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Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'F', 'symptoms': 'Autologous stem cell transplant for multiple myeloma.', 'medical_history': ['1. UTI in ___, s/p 10 day course of Abx', '2. NIDDM adult onset', '3. GERD', '4. H/o hemorhoids', '5. S/p surgery for diverticulitis ___ years ago, approx ___', '6. S/p Right hand sur... | {'final_diagnoses': ['PRIMARY DIAGNOSIS', 'Muliple myeloma status post autologous stem cell transplant', 'Diarrhea', '..', 'SECONDARY DIAGNOSIS', 'Diabetes type II', 'Gastroesophageal reflux disease'], 'procedures': ['Autologous stem cell transplant.', 'Colonoscopy with biopsy.'], 'visit_summary': '___ yo male with mul... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 36, 'gender': 'M', 'symptoms': 'abdominal pain', 'medical_history': ['Hypertension'], 'family_history': 'Brother has DM and had a leg amputation. Denies family history \nof heart disease or malignancy.', 'present_illness': "___ year old male with PMH of hypertension presenting with ___ \nwe... | {'final_diagnoses': ['Mantle cell lymphoma'], 'procedures': ['EGD', 'Colonoscopy', 'Bone marrow biopsy'], 'visit_summary': 'Mr. ___ is a ___ year-old man with PMH of hypertension found \nto have new mantle cell lymphoma started on C1D1 of bendamustine \n___ with plan for outpatient rituximab and further treatment as \n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 46, 'gender': 'M', 'symptoms': 'S/p motor vehicle accident', 'medical_history': ['IVDA'], 'family_history': 'Non-contributory', 'present_illness': 'This patient is a ___ year old male who complains of MVC. The \npatient was the restrained driver in an ___. He was a major \nmechanism accident... | {'final_diagnoses': ['S/P MVC', 'Injuries:', 'Splenic Laceration', 'Right midshaft displaced femur fracture', 'Left ___ rib fractures', 'Right proximal fibula fracture', 'Comminuted fracture medial cuneiform'], 'procedures': ['Right Foot CRPP (___)', 'ORIF Right Femur Fracture (___)'], 'visit_summary': "___ year old ma... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'traumatic SDH', 'medical_history': ['Alcohol abuse', 'COPD', 'Pneumonia', 'HTN', 'Alcoholic gastritis', 'Tobacco Dependence'], 'family_history': 'FH: Unknown per patient', 'present_illness': 'Mr. ___ is a ___ year old male w/history of COPD, alcoholism \nand... | {'final_diagnoses': ['L temporal contusion', 'memory impairment', 'Alcoholism'], 'procedures': ['None'], 'visit_summary': '#Left temporal subdural hematoma with contusion: Patient \npresented as transfer from OSH for evaluation of subdural \nhematoma with contusion and 3mm midline shift. His neurologic \nexamination wa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 27, 'gender': 'F', 'symptoms': 'epigastric pain', 'medical_history': ['-thyroid cancer 20+ years ago s/p resection and subsequent \nhypothyroidism. Post surgical PE on anticoagulation for 6\nmonths.', '-History of pulmonary embolism and DVT treated with 6 months of\nCoumadin', '-Thyroid can... | {'final_diagnoses': ['Choledocolithiasis'], 'procedures': ['Laparoscopic Cholecystectomy'], 'visit_summary': "___ was admitted on\xa0___ \xa0under the acute care \nsurgery service for management of cholelithiasis, gallstone \npancreatitis. She was taken to the operating room and underwent \na laparoscopic cholecystecto... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'M', 'symptoms': 'Confusion, difficulty with speech', 'medical_history': ['Widely metastatic (lung, liver, bone, mediastinum) BRAF-mutant \nmelanoma with progression on dabrafenib/trametinib who started \nNivo + ipi per ___ on ___: Noticed new lesion on her back, biopsied and f... | {'final_diagnoses': ['Metastatic Melanoma'], 'procedures': ['None'], 'visit_summary': "___ F with widely metastatic (lung, liver, bone, mediastinum, \ncervical spine) BRAF-mutant melanoma with progression on \ndabrafenib/trametinib who started nivolumab + ipilimumab per \n___ on ___, presenting with 4 day history of na... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 27, 'gender': 'M', 'symptoms': 'cramping', 'medical_history': ['PNC:\n*) Dating: ___: ___\n*) Labs: O+/Ab-/RPRNR/RI/HbsAg-/HIV neg/GBS unk\n*) Routine:\n- Genetics: LR ERA\n- U/S: nl full fetal survey\n- GLT wnl\n*) Issues: \n- N/V of pregnancy in first trimester\n- S<D, due for ultrasound',... | {'final_diagnoses': ['Pre-term contractions', 'Bacterial vaginosis'], 'procedures': ['none'], 'visit_summary': '___ year old G7P0 admitted at 31w1d with preterm contractions, \nshort cervix, and +ffn. She was initially contracting every five \nminutes, however, they spaced out with hydration. Her cervix was \na fingert... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'F', 'symptoms': 'epigastric pain', 'medical_history': ['Alcohol use disorder', 'Depression', 'Anxiety', 'GERD'], 'family_history': 'Family history of alcoholism.', 'present_illness': 'Ms. ___ is a ___ female with a recent presentation \nfor pancreatitis, as well as alcohol use... | {'final_diagnoses': ['# Acute pancreatitis', '# CBD and intrahepatic duct dilatation'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ is a ___ female with a recent presentation \nfor pancreatitis, as well as alcohol use disorder, who is \nadmitted again for pancreatitis with imaging showing \nextrabiliary ductal di... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'F', 'symptoms': 'confusion, hypernatremia', 'medical_history': ['HTN', 'Laryngeal cancer s/p surgery and XRT', 'OA', 'Dementia w/ behavioral disturbances', 'Bradycardia', 'Recurrent falls', 'Orthostatic hypotension', 'H/o delirium'], 'family_history': 'CVA in unknown family me... | {'final_diagnoses': ['Advanced dementia', 'hypovolemic hypernatremia', 'sepsis'], 'procedures': ['None'], 'visit_summary': "Summary\n___ PMH HTN, bradycardia and dementia who presents from ___ with confusion and hypernatremia. Course c/b \nS.aureus and klebs bacteremia from presumed PIV infection. \nPatient improved, b... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'F', 'symptoms': 'fatigue', 'medical_history': ['- Heart failure with reduced ejection fraction (LVEF 35-40%)', '- Aortic stenosis ___ 1.1-1.2 cm2)', '- Ischemic cardiomyopathy with inferior/inferolateral and global \nhypokinesis', '- Diabetes mellitus c/b neuropathy and nephro... | {'final_diagnoses': ['acute on chronic systolic heart failure', 'acute kidney injury', 'hyponatremia', 'COPD', 'HTN', 'Diabetes mellitus Type 2'], 'procedures': ['none'], 'visit_summary': 'This is an ___ year old male with PMH of severe sCHF (EF 20%), \nCAD, CKD presenting with signs/symptoms of volume overload and \nc... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 84, 'gender': 'M', 'symptoms': 'Recurrent falls/confusion', 'medical_history': ['Carotid artery disease s/p right carotid endardectomy', 'DM type II', 'HLD', 'Seizures', 'cardiomyopathy', 'chronic schizophrenia', '___'], 'family_history': 'Family history of Parkinsons Disease. Otherwise unkn... | {'final_diagnoses': ['Acute toxic encephalopathy', 'Gait Instability', 'Hyponatremia', 'Schizophrenia', 'Diabetes type 2', 'Gastroesophageal reflux disease', 'Chronic Obstructive Pulmonary Disease', 'Hypertension'], 'procedures': ['None'], 'visit_summary': 'This is a ___ year old male with history of schizophrenia, \nh... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'Chest pain, DOE', 'medical_history': ['Migraine', 'Pseudotumor cerebri', 'Menorrhagia', 'OSA', 'Iron deficiency anemia', 'Insomnia', 'Thyroid nodule'], 'family_history': 'Mother with history of DVT and PE previously on warfarin, also \nhypothyroid and cervical... | {'final_diagnoses': ['Type II heparin induced thrombocytopenia', 'Bilateral pulmonary emboli', 'Iron deficiency anemia', 'Anal fissure', 'Metromenorrhagia', 'Anemia', 'Clinically isolated syndrome'], 'procedures': ['None'], 'visit_summary': "___ year old lady with PMH of pseudotumor cerebri, morbid \nobesity, menorrhag... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 71, 'gender': 'M', 'symptoms': 'SOB and chest pain', 'medical_history': ['Past Medical History: ', '- metastatic neuroendocrine tumor of lung, stage IV, metastatic \nto brain and skin, started chemo ___', '- alcoholic hepatitis with admission ___ with intoxication', '- anemia', '- GI bleed,... | {'final_diagnoses': ['metastatic large cell neuroendocrine carcinoma of the lung'], 'procedures': ['none'], 'visit_summary': 'Mr. ___ is a ___ yo M with newly diagnosed neuroendocrine \ntumor of the lung which is metastatic to brain and skin who \npresented with chest pain and was found to have progression of \nhis can... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'F', 'symptoms': 'Weakness, jaundice', 'medical_history': ['T2Dm', 'Arthritis', 'MI ___', 'Alcohol use disorder', 'Asbestos in palate (?)', 'Lower GI bleed', 'H/o Hepatitis B in ___', 'H/o Pancreatitis'], 'family_history': 'Non-contributory', 'present_illness': "Mr. ___ is a __... | {'final_diagnoses': ['Alcoholic hepatitis', 'Renal failure', 'Cirrhosis', 'Alcohol use disorder', 'Hypokalemia', 'Hyponatremia', 'Type 2 diabetes', 'Agitation'], 'procedures': ['___: EGD with dobhoff placement'], 'visit_summary': 'Mr. ___ is a ___ year old male with a PMH of T2DM and alcohol \nuse disorder who was admi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'F', 'symptoms': 'Left ___ swelling/erythema', 'medical_history': ['HTN', 'iron/b12 deficiency', 'IBS', 'GERD/hiatal hernia', 'chronic pain back/neck', 'spinal stenosis'], 'family_history': 'non contributory', 'present_illness': 'Pt is ___ y/o F w PMH sig for HTN, chronic pain,... | {'final_diagnoses': ['leg edema'], 'procedures': ['none'], 'visit_summary': '# Left leg swelling/erythema: Cellulitis was considered vs \npost-surgical swelling vs DVT. DVT was ruled out by color \ndoppler. Since the pt remained afebrile and had no signs of \ninfection (leg non-erythematous, WBC 5.0), infection is not ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 45, 'gender': 'F', 'symptoms': 'Agitation', 'medical_history': ['dementia', 'psychosis', 'cirrhosis (per FibroScan results of 16.0 kPa shear stress)', 'psoriasis vs contact dermatitis', 'breast ca', 'arthritis', 'CVA', 'HTN'], 'family_history': 'Non-contributory', 'present_illness': 'Ms ___ ... | {'final_diagnoses': ['#Primary: Urinary tract infection', '#Secondary: Dementia with behavioral disturbances'], 'procedures': ['None'], 'visit_summary': "Ms. ___ is a ___ y/o female with a history of dementia, HTN, \nCVA who presents from a dementia unit (assisted living facility \n-___) for psych evaluation following ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'M', 'symptoms': 'Hypotension', 'medical_history': ['- CAD s/p PCI ', '- CHF (EF 20%)', '- Pulmonary HTN', '- PE (complication of pseudomeningiocele ___', '- peripheral artery disease c/b heel ulcer, common iliac artery\naneurysm', '- Meningioma - presents with rapidly progress... | {'final_diagnoses': ['Hypovolemia due to diuresis', 'Acute kidney injury', 'Chronic systolic congestive heart failure ', 'Chronic leg weakness due to thoracic spine meningioma ', 'Coronary artery disease', 'Peripheral neuropathy', 'Thrombocytopenia', 'Iron deficiency', 'Cognitive impairment/dementia'], 'procedures': ['... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 49, 'gender': 'M', 'symptoms': 's/p heroin and oxycodone overdose', 'medical_history': ['PPHx: \n- Per OMR, pt carries working dx of bipolar disorder, although \ndenies any signs/sxs/history of mania. \n- ADHD: Sees Dr. ___ in ___, per OP pharmacy \nis prescribed amphetamine and dextroamphet... | {'final_diagnoses': ['Axis I: PSA, h/o bipolar d/o, h/o ADHD, r/o MDD, r/o substance \ninduced mood\ndisorder, r/o adjustment disorder', 'Axis II: Cluster B tendencies', 'Axis III: thyroid nodule, history of neck fx s/p fall', 'Axis IV: Severe: unemployment/homelessess, recent divorce and\nloss of family', 'Axis V: GAF... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 83, 'gender': 'M', 'symptoms': 'gunshot wound to back, being struck to the back of head by a \nbaseball bat', 'medical_history': ['PMH: none', 'PSH: hand surgery'], 'family_history': 'non-contributory', 'present_illness': '___ s/p assault with baseball bat blunt trauma to head and \ngunshot ... | {'final_diagnoses': ['blunt trauma to head', 'gunshot wounds x2 to back lodged in soft tissues of back without \npenetration of vital structures'], 'procedures': ['none'], 'visit_summary': "Patient is a ___ year old male who was brought into the trauma \nbay after being hit by a baseball bat and shot into the back. At ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 40, 'gender': 'M', 'symptoms': 'worsening cellulitis', 'medical_history': ['- depression/bipolar/anger & irritability, multiple suicide \nattempts including one in ___ (attempted hanging), prior OD \nattempts (amitryptiline, clonidine)', '- Hepatitis C -> VL 7790, HIV neg (___)', '- s/p BK... | {'final_diagnoses': ['# Right knee cellulitis', '# Urinary tract infection'], 'procedures': ['None'], 'visit_summary': '___ y/o F with significant psychiatric and substance abuse \nhistory, hepatitis C, epilepsy on Keppra, history of right lower \nextremity compartment syndrome complicated by osteomyelitis, s/p \nR BKA... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'M', 'symptoms': 'left leg pain', 'medical_history': ['see HPi'], 'family_history': 'see HPI', 'present_illness': 'History of Present Illness: A ___ woman with history of\nL4-5 fusion primarily for right leg symptoms approximately one\nyear ago, which was a treatment that help... | {'final_diagnoses': ['Recurrent disc herniation L34 on the left side'], 'procedures': ['POSTERIOR DECOMPRESSION L3-L4', 'REVISION FUSION L3-L5 W/ \nINSTRUMENTATION'], 'visit_summary': 'Patient was admitted to the ___ Spine Surgery Service and \ntaken to the Operating Room for the above procedure. Refer to \nthe dictat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 19, 'gender': 'M', 'symptoms': 'left sided abd pain', 'medical_history': ['CCY ___', 'bile leak', 'accessory pancreatic duct', 'ERCP with stent placement', 'back injury and surgery X 4'], 'family_history': 'mother was cholecystectomy', 'present_illness': "___ presenting with epigastric to le... | {'final_diagnoses': ['Recent cholecystectomy complicated by bile leak treated with \nERCP and stent, complicated by pancreatitis', 'Possible mild iron deficiency anemia'], 'procedures': ['___ ERCP with sphincterotomy'], 'visit_summary': "On the day of discharge the patient felt better -- her pain \nwasn't sharp any mor... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 65, 'gender': 'F', 'symptoms': 'Altered mental status', 'medical_history': ['depression'], 'family_history': 'NC', 'present_illness': 'This is a ___ brought into the ED by ambulance for \nnon-responsiveness. Per his friends, the patient is a \nrare-drinker and never uses marijuana. However... | {'final_diagnoses': ['Hypoxemia', 'Rash, drug-induced'], 'procedures': ['Endotracheal intubation on ___, extubated ___'], 'visit_summary': 'This is a ___ y/o male with no significant medical history, who \nwas admitted with hypoxic respiratory distress following \ninhalation of marijuana, most likely secondary acute lu... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'M', 'symptoms': 'The patient is a generally healthy woman, who\npresented with a prolonged and progressive disorder of\nradiating leg pain consistent with neurogenic claudication,\nin the setting of significant stenosis at L3-L4 and L4-5.\nShe could not undergo MRI because of ... | {'final_diagnoses': ['Lumbar spinal stenosis L3-L4, L4-5.', 'Spondylolisthesis L3-L4, L4-5.', 'Neurogenic claudication.', 'Radiculopathy.', 'Stenosis L5-S1 with fusion L5-S1'], 'procedures': ['L3 laminectomy.', 'L4 far lateral decompression.', 'L5 laminectomy.', 'Posterolateral fusion, L3-L4, L4-5, and L5-S1.', 'Poster... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'M', 'symptoms': 'back/chest pain s/p cath', 'medical_history': ['- HTN', '- HLD', '- born with 1 kidney', '- GERD', '- h/o migraines', '- s/p hand surgery ___', '- s/p surgery for abdominal hernia as a child'], 'family_history': 'Brother died of MI @ ___. No family history of ... | {'final_diagnoses': ['# chest pain', '# community-acquired pneumonia'], 'procedures': ['Cardiac catheterization ___'], 'visit_summary': "# Chest pain: ___ yo M w/PMH of HTN, HLD & GERD who presented \nwith pleuritic chest pain radiating to shoulders and back. \nCardiac cath with normal FFR of LAD lesion so no intervent... