Datasets:
DATEXIS
/
aci_bench_intent_annotated

Dataset card Data Studio Files
xet
 Community
1
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: they're pretty good about helping you to fit your fit you in a shoe are n't they patient: yeah
D2N110
11
[ "Chitchat" ]
[ "Null" ]
they're pretty good about helping you to fit your fit you in a shoe are n't they
2,800
doctor: so what do you like about them patient: they are comfortable they are easy to take on and off and they provide good stability
D2N110
12
[ "Chitchat" ]
[ "Null" ]
so what do you like about them
2,801
doctor: that's good so you've had some issues with stability sometimes or patient: yes
D2N110
13
[ "Personal History" ]
[ "Subjective" ]
that's good so you've had some issues with stability sometimes or
2,802
doctor: okay okay well another question i want to ask you is how is your diabetes doing patient: i do n't think it's too bad my last hgb a1c was a little over eight
D2N110
14
[ "Personal History" ]
[ "Subjective" ]
okay okay well another question i want to ask you is how is your diabetes doing
2,803
doctor: okay alright well let me just do a quick physical exam okay for vital signs your temperature is ninety eight . one your vital signs look good your heart rate is seventy two respirations sixteen blood pressure is one ten over sixty five okay so on your foot exam let's see there is a one by two inch circular woun...
D2N110
15
[ "Physical Examination" ]
[ "Objective" ]
okay alright well let me just do a quick physical exam okay for vital signs your temperature is ninety eight . one your vital signs look good your heart rate is seventy two respirations sixteen blood pressure is one ten over sixty five okay so on your foot exam let's see there is a one by two inch circular wound on the...
2,804
doctor: okay alright so i've reviewed the results your right foot x-ray that we did before you i came in the room and this shows no evidence of osteomyelitis which means there is no evidence of bone infection so that's really good so let me tell you a little about my assessment and plan for you so for your first proble...
D2N110
16
[ "Follow-up", "Medication", "Other Treatments", "Radiology Examination", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
okay alright so i've reviewed the results your right foot x-ray that we did before you i came in the room and this shows no evidence of osteomyelitis which means there is no evidence of bone infection so that's really good so let me tell you a little about my assessment and plan for you so for your first problem your d...
2,805
doctor: okay so for your diabetes it's gon na be very important to get your diabetes under control in order to get the wound to heal so we might even go ahead and get a diabetic consult so that we can go over some some maybe some ways you can modify your diet without a being too much but maybe that can bring down your ...
D2N110
17
[ "Referral", "Other Treatments" ]
[ "Plan" ]
okay so for your diabetes it's gon na be very important to get your diabetes under control in order to get the wound to heal so we might even go ahead and get a diabetic consult so that we can go over some some maybe some ways you can modify your diet without a being too much but maybe that can bring down your hemoglob...
2,806
doctor: alright do you have any other questions patient: no
D2N110
18
[ "Discussion" ]
[ "Plan" ]
alright do you have any other questions
2,807
doctor: hey william so i see that you injured your knee could you tell me a bit about what happened patient: yeah i thought it was a good idea to go to the trampoline park with my wife and heard a snap and instant pain when i was on the trampoline
D2N111
0
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
hey william so i see that you injured your knee could you tell me a bit about what happened
2,808
doctor: okay alright and so do do you go to the trampoline park often patient: i do n't and i think that's the issue
D2N111
1
[ "Other Socials" ]
[ "Subjective" ]
okay alright and so do do you go to the trampoline park often
2,809
doctor: okay so this is the first time you'd ever done something like that patient: yes
D2N111
2
[ "Other Socials" ]
[ "Subjective" ]
okay so this is the first time you'd ever done something like that
2,810
doctor: okay alright i just wan na get like a few more details do you like work out regularly was this for fun or for like an exercise class patient: no it's just for fun
D2N111
3
[ "Other Socials" ]
[ "Subjective" ]
