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ACI001
aci
[doctor] hey george how are you today i understand you're here for some numbness and tingling in your fingers and some pain in your wrist [patient] right my left wrist and hand has been bothering me probably for a few months now with pain and numbness [doctor] okay and you said that's been ongoing for several months do...
CHIEF COMPLAINT Left wrist and hand pain. HISTORY OF PRESENT ILLNESS George Lewis is a pleasant 57-year-old male who presents to the clinic today for evaluation of left wrist and hand pain. He reports an onset of a few months ago but denies any specific injury. However, the patient notes he often engages in repetiti...
ACI004
aci
[doctor] hi billy how are you what's been going on the medical assistant told me that you're having some difficulty urinating [patient] yeah yeah i i did n't really wan na come in to talk about it's kinda weird but i think probably over the last six months i'm just not peeing right it just does n't seem to be normal [d...
CHIEF COMPLAINT Difficulty urinating. MEDICAL HISTORY Patient reports history of coronary artery disease and diabetes. SURGICAL HISTORY Patient reports undergoing right coronary arter stent placement in 2018 by Dr. Moore. SOCIAL HISTORY Patient reports that he tries to exercise. He is a college football fan. RE...
ACI005
aci
[doctor] hi russell how are you what's been going on [patient] well i've been having this sharp pain on the right side of my abdomen below my ribs for the last several days [doctor] i saw my doctor and they ordered a cat scan and said i had a kidney stone and sent me to see a urologist okay well does the pain move or o...
CHIEF COMPLAINT Right-sided abdominal pain MEDICAL HISTORY Patient reports history of kidney stones. FAMILY HISTORY Patient reports his father has a history of kidney stones. MEDICATIONS Patient reports use of Tylenol. REVIEW OF SYSTEMS Gastrointestinal: Reports right-sided abdominal pain and nausea. Denies vo...
ACI006
aci
[doctor] so beverly is a 53 -year-old female with a recent diagnosis of stage three non-small cell lung cancer who presents for follow-up during neo agit chemotherapy she was diagnosed with a four . four centimeter left upper lobe nodule biopsy was positive for adenocarcinoma molecular testing is pending at this time a...
CHIEF COMPLAINT Follow up of stage III non-small cell lung cancer. MEDICAL HISTORY Patient reports history of stage III non-small cell lung cancer. SOCIAL HISTORY Patient reports having a good family support system and that some of her family has accompanied her to her chemotherapy sessions. MEDICATIONS Patient ...
ACI011
aci
[doctor] hey nicholas nice to see you today your pcp looks like he sent you over for a nonhealing foot ulcer on your right foot can you tell me about how long you've had that [patient] yeah i've had the boot for about six weeks i first noticed it when i put on a pair of shoes that were little bit too tight i felt some ...
CHIEF COMPLAINT Non-healing ulcer on his right foot. HISTORY OF PRESENT ILLNESS Nicholas Gutierrez is a pleasant 45-year-old male who presents to the clinic today for the evaluation of a non-healing ulcer on his right foot. The patient was referred from his primary care physician. The onset of his pain began 6 weeks...
ACI016
aci
[doctor] so anna good to see you today so reading here in your appointment notes you were you were diagnosed with kidney stones from your your pcp and you currently have one and so they they had you come in so can you tell me what happened how's all that going for you [patient] sure i've been having some back pain on m...
HISTORY OF PRESENT ILLNESS Anna Diaz is a pleasant 29-year-old female who presents to the clinic today for the evaluation of right-sided back pain. For approximately 1 week, the patient has been experiencing constant right-sided back pain that radiates down to her lower right side, as well as hematuria and nausea. He...
ACI020
aci
[doctor] hey mason good to see you today so let's see you here in my notes for evaluation of kidney stones your your pcp said you had some kidney stones so you got a referral over so can you tell me a little bit about that you know what happened when did you first notice them [patient] yeah it was about you know about ...
CHIEF COMPLAINT Kidney stones. HISTORY OF PRESENT ILLNESS Mason Ward is a pleasant 80-year-old male who presents to the clinic today for the evaluation of kidney stones. The patient was referred from his primary care physician. The onset of his pain began 1 week ago when he was in his barn moving hay when he had a s...
ACI025
aci
[doctor] so sophia i see that you you hurt your knee tell me about what happened [patient] yeah i was jumping on my kid's trampoline and i could just slipped out from under me [doctor] my gosh one of those big trampolines in your back yard [patient] yeah a pretty big one [doctor] okay which knee was it [patient] my rig...
