id stringlengths 5 6 | dataset_source stringclasses 3
values | dialogue stringlengths 2.94k 14.2k | clinical_note stringlengths 852 5.71k |
|---|---|---|---|
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... |
ACI051 | aci | [doctor] hi richard how are you the medical assistant told me that you have a tick bite is that what happened
[patient] i really do n't know where i got it but i i had i do get out in the woods and i do spend a lot of time out in the yard but yeah i've got a tick bite around my knee and and it's been it's been over a w... | CHIEF COMPLAINT
Tick bite.
MEDICAL HISTORY
Patient reports a history of arthritis, hypertension, and diabetes type 2.
SOCIAL HISTORY
Patient reports he enjoys spending time outside in the woods and working in the yard. He went hunting with his grandchildren a couple of weeks ago.
MEDICATIONS
Patient reports taki... |
ACI053 | aci | [doctor] karen nelson is a 3 -year-old female with no significant past medical history who comes in for evaluation of a new right eye twitch karen is accompanied by her father hi karen how are you
[patient] i'm okay i guess
[doctor] hey dad how are you doing
[patient] hey doc i am okay yeah karen has been having this e... | CHIEF COMPLAINT
Right eye twitch.
SOCIAL HISTORY
The patient plays soccer every Saturday, however she has noted that there is a girl that tries to kick her and pulls her hair.
FAMILY HISTORY
Patient's father reports that they do not have a family history of seizures or Tourette's syndrome.
REVIEW OF SYSTEMS
Cons... |
ACI054 | aci | [doctor] russell ramirez is a 45 -year-old male with past medical history significant for cad status post prior status post prior rca stent in twenty eighteen hypertension and diabetes mellitus who presents for hospital follow-up after an anterior stemi now status post drug-eluting stent and lad and newly reduced eject... | CHIEF COMPLAINT
Hospital follow-up after an anterior STEMI.
MEDICAL HISTORY
Patient reports history of CAD status post prior RCA stent in 2018, hypertension, and diabetes mellitus.
SURGICAL HISTORY
Patient reports history of RCA stent in 2018 and most recently underwent drug-eluting stent placement in the LAD.
SO... |
ACI059 | aci | [doctor] hi teresa what's going on i heard that i heard that you're having a sore throat you're not feeling well
[patient] yeah my throat has been hurting me for like four four days now and i think i had a fever last night because i was really sweaty but i did n't take my temperature because i was already in bed
[docto... | CHIEF COMPLAINT
Sore throat.
MEDICAL HISTORY
Patient reports history of hypertension and diabetes.
SOCIAL HISTORY
Patient reports working as a cashier in a supermarket. She enjoys drinking wine.
MEDICATIONS
Patient reports taking lisinopril 20 mg daily, multi-vitamin, vitamin D, and metformin 1000 mg twice daily... |
ACI067 | aci | [doctor] okay hi andrea well i
[patient] hello
[doctor] i understand you're you've come in with some right knee pain can you tell me about it what's going on
[patient] it it's not the right knee it's the left knee
[doctor] okay the left knee
[patient] and it just happens occasionally less than once a day when i'm walki... | CHIEF COMPLAINT
Left knee pain.
HISTORY OF PRESENT ILLNESS
Andrea Barnes is a 34-year-old female who presents today for evaluation of left knee pain.
The patient has been experiencing intermittent episodes of pain and sudden instability with ambulation. Her pain is localized deep in her patella and occurs less than... |
ACI069 | aci | [doctor] well hello christina so how are you doing i was notified you were in the hospital for some heart failure what happened
[patient] well i'm doing better now but i just started having problems that my ankles were swelling and could n't get them to go down even when i went to bed and could n't breathe very good ha... | CHIEF COMPLAINT
Emergency department follow up.
MEDICAL HISTORY
Patient reports history of hypertension.
MEDICATIONS
Patient reports taking Bumex 2 mg once daily, Cozaar 100 mg daily, and Norvasc 5 mg once daily.
REVIEW OF SYSTEMS
Constitutional: Denies sleep disturbance.
Cardiovascular: Denies chest pain.
Respi... |
ACI070 | aci | [doctor] hi virginia how are you today what brings you in
[patient] i'm doing alright i started seeing this new pcp last year and you know she has been doing a lot of changes to my medication and making sure everything is up to date and she my noticed that my blood pressure has been quite high so she added to medicatio... | CHIEF COMPLAINT
High blood pressure.
SOCIAL HISTORY
Patient reports drinking a couple of beers during the week and approximately 1 to 2 on the weekend. She is employed.
FAMILY HISTORY
Patient reports both of her parents have hypertension and one also had kidney disease.
MEDICATIONS
Patient reports taking Norvasc... |
ACI071 | aci | [doctor] good morning carolyn how are you
[patient] i'm doing alright other than this ankle pain i've been having
[doctor] so i see here that you hurt your right ankle can you tell me what happened
[patient] yeah so yesterday i was going to take out the trash and it was quite icy i thought i was doing okay job and i ju... | CHIEF COMPLAINT
Right ankle pain.
HISTORY OF PRESENT ILLNESS
Carolyn Jones is a pleasant 38-year-old female who presents to the clinic today for evaluation of right ankle pain.
The patient sustained an injury to her right ankle when she slipped and fell on ice while taking her garbage out yesterday. This was her fi... |
ACI073 | aci | [doctor] hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it
[patient] actually it's both my elbows but my right elbow is hurting me the most
[doctor] okay and you said you lif... | CHIEF COMPLAINT
Bilateral elbow pain, right worse than left.