okay alright i just wan na get like a few more details do you like work out regularly was this for fun or for like an exercise class
2,811
doctor: okay and do you have like a regular exercise regimen at all patient: try to not consistent with it
D2N111
4
[ "Other Socials" ]
[ "Subjective" ]
okay and do you have like a regular exercise regimen at all
2,812
doctor: okay no that's fine this is not a place of judgment i just i'm just trying to understand like if a little bit more of the background okay so we went to the trampoline park which knee where did you hurt patient: my right
D2N111
5
[ "Acute Symptoms" ]
[ "Subjective" ]
okay no that's fine this is not a place of judgment i just i'm just trying to understand like if a little bit more of the background okay so we went to the trampoline park which knee where did you hurt
2,813
doctor: okay your right knee and so based on like your inside and outside which part hurts more patient: it's kind of the outside of the knee
D2N111
6
[ "Acute Symptoms" ]
[ "Subjective" ]
okay your right knee and so based on like your inside and outside which part hurts more
2,814
doctor: alright so the lateral aspect not a problem and you said that you heard a pop when you landed right patient: yeah
D2N111
7
[ "Acute Symptoms" ]
[ "Subjective" ]
alright so the lateral aspect not a problem and you said that you heard a pop when you landed right
2,815
doctor: okay have you taken anything for the pain patient: just tylenol
D2N111
8
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
okay have you taken anything for the pain
2,816
doctor: alright so did the tylenol help patient: not really
D2N111
9
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
alright so did the tylenol help
2,817
doctor: okay alright and so hmmm when does it have you tried anything else like did you ice it use heat anything like that patient: no i just kinda elevated it and that was about it
D2N111
10
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
okay alright and so hmmm when does it have you tried anything else like did you ice it use heat anything like that
2,818
doctor: okay that's fine and how long ago did this happen patient: a week ago
D2N111
11
[ "Acute Symptoms" ]
[ "Subjective" ]
okay that's fine and how long ago did this happen
2,819
doctor: okay alright so you put up with the pain for a week that's i'm proud of you for that patient: i do n't like to come to the doctors
D2N111
12
[ "Chitchat" ]
[ "Null" ]
okay alright so you put up with the pain for a week that's i'm proud of you for that
2,820
doctor: excuse me i feel rejected right now why why would you say something like that it's fine but you know i i like it when you're not here either because that means that you're doing a good job so let's see about like getting your knee fixed up but i want to talk about some of the other issues that you have first so...
D2N111
13
[ "Personal History" ]
[ "Subjective" ]
excuse me i feel rejected right now why why would you say something like that it's fine but you know i i like it when you're not here either because that means that you're doing a good job so let's see about like getting your knee fixed up but i want to talk about some of the other issues that you have first so we know...
2,821
doctor: no okay that's fine have you measured your blood pressure recently at all patient: no
D2N111
14
[ "Personal History" ]
[ "Subjective" ]
no okay that's fine have you measured your blood pressure recently at all
2,822
doctor: okay are you still taking your medication because i see you're on twenty milligrams of lisinopril patient: yeah most days i remember
D2N111
15
[ "Therapeutic History", "Personal History" ]
[ "Subjective" ]
okay are you still taking your medication because i see you're on twenty milligrams of lisinopril
2,823
doctor: okay ra i'm not suspicious but we're just gon na go with that okay because looking at your vitals it it is of still a bit high i'm not really comfortable i see like a hundred and eighty over you know eighty and that's not where we wan na be so i wonder if we might need to adjust your medication but let's talk a...
D2N111
16
[ "Physical Examination", "Personal History" ]
[ "Subjective", "Objective" ]
okay ra i'm not suspicious but we're just gon na go with that okay because looking at your vitals it it is of still a bit high i'm not really comfortable i see like a hundred and eighty over you know eighty and that's not where we wan na be so i wonder if we might need to adjust your medication but let's talk about you...
