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EN_B00000_S05762_W000017 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, but nothing seems to really be working. Furthermore, on, uh, endoscopy you find Barrett's esophagus. This is a problem in anybody, but this is really, really, really, real... | EN_B00000_S05762_W000017.mp3 | [
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EN_B00000_S05762_W000018 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000019 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, adenocarcinoma of the esophagus, and it's just a matter of time in many cases that eventually Barrett's esophagus will have a malignant transformation.",
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EN_B00000_S05762_W000020 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Like I said, it's a problem with anybody, but when you have a 19 year old, and she's already got Barrett's esophagus, this is a big problem because she'll almost certainly at ... | EN_B00000_S05762_W000020.mp3 | [
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EN_B00000_S05762_W000021 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Like I said, if the Barrett's comes back on biopsy as actually Barrett's esophagus, we will",
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EN_B00000_S05762_W000022 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Step in therapy then is going to be surgical therapy. Uh, I would, uh,",
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EN_B00000_S05762_W000023 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Have you know that the rest of these are surgeries that are done? Uh, however, they're not done for reflux disease. They are done for ulcers or fractury ulcers.",
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EN_B00000_S05762_W000024 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000025 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000026 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000027 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000028 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000029 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000030 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000031 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000032 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000033 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000034 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000035 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000036 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Question 24, 49-year-old woman presents the EV compla- oh wait, this is the same patient, nevermind. Okay, uh, so she's been admitted, now with the diagnosis of small bowel ob... | EN_B00000_S05762_W000036.mp3 | [
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EN_B00000_S05762_W000038 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000039 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000041 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000042 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000043 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000044 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000045 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000046 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000047 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000048 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000049 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000051 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000052 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000053 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000054 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000055 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000056 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000057 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000058 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000059 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000060 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000061 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000062 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000063 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000064 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " He is generally in excellent health and has recently gotten into a new lower body weightlifting routine at his gym where he also works as an aerobic trainer.",
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EN_B00000_S05762_W000065 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " He is reluctant to allow you to do a rectal exam because of the pain. Which of the following would most likely, would you most likely recommend?",
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EN_B00000_S05762_W000066 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000067 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, and he has, uh, this bluish-purple mask, which I was going to put a picture up, but I thought that might make it a little too obvious, and I wanted this to be a little mor... | EN_B00000_S05762_W000067.mp3 | [
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EN_B00000_S05762_W000068 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " When they're sitting down, because you're putting direct pressure on the hemorrhide, which is painful.",
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EN_B00000_S05762_W000069 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000070 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Domino pressure or even perhaps, uh, because they have, uh, a, uh, an increased portal pressure and so it's referring back to",
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EN_B00000_S05762_W000071 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000072 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " weight lifting or strenuous activity. It does the same thing. It increases the intra-abdominal pressure and, uh, stresses out the, uh, the vasculature, uh, down there.",
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EN_B00000_S05762_W000073 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000074 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So based on the diagnosis of hemorrhoids which you can make clinically,",
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EN_B00000_S05762_W000075 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000076 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000077 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, A is unreasonable. He doesn't need to, uh, not return to lower body weightlifting ever again. Uh, he can eventually return, uh, but you may want to tell him, take it a lit... | EN_B00000_S05762_W000077.mp3 | [
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EN_B00000_S05762_W000078 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Incision and drainage. This is not an abscess. This is a hemorrhoid. If you were to cut into the hemorrhoid, it would bleed profusely.",
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EN_B00000_S05762_W000079 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000080 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000081 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Okay, so this question stem is a little bit, uh, more complicated than what you might come into in a USMLE, but basically what this is asking you is, this patient needs imagin... | EN_B00000_S05762_W000081.mp3 | [
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EN_B00000_S05762_W000082 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000083 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000084 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Thymomas are the most common anterior mediastinal mass and so you need to be aware that myasthenia gravis has a correlation with thymomas",
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EN_B00000_S05762_W000085 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000086 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000087 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000088 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000089 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000090 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000091 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000092 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000093 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000094 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000095 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000096 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000097 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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} | EN_B00000_S05762_W000097.mp3 | [
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EN_B00000_S05762_W000108 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " And that just has to do with the cellular, uh, the cellular pathology behind, uh, myasthenia gravis versus Lambert-Eaton syndrome. If you want more information on that, uh,",
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EN_B00000_S05762_W000109 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Antibody sitting on the, uh, on the receptor site, then you're not going to be able to contract your muscle as usual. And so that's going to manifest as weakness.",
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EN_B00000_S05762_W000110 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " This is, and I can't help myself from going into the differential here, this is different from Lambert-Eaton syndrome where the, uh, the offending agent is a, uh, an antibody t... | EN_B00000_S05762_W000110.mp3 | [
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EN_B00000_S05762_W000111 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Like this question implied, uh, the, uh, this should always be accompanied by chest imaging, both AP and lateral chest imaging to rule out a possible associated thymoma. And th... | EN_B00000_S05762_W000111.mp3 | [
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EN_B00000_S05762_W000112 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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EN_B00000_S05762_W000113 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " Uh, the most accurate test for diagnosing myasthenia gravis is an EMG. Alright.",
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} | EN_B00000_S05762_W000113.mp3 | [
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EN_B00000_S05762_W000114 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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"text": " So you can use pyridostigmine, ribostigmine, neostigmine, etc. There's multiple different drugs, they're all acceptable, just know you need to use an acetylcholine esterase inh... | EN_B00000_S05762_W000114.mp3 | [
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EN_B00000_S05762_W000115 | hf://datasets/amphion/Emilia-Dataset@bcaad00d13e7c101485990a46e88f5884ffed3fc/EN/EN-B000002.tar | {
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