HISTORY OF PRESENT ILLNESS
Dylan Bennett is a pleasant 53-year-old male who presents to the clinic today for the evaluation of bilateral elbow pain, right worse than left.
The patient has been experiencing bilateral elbow pain, right worse than left, for ... |
ACI074 | aci | [doctor] so barbara i i know you are here for some itchy scalp pain can you tell me a little bit about how you're doing
[patient] yeah it's still quite a problem you know something i've been suffering with for so long now it's still quite itchy and it's really embarrassing too because i'll have dandruff so much like al... | CHIEF COMPLAINT
Itchy scalp pain.
REVIEW OF SYSTEMS
Constitutional: Denies fever or weight loss.
HENT: Reports scalp pain Musculoskeletal: Denies joint pain.
Skin: Reports itchy scalp Denies any rashes.
VITALS
BP: 130/68.
HR: 98.
RR:18.
Temperature is 97.7 today.
PHYSICAL EXAM
Integumentary
- Examination: Scalp ... |
ACI075 | aci | [doctor] so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on
[patient] i i i'm having a lot of trouble sleeping
[doctor] okay and and how long has this been going on for
[patient] rea... | CHIEF COMPLAINT
Dyspnea.
MEDICAL HISTORY
Patient reports history of diabetes, back pain, congestive heart failure, and chronic obstructive pulmonary disease.
SOCIAL HISTORY
Patient reports living a sedentary lifestyle.
MEDICATIONS
Patient reports she is not consistent with taking Lasix and metformin.
REVIEW OF ... |
ACI076 | aci | [doctor] good morning julie how are you doing this morning
[patient] i've been better my primary care doctor wanted me to see you because of this this knee pain that i've been having for about six months now
[doctor] okay and do you remember what caused the pain initially
[patient] honestly i do n't i ca n't think of a... | CHIEF COMPLAINT
Bilateral knee pain.
SOCIAL HISTORY
The patient is an avid runner. She also works from home.
REVIEW OF SYSTEMS
Musculoskeletal: Reports bilateral knee pain. Denies knee swelling.
Skin: Denies redness.
VITALS
Blood pressure: 120/70 mmHg
Heart rate: 60 bpm
Respirations: 14
PHYSICAL EXAM
Neurologi... |
ACI080 | aci | [doctor] hey jean how're you doing today
[patient] i'm doing alright aside from this foot pain that i have
[doctor] so i see here that you looks like you hurt your left foot here where you were playing soccer can you tell me a little bit more about what happened
[patient] yeah so yeah i was playing in a soccer game yes... | CHIEF COMPLAINT
Left foot pain.
HISTORY OF PRESENT ILLNESS
Jean Martinez is a pleasant 27-year-old female who presents to the clinic today for the evaluation of left foot pain.
The patient sustained an injury to her left foot while playing soccer yesterday. She became entangled with another player, causing the play... |
ACI081 | aci | [doctor] hey lawrence how're you doing
[patient] i'm doing alright aside from this elbow pain
[doctor] so it looks like here that you came in to see us today for an evaluation of that right elbow pain can you tell me can you can you tell me well first of all what do you think has been causing that pain
[patient] so i r... | CHIEF COMPLAINT
Right elbow pain.
HISTORY OF PRESENT ILLNESS
Lawrence Butler is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right elbow pain.
Over the past week, the patient has developed 6/10 pain in the "inside" of his right elbow. The pain may radiate into his forearm on oc... |
ACI082 | aci | [doctor] hi abigail how are you today
[patient] hello hi nice to meet you i'm i'm doing okay
[doctor] good i'm doctor sanchez and i'm gon na go ahead and take a look i saw with your notes that you've been having some knee pain yes that's that's true you know it's been going on for a while i like to run i do jogs i sign... | CHIEF COMPLAINT
Right knee pain.
SOCIAL HISTORY
Patient reports she is an avid runner who enjoys participating in marathons.
FAMILY HISTORY
Patient denies any known family history of arthritis or other immune disease.
REVIEW OF SYSTEMS
Constitutional: Denies fever.
Musculoskeletal: Reports right knee pain.
VITA... |
ACI090 | aci | [doctor] hey anna good to see you today so i'm looking here in my notes says you have you're coming in today for some right ankle pain after a fall so can you tell me what happened how did you fall
[patient] yeah so i was taking out the trash last night and i ended up slipping on a patch of ice like and then when i fel... | CHIEF COMPLAINT
Right ankle pain.
HISTORY OF PRESENT ILLNESS
Anna Diaz is a pleasant 31-year-old female who presents to the clinic today for the evaluation of right ankle pain. The onset of her pain began when she slipped on a patch of ice while taking out the trash. She states that she heard a pop at the time of th... |
ACI092 | aci | [doctor] hey matthew how're you doing
[patient] hey doc i'm doing pretty good how are you
[doctor] i'm doing pretty good hey i see here in the nurse's notes it looks like you hurt your left ankle can you tell me a little bit more about that
[patient] yeah i did my wife and i were on a walk yesterday and i was just talk... | CHIEF COMPLAINT
Left ankle pain.