2,824
doctor: okay what makes you think that have you been taking them patient: yeah i check it you know most days again kinda when i remember
D2N111
17
[ "Personal History" ]
[ "Subjective" ]
okay what makes you think that have you been taking them
2,825
doctor: okay how often are you checking it patient: i would say four five times a week
D2N111
18
[ "Personal History" ]
[ "Subjective" ]
okay how often are you checking it
2,826
doctor: okay you might wan na switch to maybe two or three times a day but you know that's something i'm glad that you are measuring are you taking your metformin patient: yes
D2N111
19
[ "Therapeutic History", "Personal History" ]
[ "Subjective" ]
okay you might wan na switch to maybe two or three times a day but you know that's something i'm glad that you are measuring are you taking your metformin
2,827
doctor: okay and then i think we have you on five hundred milligrams correct patient: yes
D2N111
20
[ "Therapeutic History" ]
[ "Subjective" ]
okay and then i think we have you on five hundred milligrams correct
2,828
doctor: alright how is your diet patient: kinda the same as my exercise decent could be better
D2N111
21
[ "Personal History" ]
[ "Subjective" ]
alright how is your diet
2,829
doctor: alright and okay not a problem so what is your do you are you measuring your calories at all looking at your macros are you just eating what you feel like patient: yeah just trying to watch what i eat more than anything but nothing specific
D2N111
22
[ "Personal History" ]
[ "Subjective" ]
alright and okay not a problem so what is your do you are you measuring your calories at all looking at your macros are you just eating what you feel like
2,830
doctor: okay and are you do you know if you're particularly focused on your salt like is it like a low salt diet patient: no just trying to watch my carbs a little bit more but not counting or anything
D2N111
23
[ "Personal History" ]
[ "Subjective" ]
okay and are you do you know if you're particularly focused on your salt like is it like a low salt diet
2,831
doctor: alright so like is it a specific diet i just wan na make sure like are you on like the keto diet patient: no
D2N111
24
[ "Personal History" ]
[ "Subjective" ]
alright so like is it a specific diet i just wan na make sure like are you on like the keto diet
2,832
doctor: okay alright not a problem so if you do n't mind i'm gon na go ahead and do a quick physical exam as i mentioned before your blood pressure is a little high as i listen to your heart i do like it's got a nice regular rate and rhythm i do n't appreciate any murmur when i listen to your lungs they sound clear bil...
D2N111
25
[ "Physical Examination" ]
[ "Objective" ]
okay alright not a problem so if you do n't mind i'm gon na go ahead and do a quick physical exam as i mentioned before your blood pressure is a little high as i listen to your heart i do like it's got a nice regular rate and rhythm i do n't appreciate any murmur when i listen to your lungs they sound clear bilaterally...
2,833
doctor: okay and then when i press on the inside does it hurt patient: no
D2N111
26
[ "Physical Examination" ]
[ "Objective" ]
okay and then when i press on the inside does it hurt
2,834
doctor: alright can you bend your knee and straighten it patient: i can i think that's all i can i can bend
D2N111
27
[ "Physical Examination" ]
[ "Objective" ]
alright can you bend your knee and straighten it
2,835
doctor: mm-hmm alright so are you having problems walking can you bear weight patient: i can but i have a little bit of a limp
D2N111
28
[ "Physical Examination" ]
[ "Objective" ]
mm-hmm alright so are you having problems walking can you bear weight
2,836
doctor: okay so do you mind getting up and walking for me really quickly alright so i do notice that there is a slight gait like there is a small sorry you are correcting you do have a limp i i am a little worried about that but it's probably it's probably the superficial when i'm looking at your knee i do notice some ...
D2N111
29
[ "Reassessment", "Physical Examination", "Discussion", "Diagnostic Testing", "Acute Assessment", "Referral", "Radiology Examination", "Medication" ]
[ "Objective", "Assessment", "Plan" ]
okay so do you mind getting up and walking for me really quickly alright so i do notice that there is a slight gait like there is a small sorry you are correcting you do have a limp i i am a little worried about that but it's probably it's probably the superficial when i'm looking at your knee i do notice some like ecc...
2,837
doctor: alright awesome
D2N111
30
[ "Chitchat" ]
[ "Null" ]
doctor: alright awesome
2,838
doctor: hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today patient: pretty good i'm feeling pretty good do n't like the weather you know i've been sitting in the waiting area for you know thirty minutes and that definitely makes the symptoms wor...
