text stringlengths 14 3.73k | encounter_id stringclasses 207
values | text_id int64 0 69 | intents listlengths 1 9 | sections listlengths 1 4 | doc_only stringlengths 6 3.62k | __index_level_0__ int64 0 5.29k |
|---|---|---|---|---|---|---|
doctor: i was just reviewing your records from dr. howard and he's referred you because the workup for headaches revealed a mass on your pituitary gland . i did review your mri images and you have a significant mass there . can you tell me about the issues you've been experiencing ? patient: yeah sure . so i'm really g... | D2N074 | 1 | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | i was just reviewing your records from dr. howard and he's referred you because the workup for headaches revealed a mass on your pituitary gland . i did review your mri images and you have a significant mass there . can you tell me about the issues you've been experiencing ? | 1,900 |
doctor: where are the headaches located and how would you describe that pain ? patient: located behind my eyes . it's like a dull nagging ache . | D2N074 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | where are the headaches located and how would you describe that pain ? | 1,901 |
doctor: okay . was the onset gradual or sudden ? patient: well it started about three months ago . and they've been getting worse over time . at first it was like three out of 10 severity , and it just gradually worsened . and now it's about six out of 10 severity . the headaches do tend to be worse in the morning and ... | D2N074 | 3 | [
"Personal History"
] | [
"Subjective"
] | okay . was the onset gradual or sudden ? | 1,902 |
doctor: okay . can you tell me if the pain radiates , or if you have any other symptoms ? specifically feeling sick , fever , rashes , neck stiffness , numbness , weakness , passing out ? patient: no . i have n't been sick or felt sick . ca n't recall a fever or any kind of rash . no- no neck issues , no numbness , no ... | D2N074 | 4 | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | okay . can you tell me if the pain radiates , or if you have any other symptoms ? specifically feeling sick , fever , rashes , neck stiffness , numbness , weakness , passing out ? | 1,903 |
doctor: okay . have you noticed any change in your vision or with your balance ? patient: no i do n't think so . my eyes were checked in the fall . | D2N074 | 5 | [
"Vegetative History"
] | [
"Subjective"
] | okay . have you noticed any change in your vision or with your balance ? | 1,904 |
doctor: okay . let's see , do you have any other medical problems that you take medicine for ? patient: no i do n't have any medical problems and i do n't take any medicines . i tried tylenol a few times for the headaches but it did n't work , so i stopped . | D2N074 | 6 | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | okay . let's see , do you have any other medical problems that you take medicine for ? | 1,905 |
doctor: i see . anyone in your family have any history of diseases ? patient: i was adopted so i really have no idea . | D2N074 | 7 | [
"Family History"
] | [
"Subjective"
] | i see . anyone in your family have any history of diseases ? | 1,906 |
doctor: okay . um , what kind of work do you do ? and are you married ? patient: i work as a computer programmer and i've been married for 25 years . we just bought a small house . | D2N074 | 8 | [
"Other Socials"
] | [
"Subjective"
] | okay . um , what kind of work do you do ? and are you married ? | 1,907 |
doctor: that's nice . um , do you drink any alcohol , smoke , or use recreational drugs ? patient: nope . i do n't do any of those and never have . | D2N074 | 9 | [
"Drug History"
] | [
"Subjective"
] | that's nice . um , do you drink any alcohol , smoke , or use recreational drugs ? | 1,908 |
doctor: okay . um , well let me take a good look at you . um , now you'll hear me calling out some details as i perform the examination . these will be noted for me in your record and i'll be happy to answer any questions you have once we're done . patient: sounds good , doc . | D2N074 | 10 | [
"Physical Examination"
] | [
"Objective"
] | okay . um , well let me take a good look at you . um , now you'll hear me calling out some details as i perform the examination . these will be noted for me in your record and i'll be happy to answer any questions you have once we're done . | 1,909 |
