Complex_CoT stringlengths 834 5.54k | messages listlengths 2 2 |
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Alright, so we're dealing with a 7-month-old child who had an H. influenzae type B meningitis diagnosis. I know that this type of bacteria can lead to some serious issues, especially in kids. Meningitis, that's the brain and spinal cord inflammation, right? And I've heard it can cause sensory problems. In small childre... | [
{
"content": "In a 7-month-old child diagnosed with H. influenzae meningitis, what investigation should be conducted during follow-up to assess potential complications related to hearing?",
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{
"content": "In a 7-month-old child who has been diagnosed with H. influenzae meningitis, a... |
Okay, so we have a 40-year-old woman, it's her first time pregnant, and she’s been diagnosed with endometriosis. The laparoscopy showed some interesting things. I see there are chocolate cysts on both her ovaries. Those are definitely endometriosis-related. And, oh, there are endometriotic spots here and there, like on... | [
{
"content": "What is the treatment of choice for a 40-year-old primiparous woman diagnosed with endometriosis during diagnostic laparoscopy, where findings include normal uterus, chocolate cysts on both ovaries, endometriotic deposits on the round ligament on the right side, both fallopian tubes, and the pouch... |
Alright, so we've got a 25-year-old woman dealing with systemic lupus erythematosus. That already tells me her immune system is being a bit problematic. Now, she's got these spots all over, which are petechiae, she's feeling super tired, and there’s that normocytic anemia. Oh, and her platelets are low. That's thromboc... | [
{
"content": "What is the most likely underlying mechanism causing thrombocytopenia in a 25-year-old woman with systemic lupus erythematosus, presenting with diffuse petechiae, fatigue, lymphadenopathy, splenomegaly, normocytic anemia, and low platelet count?",
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"content": "In a 2... |
Alright, let's think this through. The symptoms at hand start with hyperacusis, which tells us something interesting about the facial nerve. When you get hyperacusis, it usually means that the stapedius muscle isn't working properly, and that muscle is controlled by the nerve to stapedius. So, we know the lesion is aro... | [
{
"content": "A patient presents with hyperacusis, loss of lacrimation and loss of taste sensation in the anterior 2/3rd of the tongue. Oedema extends up to which level of facial nerve -\nA. Vertical part\nB. Vertical part proximal to nerve to stapedius\nC. Vertical part and beyond nerve to stapedius\nD. Proxim... |
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