HISTORY OF PRESENT ILLNESS
Matthew Murphy is a pleasant 20-year-old male who presents to the clinic today for the evaluation of left ankle pain. The onset of his pain began 2 days ago, when he stepped off of a curb and landed on his left ankle wrong. He denies hearing a pop at the ti... |
ACI093 | aci | [doctor] hi jeremy how are you
[patient] i'm really good thank you how are you
[doctor] i'm okay the the medical assistant told me that you had this ulcer on your foot that's been there for a couple of weeks
[patient] yes
[doctor] going away
[patient] yeah it's been there gosh it's like six or so weeks right now and it... | CHIEF COMPLAINT
Right foot ulcer.
HISTORY OF PRESENT ILLNESS
Jeremy Roberts is a 79-year-old male who presents today for evaluation of a right foot ulcer. He reports an ulcer on his right foot has been present for approximately 6 to 8 weeks. He first noticed the ulcer after working outside. There is no associated pa... |
ACI100 | aci | [patient] hi good afternoon joseph how are you doing today
[doctor] i'm doing well but my my big toe hurts and it's a little red too but it really hurts okay how long has this been going on i would say you know off and on for about two weeks but last week is is when it really became painful i was at a a trade show conv... | CHIEF COMPLAINT
Right great toe pain.
HISTORY OF PRESENT ILLNESS
Joseph Walker is a pleasant 58-year-old male who presents to the clinic today for the evaluation of right great toe pain. The onset of his pain began 2 weeks ago, however it worsened last week. He noticed the pain worsening when he was at a trade show ... |
ACI102 | aci | [doctor] hey elijah how are you
[patient] i'm doing okay
[doctor] so i see here that your primary care provider sent you over it looks like you were doing some yard work yesterday and dropped a landscape brick on your foot can what so what's going on with your right foot today
[patient] it's a little sore today but you... | CHIEF COMPLAINT
Right foot pain.
HISTORY OF PRESENT ILLNESS
Elijah Reyes is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right foot pain. The patient was referred by his primary care physician. He sustained an injury yesterday when he dropped a landscape brick on his right foot ... |
ACI103 | aci | [doctor] hi wayne how're you today
[patient] i'm doing okay aside from this left shoulder pain that i've been having
[doctor] okay and how long have you had this pain
[patient] about i want to say a few weeks i think it's been about three weeks now
[doctor] okay and do you remember what you were doing when the pain sta... | CHIEF COMPLAINT
Left shoulder pain.
HISTORY OF PRESENT ILLNESS
Wayne Taylor is a pleasant 66-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. He denies any specific injury. The patient states he is active and has been renovating his bas... |
ACI104 | aci | [doctor] okay raymond it looks like you've been having some difficulty swallowing over for a period of time could you tell me like what's going on
[patient] well i've been better for the last several weeks i've been noticing that it's been hard for me to swallow certain foods and i also have pain when i swallow down in... | CHIEF COMPLAINT
Difficulty swallowing.
HISTORY OF PRESENT ILLNESS
Raymond Taylor is a pleasant 67-year-old male who presents to the clinic today for difficulty swallowing. The patient notes that the pain has been occurring for the last several weeks. The pain radiates to his chest when he swallows. He notes that he ... |
ACI108 | aci | [doctor] alright brittany so i see that you are experiencing some right foot pain could you tell me what happened
[patient] yeah well i was playing tennis and i was trying to you know volley the ball
[doctor] mm-hmm
[patient] it was like a double game and i was trying to volley the ball and i got in front of another pl... | HISTORY OF PRESENT ILLNESS
Brittany Edwards is a 76-year-old female, right-hand-dominant, female who presents to the clinic today for the evaluation of right foot pain. The onset of her pain began 2 days ago, when she was playing tennis and was trying to volley the ball when she got in front of another player and fell... |
ACI110 | aci | [doctor] hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened
[patient] yeah i was walking up and down the stairs i was doing my laundry and i slipped and i tried to catch myself and i put my arms out to catch myself and then all of a sudden i just my w... | CHIEF COMPLAINT
Right wrist injury.
HISTORY OF PRESENT ILLNESS
Diana Scott is a pleasant 61-year-old female who presents to the clinic today for the evaluation of a right wrist injury. The patient sustained this injury yesterday morning, 05/12/2022, when she slipped on the stairs while carrying a laundry basket. She... |
D2N001 | virtassist | [doctor] hi , martha . how are you ?
[patient] i'm doing okay . how are you ?
[doctor] i'm doing okay . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you , okay ?
[patient] okay .
[doctor] martha is a 50-year-old female with a past medical history significant for congestive heart fa... | CHIEF COMPLAINT
Annual exam.
HISTORY OF PRESENT ILLNESS
Martha Collins is a 50-year-old female with a past medical history significant for congestive heart failure, depression, and hypertension who presents for her annual exam. It has been a year since I last saw the patient.
The patient has been traveling a lot re... |
D2N002 | virtassist | [doctor] hi , andrew , how are you ?
[patient] hi . good to see you .
[doctor] it's good to see you as well . so i know that the nurse told you about dax . i'd like to tell dax a little bit about you .
[patient] sure .
[doctor] okay ? so , andrew is a 62-year-old male with a past medical history significant for a kidne... | CHIEF COMPLAINT
Joint pain.
HISTORY OF PRESENT ILLNESS
Andrew Perez is a 62-year-old male with a past medical history significant for a kidney transplant, hypothyroidism, and arthritis. He presents today with complaints of joint pain.
The patient reports that over the weekend, he was moving boxes up and down the ba... |
D2N003 | virtassist | [doctor] hi , john . how are you ?
[patient] hey . well , relatively speaking , okay . good to see you .