doctor: all right . the patient is alert , oriented to time , place , and person . affect is appropriate and speech is fluent . cranial nerve examination is grossly intact . no focal , motor , or sensory deficit in the upper or lower extremities . visual acuity and eye movements are normal . pupils are equal and reacti... | D2N074 | 11 | [
"Physical Examination",
"Diagnostic Testing",
"Acute Assessment",
"Radiology Examination"
] | [
"Objective",
"Assessment",
"Plan"
] | all right . the patient is alert , oriented to time , place , and person . affect is appropriate and speech is fluent . cranial nerve examination is grossly intact . no focal , motor , or sensory deficit in the upper or lower extremities . visual acuity and eye movements are normal . pupils are equal and reactive . vis... | 1,910 |
doctor: no because you're having this vision loss from the mass compressing the optic chiasm , the only option we have is to do surgery . patient: okay , i understand . do you think i'll regain my vision ? | D2N074 | 12 | [
"Acute Assessment",
"Other Treatments"
] | [
"Assessment",
"Plan"
] | no because you're having this vision loss from the mass compressing the optic chiasm , the only option we have is to do surgery . | 1,911 |
doctor: well there's no guarantees , but it is a possibility . i'm gon na refer you to the eye doctor for a full exam and they'll do what's called visual field test . this will map our your peripheral vision or side vision prior to surgery . and we can monitor after surgery to see if your vision is improving . patient:... | D2N074 | 13 | [
"Diagnostic Testing",
"Referral",
"Other Treatments"
] | [
"Plan"
] | well there's no guarantees , but it is a possibility . i'm gon na refer you to the eye doctor for a full exam and they'll do what's called visual field test . this will map our your peripheral vision or side vision prior to surgery . and we can monitor after surgery to see if your vision is improving . | 1,912 |
doctor: and let's discuss the surgery a little more . um , we would do what's called a transsphenoidal approach to do the surgery . this is minimally invasive and we go through the sphenoid sinus . there are some risks i have to inform you of . uh , risk of anesthesia including but not limited to the risk of heart atta... | D2N074 | 14 | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | and let's discuss the surgery a little more . um , we would do what's called a transsphenoidal approach to do the surgery . this is minimally invasive and we go through the sphenoid sinus . there are some risks i have to inform you of . uh , risk of anesthesia including but not limited to the risk of heart attack , str... | 1,913 |
doctor: okay . so i will have you see our surgery scheduler , deborah , on the way out to get you set up . we will get this scheduled fairly quickly so i do n't want you to be alarmed . um , she'll also get you set up today or tomorrow to have the visual field test and you may not be able to see the eye doctor until af... | D2N074 | 15 | [
"Diagnostic Testing",
"Other Treatments"
] | [
"Plan"
] | okay . so i will have you see our surgery scheduler , deborah , on the way out to get you set up . we will get this scheduled fairly quickly so i do n't want you to be alarmed . um , she'll also get you set up today or tomorrow to have the visual field test and you may not be able to see the eye doctor until after surg... | 1,914 |
doctor: yeah . come this way , we'll get your things lined up . please call if you think of any questions . patient: thanks , doctor . | D2N074 | 16 | [
"Chitchat"
] | [
"Null"
] | yeah . come this way , we'll get your things lined up . please call if you think of any questions . | 1,915 |
doctor: diagnosis will be pituitary adenoma . mr . ward is a very pleasant 52-year-old male who has benign appearing pituitary adenoma , incidentally discovered during workup for worsening headaches . he is symptomatic with clinical and radiographical evidence of optic chiasmal compression , therefor surgical intervent... | D2N074 | 17 | [
"Acute Assessment",
"Other Treatments"
] | [
"Assessment",
"Plan"
