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EN_B00000_S05462_W000103 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Liver disease, another, uh, common cause of prolonged PT or prolonged PT and PTT depending on how severe their liver disease is.",
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EN_B00000_S05462_W000104 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And I will just add one more thing here, uh, that Von Willebrand's factor also plays a role in, uh, TTP, uh, because Von Willebrand's factor, uh, is, is, uh, it, it forms that ... | EN_B00000_S05462_W000104.mp3 | [
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EN_B00000_S05462_W000105 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, you have this thing called Adam TS-13, which breaks down the von Willbrand factor. It cleaves that adhesion. Uh, if that Adam TS-13 does not work, von Willbrand's factor w... | EN_B00000_S05462_W000105.mp3 | [
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EN_B00000_S05462_W000106 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000107 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, at infinitum and that's going to lead to that, uh, TTP where you have platelets adhering together, uh, all over the place and it causes your, uh, that thrombocytopenia bec... | EN_B00000_S05462_W000107.mp3 | [
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EN_B00000_S05462_W000108 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And, uh, deficient amounts of platelets that can, uh,",
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EN_B00000_S05462_W000109 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " That can work, and so that's why you get the bleeding in TTP. That also is what causes the hemolytic anemia, that microangiopathic hemolytic anemia, uh, because you have, uh, ... | EN_B00000_S05462_W000109.mp3 | [
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EN_B00000_S05462_W000110 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Big platelet, uh, adhesions everywhere and that, the blood is gonna go through that and cleave. So von Willebrand's factor, to put it shortly, uh, is, is an important player i... | EN_B00000_S05462_W000110.mp3 | [
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EN_B00000_S05462_W000111 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And in case you were wondering, the treatment for Von Willebrand's disease is supportive. You can give DDABP, Desmopressin, uh, that helps.",
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EN_B00000_S05462_W000112 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000113 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000114 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000115 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000117 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Iron supplements first to treat her anemia.",
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EN_B00000_S05462_W000118 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000119 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000120 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000121 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000122 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And here is the picture of his rash on the foot.",
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EN_B00000_S05462_W000123 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Alright, so again here are your choices. You can pause here.",
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EN_B00000_S05462_W000124 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000125 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000126 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000127 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000128 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000129 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000130 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000131 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000132 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000133 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Toxic epidermonecrolysis or necrolysis, uh, this looks like a burn.",
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EN_B00000_S05462_W000134 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000135 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " It usually is associated with flu-like symptoms, and then this leads to a sort of macular eruption, and then you can get blisters with it, but it really looks like a bird.",
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EN_B00000_S05462_W000136 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " It's gonna look a little bit different on a patient who's got, uh, more pigment, uh, in their skin.",
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EN_B00000_S05462_W000137 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000138 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Toxic epidermonechrolysis, it starts with this sort of, uh, this sort of papular rash and then progresses quite dramatically into this burn-like appearance. Like I said, this ... | EN_B00000_S05462_W000138.mp3 | [
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EN_B00000_S05462_W000139 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " It can also be associated with nevirapine too, which is a HIV drug. There's a lot of drugs that can be associated with Stevens-Johnson syndrome and toxic epidermal necrolysis,... | EN_B00000_S05462_W000139.mp3 | [
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EN_B00000_S05462_W000140 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000141 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000142 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000143 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000144 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000145 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000146 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " If it, if this rash has lasted any more than a couple weeks to a month, you really should think of something else. Uh, like our patient in the vignette, it does have a predile... | EN_B00000_S05462_W000146.mp3 | [
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EN_B00000_S05462_W000147 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So very classically, and I want you to write this down, I want you to remember this is very important, uh, it is commonly associated with herpes simplex. So the STD.",
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EN_B00000_S05462_W000148 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000149 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000150 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000151 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " CT scans of the chest and abdomen are negative for metastatic disease prior to surgery. Measurements of which of the following serum markers will be most useful to address his... | EN_B00000_S05462_W000151.mp3 | [
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EN_B00000_S05462_W000152 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " You know, he didn't have any injuries or anything where he would have lost a bunch of blood, so it's not always very obvious. But in an older person you have to think of-",