D2N112
0
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
hey matthew i see here that you've had some back pain for a while and your pcp sent you over to see me how're you doing today
2,839
doctor: okay well first of all i i agree with you the weather has kinda been all over the place been hot and been cold and and and now it seems like we've had a week of pretty chilly weather hopefully that changes pretty soon so tell me a little bit about when when your back pain started and and and what happened there...
D2N112
1
[ "Personal History" ]
[ "Subjective" ]
okay well first of all i i agree with you the weather has kinda been all over the place been hot and been cold and and and now it seems like we've had a week of pretty chilly weather hopefully that changes pretty soon so tell me a little bit about when when your back pain started and and and what happened there
2,840
doctor: so let's do let's do the reader's digestive version patient: well i ca n't i ca n't really tie my shoes you know standing really makes it bad you know when i go to the mall it really really i do n't know all i i've just been bedridden
D2N112
2
[ "Personal History" ]
[ "Subjective" ]
so let's do let's do the reader's digestive version
2,841
doctor: okay and i know it got real bad about a month ago that's what the report here from the pcp said but can you tell me exactly where the pain is in your lower back can you kinda point to where that's at patient: yeah it's right here and you know like thirty years ago when i fell off the roof it was really really b...
D2N112
3
[ "Acute Symptoms" ]
[ "Subjective" ]
okay and i know it got real bad about a month ago that's what the report here from the pcp said but can you tell me exactly where the pain is in your lower back can you kinda point to where that's at
2,842
doctor: okay and then do you still have that pain that radiates down your left leg sometimes patient: yeah of course yeah it goes all the way through here
D2N112
4
[ "Personal History" ]
[ "Subjective" ]
okay and then do you still have that pain that radiates down your left leg sometimes
2,843
doctor: okay and then so it looks like you pointed to your lower back area and then pointed down through your hip and down into your to your left leg can you describe that pain for me patient: it's like a electrical tooth ache and it it it goes down the whole leg
D2N112
5
[ "Acute Symptoms" ]
[ "Subjective" ]
okay and then so it looks like you pointed to your lower back area and then pointed down through your hip and down into your to your left leg can you describe that pain for me
2,844
doctor: okay and can you rate that pain for me right now zero being none ten being the worst pain you've ever been in in your life patient: right now it's less bad i did n't take my medications because i wanted you to see me as as i am but it's six out of ten but when it gets really bad i'd say it's thirteen out of ten
D2N112
6
[ "Acute Symptoms" ]
[ "Subjective" ]
okay and can you rate that pain for me right now zero being none ten being the worst pain you've ever been in in your life
2,845
doctor: okay and anything that you do make it feel better you mentioned that you know sometimes sitting or laying down anything there make that better patient: yeah like i said it the only thing that seems to make it better is laying down
D2N112
7
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
okay and anything that you do make it feel better you mentioned that you know sometimes sitting or laying down anything there make that better
2,846
doctor: okay and then any numbness or tingling in in your lower extremities or any weakness there in your legs patient: you know it it's my back that's weak and my legs are weak both of them you know coughing sneezing seem to make it worse so sorry i'm just trying to be like a typical patient because most patients they...
D2N112
9
[ "Vegetative History" ]
[ "Subjective" ]
okay and then any numbness or tingling in in your lower extremities or any weakness there in your legs
2,847
doctor: that's okay patient: to explain but this is what i deal with every single day
D2N112
10
[ "Chitchat" ]
[ "Null" ]
that's okay
2,848
doctor: absolutely patient: lot of pain yeah you know what my pain is eight out of ten it goes in the back goes into the hip side of the leg side of the calf goes to the big toe my foot kinda drags when i walk i've been having to use a cane nothing seems to make it better and but very few patients will give you the per...