] | doctor: diagnosis will be pituitary adenoma . mr . ward is a very pleasant 52-year-old male who has benign appearing pituitary adenoma , incidentally discovered during workup for worsening headaches . he is symptomatic with clinical and radiographical evidence of optic chiasmal compression , therefor surgical intervent... | 1,916 |
doctor: next is betty hill , uh , date of birth is 2/21/1968 . she has a past medical history of uterine fibroids and anemia . she's a new patient with a referral from the er of esophagitis . um , i reviewed our records from the er , including the normal cardiac workup , and we're about to go in and see her now . good ... | D2N075 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | next is betty hill , uh , date of birth is 2/21/1968 . she has a past medical history of uterine fibroids and anemia . she's a new patient with a referral from the er of esophagitis . um , i reviewed our records from the er , including the normal cardiac workup , and we're about to go in and see her now . good morning ... | 1,917 |
doctor: hey , i'm dr. sanders . it's nice to meet you . patient: nice to meet you too . | D2N075 | 1 | [
"Chitchat"
] | [
"Null"
] | hey , i'm dr. sanders . it's nice to meet you . | 1,918 |
doctor: so tell me about what brings you in today ? patient: well , i really needed to see you three months ... three months ago , but this was your first available appointment . when i called to make the appointment , i was having chest pains , but it stopped after four days , and i have n't had any since then . | D2N075 | 2 | [
"Acute Symptoms"
] | [
"Subjective"
] | so tell me about what brings you in today ? | 1,919 |
doctor: okay . when did these four days of chest pain occur ? patient: um , early october . | D2N075 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . when did these four days of chest pain occur ? | 1,920 |
doctor: of 2020 , correct ? patient: yes . | D2N075 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | of 2020 , correct ? | 1,921 |
doctor: okay . can you think of anything that might have caused the chest pain ? did you wake up with it ? patient: no . it just it randomly . i tolerated it for four days but then had to go to the emergency room because nothing i did relieved it . they did a bunch of testing and did n't find anything . | D2N075 | 5 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . can you think of anything that might have caused the chest pain ? did you wake up with it ? | 1,922 |
doctor: okay . can you point to the area of your chest where the pain was located ? patient: well , it was here in the center of my chest , right behind my breastbone . it felt like i was having a heart attack . the pain was really sharp . | D2N075 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay . can you point to the area of your chest where the pain was located ? | 1,923 |
doctor: did they prescribe you any medications in the er ? patient: no . they ran an ekg and did blood tests , but like i said , everything was normal . | D2N075 | 7 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | did they prescribe you any medications in the er ? | 1,924 |
doctor: okay . i see . patient: they thought it was something to do with the gi system , so that's why they referred me here . | D2N075 | 8 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | okay . i see . | 1,925 |
doctor: interesting . uh , do you remember having any heartburn or indigestion at , at the time ? patient: uh , maybe . i do n't think i've ever had heartburn , so i'm not sure what that feels like . | D2N075 | 9 | [
"Vegetative History"
] | [
"Subjective"
] | interesting . uh , do you remember having any heartburn or indigestion at , at the time ? | 1,926 |
doctor: was the pain worse with eating or exercise ? patient: yes . with eating . | D2N075 | 10 | [
"Vegetative History"
] | [
"Subjective"
] | was the pain worse with eating or exercise ? | 1,927 |
doctor: okay . any difficulty swallowing ? patient: mm-hmm . i did . | D2N075 | 11 | [
"Vegetative History"
] | [
"Subjective"
] | okay . any difficulty swallowing ? | 1,928 |
doctor: okay . and that's also resolved since the initial episode three months ago ? patient: yes . thankfully . the chest pain and swallowing problem got better about three days after i went to the er . but i just feel like there's something wrong . | D2N075 | 12 | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | okay . and that's also resolved since the initial episode three months ago ? | 1,929 |
