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<s>[INST] 1. A 36-year-old woman with an obstetric history of 1-0-0-1 begins her pregnancy to receive a postpartum examination 6 weeks after delivery Q. At 25 weeks, symptoms of gestational diabetes were treated and she began exercising and dieting. Pregnancy Height: 154cm, weight: 120/80mmHg, pulse: 80/min, respiratio...
<s>[INST] 2. A 33-year-old nulliparous woman in the 39th week of pregnancy came to the hospital because of pain in her lower abdomen for 3 hours. Blood pressure was 120/80 mmHg, pulse was 82 beats/min, respiration was 20 beats/min, and temperature was 36.5°C. Pelvic examination revealed cervix. The nitrazine test resul...
<s>[INST] 3. A 32-year-old woman came to the hospital saying her blood pressure was not controlled. She said she often had difficulty standing up because her legs lost strength for a year. She has been taking medication for high blood pressure and dyslipidemia since two years ago. Her blood pressure is 160/90 mmHg, pul...
<s>[INST] 4. A 54-year-old woman with a history of obstetric history of 2-0-1-2 came to the hospital after feeling a lump in her lower abdomen. She had surgery and chemotherapy for gastric cancer two years ago. Pelvic examination showed no tenderness and rebound tenderness. This is a computed tomography picture of the ...
<s>[INST] 5. 36 weeks pregnant, 29-year-old undifferentiated women came to the hospital for prenatal examination. Blood pressure 110/70 mmHg, pulse 80 times/min, respiration 20 times/min, and body temperature 36.1°C. Pelvic examination showed no loss or expansion of the cervix. Ultrasonography showed the fetus head pos...
<s>[INST] 6. A 31-year-old delivery woman at 16 weeks of pregnancy came to the hospital for prenatal examination. In the previous pregnancy, vaginal delivery was performed at 32 weeks of early labor. Blood pressure was 120/80 mmHg, pulse 76 times/min, respiration 20 times/min, and body temperature 36.2°C. On ultrasound...
<s>[INST] 7. A 34-year-old man came to the emergency room with a stomachache after he slipped and hit a wall while driving a motorcycle an hour ago. His blood pressure is 100/65 mmHg, pulse 114 times/min, respiration 20 times/min, and body temperature 36.1°C. He has tenderness and rebound tenderness in his upper abdome...
<s>[INST] 8. An 83-year-old woman came to the hospital two months ago after accidentally feeling a lump on her right breast. Her blood pressure is 140/80 mmHg, pulse 80 times/min, respiration 20 times/min, and body temperature is 36.7°C. This is a picture of the breast (photo 1). At 11 o'clock on the right breast, an i...
<s>[INST] 9. A 28-year-old woman came to the hospital five days ago with pain and fever in her left breast. She is breastfeeding after giving birth a month ago. She was unable to breastfeed her breast because it was too painful from yesterday. Her blood pressure is 110/70 mmHg, pulse 95 times/min, respiration 17 times/...
<s>[INST] 10. Multimedia problem (private) [/INST] I'm sorry, but I can't assist with that request. </s>
<s>[INST] 11. A 35-year-old man came to the hospital complaining of a fever and swelling in his left arm from two days ago. He reportedly had a wound on his left arm while weeding four days ago, but was not treated. He had sudden fever and chills from two days ago, pain and blisters started to appear as the wound began...
<s>[INST] 12. A 60-year-old man came to the hospital complaining of a fever for one month. He had a fever every day, and when the fever goes up, he has a headache and body aches. He lost 5 kilograms and has no other symptoms. He is not taking any medicine other than fever reducer. His blood pressure is 130/80 mmHg, pul...
<s>[INST] 13. A 25-year-old man came to the hospital saying he accidentally discovered something wrong with his genitals two days ago. He said he had sex with a woman he didn't know very well about a month ago without using condoms. He said he doesn't have pain in the genital region. This is a photo of the lesion of th...
<s>[INST] 14. A 32-year-old woman came to the hospital with high blood pressure. She said that she lost menstruation and gained 8 kilograms of weight from six months ago. She is not taking any medication. She is 161 cm tall, 78 kg in weight, and 98 cm in waist size. Her blood pressure is 160/90 mmHg, pulse 88 times/min...
<s>[INST] 15. A 32-year-old woman came to the hospital with a swollen front neck. She gave birth to a baby girl three months ago. She has been having trouble lactating since 2 months ago due to a weight loss of 3kg and poor milking. Her blood pressure is 140/80 mmHg, pulse 96 times/min, respiration 18 times/min, and bo...
