transcript stringlengths 3.22k 6.18k | structured_note stringlengths 1.84k 4.7k |
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Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good to see you again. How have you been feeling since your last appointment?
Patient: Hi, thanks. Umm, it’s been okay, I guess. Still a bit tired most days, but, you know, not as bad as before. I think the meds are... | Demographics:
N/A
Presenting Illness:
- Cushing’s syndrome diagnosed 6 months ago
- Persistent muscle weakness
- Abdominal weight gain ongoing
- Mood swings improved but occasional anxiety
- Easy bruising and reddish-purple abdominal stretch marks
- Mild dizziness on standing
- Fatigue persists
History of Presenting ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good afternoon! How have you been doing since our last visit?
Patient: Hi, Doc. I've been okay, but honestly, I wanted to talk about these hypoglycemia episodes I've been having. They've been kinda worrying me.
Doctor:... | Demographics:
N/A
Presenting Illness:
- Frequent hypoglycemia episodes occurring 3-4 times weekly, sometimes daily
- Episodes mostly mid-morning and late afternoon
- Symptoms include sweating, shakiness, and occasional disorientation
- Duration: several weeks to months
History of Presenting Illness:
The patient repor... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good afternoon, how are you doing today?
Patient: Hi, uh, I’m doing okay, thanks. Just been a little worried about my bones lately.
Doctor: I see, yeah, that’s what we’re here to discuss. So, I understand from your las... | Demographics:
N/A
Presenting Illness:
- Worry about bone health due to osteopenia.
- Duration: ongoing, under surveillance following last visit.
- New symptoms: increased fatigue, intermittent morning joint stiffness.
History of Presenting Illness:
Patient has a known diagnosis of osteopenia monitored from previous v... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good afternoon! How have you been feeling since your last visit?
Patient: Hey, Doctor. Honestly, it's been a bit rough the last few days. My sugars have been all over the place, and I started feeling really nauseous... | Demographics:
N/A
Presenting Illness:
- Poorly controlled blood sugars over the last few days
- New onset nausea since yesterday
- Shortness of breath
- Persistent abdominal pain
- Increased thirst and polyuria
- Fruity smelling breath
History of Presenting Illness:
Patient with a 12-year history of Type 1 diabetes p... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since your last visit?
Patient: Hi, doctor. I’ve been okay, I guess. You know, just trying to keep up with everything. But I did have some moments where I felt a bit dizzy and nauseous, no... | Demographics:
N/A
Presenting Illness:
- Intermittent dizziness and nausea, mostly in mornings and occasionally after lunch
- Palpitations occasionally noted
- Increased fatigue
- Slight weight gain
History of Presenting Illness:
Patient reports feeling dizzy and nauseous intermittently, primarily in the mornings and ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi there! It's good to see you again. How have you been doing since our last visit?
Patient: Hey, Doctor. I've been okay, I guess. A bit worried about my sugar numbers though—they seem all over the place lately.
Doctor... | Demographics:
N/A
Presenting Illness:
- Poorly controlled diabetes mellitus
- Elevated blood glucose readings with recent HbA1c of 8.5%
- Fatigue (mild, recent)
- Duration: ongoing, concerns noted at this visit
History of Presenting Illness:
Patient reports concern about variable and elevated blood sugar readings. He... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good to see you again. How have you been feeling since our last visit?
Patient: Hi, doctor. Honestly, I've been okay. But I guess I've been a little forgetful with taking my hormone meds lately. Sometimes I miss a da... | Demographics:
N/A
Presenting Illness:
- Patient reports forgetfulness and inconsistent adherence to hormone replacement therapy over the past 6 months.
- Symptoms include increased irritability, fatigue, and possible weight gain (tighter clothing).
- Duration: approximately 6 months since starting estrogen and progest... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Hi, doc. I’m doing okay, thanks. A bit tired, actually. My bones have been kind of achy lately.