[doctor] good to see you as well . so i know the nurse told you about dax . i'm gon na tell dax a little bit about you .
[patient] okay .
[doctor] so john is a 61-year-old male with a past medical history significan... | CHIEF COMPLAINT
Back pain.
HISTORY OF PRESENT ILLNESS
Mr. John Perry is a 61-year-old male with a past medical history significant for kidney stones, migraines, and gastroesophageal reflux, who presents with some back pain.
The patient reports that he is feeling a lot of the same pain that he had when he had kidney... |
D2N004 | virtassist | [doctor] hi , james , how are you ?
[patient] hey , good to see you .
[doctor] it's good to see you , too . so , i know the nurse told you about dax .
[patient] mm-hmm .
[doctor] i'd like to tell dax a little bit about you .
[patient] sure .
[doctor] james is a 57-year-old male with a past medical history significant f... | CHIEF COMPLAINT
Back pain.
HISTORY OF PRESENT ILLNESS
James Allen is a 57-year-old male with a past medical history significant for congestive heart failure and type 2 diabetes, who presents today with back pain.
The patient states he was golfing and hurt his back. This happened approximately 4 days ago when he fel... |
D2N005 | virtassist | [doctor] hey , ms. hill . nice to see you .
[patient] hi , dr. james , good to see you .
[doctor] hey , Sarah , i'm seeing ms. hill . she's a 41-year-old female , and what brings you in today ?
[patient] um , i am having a lot of pain at the end of my right middle finger .
[doctor] what did you do ?
[patient] a little ... | CC:
Right middle finger pain.
HPI:
Ms. Hill is a 41-year-old female who presents today for an evaluation of right middle finger pain after she was rear-ended in a motor vehicle accident. She has no other injuries.
CURRENT MEDICATIONS:
Digoxin
PAST MEDICAL HISTORY:
Atrial Fibrillation
EXAM
Examination of the ri... |
D2N006 | virtassist | [doctor] hi , anna . how are you ?
[patient] i'm doing okay . how are you ?
[doctor] i'm doing okay . so i know the nurse told you about dax . i'd like to tell dax a little bit about you .
[patient] all right .
[doctor] so , anna is a 44-year-old female with a past medical history significant for arthritis , gout , and... | CHIEF COMPLAINT
Follow-up of chronic problems.
HISTORY OF PRESENT ILLNESS
Anna Mitchell is a 44-year-old female with a past medical history significant for arthritis, gout, and reflux, who presents today for follow-up of her chronic problems. It has been about 6 months since I last saw the patient.
The patient repo... |
D2N007 | virtassist | [doctor] and why is she here ? annual exam . okay . all right . hi , sarah . how are you ?
[patient] good . how are you ?
[doctor] i'm good . are you ready to get started ?
[patient] yes , i am .
[doctor] okay . so sarah is a 27-year-old female here for her annual visit . so , sarah , how have you been since the last t... | CHIEF COMPLAINT
Annual visit.
HISTORY OF PRESENT ILLNESS
The patient is a 27-year-old female who presents for her annual visit. The patient reports that she has been doing better since her last visit. She reports that she has been struggling with her depression off and on for the past year. The patient notes that it... |
D2N008 | virtassist | [doctor] hi , stephanie . how are you ?
[patient] i'm doing okay . how are you ?
[doctor] i'm doing okay . um , so i know the nurse talked to you about dax . i'd like to tell dax a little bit about you , okay ?
[patient] okay .
[doctor] so , stephanie is a 49-year-old female with a past medical history significant for ... | CHIEF COMPLAINT
Abnormal labs.
HISTORY OF PRESENT ILLNESS
Ms. Stephanie Diaz is a 49-year-old female with a past medical history significant for congestive heart failure, kidney stones, and prior colonoscopy, who presents today for abnormal labs.
The patient reports she has been really tired and dizzy over the past... |
D2N009 | virtassist | [doctor] hi , bryan . how are you ?
[patient] i'm doing well . i'm a little sore .
[doctor] yeah ?
[patient] yeah .
[doctor] all right , well , i know the nurse told you about dax . i'd like to tell dax a little bit about you , okay ?
[patient] that's fine .
[doctor] so bryan is a 55-year-old male with a past medical h... | CHIEF COMPLAINT
Back pain.
HISTORY OF PRESENT ILLNESS
Bryan Smith is a 55-year-old male with a past medical history significant for and prior discectomy, who presents with back pain.
The patient reports he felt something in the lower right side of his back while pushing a refrigerator up through another room. This ... |
D2N010 | virtassist | [doctor] hi keith , how are you ?
[patient] ah , not too good . my blood sugar is n't under control .
[doctor] and , uh , so keith is a 58-year-old male here for evaluation of high blood sugar . so , what happened ? ha- have you just been taking your blood sugars at home and noticed that they're really high ? or ?
[pat... | CHIEF COMPLAINT
High blood sugar.
HISTORY OF PRESENT ILLNESS
The patient is a 58-year-old male who presents for evaluation of high blood sugar.
The patient states he has been taking his blood sugars at home, and they have been in the 300 's. He notes that his diet has not changed much. He does not eat processed foo... |
D2N011 | virtassist | [doctor] hi , roger . how are you ?
[patient] hey . good to see you .
[doctor] good to see you . are you ready to get started ?
[patient] yes , i am .
[doctor] roger is a 62 year old male here for emergency room follow-up for some chest pain . so , roger , i heard you went to the er for some chest discomfort .