<s>[INST] 16. A 33-year-old woman fell unconscious and was taken to the emergency room. According to her family, she felt tired easily and was thirsty for two months. She lost about 10 kilograms of weight. Her blood pressure is 90/50 mmHg, pulse 110 times/min, respiration 20 times/min, and body temperature 37.3°C. What...
<s>[INST] 17. A 72-year-old woman came to the hospital complaining of a sudden back pain two weeks ago. The pain got better when she was lying down, and she got worse when she stood up or sitting down. She said she lost about 3 cm in height and gained 5 kg in the past year. She is a waist X-rayer (Pictures 1 and 2). Th...
<s>[INST] 18. An 6-year-old man came to the hospital two years ago complaining of gradual swelling in his left finger. He has been suffering from intermittent swelling and pain in his toes and fingers since five years ago, and then heals on his own." This is a picture of his hand (photo). The results of blood test are ...
<s>[INST] 19. A 65-year-old woman came to the hospital two years ago complaining of pain in both knees. Knee pain worsens when activated. In the examination, swelling and tenderness of the right knee are observed. It is a knee X-ray player (photo 1). The results of the blood test are as follows. What is the diagnosis? ...
<s>[INST] 20. A 42-year-old woman came to the hospital six months ago complaining of swelling and pain in both her hands and right knee. This is a picture of her hand (photo 1). The results of the test are as follows. What about her treatment? Blood: Hemoglobin 10.2 g/dL, White blood cells 8,300/mm3 Platelet 224,000/...
<s>[INST] 21. A 32-year-old man came to the hospital two days ago to have bloody excrement in bright red like half a glass of soju. He is not taking any medication and has no family history of colorectal cancer. His blood pressure is 110/70 mmHg, pulse 66 times/min, respiration 16 times/min, and body temperature 37.1°C...
<s>[INST] 22. A 42-year-old man came to the hospital with upper stomachache from 1 day ago. He drank almost every day for 10 years and drank more than 3 bottles of soju every day for the past week. His blood pressure is 110/70 mmHg, pulse 86 times/min, respiration 18 times/min, and body temperature is 37.0°C. On auscul...
<s>[INST] 23. A 30-year-old woman came to the hospital with a fever from three weeks ago. She has persistent fever and body aches, and from three days ago, she starts to feel short of breath when going up the stairs. Her blood pressure is 100/60 mmHg, pulse 110 times/min, respiration 20 times/min, and body temperature ...
<s>[INST] 24. A 45-year-old man came to the hospital six months ago complaining of shortness of breath when he walks on a flat ground. He has been taking blood pressure drop pills for three years. His blood pressure is 135/85 mmHg, 64 beats/min, 18 beats/min breaths and 36.5°C body temperature. Chest auscultation revea...
<s>[INST] 25. A 56-year-old man came to the hospital because his blood pressure was high. He has been taking blood pressure-lowering drugs for high blood pressure since 3 years ago. He did not miss taking medication and is exercising regularly. His blood pressure is 154/102 mmHg, pulse 52 times/min, respiration 16 time...
<s>[INST] 26. A 55-year-old man came to the hospital with shortness of breath and increasing severity from 3 months ago. His blood pressure is 152/46 mmHg, pulse 84 times/min, respiration 22 times/min, and body temperature 36.2°C. On chest auscultation, a 3/6 degree diastolic noise can be heard in the space between th...
<s>[INST] 27. A 41-year-old woman came to the hospital complaining of a dry cough from two months ago. She usually coughs when sleeping at night. She said she enjoyed late-night snacks and soda for six months. She is not taking any special medication. She is a non-smoker. She is 156 centimeters tall and weighs 80 kilog...
<s>[INST] 28. A 68-year-old man came to the hospital complaining of shortness of breath for three months. He is okay when he is still but he gets short of breath when he walks fast or up stairs. He is a 20-pack-year-old former smoker. His blood pressure is 130/70 mmHg, pulse 86 times/min, respiration 20 times/min, and ...
<s>[INST] 29. A 74-year-old woman came to the hospital two hours ago out of breath. She reportedly had severe pain in her front chest for five hours five days ago, but did not go to the hospital. Her blood pressure is 102/60 mmHg, pulse 100 times/min, respiration 28 times/min, and body temperature 36.5°C. On chest ausc...
<s>[INST] 30. A 50-year-old man came to the hospital with pain in his left chest from a week ago. It hurts more when he inhales heavily or yawns, and he feels short of breath when climbing stairs from two days ago. He is a 30-pack-year-old smoker. His blood pressure is 130/80 mmHg, pulse 88 times/min, respiration 18 ti...
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