D2N112
11
[ "Vegetative History" ]
[ "Subjective" ]
absolutely
2,849
doctor: so let's take a a quick look at you here okay let's do a physical exam real quick so your vitals look good which is a good thing now on your back exam i do n't see any bony abnormalities no redness or no and no bruising present now do you have pain when i press here patient: no it's right here
D2N112
12
[ "Physical Examination" ]
[ "Objective" ]
so let's take a a quick look at you here okay let's do a physical exam real quick so your vitals look good which is a good thing now on your back exam i do n't see any bony abnormalities no redness or no and no bruising present now do you have pain when i press here
2,850
doctor: okay so positive for pain to palpation at the l4 vertebrae and if you bend forward do you have pain there patient: it hurts all the time especially sitting in these run office desks
D2N112
13
[ "Physical Examination" ]
[ "Objective" ]
okay so positive for pain to palpation at the l4 vertebrae and if you bend forward do you have pain there
2,851
doctor: okay so you are positive for pain with flexion and extension of your back i'm going to go ahead and test the strength of your legs now push out against my hands for me please patient: okay that's it that's all i got
D2N112
14
[ "Physical Examination" ]
[ "Objective" ]
okay so you are positive for pain with flexion and extension of your back i'm going to go ahead and test the strength of your legs now push out against my hands for me please
2,852
doctor: alright so four out of five strength in the left and five out of five on the right does look like that reflexes are brisk and motor and sensory is intact in both lower extremities i do wan na review the results of your mri the mri shows a disk herniation at the level of l4 l5 vertebrae and it is associated with...
D2N112
15
[ "Discussion", "Follow-up", "Medication", "Radiology Examination", "Referral", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
alright so four out of five strength in the left and five out of five on the right does look like that reflexes are brisk and motor and sensory is intact in both lower extremities i do wan na review the results of your mri the mri shows a disk herniation at the level of l4 l5 vertebrae and it is associated with some ne...
2,853
doctor: alright sounds good i'm gon na have the nurse come in and get you prepped and then we'll get that injection for you
D2N112
16
[ "Chitchat" ]
[ "Null" ]
doctor: alright sounds good i'm gon na have the nurse come in and get you prepped and then we'll get that injection for you
2,854
doctor: hi jacqueline how are you doing today patient: i'm doing okay i'm just really anxious about my recent blood work that my pcp did and said that i have hepatitis c i'm just really surprised because i've been feeling fine
D2N113
0
[ "Greetings" ]
[ "Subjective" ]
hi jacqueline how are you doing today
2,855
doctor: okay so were you ever told in the past that you have hepatitis c patient: no never
D2N113
1
[ "Personal History" ]
[ "Subjective" ]
okay so were you ever told in the past that you have hepatitis c
2,856
doctor: okay and do do you have any history like iv drug use known that you know or do you have any known to have any like hepatitis c positive partners patient: i mean like years ago i used to party a lot and even use iv drugs but i've been clean for over fifteen years now
D2N113
2
[ "Other Socials", "Drug History" ]
[ "Subjective" ]
okay and do do you have any history like iv drug use known that you know or do you have any known to have any like hepatitis c positive partners
2,857
doctor: okay well very good you know congratulations on that that's that's a great great achievement so tell me though how about alcohol use patient: i used to drink a lot a lot more alcohol now i probably would say i drink about a beer a day
D2N113
3
[ "Drug History" ]
[ "Subjective" ]
okay well very good you know congratulations on that that's that's a great great achievement so tell me though how about alcohol use
2,858
doctor: okay alright how about smoking have you ever smoked patient: i do smoke i'm down to one to two cigarettes a day it's just really been tough to just get rid of those two but i've cut down a lot i used to i was up to one point or a pack and a half a day
D2N113
5
[ "Drug History" ]
[ "Subjective" ]
okay alright how about smoking have you ever smoked
2,859
doctor: wow okay alright so yeah you you definitely have decreased that so that's again good for you on that one so hopefully you keep you keep that up patient: thing
D2N113
6
[ "Chitchat" ]
[ "Null" ]
wow okay alright so yeah you you definitely have decreased that so that's again good for you on that one so hopefully you keep you keep that up
2,860