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'F', 'symptoms': 'weakness', 'medical_history': ['-ABDOMINAL PAIN', '-ANEMIA', '-ANXIETY', '-BENIGN PROSTATIC HYPERTROPHY', '-CONSTIPATION', '-DEPRESSION', '-ESSENTIAL THROMBOCYTHEMIA', '-GLAUCOMA', '-HEARING LOSS', '-HYPERTENSION'], 'family_history': 'Father - cancer (type unk... | {'final_diagnoses': ['Community Acquired Pneumonia', 'Essential thrombocytosis', 'Chronic abdominal pain'], 'procedures': ['none'], 'visit_summary': "#Multifocal pneumonia: Patient presented with weakness. However, \nthe HPI and initial exam was not consistent with acute \nneurologic event. Given elevated WBC to 16.1 a... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 84, 'gender': 'F', 'symptoms': 'Vomiting, diarrhea', 'medical_history': ['- Polycystic kidney disease s/p living-related renal transplant \nfrom his brother in ___', '- HTN', '- BPH', '- Hyperlipidemia', '- Left inguinal hernia'], 'family_history': 'Non-contributory', 'present_illness': '___... | {'final_diagnoses': ['Viral gastroenteritis', 'End Stage Renal Disease status post living related renal \ntransplant in ___', 'Coronary Artery Disease', 'Hypertension'], 'procedures': ['None'], 'visit_summary': '___ is a ___ year old male with a history of \nhypertension, coronary artery disease, and renal living relat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'M', 'symptoms': 'Siezure', 'medical_history': ['left MCA stroke ___ - subsequent global aphasia and R \nhemiparesis', 'seizures', 'heparin complication with RLL loss', 'DM', 'HTN', 'right AKA'], 'family_history': 'DM, HTN. No strokes or seizures.', 'present_illness': 'This is... | {'final_diagnoses': ['Seizure', 'UTI', 'History of stroke with resulting seizure disorder', 'Hypertenstion', 'Diabetes mellitus, insulin-dependent', 'SEIZURE DISORDER', 'SLEEP APNEA'], 'procedures': ['None'], 'visit_summary': '___ with a history of left MCA stroke (resulting in seizures, \naphasia, RUE plegic, RLE mini... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 22, 'gender': 'M', 'symptoms': 'right ankle pain', 'medical_history': ['Diabetes type-II', 'Hypertension', 'Hyperlipidemia', 'H/o dermatophytosis', 'H/o onychomycosis', 'Chronic abd pain: on lactulose and PPI, colonoscopy in ___ wnl', 'H/o H. pylori', 'LBP: Likely ___ to muscule spasms', 'TM... | {'final_diagnoses': ['Right lower extremity cellulitis', 'Hypertension', 'Diabetes'], 'procedures': ['None'], 'visit_summary': "___ woman with h/o diabetes, HTN, HL who presents s/p fall with \nRLE edema and pain.\n\n1. Cellulitis: Patient was admitted with right lower extremity \nedema, erythema, and pain. Patient had... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'F', 'symptoms': 'Weakness/Jaundice', 'medical_history': ['-Hepatitis B, on entecavir', '-HBV/ETOH cirrhosis. Hx of variceal bleed', '-Esophageal varices: EGD ___ which noted 4 cords of grade \nIII varices with stigmata of recent bleeding and a duodenal \npolyp (low grade dyspl... | {'final_diagnoses': ['Hepatitis B', 'ESLD now s/p liver transplant', 'Stenosis of the HA anastomosis and HA segment (2 lesions) now \nstented', 'Hypertension', 'Hyperglycemia', 'Acute kidney injury'], 'procedures': ['diagnostic paracentesis ___', 'Liver transplant'], 'visit_summary': '___ male with past medical history... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 68, 'gender': 'M', 'symptoms': 'family request for transfer to new nursing facility, evaluation \nof new bruising and excoriation', 'medical_history': ["Alzheimer's dementia", 'Hypertension', 'Osteoporosis', 'GERD', 'DVT s/p status post IVC filter in ___', 'Hypercholesteremia', 'Total hip re... | {'final_diagnoses': ['c diff colitits', "alzheimer's dementia", 'DVT'], 'procedures': ['none'], 'visit_summary': "#Bruising and excoriation on extremities and neck. No evidence \nhematomas or fractures. Continue wound care. ___ police \ninvestigating per family.\n. \n# C. Diff colitis: WBC normal. Diarrhea continues... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 20, 'gender': 'M', 'symptoms': 'syncope', 'medical_history': ['1. Metastatic prostate cancer followed by Heme-Onc on various\nchemotherapy. - evidence of metastatic disease on admission CT \nspine and CXR', '2. Hypertension.', '3. Hypercholesteremia.', '4. Cardiac arrhythmia - longstandi... | {'final_diagnoses': ['PRIMARY DIAGNOSIS: intraparenchymal hemorrhage, orthostatic \nhypotension'], 'procedures': ['none'], 'visit_summary': "___ year old man with a past medical history of prostate CA, HTN, \nwho was transferred from an OSH for unwitnessed fall, found to \nhave intraparenchymal hemorrhage. \n.\n# S... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 83, 'gender': 'F', 'symptoms': 's/p fall', 'medical_history': ['none'], 'family_history': 'NC', 'present_illness': 'This is a ___ year old female who was medflighted from an\noutside hospital after a mechanical fall this morning when she\nslipped and fell on the ice while walking with her hu... | {'final_diagnoses': ['Bifrontal Intraparenchymal contusions', 'Subarachnoid Hemorrhage'], 'procedures': ['None'], 'visit_summary': "Patient was brought to ___ from an outside hospital via \nMedflight and was seen in the ER and admitted to the intensive \ncare unit intubated. SHe was following commands with all 4 \nextr... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 35, 'gender': 'F', 'symptoms': 'Dislodgement of Jejunostomy Tube', 'medical_history': ['Anxiety', 'Aortic Stenosis', 'Attention Deficit Disorder', '___ Esophagus', 'Cardiomyopathy secondary to Lyme Disease', 'Coronary Artery Disease', 'Depression', 'Gastroesophageal Reflux Disease', 'Hyperli... | {'final_diagnoses': ['Jejunostomy tube dislodgement.'], 'procedures': ['None.'], 'visit_summary': 'Ms. ___ presented from rehab on ___ for further \nmanagement of her dislodged jejunostomy tube. In the emergency \ndepartment a Foley catheter was placed in her jejunostomy site \nand the balloon inflation valve was cut o... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 51, 'gender': 'M', 'symptoms': 'Fatigue', 'medical_history': ['depression', 'anorexia nervosa'], 'family_history': 'No family psychiatric history', 'present_illness': '___ yo female with h/o depression and anorexia nervosa presenting \nwith worsening depression/passive SI and decreased po in... | {'final_diagnoses': ['malnutrition with leukopenia as a result', 'severe anorexia', 'depression'], 'procedures': ['none'], 'visit_summary': "___ female with h/o depression and anorexia nervosa presenting \nwith acute depression and anorexia. Recent stressors in life \ninclude move to ___ for a job. She has some passive... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'M', 'symptoms': 'Left toe gangrene', 'medical_history': ['CAD s/p CABG x2 1980s and PCI ___', 'Congestive heart failure', 'NASH cirrhosis', 'Diabetes mellitus, type II', 'Hypertension', 'Hyperlipidemia', 'Atrial fibrillation- not on AC due to prior GI bleed (___ ___', 'Bilater... | {'final_diagnoses': ['PATIENT PASSED AWAY ___'], 'procedures': ['Angiogram', 'L ___ toe amputation and debridement', 'PICC line placement'], 'visit_summary': 'MICU Course:\nPatient was transferred to the MICU on ___ after triggering for \nhypotension, systolic ___ the 70-range, which was not fluid \nresponsive. His lac... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'M', 'symptoms': 'Dyspnea, fatigue, abdominal pain', 'medical_history': ['-HTN', '-atrial fibrillation on aspirin', '-CHB s/p PPM ___', '-diastolic CHF (EF >55% ECHO of ___', '-ESRD on HD MWF secondary to HTN', '-anemia of CRF', '-RUE AVF placement in ___, in anticipation of HD... | {'final_diagnoses': ['Pulmonary edema'], 'procedures': ['None'], 'visit_summary': "___ M w/ PMH afib on aspirin, hypertension, ESRD on HD, AAA, \ncomplete heart block s/p PPM, diastolic CHF, anemia of chronic \ndisease and renal failure, rheumatoid arthritis, and recently \ndiagnosed cholangiocarcinoma not being treate... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 48, 'gender': 'M', 'symptoms': 'nausea, vomiting, epigastric pain', 'medical_history': ['severe dementia, a fib, stroke in ___ with mild left leg\nweakness, HLD, hypothyroidism, s/p fall with epidural hematoma \nt3\nto ___ s/p laminectomy and evacuation ___, paraplegia,\nwheelchair bound.'],... | {'final_diagnoses': ['Paraesophageal Hiatal Hernia'], 'procedures': ['None'], 'visit_summary': "Ms ___ was admitted on ___ under the acute care surgery \nservice for management of her paraesophageal hiatal hernia. A \nnasogastric tube was placed for decompression and she was kept \nNPO and given IV fluids. Given initia... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'M', 'symptoms': 'Epistaxis, syncope', 'medical_history': ['- Small stroke noted incidentally on head imaging in ___', '- HTN', '- Mild cognitive impairment. ?Vascular dementia', '- MI age ___, stress test negative ___', '- Osteoporosis', '- Bleeding ulcer on endoscopy ___, col... | {'final_diagnoses': ['PRIMARY DIAGNOSIS:\nEpistaxis', 'Vasovagal syncope', 'SECONDARY DIAGNOSIS:\nType 2 diabetes'], 'procedures': ['Anterior nasal packing ___'], 'visit_summary': 'Ms. ___ is a ___ with history of hypertension, HLD, CAD/CVA \nnow with epistaxis and syncope.\n\n# Epistaxis:\nShe has had epistaxis interm... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 44, 'gender': 'F', 'symptoms': 'Left foot infection', 'medical_history': ['Diabetes with retinopathy, status post laser \nsurgery on right eye in .', 'Coronary artery disease, status post percutaneous \ntransluminal coronary angioplasty and stent in and .', 'Cervical compression fractures af... | {'final_diagnoses': ['Left foot infection'], 'procedures': ['left digit debridement'], 'visit_summary': 'Pt was admitted from Dr. with chief complaint \nof L digit infection. Pt endorsed recent fever and chills \nbut denied pain. He was admitted for IV antibiotics and was \nadministered vanc/cipro/flagyl while in hou... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'Hyperglycemia', 'medical_history': ['Type 1 diabetes diagnosed in ___, complicated by retinopathy, \nneuropathy, nephropathy, gastroparesis', '-Hypercholesterolemia', '-Hypertension', '-Rheumatoid arthritis (RF negative), with pulm nodules', '-Fibromyalgia', '... | {'final_diagnoses': ['Gastroparesis', 'DMI', 'Acute on Chronic Kidney Disease', 'Hypertension', 'Hyponatremia', 'Transaminitis'], 'procedures': ['none'], 'visit_summary': '___ w/ DM1 c/b gastroparesis and CKD, who presented w/ acute \ngastroparesis flare in setting of hyperglycemia\n\n#Abdominal Pain: ___ presented wit... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'F', 'symptoms': 'Weakness, nausea, vomiting, diarrhea', 'medical_history': ['- Chronic diastolic heart failure', '- PAH with RV dilation', '- Stable CAD w/reversible inferior ischemia on stress test ___', '- Partial R MCA stroke w/ mild left hemiparesis and seizure d/o ___', '... | {'final_diagnoses': ['End stage renal disease with allograft failure', 'Hypertension', 'History of cerebrovascular accident complicated by seizures', 'Chronic pain'], 'procedures': ['Initiation of hemodialysis'], 'visit_summary': "___ hx ESRD s/p DDRT at ___ in ___ c/b CKD Stage IV, dCHF, partial R MCA stroke with mild... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 74, 'gender': 'F', 'symptoms': 'intermittent rectal bleeding', 'medical_history': ['HTN', 'Dizziness'], 'family_history': 'Family History\nBrother with colon cancer, unknown age', 'present_illness': '___ who presents with 2 months of intermittent blood per rectum.\n\nBriefly, the patient pre... | {'final_diagnoses': ['Rectal villous adenoma', 'Cecal mass'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ presented to ___ ED on ___ for intermittent \nrectal bleeding. She has a known cecal lesion suspicious for \ncancer, and came in to the ED with R-sided pain. She was given \na CT with contrast with PO and IV... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'L Groin Pain', 'medical_history': ['Anxiety', 'Colonoic AVMs grade III w/ internal hemorrhoids + diverticulosis', 'L maxillary fracture with surrounding hematoma s/p drainage', 'Gastritis', 'Gout', 'Hemorrhoids', 'Hypertension', 'Hyperlipidemia', 'Polyarthralg... | {'final_diagnoses': ['# L hip inflammatory arthritis', '# Rheumatoid arthritis flare', '# L partial proximal hamstring tear'], 'procedures': ['left hip arthrocentesis'], 'visit_summary': "___ y/o M with PMHx HTN, gastritis, gout,\nprior polysubstance abuse, as well as RA on MTX, who presented\nwith L groin / LLE pain a... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 39, 'gender': 'F', 'symptoms': 'Chest Pain', 'medical_history': ['CARDIAC RISK FACTORS: none', 'CARDIAC HISTORY: \n- Bifasicular block (RBBB & LAFB) \n- CABG: None \n- PERCUTANEOUS CORONARY INTERVENTIONS: None \n- PACING/ICD: None', 'OTHER PAST MEDICAL HISTORY: \n- mixed connective tissue ... | {'final_diagnoses': ['Chest pain'], 'procedures': ['None'], 'visit_summary': 'Brief Hospital Course:\nMrs. ___ is a ___ y/o F with a history of mixed connective \ntissue disease complicated by ILD, esophageal dysmotility, \natypical chest pain and asthma who presented with atypical chest \npain. \n\n#Chest Pain: \nShe ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'M', 'symptoms': 'worsening dyspnea', 'medical_history': ['-Lung cancer - Initially diagnosed with left lung cancer in \n___, which was treated with wedge excision. Recurrent squamous \ncell cancer in the left upper lobe in ___, which was treated \nwith a left thoracotomy with ... | {'final_diagnoses': ['Aspiration pneumonia due to Proteus and MRSA', 'Chronic deep venous thrombosis', 'Hypothyroidism', 'GERD ', 'Back pain'], 'procedures': ['none'], 'visit_summary': '___ yo F with history of laryngeal squamous cell carcinoma s/p \nsupraglottic laryngectomy, non-small cell lung cancer s/p left \nuppe... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'F', 'symptoms': 'ICA aneurysm', 'medical_history': ['Progressive cavernous sinus syndrome', 'TIA', 'Arthritis', 'gout', 'Migraines'], 'family_history': 'NC', 'present_illness': '___ year old female with intracranial aneurysms known for ___ \nyears. She underwent clipping of th... | {'final_diagnoses': ['RIGHT ICA ANEURYSM'], 'procedures': ['PIPELINE EMBOLIZATION OF RIGHT ICA ANEURYSM'], 'visit_summary': 'On ___ patient was admitted for elective procedure. She was \ntaken to the angio suite for stent assisted embolization of R \nICA aneurysm. The procedure was well tolatered. She was \ntransferred... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 24, 'gender': 'F', 'symptoms': 'N/v', 'medical_history': ['1. Coronary artery disease, status post CABG in ___ LIMA to \nLAD, SVG to PDA, to OM3, SVG to D2, and SVG to OM1. ', '2. ___ CABG atrial fibrillation. ', '3. History of syncope. ', '4. History of bladder polyp. ', '5. Hypercholes... | {'final_diagnoses': ['Viral Gastroenteritis'], 'procedures': ['none'], 'visit_summary': 'with CAD s/p cabg in ___ who presents with 3 days of n/v/d, \nwith some minor myalgias and 6 episodes of atypical cp \nassociated with acid taste in mouth. He had no EKG changes, \ncardiac enzymes were negative. He was treated for ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'M', 'symptoms': 'elective admission for chemotherapy', 'medical_history': ['PAST ONCOLOGIC HISTORY (per OMR):\n- ___: hadnon-specific constitutional symptoms: fevers and 4\nmonth history of non-productive cough. PET scan revealed FDG \navid\nlymph nodes', "- ___: Underwent cer... | {'final_diagnoses': ['CNS lymphoma'], 'procedures': ['None'], 'visit_summary': "___ w/ CNS lymphoma (dx ___, recurred ___ as well as h/o \ncomposite Hodgkin's and non-Hodkin's lymphoma dx in ___ s/p \nABVD, rituximab, and mBACOD w/ complete\nsystemic response. Developed CNS relapse ___ now in \nremission, here for ___... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 62, 'gender': 'M', 'symptoms': 'Shortness of breath, left sided facial and arm numbness', 'medical_history': ['-R trigeminal neuralgia', '-Diabetes x ___', '-arthritis', '-dyslipidemia', '-uric acid kidney stones', '-anemia'], 'family_history': 'unremarkable', 'present_illness': '___ is a __... | {'final_diagnoses': ['Severe aortic stenosis s/p TAVR', 'TIA', 'Transient LBBB, resolved', 'DM, type II', 'Asthma,', 'Hyperlipidemia', 'Trigeminal Neuralgia'], 'procedures': ['___: Trans-catheter aortic valve replacement (TAVR)'], 'visit_summary': '___ female with past medical history significant for severe \nsymptomat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'Fevers', 'medical_history': ['PAST ONCOLOGIC HISTORY:\n___ initially presented to an\noutside hospital in ___ with jaundice and was diagnosed\nwith cirrhosis associated with HCV and alcohol excess. He\ntransferred to ___, where imaging identified a 4-cm mass ... | {'final_diagnoses': ['Hepatic phlegmon s/p drainage by ___', 'Hyponatremia', 'Right pleural effusion', 'Hepatocellular carcinoma', 'Hepatitis C'], 'procedures': ['___ abscess drainage with JP Drain placement ___', '___ cholangiogram and drain revision ___', '___ cholangiogram and balloon tamponade ___', '___ thoracente... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 55, 'gender': 'F', 'symptoms': 'Left sided weakness', 'medical_history': ['None, but per report does not see doctor'], 'family_history': 'Mr. ___ father had diabetes and died many years ago of\ncomplications of kidney failure and his mother died recently in\n___ of old age.', 'present_illnes... | {'final_diagnoses': ['complete occlusion of the left internal carotid artery', 'distal left M1 occlusion', 'Subarachnoid hemorrhage', 'Intraventricular hemorrhage'], 'procedures': ['Right carotid balloon angioplasty, c/b rupture of right \nICA, ___', 'Right Frontal EVD placement'], 'visit_summary': "#Right MCA syndrome... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 36, 'gender': 'M', 'symptoms': 'Papillary thyroid cancer.', 'medical_history': ['Right Thyroid Nodule', 'psoriatric arthritis', 'fibromyalgia', 'myofascial pain syndrome'], 'family_history': None, 'present_illness': 'The patient presented with a small right thyroid nodule, FNA of \nwhich was... | {'final_diagnoses': ['Papillary thyroid cancer.'], 'procedures': ['Total thyroidectomy.'], 'visit_summary': "The patient is status post total thyroidectomy. The patient \ntolerated the procedure well and was admitted to the floor \novernight. Her hospital course was stable.\nNeurological: Post-operatively, the patient... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'BRBPR', 'medical_history': ["stage IV large cell non-Hodgkin's lymphoma with mets to the \nliver in ___ for which she received a stem cell transplant", 'insulin-dependent DM', 'esophageal varices stage III', 'degenerative joint disease', 'NASH cirrhosis', 'lum... | {'final_diagnoses': ['Lower GI Bleeding Secondary to Hemorrhoids', '___ cirrhosis', 'Type II Diabetes', 'Hypothyroidism'], 'procedures': ['___ EGD', '___ Sigmoidoscopy'], 'visit_summary': "___ with a history of NASH cirrhosis c/b ascites, \nencephalopathy, and esoph/gastric varices, DM on an insulin \npump, hypothyroid... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 43, 'gender': 'M', 'symptoms': 'Small bowel obstruction', 'medical_history': ['___ disease', 'squamous cell CA of skin', 'brain abscess', 'multiple prior SBOs', 'R kidney mass s/p ablation'], 'family_history': 'Daughter with ___ disease and lymphoma', 'present_illness': 'Mr. ___ is a ___ mal... | {'final_diagnoses': ['Small Bowel Obstruction'], 'procedures': ['None'], 'visit_summary': "Mr ___ presented to ___ for recurrence of small bowel \nobstruction. He was managed conservatively by nasogastric tube \ndecompression which he tolerated without complications, After a \nbrief and uneventful stay at the hospital... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'M', 'symptoms': 'Referred for fevers, fatigue', 'medical_history': ['h.o. of TBI at age ___ with CNS shunt, residual lt hemiparesis', 'MR', 'HTN', 'Osteopenia', 'Lt kidney hydronephrosis', 'b/l hearing loss'], 'family_history': 'Unable to obtain', 'present_illness': 'Pt is a p... | {'final_diagnoses': ['Urinary Tract Infection'], 'procedures': ['none'], 'visit_summary': "ASSESSMENT: \nThe patient was a ___ year old female with a h/o mental \nretardation secondary to traumatic brain injury at ___ years \nold s/p of VP shunt at that time, who presented with fevers, \nfatigue, and UA suggestive of ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 27, 'gender': 'M', 'symptoms': '___ yo HIV patients presents with multiple complaints of fever, \nchest pain and headache.', 'medical_history': ["- HIV dx'd in ___ when he presented with CNS toxo and shortly \nafter disseminated CMV disease, good response to \n3tc/d4t/atazanavir until lipody... | {'final_diagnoses': ['1. Conjunctivitis', '2. Nonspecific low back pain', '3. Osteoarthritis of the right knee', '4. HIV'], 'procedures': ['None'], 'visit_summary': '1. Conjunctivitis. Patient treated conservatively without \nantibiotic ointments as likely viral. Follow up with ___ \nclinic if no resoluton.\n2. Osteoar... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'M', 'symptoms': 'altered MS', 'medical_history': ['Glioblastoma multiforme (WHO IV) s/p resection (___) and \nchemoradiation therapy (completed ___.', 'Complex partial seizures', 'Migraines', 'Hypertension'], 'family_history': 'CAD (mother, cause of death at ___\nProstate canc... | {'final_diagnoses': ['Primary:', 'altered mental status secondary to worsening of gliblastoma \nmultiforme brain tumor'], 'procedures': ['none'], 'visit_summary': "Patient is a ___ year old male with GBM s/p resection, XRT and \nchemotherapy with Temodar and Avastin, now presenting with \nmental status changes secondar... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'M', 'symptoms': 'diverticulitis', 'medical_history': ['___ disease', 'asthma', 'HLD', 'HTN', 'borderline DM', 'diverticulosis', 'IBS', 'gout', 'hysterectomy and L oophorectomy', 'appendectomy', 'c/s x 2'], 'family_history': 'father- colon cancer age ___, MI, seizures; mom-MI, ... | {'final_diagnoses': ['diverticulitis'], 'procedures': ['___ drainage'], 'visit_summary': '___ was admitted, and noted to have a WBC of 12.4 and \ntemperature of 101.3. Drain cultures grew Klebsiella. She was \nstarted on IV cipro and flagyl on ___. Despite her WBC \nnormalizing, she continued to have abdominal pain and... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'M', 'symptoms': 'abdominal pain', 'medical_history': ['Stage III Lyme disease with encephalopathy and arthritis', 'hypothyroidism', 'degenerative disc disease', 'placental abruption'], 'family_history': 'NC', 'present_illness': 'HPI: Ms. ___ is a ___ yo F w/ a h/o stage III Ly... | {'final_diagnoses': ['cholelithiasis'], 'procedures': ['laparoscopic cholecystectomy'], 'visit_summary': "Ms. ___ presented to the ___ ED with right upper \nquadrant abdominal pain on ___ consistent with \ncholecystitis. She had a prior diagnosis of choledocholithiasis \nfrom an outside hospital and was scheduled to un... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 65, 'gender': 'F', 'symptoms': 'Dyspnea on exertion', 'medical_history': ['CAD', '___ CABG', '___ s/p mechanical mitral valve replacement (___)', 'Atrial fibrillation', 'Tachybrady syndrome', 's/p pacemaker ___', 'Mitral stenosis', 'Aortic stenosis', 'Prior CVA\x92s', 'Urinary frequency, hyp... | {'final_diagnoses': ['Aortic stenosis s/p AVR', 'Tricuspid Regurgitation s/p TVR', 'Hypertension', 'Tachy-brady syndrome s/p PPM', 'Anemia', 'Osteoporosis', 'Hyperactive bladder', 'CVA', 'Chronic atrial fibrillation', 'Coronary artery disease', 'Rheumatic heart disease'], 'procedures': ['Cardiac catherization ___', 'Re... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'M', 'symptoms': 'Failure to thrive', 'medical_history': ['1. COPD (Emphysema)', '2. HTN', '3. "Asbestos poisoning"', '4. Cataract in R eye', '5. Larynx tumor (approximately ___ years ago)', '6. Prostate cancer, now in remission (approximately ___ years \nago)', '7. Macular deg... | {'final_diagnoses': ['Failure to thrive', 'Pulmonary nodule of unknown significance', 'Hypertension', 'Dimentia'], 'procedures': ['None'], 'visit_summary': "Mr. ___ is an ___ with a PMH of HTN, COPD, and prostate \ncancer, s/p XRT, who presents with weight loss concerning for \noccult malignancy. \n\n# Failure to thri... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 65, 'gender': 'M', 'symptoms': 'Presyncope/Syncope', 'medical_history': ['- Prostate Cancer', '- h/o urethral stricture s/p urethrotomy ___', '- Erectile dysfunction', '- ? intermittent fecal incontinence?', '- hx of UTI in ___'], 'family_history': 'Non-Contributory', 'present_illness': "___... | {'final_diagnoses': ['Radiation cystitis'], 'procedures': ['Cystoscopy, clot evacuation, fulguration - ___ - Dr. ___'], 'visit_summary': '1. Syncope/Presyncope\n- Patient most likely had vaso-vagal syncope, given the instant \nrecovery on getting to the floor, with a quick prodrome of \ndizziness. \n- He is not taking ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'M', 'symptoms': '?seizures', 'medical_history': ['ETOH abuse', 'Anxiety', 'HLD', 'Seizure', 'esophageal motility issue/acid reflux'], 'family_history': None, 'present_illness': '___ is a ___ man with a history of alcohol abuse,\nrecent traumatic subdural hemorrhage, anxiety, h... | {'final_diagnoses': ['Seizure'], 'procedures': ['None'], 'visit_summary': '___ is a ___ man with a history of alcohol\nabuse, recent traumatic right-sided subdural hemorrhage \nsecondary\nto fall, anxiety, hyperlipidemia, and past history of alcohol\nwithdrawal seizures, who presents from an outside hospital after\nexp... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'M', 'symptoms': 'nonfunctioning fistuala', 'medical_history': ["- diabetes mellitus type 2 complicated by Charcot's foot, \nneuropathy, nephropathy, retinopathy (legally blind)", '- gout', '- HTN', '- CKD', '- HLP'], 'family_history': 'Father had CAD and PVD. Mother, paternal... | {'final_diagnoses': ['Thrombosed AV Fistula', 'End Stage Renal Disease'], 'procedures': ['AV Fistula Thrombectomy'], 'visit_summary': '___ with ESRD on HD ___, T2DM c/n neuropathy, nephropathy, \nretinopathy, gout, presents with non-functioning LUE fistula.\n\nACUTE\n# LUE graft thombosis: Given prior interventions, sh... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 64, 'gender': 'M', 'symptoms': 'Shortness of breath/asthma exacerbation', 'medical_history': ['HYPERCHOLESTEROLEMIA', 'ASTHMA', 'HIRSUTISM', 'HYPERTENSION', 'ENDOMETRIAL POLYP', 'SPINAL STENOSIS - right lateral L4-5, L5-S1', 'PULMONARY NODULES / LESIONS - MULT', 'SYRINGOMYELIA-S/P Chiari Sur... | {'final_diagnoses': ['Asthma exacerbation', 'COPD exacerbation', 'Obstructive sleep apnea', 'GERD', 'Depression'], 'procedures': ['None'], 'visit_summary': "___ F with history of asthma/COPD, HTN, OSA, who presents with \ncough, wheezing, dyspnea x 1 month.\n\n# Asthma/COPD exacerbation:\nPatient with one month of symp... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 20, 'gender': 'M', 'symptoms': 'Hypoxia, Increased secretions', 'medical_history': ['Myasthenia ___ diagnosed within the past year, has not had \ngood response to PLEX or mestinon', 'Dementia, suspected to be vascular, AAOx2-3 at baseline', 'Obstructive sleep apnea - does not use CPAP as ins... | {'final_diagnoses': ['Oropharyngeal abscess', 'Acute respiratory failure', 'MRSA pneumonia', 'Atrial fibrillation', 'Myasthenia ___'], 'procedures': ['Intubation', 'Surgical drainage of L parapharyngeal abscess by ENT', 'PICC line'], 'visit_summary': "___ with a PMH of myasthenia ___ with largely bulbar \nsymptoms, COP... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 84, 'gender': 'M', 'symptoms': 'rectal stricture', 'medical_history': ['PMH: rectal cancer, lung nodule'], 'family_history': 'The patient is adopted', 'present_illness': "Mr. ___ is a\n___ gentleman who complained of loose bloody stools in\n___. He was referred by his primary care physician... | {'final_diagnoses': ['Ileostomy', 'Rectal stricture', 'oligometastatic rectal cancer'], 'procedures': ['EUA, dilation rectal stricture, ileostomy takedown'], 'visit_summary': 'Mr. ___ was admitted to ___ on ___ following scheduled \nrectal dilation and ileostomy takedown with reanastomosis. He \nhad an uncomplicated su... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'F', 'symptoms': 'Cough/Dyspnea', 'medical_history': ['1. CARDIAC RISK FACTORS: Hypertension', '2. CARDIAC HISTORY: Systolic Heart failure: EF 35%, NYHA class 2', '3. OTHER PAST MEDICAL HISTORY: \nStage IV CKD, HTN, Prior h/o DM.'], 'family_history': 'HTN \nDMII \nCAD', 'pr... | {'final_diagnoses': ['Congestive heart failure exacerbation', 'Hypertension', 'Chronic Kidney Disease'], 'procedures': ['None'], 'visit_summary': "SUMMARY STATEMENT: \n==================\n___ yo male with history of CKD, HTN and diastolic CHF (EF 50%) \nreporting cough, SOB, and orthopnea over the last month \nworsenin... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'LFT elevation', 'medical_history': ['HTN', 'Grand mal seizures', 'Depression', 'HLD', 'DM, insulin dependent', 'Biliary obstruction/stricture'], 'family_history': 'Denies family history of colon, pancreas, liver,\nbreast or other malignancies. Denies history o... | {'final_diagnoses': ['1. Common bile duct stricture', '2. Pancreatic head mass', '3. Hyperkalemia'], 'procedures': ['___: ERCP'], 'visit_summary': "The patient with newly diagnosed CBD stricture s/p CBD stent \nplacement on ___ was admitted to the General Surgical Service \nfor evaluation from ___ with elevated LFTs an... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'M', 'symptoms': 'back pain, abdominal pain, flank pain', 'medical_history': ['- ___ MVA w/ R-chest trauma requiring a chest tube and \ntracheostomy with subsequent decannulation', '- T8 leiomyosarcoma', '- Asthma', '- Cluster HAs', '- Eczematous Dermatitis', '- Back Pain'], 'f... | {'final_diagnoses': ['Vertebral leiomyosarcoma s/p surgery', 'Post-radiation organizing pneumonia', 'MAC pulmonary infection', 'Acute on Chronic Hypoxemia', 'Exudative pleural effusion', 'Orthostatic Hypotension', 'Severe Malnutrition', 'Emphysema'], 'procedures': ['___ - T8 vertebrectomy, T6-T10 fusion'], 'visit_summa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'M', 'symptoms': None, 'medical_history': ['Melanoma as above', 'hypertension', 'elevation of the right hemidiaphragm', 'hearing loss', 'status post left TKR in ___', 'status post left femur fracture and repair at age ___.'], 'family_history': 'Noncontributory.', 'present_illne... | {'final_diagnoses': ['melanoma status post cycle 1 week 2 high-dose IL-2 therapy complicated by shock.', 'Acute renal failure.', 'Toxic encephalopathy.'], 'procedures': [], 'visit_summary': 'The patient was admitted and underwent central line placement to begin therapy. His admission weight was 85 kg and he received in... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'F', 'symptoms': 'Unresponsiveness/fever', 'medical_history': ['HTN', 'gout', 'ESRD on HD, has one kidney', 'asthma', 'GERD'], 'family_history': 'noncontributory', 'present_illness': "___ yo M h/o HTN, ESRD on HD, asthma admitted with \nfever/unresponsiveness. Pt has a complica... | {'final_diagnoses': ['Nosocomial pneumonia', 'Septic shock', '___ disease', 'Left IJ thrombosis', 'Acute renal failure'], 'procedures': ['Mechanical intubation.', 'Tracheostomy', 'Percutaneous gastrostomy tube.', 'Central venous catheter insertion.'], 'visit_summary': "1. Sepsis: Pt meets SIRS criteria with urine as su... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 50, 'gender': 'M', 'symptoms': 'Dysarthria, vertigo, headache, unbalanced', 'medical_history': ['- HLD: took atorvastatin but said it made his joints hurt and \nwas stopped', '- Right arm orthopedic surgery several years ago with hardware \n(pins) in place', '- ? prior TIA/stroke (episodes l... | {'final_diagnoses': ['Transient Ischemic attack possibly from cocaine induced \nvasospasm'], 'procedures': ['None'], 'visit_summary': '___ who presents with dysarthria (resolved), imbalance and \nvertigo that lasted for several hours. \nHis symptoms resolved completely by the late evening of his \nfirst day of admissio... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'M', 'symptoms': 'Abdominal pain', 'medical_history': ['COPD/emphysema', 'Asthma', 'Restless leg syndrome', 'Anxiety', 'Recurrent cystitis', 'Sleep Apnea', 'Urinary incontinence', 'Arthritis', 'Endometriosis', 'Glaucoma', 'Hypercholesterolemia', 'Osteopenia'], 'family_history':... | {'final_diagnoses': ['Grade III-IV splenic laceration'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ presented to an OSH on ___ after \ndeveloping left-sided abdominal pain following a colonscopy \nperformed earlier that day. Upon arrival, a chest x-ray and \nabdominal/pelvic CT scan were performed and were witho... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 18, 'gender': 'M', 'symptoms': 'Abdominal Pain', 'medical_history': ['Anxiety, depression'], 'family_history': 'Family History:\nColon cancer in grandmother (age ___', 'present_illness': '___ G1P0 gestational age ___ p/w RLQ pain p/w nausea and \nemesis x4 that started yesterday morning. Per... | {'final_diagnoses': ['Appendicitis'], 'procedures': ['___ APPENDECTOMY LAPAROSCOPIC'], 'visit_summary': '___ is a ___ year-old woman who is 17 \nweeks pregnant and was found to have acute appendicitis. The \npatient was brought to the operating room where they underwent a \nlaparoscopic appendectomy on ___. The patient... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'F', 'symptoms': 'Dyspnea on exertion', 'medical_history': ['1. CARDIAC RISK FACTORS: no DM, no HTN, no documented HLD', '2. CARDIAC HISTORY: \n-CABG: none', '-PERCUTANEOUS CORONARY INTERVENTIONS: none', '-PACING/ICD: none', 'Atrial fibrillation, not on Coumadin', 's/p pacemak... | {'final_diagnoses': ['Aortic Stenosis', 'Acute on Chronic systolic congestive Heart Failure', 'Atrial Fibrillation'], 'procedures': ['Aortic valvuloplasty'], 'visit_summary': '#1 Aortic stenosis s/p Valvuloplasty: Pt underwent a \nvalvuloplasty on ___. complicated by hypertension requiring \nnipride drip and low oxygen... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 29, 'gender': 'F', 'symptoms': 'Respiratory distress', 'medical_history': ['Dyslipidemia', 'Hypertension', 'CAD, s/p CABG (___)', 'Diastolic heart failure', 'Former tobacco use', 'TIA with bilateral carotid endarterectomy (___)', 'Peripheral vascular disease', 'Chronic kidney disease', 'Gout... | {'final_diagnoses': ['PRIMARY: Septic shock, pneumonia, acute on chronic CHF exacerbation, anemia', 'SECONDARY:Anxiety'], 'procedures': ['Intubation', 'PICC line placement ___'], 'visit_summary': "___ y/o M with hx of CAD s/p CABG, dCHF (LVEF 55-60%), ?COPD on 3 \nL NC at rehab, afib not currently on anticoagulation, r... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 51, 'gender': 'M', 'symptoms': 'Increased aggressive behavior', 'medical_history': ['Depression with psychotic features', 'Catatonic Schizophrenia', 'Dementia', 'Anemia', 'Hypertension', 'Chronic Kidney Diseases (per the daughter) Report from ___ \n___ showed Cr 1.5 in ___ of this year.'], '... | {'final_diagnoses': ['Agitation', 'Dementia', 'Depression with psychotic features', 'MRSA colonized urine', 'Hyperkalemia'], 'procedures': ['None'], 'visit_summary': "___ yo ___ speaking female who was brought to the emergency \ndepartment for agitation and combative behavior. Concern for a \nmetabolic or organic caus... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 81, 'gender': 'F', 'symptoms': 'Dyspnea and weight gain', 'medical_history': ['--CAD s/p PCI to LAD, LCx, OM1, OM2 x2 (___)', '--DM', '--HTN', '--HLD', '--Colon Cancer ___, 6" colon resected; most recent ___ \n___ 2 polyps seen)', '--Asthma', '--Sleep apnea', '--GERD', '--Hypothyroidism'], '... | {'final_diagnoses': ['Congestive Heart Failure', 'Liver Cirrhosis', 'COPD', 'Asthma', 'Obstructive sleep apnea'], 'procedures': ['Right heart catheterization', 'Paracentesis'], 'visit_summary': "This is a ___ year old man with known OSA on Bipap, mixed \nrestrictive and obstructive lung disease, as well as cirrhosis, \... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 81, 'gender': 'F', 'symptoms': 'Fall/Seizure with Right leg fracture', 'medical_history': ['- Traumatic Brain Injury (distant past)', '- Generalized Epilepsy', '- Dementia, vascular', '- Explosive Personality Disorder', '- Retinitis Pigmentosa', '- CAD with old(when?) MI', '- DMII', '- Hyper... | {'final_diagnoses': ['R distal femur fracture', 'Generalized Epilepsy', 'Type 2 Diabetes', 'Coronary Artery Disease', 'Dementia'], 'procedures': ['Fixation of right distal femaur with lateral less invasive \nstabilization system (___) construct, 9 hole.'], 'visit_summary': '___ y/o F with PMH of dementia, TBI, anemia, ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 28, 'gender': 'F', 'symptoms': 'Non healing wound', 'medical_history': ['Glucose Intolerance', 'Hyperlipidemia', 'Hypertension', 'Nephrolithiasis', 'Tobacco Abuse'], 'family_history': 'Father - CVA age ___, died at age ___\n3 kids all premature w/heart murmurs but none requiring surgery', 'p... | {'final_diagnoses': ['Sternal wound dehiscence s/p Sternal wound washout, VAC dressing\nplacement', 'Coronary Artery Disease s/p CABG', 'Non-ST Elevation Myocardial Infarction', 'Glucose Intolerance', 'Hyperlipidemia', 'Hypertension', 'Nephrolithiasis', 'Tobacco Abus'], 'procedures': ['Sternal wound washout, VAC dressi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 45, 'gender': 'M', 'symptoms': 'Abdominal pain, bloody diarrhea', 'medical_history': ["-Crohn's disease, previously treated with antibiotics,\nomeprazole, tramadol, prednisone but never more advanced\nimmunosuppression. Reports hx of oral and rectal ulcers. ", "-Microabscesses of liver thoug... | {'final_diagnoses': ["PRIMARY DIAGNOSIS: \n- crohn's disease with acute flare ", 'SECONDARY DIAGNOSES: \n- Depression/anxiety '], 'procedures': ['None'], 'visit_summary': '___ was admitted to ___ from the ED for an acute Crohn\'s \nflare significant for 1 month of worsening diffuse, sharp/crampy \nabdominal pain and a ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'M', 'symptoms': 'Failure to Thrive', 'medical_history': ['T2DM', 'CAD s/p CABG', 'LV mural thrombus', 'atrial fibrillation', 'CKD stage III', 'PVD with ORIF right hip with TFN'], 'family_history': None, 'present_illness': None, 'medications': [{'medication': 'Clopidogrel', 'pr... | {'final_diagnoses': ['Infected Sternotomy Wire', 'Possible Sternal Osteomyelitis vs Mediastinitis', 'Failure to Thrive', 'Atrial Fibrillation', 'Fecal and Urinary Incontinence', 'Thoracic and Lumbar Spine Compression Fractures'], 'procedures': ['Sternal Wound Revision Surgery with Wire Removal', 'PICC Placement, RUE'],... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 34, 'gender': 'F', 'symptoms': 'pancreatic mass, pelvic mass', 'medical_history': ['None.'], 'family_history': 'She denies any history of GYN malignancies.', 'present_illness': 'Ms. ___ is a ___ with a history of fibroids who had \nhad a recent pelvic ultrasound in ___, which demonstrated a ... | {'final_diagnoses': ['Pancreatic cancer'], 'procedures': ['Exploratory laparotomy', 'bilateral salpingo-oophorectomy', 'infracolic omentectomy', 'placement of pancreatic fiducials by Dr. ___', 'Blood transfusion'], 'visit_summary': 'Ms. ___ was admitted to the gynecology oncology service \nafter undergoing an explorato... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 62, 'gender': 'F', 'symptoms': 'Dyspnea', 'medical_history': ['-Recent infected right leg hematoma (MSSA, completed Bactrim \n___', '-Nonischemic cardiomyopathy s/p BiV ICD implantation: EF 40%, \n?viral', '-Hypertension ', '-Systolic CHF: secondary to cardiomyopathy, EF 40% ', '-Heart bloc... | {'final_diagnoses': ['Primary: Congestive Heart Failure exacerbation, slow-healing \nright lateral shin ulcer ', 'Secondary: Sarcoidosis, non-ischemic cardiomyopathy, atrial \nfibrillation, heart block s/p ICD/BiV pacemaker placement '], 'procedures': ['None'], 'visit_summary': "Patient is a ___ year old male with CHF,... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 38, 'gender': 'F', 'symptoms': 'The pt is a ___ right-handed woman with history of\ngenital HSV, shingles at ___, aseptic menigitis, who presented \nwith headache and right lower extremity tingling/pain.', 'medical_history': ['She had her first ep of genital herpes on ___ for which she \nwas... | {'final_diagnoses': ['herpes radiculopathy'], 'procedures': ['None'], 'visit_summary': "___ is a ___ woman with history of viral \nmeningitis, recurrent genital herpes, and shingles at age ___. \nShe initially presented with headache, nausea, pain in the lower \nextremities with genital lesions. Her genital lesions\n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'FDG-avid right lower lobe lung nodule suspicious for lung cancer', 'medical_history': ['asthma', 'osteoarthritis'], 'family_history': 'Non-contributory', 'present_illness': 'Mrs. ___ previously healthy ___ year old lady had \nrespiratory infection in ___, this... | {'final_diagnoses': ['Right lower lobe lesion'], 'procedures': ['VATS right lower lobe superior segment wedge followed by right \nlower lobectomy, mediastinal lymph node dissection.'], 'visit_summary': 'Ms. ___ was admitted to the hospital ___ with HPI as \nstated above. She went to the OR on ___ where she \nunderwent... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'Seizures', 'medical_history': ['- Seizure disorder ', '- Bipolar dz ', '- Anxiety ', '- Attention deficit syndrome and ', '- ___ abuse, IV drug user, heroin. Per patient last\nused ___. Cocaine, sober for one-year. ', '- History of heavy alcohol abuse with fi... | {'final_diagnoses': ['Primary: Right arm abscess', 'Secondary:', 'Seizure Disorder', '___ Abuse', 'Tobacco Use Disorder', 'Bipolar Disorder', 'Post Traumatic Stress Disorder', 'Anxiety'], 'procedures': ['___ Bedside antecubital fossa ___ with Hand Surgery', 's/p ___ of her abscess', 'She underwent ___ with Hand Surgery... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'M', 'symptoms': 's/p fall, pneumothorax', 'medical_history': ['___: Per records present with her at bedside,\nDementia', 'R-sided stroke', 'OA', 'Depression', 'Falls', 'HTN', 'Carotid artery "occlusion"', 'Femur fracture'], 'family_history': 'non-contributory', 'present_illnes... | {'final_diagnoses': ['Right ___ rib fractures', 'Right pneumothorax'], 'procedures': ['right pigtail placed-> self removed on ___: right pigtail placed'], 'visit_summary': "Ms. ___ is an ___ year-old female with a history of with \ndementia, DNR/DNI who sustained a fall at her ___ nursing \nfacility. She was initially... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'Admission for Chemotherapy', 'medical_history': ['PAST ONCOLOGIC HISTORY:\nBack in ___ she was diagnosed with follicular lymphoma with \ndisease primarily located in the inguinal lymph nodes. She was \ntreated with 6 cycles of R-CVP chemotherapy with subsequen... | {'final_diagnoses': ['Metastatic Pleomorphic Sarcoma', 'Encounter for Antineoplastic Chemotherapy', 'Acute on Chronic Cancer-Related Pain'], 'procedures': ['None this hospitalization.'], 'visit_summary': 'Ms. ___ is a ___ year-old lady with a history of mild AS, AF \non rivaroxaban, follicular lymphoma s/p 6C R-CVP + X... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 30, 'gender': 'F', 'symptoms': 's/p TACE', 'medical_history': ['hepatitis C cirrhosis c/b HCC', 'psoriasis', 'hypertension', 'GERD'], 'family_history': 'She has no known family history of liver disease.', 'present_illness': 'Ms. ___ is a ___ yo woman with a PMH hepatitis C cirrhosis c/b \nHC... | {'final_diagnoses': ['#Hepatitis C cirrhosis c/b HCC, now s/p TACE', '#HTN'], 'procedures': ['___ TACE'], 'visit_summary': 'Ms. ___ is a ___ yo woman with a PMH hepatitis C cirrhosis c/b \nHCC,\npsoriasis, hypertension, and GERD who is admitted to Deaconess 1 \nfor monitoring s/p TACE.\n\n#Hepatitis C cirrhosis c/b HCC... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'Heavy sensation has been present for over ___ years', 'medical_history': ['HTN', 'Afib/flutter (new)', 'PVD s/p angio+stent (___)'], 'family_history': 'N/C', 'present_illness': 'Mr. ___ is an ___ patient of Dr. ___ referred to Dr. ___ a second opinion \nregard... | {'final_diagnoses': ['Right Popliteal Aneurysm', 'HTN', 'Afib/flutter', 'CAD'], 'procedures': ['Popliteal Aneurysm bypass'], 'visit_summary': "Mr. ___ is an ___ patient of Dr. ___ who was referred to Dr. ___ a second \nopinion regarding treatment of bilateral popliteal artery \naneurysms. He has a history of\nsevere de... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 73, 'gender': 'M', 'symptoms': 'admission s/p TACE (Transcatheter arterial chemoembolization) \nfor right shoulder pain and HTN during procedure.', 'medical_history': ['- Cirrhosis ', "- ? hx of Crohn's (aphthous ulcers and small bowel ulcers seen \non a capsule endoscopy done at an outside ... | {'final_diagnoses': ['Hepatocellular carcinoma s/p chemoemboliztion', 'Hepatitis C cirrhosis', 'Coronary artery disease', 'Diabetes mellitus, type 2'], 'procedures': ['Chemoembolization of hepatocellular carcinoma'], 'visit_summary': "___ year old M with well-compensated hep C cirrhosis and liver \nimaging c/f hepatoce... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'RUQ pain', 'medical_history': ['-CAD s/p stent', '-Cardiomyopathy', '-TIA', '-___ cell tumor of left arm', '-S/p appy', '-HTN', '-HLD', '-Afib (not on coumadin for many years)', '-CKD stage III', '-Hypothyroisdism', '-Anxiety'], 'family_history': 'Sister: ___ ... | {'final_diagnoses': ['Cholelithiasis', 'CAD', 'CKD', 'Hypothyroidism'], 'procedures': ['___ ERCP'], 'visit_summary': '___ with Afib, cardiomyopathy, CAD s/p stenting, hx of TIA \npresenting with sudden onset RUQ pain 5 days PTA with elevated \nLFTs and cholelithiasis on RUQ ultrasound admitted for further \nwork-up. Pa... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'M', 'symptoms': 'R knee pain', 'medical_history': ['Bronchitis', 'hypertension', 'Asthma', 'GERD', 'hx constipation', 'L5-S1 disc disease.'], 'family_history': 'Coronary artery disease and prostate cancer.', 'present_illness': 'R knee OA', 'medications': [{'medication': 'HYDRO... | {'final_diagnoses': ['R knee OA', 'Post-operative anemia'], 'procedures': ['s/p R TKA'], '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 was unc... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 60, 'gender': 'F', 'symptoms': 'fever', 'medical_history': ["PAST ONCOLOGIC HISTORY (per OMR):\nPer documentation from ___ by Dr. ___ 1 c/b Ifos induced proximal RTA/Fanconi's syndrome\nrequiring electrolyte repletion in patient.\nCycle 2 c.b febrile neutropenia.", 'Pt is Hep B core pos on L... | {'final_diagnoses': ['lymphoma'], 'procedures': ['none'], 'visit_summary': "Mr. ___ is a ___ year-old male with history of diffuse large\nB-cell lymphoma in ___, s/p 6 cycles of R-CHOP, XRT to\nmesenteric mass and recently was found to have relapsed disease.\nHe is now s/p 2 cycle of ICE course c/b emesis, anorexia,\nd... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 82, 'gender': 'M', 'symptoms': 'dyspnea', 'medical_history': ['# COPD/Asthma', '# HTN', '# Stroke/TIA', '# Dementia', '# GERD', '# Depression', '# BPH'], 'family_history': 'No history of respiratory disease.', 'present_illness': '___ year old M with asthma/COPD sent from adult day care for \... | {'final_diagnoses': ['COPD exacerbation'], 'procedures': ['none'], 'visit_summary': 'yo M with history of stroke/tia, COPD p/w dyspnea consistent \nfor COPD exacerbation.\n\n#Dyspnea/COPD - due to mild COPD exacerbation. Pt with wheezing \non initial evaluation, but improved with nebs and steroids given \nin the ED ___... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 83, 'gender': 'M', 'symptoms': 'Chest pain, dyspnea at rest', 'medical_history': ['1. CARDIAC RISK FACTORS \n - Hypertension \n - Dyslipidemia', '2. CARDIAC HISTORY \n - CABG: None \n - PERCUTANEOUS CORONARY INTERVENTIONS: None \n - PACING/ICD: None', '3. OTHER PAST MEDICAL HISTORY \n... | {'final_diagnoses': ['atrial fibrillation', 'coronary artery disease', 'hypothyroidism ', 'heart failure with preserved ejection fraction', 'anemia, chronic'], 'procedures': ['Cardiac catheterization ___ with PCI x1 to LAD.'], 'visit_summary': 'Ms. ___ is a ___ yo woman with h/o CAD, HFpEF, Hypertension, \nhypothyroidi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'F', 'symptoms': 'Chest pain', 'medical_history': ['None'], 'family_history': 'Both parents are healthy. Denies family history of sudden \ncardiac\ndeath, arrhythmias, heart disease', 'present_illness': 'Mr. ___ is a ___ year-old patient with no significant past\nmedical histor... | {'final_diagnoses': ['Perimyocarditis'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ is a ___ year-old patient with no significant past \nmedical history who presented as a transfer from ___ \n___ in the setting of myopericarditis likely secondary to \nviral illness.', 'medications_prescribed': ['1. Lisinopril 5... |
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