doctor: okay . so how has your weight been . patient: i've been trying to lose weight . | D2N075 | 13 | [
"Vegetative History"
] | [
"Subjective"
] | okay . so how has your weight been . | 1,930 |
doctor: that's good . any in- ... issues with abdominal pain ? patient: uh , no . | D2N075 | 14 | [
"Vegetative History"
] | [
"Subjective"
] | that's good . any in- ... issues with abdominal pain ? | 1,931 |
doctor: okay . good . and how about your bowel movements ; are they okay ? patient: they're normal . | D2N075 | 15 | [
"Vegetative History"
] | [
"Subjective"
] | okay . good . and how about your bowel movements ; are they okay ? | 1,932 |
doctor: all right . are you aware of any family history of gi problems ? patient: i do n't think so . | D2N075 | 16 | [
"Family History"
] | [
"Subjective"
] | all right . are you aware of any family history of gi problems ? | 1,933 |
doctor: have had you had any surgeries on your abdomen , or gall bladder , or appendix ? patient: yes . they took my gall bladder out several years ago . | D2N075 | 17 | [
"Personal History"
] | [
"Subjective"
] | have had you had any surgeries on your abdomen , or gall bladder , or appendix ? | 1,934 |
doctor: okay . if you wan na lay down here on the table for me and lets take a look at you . patient: okay . | D2N075 | 18 | [
"Physical Examination"
] | [
"Objective"
] | okay . if you wan na lay down here on the table for me and lets take a look at you . | 1,935 |
doctor: so when i push on your lower belly , do you have any pain , or does it feel tender ? patient: no . | D2N075 | 19 | [
"Physical Examination"
] | [
"Objective"
] | so when i push on your lower belly , do you have any pain , or does it feel tender ? | 1,936 |
doctor: okay . how about up here in your upper abdomen ? patient: yes . it , it hurts a little . | D2N075 | 20 | [
"Physical Examination"
] | [
"Objective"
] | okay . how about up here in your upper abdomen ? | 1,937 |
doctor: okay . and even when i press lightly like this ? patient: yes . uh , just a little uncomfortable . | D2N075 | 21 | [
"Physical Examination"
] | [
"Objective"
] | okay . and even when i press lightly like this ? | 1,938 |
doctor: okay . does it hurt more when i press over here on the left or over here on the right ? or is it about the same ? patient: i'd say it's about the same . | D2N075 | 22 | [
"Physical Examination"
] | [
"Objective"
] | okay . does it hurt more when i press over here on the left or over here on the right ? or is it about the same ? | 1,939 |
doctor: okay . so we'll say you have some mild tenderness to light palpation in the upper abdominal quadrants , but everything on your exam looks normal and looks good . patient: okay . good . | D2N075 | 23 | [
"Physical Examination"
] | [
"Objective"
] | okay . so we'll say you have some mild tenderness to light palpation in the upper abdominal quadrants , but everything on your exam looks normal and looks good . | 1,940 |
doctor: so let's talk about your symptoms real quick . obviously , with the chest discomfort , we worry about heart issues , but i'm reassured that those were ruled out with all the testing they did in the er . um , other potential causes could be anxiety , esophagitis , which is irritation of the esophagus . but typic... | D2N075 | 24 | [
"Acute Assessment"
] | [
"Assessment"
] | so let's talk about your symptoms real quick . obviously , with the chest discomfort , we worry about heart issues , but i'm reassured that those were ruled out with all the testing they did in the er . um , other potential causes could be anxiety , esophagitis , which is irritation of the esophagus . but typically wit... | 1,941 |
doctor: okay . that's good to know . so stress from this could be , um ... could be , uh ... could be very well have contributed to your condition . patient: okay . | D2N075 | 25 | [
"Acute Assessment"
] | [
"Assessment"
] | okay . that's good to know . so stress from this could be , um ... could be , uh ... could be very well have contributed to your condition . | 1,942 |
doctor: so we could do an , uh , egd or upper endoscopy to take a look at your esophagus and stomach . this would allow us to look for esophagitis . but your symptoms occurred three months ago and you have n't had any additional episodes , so likely if it were esophagitis , it's already healed by the point ... by this ... | D2N075 | 26 | [