Doctor: I see. Well, let’s talk through that. Last time we saw you, we wer... | Demographics:
N/A
Presenting Illness:
- Bone ache in hips and lower back, duration not explicitly stated but ongoing
- Muscle cramps, predominantly at night
- Tiredness
History of Presenting Illness:
Patient reports bone pain localized mostly to hips and lower back described as sometimes sharp and sometimes dull sore... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How are you doing today?
Patient: Morning, doctor. I’m, uh, okay I guess. Just been feeling kinda worn out and a bit anxious lately.
Doctor: I see. Thanks for sharing that. Let’s try to get to the botto... | Demographics:
N/A
Presenting Illness:
- Fatigue, anxiety, and palpitations for the past couple of weeks
- Recent unintentional weight loss
- Trouble sleeping with occasional night sweats
History of Presenting Illness:
Patient reports onset of fatigue, anxiety, and intermittent palpitations starting approximately two ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Morning, doc. I'm... well, honestly, feeling pretty wiped out all the time these days.
Doctor: Sorry to hear that. When did you start noticing this fatigue?
Patient: Umm, I... | Demographics:
N/A
Presenting Illness:
• Persistent fatigue for approximately 6 months
• Unexplained weight gain (~10 pounds)
• Mood changes including irritability and sadness
History of Presenting Illness:
The patient reports gradually worsening fatigue over the past six months, coinciding with a change to night shif... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning, how are you doing today?
Patient: Morning, Doctor. I’m okay, I guess. Just... I’ve been feeling kinda overwhelmed lately, like anxious and a bit down. Thought it might be related to my thyroid stuff.
Doct... | Demographics:
N/A
Presenting Illness:
- Persistent anxiety and low mood
- Puffiness of face and weight gain
- Symptoms ongoing for at least past few months
- Known hypothyroidism with recent abnormal labs
History of Presenting Illness:
The patient reports feeling overwhelmed with persistent anxiety characterized by c... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since our last visit? Patient: Morning, doc. I've been okay, I guess. Just trying to keep up with things, but, you know, it’s been a bit confusing with all these tests and stuff. Doctor: I... | Demographics:
N/A
Presenting Illness:
- Type 2 diabetes for 7 years, with recent symptoms of occasional foot tingling and blurred vision.
History of Presenting Illness:
The patient has had Type 2 diabetes for about seven years. Recently, the patient reports occasional tingling sensations in the feet, especially at ni... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! It’s nice to see you again. How have you been doing since our last visit?
Patient: Hi, doctor. I've been okay, thanks. Still thinking a lot about the treatment options and especially worried about how the ... | Demographics:
N/A
Presenting Illness:
- Polycystic ovary syndrome (PCOS) diagnosed about 1 year ago
- Irregular menstrual cycles with variation in flow
- Concern about impact of hormone therapy on fertility and pregnancy outcome
History of Presenting Illness:
Patient was diagnosed with PCOS approximately one year ago... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning, how are you doing today?
Patient: Morning, doctor. I’m okay, I guess. Just a bit worried about this sore on my foot that won’t heal.
Doctor: I’m sorry to hear that. Can you tell me more about the sore? How ... | Demographics:
N/A
Presenting Illness:
- Non-healing foot sore (ulcer) present for 3 weeks
- Painful, red, oozing sore on plantar surface near fifth metatarsal
- Associated numbness and neuropathic symptoms in feet
History of Presenting Illness:
Patient reports a small blister on the left foot plantar surface near the... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hello, good morning! How have you been since we last saw each other?
Patient: Hi, good morning. I've been okay, I guess, but, well, things have been a bit more complicated lately, especially with some new stuff.
Doctor: ... | Demographics:
N/A
Presenting Illness:
- Type 2 diabetes with worsening glycemic control.
- Bilateral ankle swelling for unspecified duration.
- Occasional shortness of breath.
- Elevated blood pressure noted again.
- Occasional brief episodes of heart racing.
- Dizziness on standing fast.