doctor: so tell me do you have any other medication conditions patient: do i do i no otherwise i'm i'm feel pretty good i had my physical there was nothing else the the only thing i was telling my pcp is i do feel like tend to be really tired at the end of the day after working but otherwise i've been good
D2N113
7
[ "Personal History" ]
[ "Subjective" ]
so tell me do you have any other medication conditions
2,861
doctor: okay and and has work been not hard lately you've been busy it sounds like patient: i know i have been busy but not really much more than usual
D2N113
8
[ "Other Socials" ]
[ "Subjective" ]
okay and and has work been not hard lately you've been busy it sounds like
2,862
doctor: okay alright well i hope you're not working too much and then you'll able to at least find some time with the family patient: yeah i'm i yeah i tend to be a workaholic but yes i i am working on that
D2N113
10
[ "Other Socials" ]
[ "Subjective" ]
okay alright well i hope you're not working too much and then you'll able to at least find some time with the family
2,863
doctor: okay well i hope kids are doing okay patient: they are thank you
D2N113
11
[ "Chitchat" ]
[ "Null" ]
okay well i hope kids are doing okay
2,864
doctor: okay good so tell me what conditions what kind of conditions run in your family like is there do you have hypertension diabetes or patient: yeah all of all of the above
D2N113
12
[ "Family History" ]
[ "Subjective" ]
okay good so tell me what conditions what kind of conditions run in your family like is there do you have hypertension diabetes or
2,865
doctor: okay and depression okay alright well let's go ahead and do a quick physical exam on you here i reviewed your vitals and everything there looks good so that's good and now on general appearance you appear in no distress and no jaundice on skin exam let me go ahead and listen to your heart here great on your hea...
D2N113
14
[ "Physical Examination" ]
[ "Objective" ]
okay and depression okay alright well let's go ahead and do a quick physical exam on you here i reviewed your vitals and everything there looks good so that's good and now on general appearance you appear in no distress and no jaundice on skin exam let me go ahead and listen to your heart here great on your heart exam ...
2,866
doctor: alright now let me listen to your lungs here very good so your your lungs are clear with no wheezes rales or rhonchi and let me go ahead and listen to your abdomen great your bowel sounds are present your abdomen is soft with no hepatospleno splenomegaly ca n't talk to appreciated so let me now check your muscu...
D2N113
15
[ "Physical Examination", "Lab Examination", "Diagnostic Testing", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
alright now let me listen to your lungs here very good so your your lungs are clear with no wheezes rales or rhonchi and let me go ahead and listen to your abdomen great your bowel sounds are present your abdomen is soft with no hepatospleno splenomegaly ca n't talk to appreciated so let me now check your musculoskelet...
2,867
doctor: alright now i know that was a lot of information do you have any questions for me patient: yeah so should i be worried about my wife and my kids should they be tested as well
D2N113
16
[ "Discussion" ]
[ "Plan" ]
alright now i know that was a lot of information do you have any questions for me
2,868
doctor: yes so we can start with the same screening that you have had for you for all of them first okay patient: okay alright so i'll make sure i'll have them set up an appointment with our our family doctor
D2N113
17
[ "Discussion", "Diagnostic Testing" ]
[ "Plan" ]
yes so we can start with the same screening that you have had for you for all of them first okay
2,869
doctor: okay great so if you do n't have any other questions i'm gon na have the nurse check you out and get all that scheduled and i'm gon na see you in about three weeks patient: alright perfect
D2N113
18
[ "Chitchat" ]
[ "Null" ]
okay great so if you do n't have any other questions i'm gon na have the nurse check you out and get all that scheduled and i'm gon na see you in about three weeks
2,870
doctor: alright patient: thank you
D2N113
19
[ "Chitchat" ]
[ "Null" ]
alright
2,871
doctor: take care jacqueline patient: okay bye
D2N113
20
[ "Chitchat" ]
[ "Null" ]
take care jacqueline
2,872
doctor: alright good morning Julie how are you doing today patient: i'm doing okay i'm just a little nervous about what's been going on with my headaches
D2N114
0
[ "Greetings" ]
[ "Subjective" ]
alright good morning Julie how are you doing today
2,873
doctor: okay so i know you were sent here by your your pcp what was your understanding of why you were sent here patient: yeah so i actually have been someone who been struggling with headaches for years now ever since i was a teenager and they used to be around my when i would have my menstrual my menses but as i got ...