"Discussion",
"Diagnostic Testing"
] | [
"Plan"
] | so we could do an , uh , egd or upper endoscopy to take a look at your esophagus and stomach . this would allow us to look for esophagitis . but your symptoms occurred three months ago and you have n't had any additional episodes , so likely if it were esophagitis , it's already healed by the point ... by this point , ... | 1,943 |
doctor: that sounds good . um , so you can call the office if you have any additional episodes of pain or any other symptoms you're concerned about . if that happens , we'll get you scheduled for an egd to take a look . if not , you can follow up with me ... follow up with me as needed for any other gi complaints . pat... | D2N075 | 27 | [
"Follow-up",
"Diagnostic Testing"
] | [
"Plan"
] | that sounds good . um , so you can call the office if you have any additional episodes of pain or any other symptoms you're concerned about . if that happens , we'll get you scheduled for an egd to take a look . if not , you can follow up with me ... follow up with me as needed for any other gi complaints . | 1,944 |
doctor: all right ? if you do n't have any questions for me , i'll walk you out to the check-out desk . patient: no . that's it . thank you . | D2N075 | 28 | [
"Discussion"
] | [
"Plan"
] | all right ? if you do n't have any questions for me , i'll walk you out to the check-out desk . | 1,945 |
doctor: you're welcome . right this way . all right . uh , in assessment , please summarize the patient's history briefly , and let's list her possible etiologies such as , uh , gerd , dyspepsia , esophagitis , musculoskeletal etiologies , and anxiety . uh , suspect she had an anxiety attack related to her job transiti... | D2N075 | 29 | [
"Personal History",
"Acute Assessment",
"Discussion"
] | [
"Subjective",
"Assessment",
"Plan"
] | doctor: you're welcome . right this way . all right . uh , in assessment , please summarize the patient's history briefly , and let's list her possible etiologies such as , uh , gerd , dyspepsia , esophagitis , musculoskeletal etiologies , and anxiety . uh , suspect she had an anxiety attack related to her job transiti... | 1,946 |
doctor: hello . patient_guest: hi . | D2N076 | 0 | [
"Greetings"
] | [
"Subjective"
] | hello . | 1,947 |
doctor: i'm dr. evelyn , one of the kidney doctors . it's good to meet you guys . patient_guest: it's nice to meet you also . | D2N076 | 1 | [
"Chitchat"
] | [
"Null"
] | i'm dr. evelyn , one of the kidney doctors . it's good to meet you guys . | 1,948 |
doctor: yeah . so i was reading about this syndrome that i actually have never heard of . patient_guest: yeah , me too . | D2N076 | 2 | [
"Chitchat"
] | [
"Null"
] | yeah . so i was reading about this syndrome that i actually have never heard of . | 1,949 |
doctor: i do n't think it's very common . patient_guest: definitely not . it's c- pretty rare . | D2N076 | 3 | [
"Chitchat"
] | [
"Null"
] | i do n't think it's very common . | 1,950 |
doctor: so- can you start at the beginning ? i know she's a twin , so are these your first two babies ? patient_guest: no , i have a son also who is nine . he also has autism . | D2N076 | 4 | [
"Personal History",
"Other Socials"
] | [
"Subjective"
] | so- can you start at the beginning ? i know she's a twin , so are these your first two babies ? | 1,951 |
doctor: okay . patient_guest: and when the twins were born , katherine , she was about 4 pounds , 8 ounces . and her twin was a bit smaller , at 3 pounds , 13 ounces . and when the twins were born , katherine , she was about 4 pounds , 8 ounces . and her twin was a bit smaller , at 3 pounds , 13 ounces . | D2N076 | 5 | [
"Personal History"
] | [
"Subjective"
] | okay . | 1,952 |
doctor: like preemie type stuff ? patient_guest: uh- . yeah . she just had a hard time regulating her temperature , but she did fine . she does have a gi doctor , because she has reflex really bad . she also had a dietician , who told us to take her off cow's milk . which we did . and then she has seen an allergist , a... | D2N076 | 6 | [
"Personal History"
] | [
"Subjective"
] | like preemie type stuff ? | 1,953 |
doctor: yeah . patient_guest: but so now she is crawling and she is trying to take steps , so think she's doing pretty good . | D2N076 | 7 | [