CHIEF COMPLAINT Right knee pain. MEDICAL HISTORY The patient has a history of diabetes. She has been doing pretty good with her diet. She states that she forgets to check her sugars quite a bit. REVIEW OF SYSTEMS Musculoskeletal: Reports right knee pain and swelling. PHYSICAL EXAM Respiratory - Auscultation of L...
ACI026
aci
[doctor] hey philip good to see you today so take a look here at my notes i see you're coming in for some right knee pain and you have a past medical history of hypertension and we will take a look at that so can you tell me what happened to your knee [patient] yeah i was you know i was just doing some work on my prope...
CHIEF COMPLAINT Right knee pain. REVIEW OF SYSTEMS Cardiovascular: Denies chest pain. Respiratory: Denies shortness of breath. Gastrointestinal: Denies abdominal pain. Musculoskeletal: Reports right knee pain. PHYSICAL EXAM Respiratory - Auscultation of Lungs: Clear bilaterally. No wheezes. Cardiovascular - Auscu...
ACI027
aci
[doctor] hey gabriel i'm doctor scott good to see you today i know you've heard about dax is it okay if i tell dax a little bit about you [patient] sure [doctor] okay so gabriel is a 43 -year-old male today here for back pain evaluation and also has a past medical history of diabetes high blood pressure and high choles...
CHIEF COMPLAINT Back pain evaluation. MEDICAL HISTORY The patient has a history of diabetes, hypertension, and high cholesterol. SURGICAL HISTORY He denies previous back surgeries. MEDICATIONS The patient currently utilizes metformin 500 mg twice daily and Norvasc. REVIEW OF SYSTEMS Cardiovascular: Reports ank...
ACI028
aci
[doctor] okay so we are recording okay so okay so i understand you've so you've got a past medical history of type two diabetes and you're coming in and for evaluation of a newly diagnosed ovarian cancer so how are you doing today [patient] i do n't hear the question but i'm assuming that you when you say batcher so wh...
CHIEF COMPLAINT New patient evaluation of newly diagnosed ovarian cancer. FAMILY HISTORY The patient was adopted and has no knowledge of any family history. REVIEW OF SYSTEMS Constitutional: Reports unintentional weight loss Gastrointestinal: Reports abdominal pain and constipation. Denies vomiting. Genitourinary:...
ACI030
aci
[doctor] alright david so you were just in the emergency department hopefully you can hear me okay through the zoom meeting what happened [patient] well it seems that i was outside and i fell down i was walking a bit and i did have a pain in my chest but i did n't think anything of it and i just kept on going and then ...
CHIEF COMPLAINT Follow up. SOCIAL HISTORY The patient has been trying to limit his tobacco use for 2 years. He reports smoking once every week. MEDICATIONS Bumex 2 mg once daily. Cozaar 100 mg daily. Norvasc 5 mg once daily. REVIEW OF SYSTEMS Constitutional: Denies problems sleeping. Cardiovascular: Reports ches...
ACI031
aci
[doctor] hi elizabeth so i see that you were experiencing some kind of injury did you say that you hurt your knee [patient] yes i hurt my knee when i was skiing two weeks ago [doctor] okay skiing that sounds exciting alright so what happened what what's when did the injury like what sorry what happened in the injury [p...
CHIEF COMPLAINT Right knee injury. HISTORY OF PRESENT ILLNESS Elizabeth Ross is a pleasant 91-year-old female who presents to the clinic today for the evaluation of a right knee injury. The onset of her pain began 2 weeks ago, when she was downhill skiing. She states she ran into a tree and twisted her right knee. A...
ACI032
aci
[patient] alright thanks for coming in today i see on my chart here that you had a bunch of lower respiratory infections so first tell me how are you what's going on [doctor] you know i'm doing better now but you know last week i was really sick and i just have had enough like i was coughing a lot a lot of mucus even h...
CHIEF COMPLAINT Recurrent lung infections. SOCIAL HISTORY Patient reports he is a farmer. He denies smoking or living with anyone who smokes. ALLERGIES Patient denies history of seasonal allergies. REVIEW OF SYSTEMS Constitutional: Reports low-grade fever. Respiratory: Reports shortness of breath and productive ...
ACI035
aci
[doctor] okay [patient] good morning [doctor] good morning thanks doctor doctor cooper i'm i'm you know i'm a little i'm sad to be in here but you know thanks for taking me in i appreciate it [patient] sure absolutely what can i help you with today [doctor] so you know i've been dealing with my asthma and like i tried ...
