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**1. Subjective:** **Chief Complaint (CC):** Watery diarrhea and abdominal cramping. **History of Present Illness (HPI):** The patient, John Doe, is a 28-year-old male who presents via telemedicine consultation with a 2-day history of moderate watery diarrhea occurring approximately 4-5 times per day, accompanied by ...
[doctor]: Good morning, how are you today? [patient]: Good morning, Doctor. I'm not feeling too well, actually. [doctor]: I'm sorry to hear that. Can you tell me what's been going on? [patient]: I've had watery diarrhea for the past two days, about 4-5 times a day, along with some abdominal cramping, mild fever, and...
A047
ENTEROCOLITIS DUE TO CLOSTRIDIUM DIFFICILE
**1. Subjective:** **Chief Complaint (CC):** - Severe watery diarrhea and moderate lower abdominal pain. **History of Present Illness (HPI):** - The patient is a 60-year-old Hispanic male named Carlos Martinez who presents to the Urgent Care Center for severe watery diarrhea and moderate lower abdominal pain. Symptom...
[doctor] Hi, how are you doing today? [patient] Not so good, doc. I've been having really bad diarrhea and stomach pain. [doctor] I'm sorry to hear that. Can you tell me more about your symptoms? [patient] Sure. It started about 4 days ago. I've been having severe watery diarrhea, like 8 to 10 times a day, and my lo...
A0472
ENTEROCOLITIS DUE TO CLOSTRIDIUM DIFFICILE, NOT SPECIFIED AS RECURRENT
**1. Subjective:** **Chief Complaint (CC):** Severe diarrhea and associated symptoms. **History of Present Illness (HPI):** Ms. Garcia is a 41-year-old African American female who presents today for an evaluation of severe diarrhea, which has persisted for 2 days. She reports having a high fever, chills, weakness, an...
[doctor]: Good morning, Ms. Garcia. I see you’re here today because of severe diarrhea. Can you tell me a bit more about what’s been going on? [patient]: Good morning, doctor. Yes, I've been having really bad diarrhea for the past two days. It happens every 30 minutes, and it's been terrible. [doctor]: That sounds ve...
A084
VIRAL INTESTINAL INFECTION, UNSPECIFIED
**1. Subjective:** **Chief Complaint (CC):** Profuse watery diarrhea, severe abdominal pain, vomiting, and high fever for 2 days. **History of Present Illness (HPI):** The patient, a 34-year-old Caucasian male with a postgraduate education and a job as a full-time high school teacher, presents to the urgent care cent...
[doctor]: Hi there, how are you feeling today? [patient]: Hi, not so great, to be honest. I've been really sick the past couple of days. [doctor]: I'm sorry to hear that. What seems to be the problem? [patient]: I've had really bad diarrhea, severe abdominal pain, vomiting, and a high fever for the past two days. [...
A09
INFECTIOUS GASTROENTERITIS AND COLITIS, UNSPECIFIED
##### **1. Subjective:** **Chief Complaint (CC):** Fatigue, joint pain, headache, and rash. **History of Present Illness (HPI):** The patient, Ms. Emily Johnson, is a 42-year-old Caucasian female with a history of hypertension, managed with Amlodipine 5 mg daily. She presents today with complaints of fatigue, joint p...
[doctor] Hi there, how are you feeling today? [patient] Hi, I'm okay, but I've been feeling really tired and have some other symptoms. [doctor] Hmm, okay. Let’s talk about what's been going on. What symptoms have you been experiencing? [patient] I've been feeling fatigued, having joint pain, headaches, and I've also...
A4101
SEPSIS DUE TO METHICILLIN SUSCEPTIBLE STAPHYLOCOCCUS AUREUS
##### **1. Subjective:** **Chief Complaint (CC):** High-grade fever, lethargy, and severe joint pain. **History of Present Illness (HPI):** A 55-year-old Asian female with a history of Rheumatoid Arthritis and Chronic Hepatitis C presents with a 72-hour history of severe symptoms, including high-grade fever, rigors, ...
[doctor] Hi there, how are you feeling today? [patient] Hi, Doctor. I'm feeling really awful, to be honest. [doctor] I'm sorry to hear that. Can you tell me more about what's been going on? [patient] Sure. I've had a high-grade fever for the past three days, and I'm just so tired and in a lot of pain. My joints hurt...
A4102
SEPSIS DUE TO METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS
##### **1. Subjective:** **Chief Complaint (CC):** Severe fever, hypotension, and newly developed palpitations. **History of Present Illness (HPI):** The patient is a 68-year-old Asian female with a history of congestive heart failure and atrial fibrillation who presents with a 48-hour history of severe fever (38.7°C...
[doctor] Hi, how are you feeling today? [patient] Hi, doctor. Not so great, to be honest. I've been feeling really unwell. [doctor] I'm sorry to hear that. Can you tell me more about what's been going on? [patient] Well, I've had this severe fever for the past two days, and my heart has been racing. I also feel very...
A4151
SEPSIS DUE TO ESCHERICHIA COLI [E. COLI]
##### **1. Subjective:** **Chief Complaint (CC):** - Routine follow-up for chronic disease management, presenting with fever, chills, generalized weakness, and hyperglycemia. **History of Present Illness (HPI):** - Ms. Helen Brown, a 62-year-old African American female, presents for a follow-up visit due to worsening...
[doctor]: Good afternoon, Ms. Brown. How are you feeling today? [patient]: Good afternoon, Doctor. I'm not feeling so well. I've had a fever, chills, and I feel really weak. [doctor]: I'm sorry to hear that. How long have you been experiencing these symptoms? [patient]: It's been about five days now. It started with...
A4159
OTHER GRAM-NEGATIVE SEPSIS
**1. Subjective:** **Chief Complaint (CC):** The patient, a 45-year-old Asian male, presents with severe abdominal pain, high fever, and confusion. **History of Present Illness (HPI):** The patient reports experiencing severe abdominal pain, high fever, jaundice, confusion, and weakness for the past 36 hours. He is c...
**[Doctor]** Hi there. How are you feeling today? **[Patient]** Not good, doctor. I'm in a lot of pain. **[Doctor]** I'm sorry to hear that. Can you tell me a bit more about what's been going on? **[Patient]** Sure. I've been having really bad abdominal pain and a high fever for the last day and a half. I'm also fee...
A4189
OTHER SPECIFIED SEPSIS
##### **1. Subjective:** **Chief Complaint:** High fever, significant fatigue, nausea, decreased urine output, and abdominal pain for the last 3 days. **History of Present Illness:** The patient is a 45-year-old Hispanic male who presents with a severe high fever (102°F), significant fatigue, nausea, decreased urine...
[doctor]: Hi, good afternoon. How are you doing today? [patient]: Hi, I'm not feeling well at all. I've had a high fever, I'm extremely tired, and I've been feeling nauseous. [doctor]: Oh no, I'm sorry to hear that. How long have these symptoms been going on? [patient]: It's been about three days now. The fever is r...
A419
SEPSIS, UNSPECIFIED ORGANISM
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