"Personal History"
] | [
"Subjective"
] | yeah . | 1,954 |
doctor: good . is she in therapy ? patient_guest: she is in therapy . she's in feeding therapy , occupational therapy , and also physical therapy . | D2N076 | 8 | [
"Personal History"
] | [
"Subjective"
] | good . is she in therapy ? | 1,955 |
doctor: awesome . okay . patient_guest: and we also have speech therapy , who is going to be starting within the next couple of weeks . | D2N076 | 9 | [
"Personal History"
] | [
"Subjective"
] | awesome . okay . | 1,956 |
doctor: that's great . patient_guest: so , she has a lot of therapies . we have also seen an orthopedic and an ophthalmologist . i can never say that . we have seen everything , really . | D2N076 | 10 | [
"Personal History"
] | [
"Subjective"
] | that's great . | 1,957 |
doctor: and audiology too , right ? patient_guest: yes . | D2N076 | 11 | [
"Personal History"
] | [
"Subjective"
] | and audiology too , right ? | 1,958 |
doctor: yeah , wow. . patient_guest: yeah , it has definitely been a whirlwind of stuff . when we saw the geneticist , she told us that sometimes people with this syndrome , they have trouble with their kidneys . that they might actually fuse into one . she also said sometimes they have problems with their legs , so th... | D2N076 | 12 | [
"Personal History"
] | [
"Subjective"
] | yeah , wow. . | 1,959 |
doctor: okay . okay . patient_guest: so we have seen everybody , really . we are just here to make sure that her kidneys are looking good right now . | D2N076 | 13 | [
"Personal History"
] | [
"Subjective"
] | okay . okay . | 1,960 |
doctor: yeah , okay . so , um , tell me about how many wet diapers she has in a 24 hour period ? patient_guest: she has a lot . | D2N076 | 14 | [
"Personal History"
] | [
"Subjective"
] | yeah , okay . so , um , tell me about how many wet diapers she has in a 24 hour period ? | 1,961 |
doctor: so like normal 8 to 10 , or like 20 ? patient_guest: yeah , it's around 8 to 10 . | D2N076 | 15 | [
"Personal History"
] | [
"Subjective"
] | so like normal 8 to 10 , or like 20 ? | 1,962 |
doctor: okay . great . patient_guest: yeah , she seems to pee a lot , and it feels like she drinks a lot too . | D2N076 | 16 | [
"Personal History"
] | [
"Subjective"
] | okay . great . | 1,963 |
doctor: that's perfect . patient_guest: and she used to only drink milk , and then i took her off dairy milk . so when i say milk , i actually mean , you know , ripple pea protein milk . | D2N076 | 17 | [
"Personal History"
] | [
"Subjective"
] | that's perfect . | 1,964 |
doctor: sure , yeah . patient_guest: so i give her that milk , water now that she's used to it , and sometimes water with just a little bit of juice . so i do feel like she's drinking a lot better now . | D2N076 | 18 | [
"Personal History"
] | [
"Subjective"
] | sure , yeah . | 1,965 |
doctor: that's great . and she's how old now ? patient_guest: she'll be two mo- two next month . | D2N076 | 19 | [
"Personal History"
] | [
"Subjective"
] | that's great . and she's how old now ? | 1,966 |
doctor: okay . is her twin a boy or a girl ? patient_guest: she's a girl . | D2N076 | 20 | [
"Family History"
] | [
"Subjective"
] | okay . is her twin a boy or a girl ? | 1,967 |
doctor: okay , and how's she doing ? patient_guest: she's doing really good . she's running around , and she does n't have any problems . | D2N076 | 21 | [
"Family History"
] | [
"Subjective"
] | okay , and how's she doing ? | 1,968 |
doctor: all right . is she bigger than her or the same size ? patient_guest: they're about the same size . they're able to wear the same clothes , so ... | D2N076 | 22 | [
"Family History"
] | [
"Subjective"
] | all right . is she bigger than her or the same size ? | 1,969 |
doctor: okay . patient_guest: i do n't even think she's a pound hav- heavier , actually . | D2N076 | 23 | [
"Family History"
] | [
"Subjective"
] | okay . | 1,970 |
doctor: yeah . yeah . patient_guest: but she is a little bit taller than her ... um , katherine . she's just sh- a little shorter and chunkier , but i think that's a part of her syndrome . | D2N076 | 24 | [
"Family History"
] | [
"Subjective"
] | yeah . yeah . | 1,971 |
doctor: yeah . yeah , i was reading all the things associated with the syndrome . it sounds like we're looking for continual- congenital anomalies wi- of the kidney and urinary tract . which is basically something is wrong with the plumbing . patient_guest: okay . | D2N076 | 25 | [