[patient... | HISTORY OF PRESENT ILLNESS
Roger Nelson is a 62-year-old male who presents for emergency room follow-up for chest pain. The patient was doing yard work over the weekend when he began to feel short of breath and a full chest pain for approximately hour. He denies a history of chest pain. The patient notes that after he... |
D2N012 | virtassist | [doctor] hi , joseph . how are you ?
[patient] hey , i'm okay . good to see you .
[doctor] good to see you . are you ready to get started ?
[patient] yes , i am .
[doctor] okay . joseph is a 59 year old male here for routine follow-up of his chronic problems . so , joseph , how have you been doing ?
[patient] yeah , i'... | HISTORY OF PRESENT ILLNESS
Mr. Fisher is a 59-year-old male who presents for routine follow up of his chronic problems.
Mr. Fisher reports that he has been managing his depression. He is on Prozac 20 mg daily and was taking it regularly, but weaned himself off of it and felt a little better. He is currently taking le... |
D2N013 | virtassist | [doctor] hi , john , how are you doing ?
[patient] hi , good to see you .
[doctor] good to see you too . so i know the nurse told you about dax , i'd like to tell dax a little about you .
[patient] sure .
[doctor] so john is a 55-year-old male with a past medical history significant for anxiety and epilepsy who present... | CHIEF COMPLAINT
Abnormal labs.
HISTORY OF PRESENT ILLNESS
John Brooks is a 55-year-old male with a past medical history significant for anxiety and epilepsy, who presents with an abnormal lab finding.
The patient was notified by the emergency room physician that he had elevated blood sugar levels. He was started on... |
D2N014 | virtassist | [doctor] hi , louis . how are you ?
[patient] hi . good to see you .
[doctor] it's good to see you as well . are you ready to get started ?
[patient] yes , i am .
[doctor] louis is a 58-year-old male here for follow up from an emergency room visit . so , louis , what happened ?
[patient] yeah . i was playing tennis on ... | CHIEF COMPLAINT
Follow-up from an emergency room visit.
HISTORY OF PRESENT ILLNESS
Louis Williams is a 58-year-old male presenting for a follow-up from an emergency room visit.
The patient states that he was playing tennis on Saturday, that he was really hot and that after approximately 30 minutes he was struggling... |
D2N015 | virtassist | [doctor] thanks , rachel . nice , nice to meet you .
[patient] yeah .
[doctor] um , as my nurse told you , we're using dax . so i'm just gon na tell dax a little bit about you .
[patient] mm-hmm .
[doctor] so rachel is a 48-year-old female here for shortness of breath . she has a history of depression , smoking , and c... | CHIEF COMPLAINT
Shortness of breath.
HISTORY OF PRESENT ILLNESS
The patient is a 48-year-old female who presents for shortness of breath. She has a history of depression, smoking and chronic back pain.
The patient reports shortness of breath with mild exercise and walking. She also notes some palpitations at times.... |
D2N016 | virtassist | [doctor] hi , edward , how are you ?
[patient] i'm doing well , yourself ?
[doctor] i'm doing okay .
[patient] good .
[doctor] so , i know the nurse told you about dax . i'd like to tell dax a little bit about you .
[patient] absolutely .
[doctor] edward is a 59 year old male with a past medical history significant for... | CHIEF COMPLAINT
Follow-up of chronic problems.
HISTORY OF PRESENT ILLNESS
Edward Butler is a 59-year-old male with a past medical history significant for depression, hypertension, and prior rotator cuff repair. He presents for a follow-up of his chronic problems.
Regarding his depression, he has been doing pretty w... |
D2N017 | virtassist | [doctor] hello , mrs . peterson .
[patient] hi , doctor taylor . good to see you .
[doctor] you're here for your hip today , or your- your leg today ?
[patient] yes . i hurt my- the- my- top part of my right leg here .
[doctor] hey , Sarah . i'm seeing mrs . peterson , here , she's a 43-year-old patient . she's here fo... | CC:
Right leg pain.
HPI:
Ms. Peterson is a 43-year-old female who presents today for an evaluation of right leg pain. She states she was bowling and hit her leg with the ball and fell. She developed mild bruising. She denies swelling. She has been walking very carefully. She is alternating Tylenol and ibuprofen. She... |
D2N018 | virtassist | [doctor] hi miss russell .
[patient] hi-
[doctor] nice to meet you-
[patient] doctor gutierrez . how are you ?
[doctor] i'm well .
[patient] good .
[doctor] hey Sarah . i'm seeing miss russell . she's a 39-year-old female here for , what are you here for ?
[patient] it's my right upper arm . it hurts really , really ba... | CC:
Right upper arm pain.
HPI:
Ms. Russell is a 39-year-old female who presents today for an evaluation of severe right upper arm pain. She states she was playing volleyball yesterday and fell and landed on her arm. She has been taking ibuprofen every 6 hours but it does not help. She rates her pain 9/10. She denies... |
D2N019 | virtassist | [doctor] hi ms. hernandez , dr. fisher , how are you ?
[patient] hi dr. fisher . i'm doing okay except for my elbow here .
[doctor] all right . so it's your right elbow ?
[patient] it's my right elbow , yes .
[doctor] okay . hey Sarah , ms. hernandez is a 48-year-old female here for a right elbow . so , tell me what ha... | CC:
Right elbow pain.
HPI:
Ms. Hernandez is a 48-year-old female who presents today for an evaluation of right elbow pain. She states she was moving boxes from the truck into the house yesterday and felt a pop in her elbow. She has tried applying ice and taking Ibuprofen, but it does not help. She has a history of a... |
D2N020 | virtassist | [doctor] hi , vincent . how are you ?