History of Presenting Illnes... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since our last visit?
Patient: Morning, Doc. I've been alright, but honestly, I've felt a bit more tired than usual, and some days I just feel kinda rough and foggy-headed.
Doctor: I see. ... | Demographics:
N/A
Presenting Illness:
- Ongoing hypothyroidism managed with levothyroxine for about 1 year
- Symptoms of fatigue, brain fog, hair thinning, muscle cramps, and cold intolerance
History of Presenting Illness:
Patient diagnosed with hypothyroidism approximately one year ago and started on levothyroxine. ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since your last visit?
Patient: Morning, doc. I've been alright, nothing too new, but I’ve been a bit worried about the prednisone I started for my lupus flare. My joints hurt a bit more ... | Demographics:
N/A
Presenting Illness:
- Concern about prednisone use for lupus flare
- Occasional joint pain and back stiffness
- Duration: few weeks since prednisone initiation
History of Presenting Illness:
Patient has been on prednisone for a recent lupus flare. She reports occasional increased joint pain and a fe... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good afternoon! How have you been since we last spoke?
Patient: Oh, hi Doctor. I've been okay, I guess. Feeling alright mostly, but I’m a bit concerned about my bones, you know, especially since my mom had osteoporo... | Demographics:
Name: N/A
Age: 62
Date of Birth: N/A
Sex: Female
Presenting Illness:
- Concern about bone health given family history of osteoporosis
- No recent fractures
- Occasional lower back ache
- Postmenopausal, age 62
History of Presenting Illness:
Patient is a 62-year-old postmenopausal woman concerned about b... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Morning, doctor. I've been okay, but, uh, I noticed some changes in my weight, and it's kinda worrying me.
Doctor: I see. Can you tell me a little more about what you've ... | Demographics:
N/A
Presenting Illness:
- Unexplained weight loss of approximately 10 pounds over 2 months
- Increased fatigue over the same duration
- Decreased appetite
- Bone aches
- Occasional nausea
- Intermittent muscle cramps, especially in legs
History of Presenting Illness:
Patient noticed unintentional weight... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How have you been since our last visit? Patient: Morning, Doctor. I've been okay, I guess. Still dealing with some fatigue and my energy levels just seem all over the place. Doctor: I’m sorry to hear th... | Demographics:
N/A
Presenting Illness:
- Fatigue with variable severity for an unspecified period.
- Cold intolerance (cold hands sometimes).
- Low mood.
- Weight gain of about 3 to 4 pounds over last couple of months without changes in appetite or diet.
History of Presenting Illness:
Patient reports persistent fatigu... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been since your last visit? Patient: Morning, doc. I've been alright, I guess. Blood sugars are still a bit all over the place though. Doctor: Yeah, I was looking over your chart. You mentioned... | Demographics:
N/A
Presenting Illness:
- Poorly controlled Type 2 diabetes with blood sugar fluctuations ongoing
- Fatigue especially in afternoons
- Intermittent numbness in feet
- Episodes of mild dizziness possibly due to hypoglycemia
History of Presenting Illness:
The patient was diagnosed with Type 2 diabetes app... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you feeling today? Patient: Morning, doctor. I’m doing okay, I guess. Still a bit tired, though, more than usual. Doctor: I see, that’s understandable given your recent thyroidectomy. When was the s... | Demographics:
N/A
Presenting Illness:
- Fatigue persisting for approximately six weeks post-thyroidectomy
- Muscle weakness mainly in arms and legs
- Occasional palpitations
- Episodes of lightheadedness on standing
History of Presenting Illness:
Patient underwent thyroidectomy six weeks ago. Since surgery, has exper... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How are you doing today?
Patient: Morning, Doctor. I'm... okay, I guess. Still a bit anxious about this whole ovulation issue.