D2N114
1
[ "Personal History" ]
[ "Subjective" ]
okay so i know you were sent here by your your pcp what was your understanding of why you were sent here
2,874
doctor: okay can you tell me a little bit about them what how do they how do they feel when they come on patient: so they say mostly on my right side and it even seems like it's like behind my eye and it just like this pulsing like this really bad pulsing sensation
D2N114
2
[ "Personal History" ]
[ "Subjective" ]
okay can you tell me a little bit about them what how do they how do they feel when they come on
2,875
doctor: okay do you notice these any activities or time of the day that makes them worse i know you said they they seem to get worse around your menstrual periods but is there any time of the day or that makes them worse patient: i i have noticed that you know i've been trying to exercise more in order to lose weight b...
D2N114
3
[ "Personal History" ]
[ "Subjective" ]
okay do you notice these any activities or time of the day that makes them worse i know you said they they seem to get worse around your menstrual periods but is there any time of the day or that makes them worse
2,876
doctor: okay and do you seem to have any other symptoms when you get these headaches patient: i've been having a ringing in my ears for a few months now and then what really scared me is that now i'm starting to get some blurred vision it's not all the time but it it will come and go but some blurred like on the in my ...
D2N114
4
[ "Personal History", "Vegetative History" ]
[ "Subjective" ]
okay and do you seem to have any other symptoms when you get these headaches
2,877
doctor: okay okay and have you experienced any numbness or tingling to your hands or feet or your face patient: no i have n't
D2N114
5
[ "Personal History" ]
[ "Subjective" ]
okay okay and have you experienced any numbness or tingling to your hands or feet or your face
2,878
doctor: okay so you you like to run a lot what kind of do you do you use a a good shoe you know what kind of shoes do you use for your running patient: yeah i yeah i i'm starting to get back into it i'm a big new balance person in asics so yeah those are the two brands i like to wear yeah so right now i'm using asics
D2N114
6
[ "Other Socials" ]
[ "Subjective" ]
okay so you you like to run a lot what kind of do you do you use a a good shoe you know what kind of shoes do you use for your running
2,879
doctor: okay yeah i like to run too and i use nike patient: okay
D2N114
7
[ "Chitchat" ]
[ "Null" ]
okay yeah i like to run too and i use nike
2,880
doctor: i used to get tumor guy but i i really kinda moved over to nike patient: hmmm
D2N114
8
[ "Chitchat" ]
[ "Null" ]
i used to get tumor guy but i i really kinda moved over to nike
2,881
doctor: that's good you know it is running is a great exercise patient: it is
D2N114
9
[ "Chitchat" ]
[ "Null" ]
that's good you know it is running is a great exercise
2,882
doctor: so have you had any let's get back to the exam here have you had a recent mri of your brain i saw one from a few years ago but as doctor white said anything about getting a more a recent mri patient: yeah she was gon na put one in but she wanted me to see you first and urgently so they have n't called me yet fo...
D2N114
10
[ "Personal History" ]
[ "Subjective" ]
so have you had any let's get back to the exam here have you had a recent mri of your brain i saw one from a few years ago but as doctor white said anything about getting a more a recent mri
2,883
doctor: okay so that's good we i think we'll we will follow up with that mri but let's go ahead and take a do a quick physical exam here i reviewed your vitals that the the assistant collected when you came in and everything there looks good including your blood pressure you know with symptoms like that that's one of t...
D2N114
11
[ "Physical Examination" ]
[ "Objective" ]
okay so that's good we i think we'll we will follow up with that mri but let's go ahead and take a do a quick physical exam here i reviewed your vitals that the the assistant collected when you came in and everything there looks good including your blood pressure you know with symptoms like that that's one of those thi...
2,884
doctor: now on your heart exam it sounds like it's normal sinus rhythm with no murmurs rubs or gallops so that's good as i listen i'm gon na go ahead and look here in your eyes the funduscopic exam shows papilledema and that's just some of swelling behind there in the eye and this let me do a a neurological exam this w...