[patient] i'm good . how about you ?
[doctor] i'm good . so le- are you ready to get started ?
[patient] i am .
[doctor] okay . vincent is a 56-year-old male here with abnormal lab findings . so , i've heard you were in the er , vincent , and they found that you had a low hemoglobi... | CHIEF COMPLAINT
Abnormal labs.
HISTORY OF PRESENT ILLNESS
Mr. Vincent Young is a 56-year-old male who presents to the clinic today for evaluation of abnormal labs.
The patient was seen in the emergency room where he was found to have low hemoglobin. He notes that he has been very lightheaded. He denies any hematoch... |
D2N021 | virtscribe | [doctor] next patient is christine hernandez , uh , date of birth is january 13th , 1982 .
[doctor] hey , miss christine , how are you doing today ?
[patient] i'm good , thanks . how are you ?
[doctor] i'm pretty good . so it looks like you've completed the covid vaccine , that's great .
[patient] yes , i did .
[doctor... | CHIEF COMPLAINT
Hypothyroidism.
Abnormal liver enzymes.
Abnormal weight gain.
Acne vulgaris.
HISTORY OF PRESENT ILLNESS
Christine Hernandez is a 39-year-old female who presents today for evaluation and management of abnormal liver enzymes and hypothyroidism.
When the patient was last seen, her thyroid medicine was ... |
D2N022 | virtscribe | [doctor] this is philip gutierrez , date of birth 1/12/71 . he is a 50-year-old male here for a second opinion regarding the index finger on the right hand . he had a hyperextension injury of that index finger during a motor vehicle accident in march of this year . he was offered an injection of the a1 polyregion , but... | CHIEF COMPLAINT
Right index finger hyperextension injury.
HISTORY OF PRESENT ILLNESS
Ms. Philip Gutierrez is a pleasant 50-year-old right-hand-dominant male here today for a 2nd opinion regarding evaluation of the right index finger hyperextension injury sustained during a motor vehicle accident in 03/2021.
In summ... |
D2N023 | virtscribe | [doctor] next patient is paul edwards , date of birth is january 15th 1962 . so he's a 59 year old hiv positive gentleman here for hypogonadism . patient was last seen on november 24th 2020 . his notable things are number one , he is on 1 milliliter every 10 days , uh , his levels were less than 300 to begin with . he'... | CHIEF COMPLAINT
Hypogonadism.
HISTORY OF PRESENT ILLNESS
Mr. Paul Edwards is a 59-year-old male, an established patient, who presents to the clinic today for hypogonadism. He was last seen on 11/24/2020. The patient’s history includes positive for HIV, and today he is concerned with gynecomastia.
The patient is doi... |
D2N024 | virtscribe | [doctor] patient is pamela cook . medical record number is 123546 . she's a 36-year-old female post bilateral reduction mammoplasty on 10-10 20-20 .
[doctor] hey , how are you ?
[patient] good . how are you ?
[doctor] i'm doing well . it's good to see you . how have you been ?
[patient] i've been doing good .
[doctor] ... | CHIEF COMPLAINT
Follow up bilateral reduction mammoplasty.
HISTORY OF PRESENT ILLNESS
Pamela Cook is a 36-year-old female who is returning for a postoperative visit. Status post bilateral reduction mammaplasty 10/10/2020.
The patient was last seen in clinic by Ruth Sanchez, PA in 03/2021 at which time there was a l... |
D2N025 | virtscribe | [doctor] next patient is nicole miller . date of birth is 09/18/1949 . patient was called for a follow-up with me for chronic congestive heart failure with diastolic dysfunction . bmp's been , uh , 3,000 in march , and is about six- was up to 6,000 in april . she was increasingly dyspneic . we changed her furosemide an... | CHIEF COMPLAINT
Follow-up.
HISTORY OF PRESENT ILLNESS
Nicole Miller is a 71-year-old female who presents for follow-up. The patient was called in for a follow up with me for chronic congestive heart failure with diastolic dysfunction. Her BNP had been 3000 in 03/2021, up to 6000 in 04/2021. She was increasingly dysp... |
D2N026 | virtscribe | [doctor] dictating on donald clark . date of birth , 03/04/1937 . chief complaint is left arm pain . hello , how are you ?
[patient] good morning .
[doctor] it's nice to meet you . i'm dr. miller .
[patient] it's nice to meet you as well .
[doctor] so , i hear you are having pain this arm . is that correct ?
[patient] ... | CHIEF COMPLAINT
Left arm pain.
HISTORY OF PRESENT ILLNESS
He reports that his left arm pain began approximately 2 weeks ago. He woke around 2:00 am with intense pain in his left arm and hand. He applied ice and after 2-3 hours, the pain improved and he was able to go back to sleep, the pain did not return until that... |
D2N027 | virtscribe | [doctor] eugene walker , n- date of birth 4/14/1960 . he's a 61-year-old male who presents today , uh , for a routine follow-up with chronic medical conditions .
[doctor] of note , the patient underwent an aortic valve replacement and ascending aortic aneurysm repair on 1/22/2013 . regarding his blood work from 4/10/20... | CHIEF COMPLAINT
Routine follow up of chronic medical conditions.
HISTORY OF PRESENT ILLNESS
Mr. Eugene Walker is a 61-year-old male who presents today for a routine follow-up of his chronic medical conditions.