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EN_B00000_S05462_W000153 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000154 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, however, notice that his weight has decreased, and he's now only 175 pounds. So sleep apnea is not very likely, uh, just because his weight is normal now.",
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EN_B00000_S05462_W000155 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000156 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000157 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000158 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000159 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And really anybody complaining of fatigue is a good idea to get a CDC or at least check their hemoglobin with one of those, uh, sort of infrared monitors that you can, uh, use... | EN_B00000_S05462_W000159.mp3 | [
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EN_B00000_S05462_W000160 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Our major concern is that they're losing blood from their colon.",
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EN_B00000_S05462_W000161 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000162 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000163 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, go on and do a CT scan looking for metastatic disease that comes back negative. So our next step in management is to do surgery.",
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EN_B00000_S05462_W000164 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And what this question is asking you is what do you get for serum markers for colon cancer? And you need to know that. You need to know the serum markers for all the different... | EN_B00000_S05462_W000164.mp3 | [
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EN_B00000_S05462_W000165 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, those you're not gonna, you'll really just need to know the more specific one. But colon cancer and stomach cancer, the only one is CEA. And CEA is kind of non-specific fo... | EN_B00000_S05462_W000165.mp3 | [
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EN_B00000_S05462_W000166 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000167 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000168 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Alpha-fetoprotein is going to be seen in liver cancer and testicular cancer. I don't know why you see it in liver cancer. With testicular cancer, I like to think of these",
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EN_B00000_S05462_W000169 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000170 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " The testicles, so that will help you remember that. Prostate cancer, prostate specific antigen, you should be able to remember that pretty easily. And then CEA, you'll see sto... | EN_B00000_S05462_W000170.mp3 | [
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EN_B00000_S05462_W000171 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " As I mentioned, HER2 is really, uh, particularly associated with breast cancer, but you won't see it in all breast cancers. So you may just want to commit this to memory. Ther... | EN_B00000_S05462_W000171.mp3 | [
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EN_B00000_S05462_W000172 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " The ones I would say are the most, most important out of all these would be liver, prostate, testicular, and uh, colon and ovary.",
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EN_B00000_S05462_W000173 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000174 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000175 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000176 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, urine protein is 2+, red blood cells are 10. Which of the following is the most likely diagnosis in this patient?",
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EN_B00000_S05462_W000177 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000178 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000179 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000180 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000181 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000182 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Struggle with this, probably because these are both pretty rare syndromes. Uh, so you don't run into it very much.",
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EN_B00000_S05462_W000183 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000184 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000186 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000187 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000189 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000190 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000191 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000192 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05462_W000196 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So we see that C-Anka is positive, now you've pretty much nailed down your diagnosis of Wagner's. Your urinalysis you would actually probably get before you do these markers, ... | EN_B00000_S05462_W000196.mp3 | [
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EN_B00000_S05462_W000197 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Her anti-GBM is negative. This is good pastures here. If this were positive, we would think possibly good pastures syndrome. However, there are some other things here that",
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EN_B00000_S05462_W000198 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So good pastures is also an autoimmune condition, uh, but you have circulating anti-GBM antibodies. Now this is also going to affect the lungs and the kidneys because what has ... | EN_B00000_S05462_W000198.mp3 | [
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EN_B00000_S05462_W000199 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And it, it's the basement membrane of your lungs and your glomerulus. So it's going to affect the lungs and the kidneys. However, it's not going to affect the upper respirator... | EN_B00000_S05462_W000199.mp3 | [
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EN_B00000_S05462_W000200 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"speaker": "EN_B00000_S05462",
"text": " Uh, it's affecting the upper respiratory tract where you're getting the nasal congestion and the, uh, and the saddle nose deformity. So,",
"wav": "EN_B00000/EN_B00000_S05462/... | EN_B00000_S05462_W000200.mp3 | [
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EN_B00000_S05462_W000201 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"speaker": "EN_B00000_S05462",
"text": " Uh, Churg Strauss is very similar to Wegener's with one major difference.",
"wav": "EN_B00000/EN_B00000_S05462/mp3/EN_B00000_S05462_W000201.mp3"
} | EN_B00000_S05462_W000201.mp3 | [
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EN_B00000_S05462_W000202 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"speaker": "EN_B00000_S05462",
"text": " Churg Strauss is going to have a patient with a history of asthma. Invariably.",
"wav": "EN_B00000/EN_B00000_S05462/mp3/EN_B00000_S05462_W000202.mp3"
} | EN_B00000_S05462_W000202.mp3 | [
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