"Acute Assessment"
] | [
"Assessment"
] | yeah . yeah , i was reading all the things associated with the syndrome . it sounds like we're looking for continual- congenital anomalies wi- of the kidney and urinary tract . which is basically something is wrong with the plumbing . | 1,972 |
doctor: so the only way to know that , is to do a kidney ultrasound . patient_guest: okay , that sounds okay . | D2N076 | 26 | [
"Diagnostic Testing"
] | [
"Plan"
] | so the only way to know that , is to do a kidney ultrasound . | 1,973 |
doctor: okay . let me put that into the system , and then downstairs they can do the ultrasound . patient_guest: all right , thank you . | D2N076 | 27 | [
"Chitchat"
] | [
"Null"
] | okay . let me put that into the system , and then downstairs they can do the ultrasound . | 1,974 |
doctor: okay , yeah . where do you all live ? patient_guest: uh , we live in dallas . | D2N076 | 28 | [
"Other Socials"
] | [
"Subjective"
] | okay , yeah . where do you all live ? | 1,975 |
doctor: okay . anybody in the family with kidney failure , dialysis or transplant ? patient_guest: no . | D2N076 | 29 | [
"Family History"
] | [
"Subjective"
] | okay . anybody in the family with kidney failure , dialysis or transplant ? | 1,976 |
doctor: okay . so let's get your ultrasound done , and we'll see how it goes . patient_guest: all right , that sounds good . | D2N076 | 30 | [
"Diagnostic Testing"
] | [
"Plan"
] | okay . so let's get your ultrasound done , and we'll see how it goes . | 1,977 |
doctor: all right . let me take a quick look at her . patient_guest: sure . | D2N076 | 31 | [
"Physical Examination"
] | [
"Objective"
] | all right . let me take a quick look at her . | 1,978 |
doctor: all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap . patient_guest: okay . | D2N076 | 32 | [
"Physical Examination"
] | [
"Objective"
] | all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap . | 1,979 |
doctor: all right . that's it . patient_guest: all right , that was n't too bad . | D2N076 | 33 | [
"Chitchat"
] | [
"Null"
] | all right . that's it . | 1,980 |
doctor: hmm . so , let's complete the ultrasound today . i'll call you with the results . if it's normal , you wo n't need to see me again , but if it's abnormal , you can see me in kennesaw . patient_guest: okay , that sounds good . | D2N076 | 34 | [
"Discussion",
"Diagnostic Testing",
"Follow-up"
] | [
"Plan"
] | hmm . so , let's complete the ultrasound today . i'll call you with the results . if it's normal , you wo n't need to see me again , but if it's abnormal , you can see me in kennesaw . | 1,981 |
doctor: okay . we'll determine what the next steps are if there are any , after we see her results . patient_guest: all right , sounds good . thank you . | D2N076 | 35 | [
"Discussion"
] | [
"Plan"
] | okay . we'll determine what the next steps are if there are any , after we see her results . | 1,982 |
doctor: you're welcome . the nurse will be in to have you complete some paperwork , and give you instructions for the ultrasound . we'll talk soon . patient_guest: all right . thank you , and have a good day . | D2N076 | 36 | [
"Chitchat"
] | [
"Null"
] | you're welcome . the nurse will be in to have you complete some paperwork , and give you instructions for the ultrasound . we'll talk soon . | 1,983 |
doctor: you too . all right . physical exams show the well-nourished female , who is slightly fussy when examined . eyes are small appearing . she has mild hypotonia of the lower extremities in her arms . normal external female genitalia . assessment and plan . katherine is a 22-month-old former 34 and 3-week-old , twi... | D2N076 | 37 | [
"Physical Examination",
"Acute Assessment",
"Follow-up"
] | [
"Objective",
"Assessment",
"Plan"
] | doctor: you too . all right . physical exams show the well-nourished female , who is slightly fussy when examined . eyes are small appearing . she has mild hypotonia of the lower extremities in her arms . normal external female genitalia . assessment and plan . katherine is a 22-month-old former 34 and 3-week-old , twi... | 1,984 |