Today, the patient reports feeling more fatigued as of late. He notes that he usually rides his bike for a... |
D2N028 | virtscribe | [doctor] patrick allen . date of birth : 7/7/1977 . new patient visit . past medical history includes gerd , anxiety , depression . here for chronic abdominal pain . he had an abdominal ct on 1/23/2020 . impression is a normal ct of the ab- abdomen .
[doctor] hello , are you mr. allen ?
[patient] yes , i am .
[doctor] ... | CHIEF COMPLAINT
Abdominal pain and diarrhea.
HISTORY OF PRESENT ILLNESS
Patrick Allen is a 42-year-old male who presents for a new patient visit for chronic abdominal pain, constipation, and diarrhea.
Mr. Allen reports experiencing intermittent mid-abdominal pain for approximately 2 years. The pain is localized jus... |
D2N029 | virtscribe | [doctor] next patient is sophia jackson , mrnr472348 . she's a 57 year old female who is here for a surgical consult . her dermatologist referred her . she biopsied a 0.7 millimeter lesion which was located on right inferior back . pathology came back as melanoma .
[doctor] mrs. jackson , it's good to meet you .
[patie... | CHIEF COMPLAINT
Melanoma.
HISTORY OF PRESENT ILLNESS
Sophia Jackson is a very pleasant 57-year-old female who presents for a surgical consult for melanoma of the right inferior back. She was referred by her dermatologist who biopsied the 0.7 mm lesion on 04/10 and diagnosed the melanoma. The lesion was initially not... |
D2N030 | virtscribe | [doctor] donna torres , date of birth , 08/01/1980 .
[doctor] hi donna ! how are you ?
[patient] i'm good . how about you ?
[doctor] i'm doing well , thank you . and so , i saw that dr. brown put you on buspar . have you been on that before ?
[patient] no , that's new .
[doctor] okay . how is it working for you ?
[pati... | CHIEF COMPLAINT
Follow-up bilateral breast cysts.
HISTORY OF PRESENT ILLNESS
Donna Torres is a 40-year-old female who presents for follow-up surveillance of bilateral breast cysts.
The patient reports continual presence of “lumps” in bilateral breasts with some soreness. She is being seen today for surveillance of ... |
D2N031 | virtscribe | [doctor] sophia brown . date of birth , 3/17/1946 . this is a new patient visit . she's here to establish care for a history of dcis . we'll go over the history with the patient .
[doctor] hello , ms. brown .
[patient] hi . yes , that's me .
[doctor] wonderful . i'm doctor stewart . it's lovely to meet you .
[patient] ... | CHIEF COMPLAINT
History of right ductal carcinoma in situ (DCIS).
HISTORY OF PRESENT ILLNESS
Sophia Brown is a 75 y.o. female who presents today for a new patient evaluation due to her history of right DCIS. She is doing well but wishes to establish care today for continued monitoring.
The patient underwent a scree... |
D2N032 | virtscribe | [doctor] good morning ms. reyes !
[patient] good morning .
[doctor] how are you doing ma'am ?
[patient] i'm doing well doctor , how are you ?
[doctor] i am fine thank you . so you've been having some problems with your right hip ?
[patient] yeah .
[doctor] okay , and where are you hurting ? can you show me ?
[patient] ... | CHIEF COMPLAINT
Right hip pain.
HISTORY OF PRESENT ILLNESS
Elizabeth Reyes is a 56-year-old female who presents for the evaluation of pain in her right hip and groin region. Her symptoms started on 02/2020 and has progressively worsened. She is employed as an RN and notes that her symptoms began while she was workin... |
D2N033 | 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... |
D2N034 | 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... |
D2N035 | aci | [doctor] well hello christina so how are you doing i was notified you were in the hospital for some heart failure what happened
[patient] well i'm doing better now but i just started having problems that my ankles were swelling and could n't get them to go down even when i went to bed and could n't breathe very good ha... | CHIEF COMPLAINT
Emergency department follow up.
MEDICAL HISTORY
Patient reports history of hypertension.
MEDICATIONS
Patient reports taking Bumex 2 mg once daily, Cozaar 100 mg daily, and Norvasc 5 mg once daily.
REVIEW OF SYSTEMS
Constitutional: Denies sleep disturbance.
Cardiovascular: Denies chest pain.
Respi... |
D2N036 | 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 right 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 d... | 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... |
D2N037 | aci | [doctor] hey dylan what's going on so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore which elbow is it
[patient] actually it's both my elbows but my right elbow is hurting me the most
[doctor] okay and you said you lif... | CHIEF COMPLAINT
Bilateral elbow pain, right worse than left.
HISTORY OF PRESENT ILLNESS
Dylan Bennett is a pleasant 53-year-old male who presents to the clinic today for the evaluation of bilateral elbow pain, right worse than left.
The patient has been experiencing bilateral elbow pain, right worse than left, for ... |
D2N038 | 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... |
D2N039 | aci | [doctor] hi virginia how are you today what brings you in
[patient] i'm doing alright i started seeing this new pcp last year and you know she has been doing a lot of changes to my medication and making sure everything is up to date and she my noticed that my blood pressure has been quite high so she added to medicatio... | CHIEF COMPLAINT
High blood pressure.
SOCIAL HISTORY
Patient reports drinking a couple of beers during the week and approximately 1 to 2 on the weekend. She is employed.
FAMILY HISTORY
Patient reports both of her parents have hypertension and one also had kidney disease.
