o of PVD s/p multiple\nvascular surgeries. Yesterday ... | {'final_diagnoses': ['Diabettes', 'Hypertension', 'COPD', 'Atrial tachyarrhythmia', 'AAA (3.6cm)'], 'procedures': ['___nd fem-fem bypass'], 'visit_summary': "Mrs. ___ was admitted on ___ with b/l extremity \nischemia. She agreed to have an elective surgery. \nPre-operatively, she was consented. A CXR, EKG, UA, CBC, \n... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.