D2N114
12
[ "Physical Examination" ]
[ "Objective" ]
now on your heart exam it sounds like it's normal sinus rhythm with no murmurs rubs or gallops so that's good as i listen i'm gon na go ahead and look here in your eyes the funduscopic exam shows papilledema and that's just some of swelling behind there in the eye and this let me do a a neurological exam this will take...
2,885
doctor: that's okay for your first problem your headaches your symptoms are concerning for what we call idiopathic intracranial hypertension and this is a condition that that you have increased pressure in the in your head in your brain without any known cause for it now patient also presents with often present with sy...
D2N114
13
[ "Discussion", "Diagnostic Testing", "Acute Assessment", "Referral" ]
[ "Assessment", "Plan" ]
that's okay for your first problem your headaches your symptoms are concerning for what we call idiopathic intracranial hypertension and this is a condition that that you have increased pressure in the in your head in your brain without any known cause for it now patient also presents with often present with symptoms s...
2,886
doctor: not necessarily if you have idiopathic intracranial hypertension there are number of medications that we can try to help decrease that pressure in your brain and this will also help you have less headaches when you exercise as exercise and weight loss are also an important part of the treatment patient: okay al...
D2N114
14
[ "Discussion", "Other Treatments", "Medication" ]
[ "Plan" ]
not necessarily if you have idiopathic intracranial hypertension there are number of medications that we can try to help decrease that pressure in your brain and this will also help you have less headaches when you exercise as exercise and weight loss are also an important part of the treatment
2,887
doctor: yeah that's a great question here i i'm gon na go ahead and we're gon na for the mri i'll have to get a preapproval from your insurance company i will work on that my my my team in the front office will get that preapproved and then once that's done we'll call you to help schedule that mri patient: okay alright...
D2N114
15
[ "Diagnostic Testing" ]
[ "Plan" ]
yeah that's a great question here i i'm gon na go ahead and we're gon na for the mri i'll have to get a preapproval from your insurance company i will work on that my my my team in the front office will get that preapproved and then once that's done we'll call you to help schedule that mri
2,888
doctor: bye sorry
D2N114
16
[ "Chitchat" ]
[ "Null" ]
doctor: bye sorry
2,889
doctor: alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened patient: yeah so i was in a a car accident
D2N115
0
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
alright so hey it's nice to see you jack i know you've been experiencing some neck pain could you tell me what happened
2,890
doctor: mm-hmm patient: and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some pain ever since
D2N115
1
[ "Acute Symptoms" ]
[ "Subjective" ]
mm-hmm
2,891
doctor: okay and so with this pain how long ago was the car accident patient: that was about a week ago
D2N115
2
[ "Acute Symptoms" ]
[ "Subjective" ]
okay and so with this pain how long ago was the car accident
2,892
doctor: okay with this pain like on a scale of one to ten how severe is it patient: i would say it's about a seven
D2N115
3
[ "Acute Symptoms" ]
[ "Subjective" ]
okay with this pain like on a scale of one to ten how severe is it
2,893
doctor: alright so where exactly is it on the side on the back patient: it's in the back of my neck
D2N115
5
[ "Acute Symptoms" ]
[ "Subjective" ]
alright so where exactly is it on the side on the back
2,894
doctor: okay has anything made it better patient: i mean i've tried some ibuprofen that helped a little bit but not too much
D2N115
6
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
okay has anything made it better
2,895
doctor: mm-hmm patient: just about five out of ten
D2N115
7
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
mm-hmm
2,896
doctor: mm-hmm alright and did you say whether the pain was getting worse patient: i mean it's been staying the same it just gets worse when i'm moving my neck
D2N115
8
[ "Acute Symptoms" ]
[ "Subjective" ]
mm-hmm alright and did you say whether the pain was getting worse
2,897
doctor: okay are you able to turn your neck from side to side patient: mostly but there is there is pain with it
D2N115
9
[ "Acute Symptoms" ]
[ "Subjective" ]
okay are you able to turn your neck from side to side
2,898
doctor: okay and then do you have headaches patient: yeah i had i had a couple early on
D2N115
10
[ "Vegetative History" ]
[ "Subjective" ]
okay and then do you have headaches
2,899