doctor: hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened patient: yeah i was walking up and down the stairs i was doing my laundry and i slipped and i tried to catch myself and i put my arms out to catch myself and then all of a sudden i just my wri... | D2N077 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | hey diana it's good to see you in here so i see that you injured your wrist could you tell me a bit about what happened | 1,985 |
doctor: wow okay so which wrist are we talking about left or right patient: it's my right one of course | D2N077 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | wow okay so which wrist are we talking about left or right | 1,986 |
doctor: okay and then have you ever injured this arm before patient: no i have not | D2N077 | 2 | [
"Personal History"
] | [
"Subjective"
] | okay and then have you ever injured this arm before | 1,987 |
doctor: okay alright so on a scale of one to ten how severe is the pain patient: gosh it's like a nine | D2N077 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright so on a scale of one to ten how severe is the pain | 1,988 |
doctor: wow okay have you done anything to ease it patient: yeah i did the ice thing i put ice on it and then i you know i even i have a ace wrap at home i try to do that | D2N077 | 4 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | wow okay have you done anything to ease it | 1,989 |
doctor: mm-hmm patient: and then i took some ibuprofen but it helps a little bit but it's just it's it's just not right | D2N077 | 5 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | mm-hmm | 1,990 |
doctor: yeah okay have you sorry i'm trying to think how long ago did this injury happen patient: this happened yesterday morning | D2N077 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | yeah okay have you sorry i'm trying to think how long ago did this injury happen | 1,991 |
doctor: okay no i understand okay so i'm going so you said you were doing laundry patient: yes i had my back hit my basket and for some reason this cold started to kinda fall out a little bit i was trying to catch it i missed a step and i just totally | D2N077 | 10 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay no i understand okay so i'm going so you said you were doing laundry | 1,992 |
doctor: okay alright any does the pain extend anywhere patient: no not really | D2N077 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright any does the pain extend anywhere | 1,993 |
doctor: okay any numbness any tingling patient: a little one and one ca n't tell if it's just because of the swelling in my wrist but just i can like i can feel it my fingers still | D2N077 | 13 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay any numbness any tingling | 1,994 |
doctor: mm-hmm patient: but just maybe a little bit of tingling | D2N077 | 14 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm-hmm | 1,995 |
doctor: okay alright and are you so so okay i'm gon na think on this but in the meantime i'm gon na do my physical exam alright patient: okay | D2N077 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay alright and are you so so okay i'm gon na think on this but in the meantime i'm gon na do my physical exam alright | 1,996 |
doctor: okay so you know looking at your looking at your head and your neck i do n't appreciate any like adenopathy no thyromegaly no no carotid bruit looking at your listening to your heart i do n't appreciate any murmur no rub no gallop your lungs are clear to auscultation bilaterally your lower legs you have palpabl... | D2N077 | 16 | [
"Physical Examination"
] | [
"Objective"
] | okay so you know looking at your looking at your head and your neck i do n't appreciate any like adenopathy no thyromegaly no no carotid bruit looking at your listening to your heart i do n't appreciate any murmur no rub no gallop your lungs are clear to auscultation bilaterally your lower legs you have palpable pulses... | 1,997 |
doctor: and what about the outside does that hurt as well patient: yeah it does | D2N077 | 18 | [
"Physical Examination"
] | [
"Objective"
] | and what about the outside does that hurt as well | 1,998 |
doctor: are you able to move your wrist towards your arm like patient: not without extreme pain | D2N077 | 19 | [
"Physical Examination"
] | [
"Objective"
] | are you able to move your wrist towards your arm like | 1,999 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.