MEDICATIONS
Patient reports taking Norvasc... |
D2N040 | 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... |
D2N041 | aci | [doctor] hi teresa what's going on i heard that i heard that you're having a sore throat you're not feeling well
[patient] yeah my throat has been hurting me for like four four days now and i think i had a fever last night because i was really sweaty but i did n't take my temperature because i was already in bed
[docto... | CHIEF COMPLAINT
Sore throat.
MEDICAL HISTORY
Patient reports history of hypertension and diabetes.
SOCIAL HISTORY
Patient reports working as a cashier in a supermarket. She enjoys drinking wine.
MEDICATIONS
Patient reports taking lisinopril 20 mg daily, multi-vitamin, vitamin D, and metformin 1000 mg twice daily... |
D2N042 | aci | [doctor] good morning carolyn how are you
[patient] i'm doing alright other than this ankle pain i've been having
[doctor] so i see here that you hurt your right ankle can you tell me what happened
[patient] yeah so yesterday i was going to take out the trash and it was quite icy i thought i was doing okay job and i ju... | CHIEF COMPLAINT
Right ankle pain.
HISTORY OF PRESENT ILLNESS
Carolyn Jones is a pleasant 38-year-old female who presents to the clinic today for evaluation of right ankle pain.
The patient sustained an injury to her right ankle when she slipped and fell on ice while taking her garbage out yesterday. This was her fi... |
D2N043 | 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... |
D2N044 | aci | [doctor] good morning julie how are you doing this morning
[patient] i've been better my primary care doctor wanted me to see you because of this this knee pain that i've been having for about six months now
[doctor] okay and do you remember what caused the pain initially
[patient] honestly i do n't i ca n't think of a... | CHIEF COMPLAINT
Bilateral knee pain.
SOCIAL HISTORY
The patient is an avid runner. She also works from home.
REVIEW OF SYSTEMS
Musculoskeletal: Reports bilateral knee pain. Denies knee swelling.
Skin: Denies redness.
VITALS
Blood pressure: 120/70 mmHg
Heart rate: 60 bpm
Respirations: 14
PHYSICAL EXAM
Neurologi... |
D2N045 | aci | [doctor] hi abigail how are you today
[patient] hello hi nice to meet you i'm i'm doing okay
[doctor] good i'm doctor sanchez and i'm gon na go ahead and take a look i saw with your notes that you've been having some knee pain yes that's that's true you know it's been going on for a while i like to run i do jogs i sign... | CHIEF COMPLAINT
Right knee pain.
SOCIAL HISTORY
Patient reports she is an avid runner who enjoys participating in marathons.
FAMILY HISTORY
Patient denies any known family history of arthritis or other immune disease.
REVIEW OF SYSTEMS
Constitutional: Denies fever.
Musculoskeletal: Reports right knee pain.
VITA... |
D2N046 | 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:... |
D2N047 | 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... |
D2N048 | aci | [doctor] alright brittany so i see that you are experiencing some right foot pain could you tell me what happened
[patient] yeah well i was playing tennis and i was trying to you know volley the ball
[doctor] mm-hmm
[patient] it was like a double game and i was trying to volley the ball and i got in front of another pl... | HISTORY OF PRESENT ILLNESS
Brittany Edwards is a 76-year-old female, right-hand-dominant, female who presents to the clinic today for the evaluation of right foot pain. The onset of her pain began 2 days ago, when she was playing tennis and was trying to volley the ball when she got in front of another player and fell... |
D2N049 | 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... |
D2N050 | 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... |
D2N051 | aci | [doctor] hi jeremy how are you
[patient] i'm really good thank you how are you
[doctor] i'm okay the the medical assistant told me that you had this ulcer on your foot that's been there for a couple of weeks
[patient] yes
[doctor] going away
[patient] yeah it's been there gosh it's like six or so weeks right now and it... | CHIEF COMPLAINT
Right foot ulcer.
HISTORY OF PRESENT ILLNESS
Jeremy Roberts is a 79-year-old male who presents today for evaluation of a right foot ulcer. He reports an ulcer on his right foot has been present for approximately 6 to 8 weeks. He first noticed the ulcer after working outside. There is no associated pa... |
D2N052 | 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... |
D2N053 | aci | [doctor] so barbara i i know you are here for some itchy scalp pain can you tell me a little bit about how you're doing
[patient] yeah it's still quite a problem you know something i've been suffering with for so long now it's still quite itchy and it's really embarrassing too because i'll have dandruff so much like al... | CHIEF COMPLAINT
Itchy scalp pain.
REVIEW OF SYSTEMS
Constitutional: Denies fever or weight loss.
HENT: Reports scalp pain Musculoskeletal: Denies joint pain.
Skin: Reports itchy scalp Denies any rashes.
VITALS
BP: 130/68.
HR: 98.
RR:18.
Temperature is 97.7 today.
PHYSICAL EXAM
Integumentary
- Examination: Scalp ... |
D2N054 | aci | [doctor] hey elijah how are you
[patient] i'm doing okay
[doctor] so i see here that your primary care provider sent you over it looks like you were doing some yard work yesterday and dropped a landscape brick on your foot can what so what's going on with your right foot today
[patient] it's a little sore today but you... | CHIEF COMPLAINT
Right foot pain.
HISTORY OF PRESENT ILLNESS
Elijah Reyes is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right foot pain. The patient was referred by his primary care physician. He sustained an injury yesterday when he dropped a landscape brick on his right foot ... |
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