Doctor: I understand. It can be stressful. So, let's go over where we are and t... | Demographics:
N/A
Presenting Illness:
- Anovulation with irregular menstrual cycles for over 1 year
- Attempts to conceive without success for >1 year
- Recent increase in chin hair noted
History of Presenting Illness:
Patient has been experiencing irregular menstrual periods for over a year, with intervals sometimes... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good afternoon! How are you doing today?
Patient: Hi, uh, good afternoon. I'm, um, okay, I guess. Been, you know, having some issues that are kinda worrying me.
Doctor: Okay, I'm glad you came in. Why don't you tel... | Demographics:
N/A
Presenting Illness:
- Irregular menstrual periods for 6 to 12 months with oligomenorrhea and amenorrhea
- Increased facial and body hair growth (chin, chest)
- Worsening acne
- Scalp hair thinning
- Weight gain of approximately 15 pounds over past year
- Afternoon fatigue
History of Presenting Illne... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good morning! How have you been since our last visit?
Patient: Morning, Doctor. I’ve been alright, but the eye discomfort has really gotten worse. My eyes feel swollen and sometimes stiff, especially in the mornings... | Demographics:
N/A
Presenting Illness:
- Worsening eye discomfort for unspecified duration
- Eye swelling and stiffness, especially mornings
- Intermittent double vision
- Itchy, watery eyes with pressure sensation around eye sockets
- Occasional blurred vision without sudden loss
History of Presenting Illness:
The pa... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi there, good to see you again. How have you been feeling since our last visit?
Patient: Hey, thanks. Um, honestly, I've been okay, I guess. I still get pretty tired during the day and sometimes feel a little sluggish,... | Demographics:
N/A
Presenting Illness:
- Hypothyroidism, stable but with ongoing fatigue and occasional irritability for about one year
History of Presenting Illness:
Patient diagnosed with hypothyroidism and on levothyroxine 75 mcg daily for approximately one year. Symptoms include persistent daytime fatigue, occasio... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! It’s nice to see you again. How have you been since our last appointment?
Patient: Morning, Doctor. I've been alright, thanks. I've been thinking a lot about what we discussed last time regarding my fertili... | Demographics:
N/A
Presenting Illness:
- Irregular menstrual periods with variable heaviness for an unspecified duration.
- Recent weight gain of approximately 10 pounds over six months.
- Intermittent fatigue.
- Increased anxiety and mood changes.
History of Presenting Illness:
Patient reports ongoing irregular menst... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Good morning! How have you been doing since our last visit? Patient: Morning, doc. I’ve been okay, thank you. Just been a bit worried about my blood pressure lately, you know? It’s been up and down. Doctor: I understand.... | Demographics:
N/A
Presenting Illness:
- Fluctuating blood pressure
- Fatigue and occasional lightheadedness when standing up
- Elevated cholesterol and triglycerides
History of Presenting Illness:
Patient reports concerns about fluctuating blood pressure, experiencing fatigue and occasional lightheadedness particular... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi there! Good to see you again. How have you been since your last visit? Patient: Hi, doctor. I've been okay, thanks. Just a bit more tired than usual, and I feel like my eyes have been bothering me more these past coup... | Demographics:
N/A
Presenting Illness:
- Increased eye irritation and occasional redness for 2-3 weeks
- Increased fatigue
- Unintentional weight loss (~5 pounds)
- Episodes of heart racing, worse with exertion or stress
History of Presenting Illness:
Patient has been monitored for Graves' disease for about one year. ... |
Please convert the following medical transcript into a structured medical note. Transcript: Doctor: Hi, good afternoon! How have you been since your last visit? Patient: Hi, good afternoon, Doctor. I've been okay, I guess, but I’m a bit worried about my bone health since my mom had osteoporosis and I’m in early menopau... | Demographics:
N/A
Presenting Illness:
- Concern about bone health due to early menopause and positive family history of osteoporosis.
- Aching pain in lower back and hips, especially after prolonged standing, duration approximately 2 years since menopause onset.
History of Presenting Illness:
Patient is a woman in ea... |
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