CHIEF COMPLAINT Asthma. MEDICAL HISTORY Patient reports history of asthma. SURGICAL HISTORY Patient reports history of tonsillectomy. SOCIAL HISTORY Patient reports she is a student and enjoys playing water polo as well as being active with aerobics and running. ALLERGIES Patient reports history of seasonal al...
ACI037
aci
[doctor] carolyn is a 34 -year-old female with a history of diabetes mellitus type two who is here today with a headache so hi there carolyn it's nice to see you again listen i'm sorry you're having headaches well let's talk about it but i would like to record this conversation with this app that's gon na help me focus...
CHIEF COMPLAINT Headache. MEDICAL HISTORY Patient reports history of diabetes mellitus type 2. SOCIAL HISTORY Patient reports she enjoys golfing. MEDICATIONS Patient reports taking metformin 500 mg twice a day. REVIEW OF SYSTEMS Constitutional: Denies fever. Eyes: Denies vision changes. HENT: Reports ear flush...
ACI038
aci
[doctor] hi virginia how're you today [patient] i'm good thanks how are you [doctor] good so you know you got that knee x-ray when you first came in but tell me a little bit about what happened [patient] i was playing basketball and jerry ran into me and the inside of my knee hurts [doctor] okay did you fall to the gro...
CHIEF COMPLAINT Right knee pain. HISTORY OF PRESENT ILLNESS Virginia Phillips is a pleasant 53-year-old female who presents to the clinic today for the evaluation of right knee pain. The onset of her pain began 7 days ago, when she was playing basketball and another player ran into her. She states that she fell to t...
ACI040
aci
[patient] hey bruce so see here my my notes here is you here he had positive lab work for hep c so how're you doing today [doctor] i'm doing okay but i'm a little bit anxious about having hep c i've really surprised because i've been feeling fine they had done it as you know a screen as just part of my physical so i'm ...
CHIEF COMPLAINT Hepatitis C. HISTORY OF PRESENT ILLNESS Bruce Ward is a pleasant 60-year-old male who presents to the clinic today following a positive result in a hepatitis C antibody test. He was sent to obtain the hepatitis C antibody test as part of a routine physical. He states he is anxious with the results an...
ACI041
aci
[doctor] alright [patient] you're ready just [doctor] ready [patient] hi kyle how are you today [doctor] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today [patient] yeah i bet that did make you nervous i i see that she referred you for a...
HISTORY OF PRESENT ILLNESS Kyle Lee is a pleasant 46-year-old male who presents to the clinic today for evaluation of low immunoglobulin A level. He was referred to our offices by his primary care physician after routine labs revealed abnormalities. The patient states he has been experiencing frequent infections. Duri...
ACI044
aci
[doctor] how are you doing [patient] i'm doing i'm good i'm i'm doing really good i'm here i'm just ready to quit smoking and but i've been having quite a hard time with it [doctor] well i'm glad that you're taking the first steps to quit smoking would you tell me a little bit more about your history of smoking [patien...
CHIEF COMPLAINT Smoking cessation. MEDICAL HISTORY Patient reports a history of type 2 diabetes, gout, and a 2/6 Systolic ejection murmur. SOCIAL HISTORY Patient reports he is a smoker. MEDICATIONS Patient reports taking allopurinol. VITALS Oxygen Saturation: 98% on room air. Blood Pressure: 128/88 mmHg. Heart...
ACI048
aci
[doctor] hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have past medical history of hypertension diabetes and we will check up on t...
CHIEF COMPLAINT Left-sided back pain. MEDICAL HISTORY Patient reports history of history of hypertension, diabetes, and kidney stones. MEDICATIONS Patient reports taking Tylenol, occasional ibuprofen, Norvasc 2.5 mg daily, and metformin 500 mg daily. REVIEW OF SYSTEMS Constitutional: Reports chills and decreased...
ACI050
aci
[doctor] alright you can go ahead [patient] hey alan i good to see you today so i looked here my appointment notes and i see that you're coming in you had some shoulder pain left shoulder pain for the last three weeks so [doctor] how you doing is it is it gotten any better [patient] yeah yeah i've been having a lot of ...
CHIEF COMPLAINT Left shoulder pain. HISTORY OF PRESENT ILLNESS Alan Mitchell is a pleasant 69-year-old male who presents to the clinic today for the evaluation of left shoulder pain. The onset of his pain began 3 weeks ago, without any improvement. He denies any specific injury; however, he has been renovating his b...
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