user_id stringlengths 16 21 | actions listlengths 0 0 | instruction stringlengths 203 9.79k | outputs listlengths 0 0 | case dict | policy dict | annotation dict | synthesis null | source dict |
|---|---|---|---|---|---|---|---|---|
patient_mc_00000 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Male, 41 years old, intentionally swallowed a foreign body one hour ago
Present illness: The patient intentionally swallowed a foreign body (reported as a cylindrical metal piece approximately 3 cm long) around 6:30 AM, experienced ab... | [] | {
"case_id": "mc_00000",
"patient_id": "mc_pt_00000",
"chief_complaint": "intentionally swallowed a foreign body one hour ago",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Male, 41 years old, intentionally swallowed a foreign body one hour ago\nPresen... | {
"necessary_evidence": [
"hx_foreign_body_swallowed_present",
"sym_abdominal_pain_present",
"img_ct_foreign_body_positive"
],
"red_flags": [],
"accepted_diagnoses": [
"gastric foreign body",
"foreign body in the stomach",
"ingested foreign body"
],
"accepted_treatments": [],
"tau_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00001 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Male, 60 years old, married, Han nationality, farmer. Diagnosed with lung cancer for 4 months, fever for 3 days.
Present illness: The patient developed fever in September 2016 without obvious inducement, more pronounced in the afterno... | [] | {
"case_id": "mc_00001",
"patient_id": "mc_pt_00001",
"chief_complaint": "Diagnosed with lung cancer for 4 months, fever for 3 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Male, 60 years old, married, Han nationality, farmer. Diagnosed with lung... | {
"necessary_evidence": [
"hx_fever_present",
"img_left_lung_mass_present",
"exam_left_upper_lung_breath_sounds_decreased_decreased",
"img_central_type_lung_cancer_present"
],
"red_flags": [
"img_left_lung_mass_present",
"lab_wbc_low",
"lab_neutrophils_low",
"img_central_type_lung_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00002 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Patient: female, 81 years old. Admitted on August 2, 2013, due to 'maintenance hemodialysis for 4 years, bilateral lower limb edema for 1 month'.
Past medical history: [Past medical history]
History of diabetes for over 30 years, hist... | [] | {
"case_id": "mc_00002",
"patient_id": "mc_pt_00002",
"chief_complaint": "maintenance hemodialysis for 4 years, bilateral lower limb edema for 1 month",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Patient: female, 81 years old. Admitted on August 2, 2... | {
"necessary_evidence": [
"hx_long_term_hemodialysis_present",
"exam_bilateral_lower_limb_edema_severe",
"lab_serum_creatinine_elevated",
"lab_urea_nitrogen_elevated",
"lab_hemoglobin_low"
],
"red_flags": [
"lab_serum_creatinine_elevated"
],
"accepted_diagnoses": [
"end-stage renal... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00003 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: 55 years old, female, presented with “fever and abdominal pain for 2 months.”
Present illness: Fever is of the intermittent type, with a maximum temperature of 39.4°C. Abdominal pain is located in the right upper abdomen, described as... | [] | {
"case_id": "mc_00003",
"patient_id": "mc_pt_00003",
"chief_complaint": "fever and abdominal pain for 2 months",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: 55 years old, female, presented with “fever and abdominal pain for 2 months.”\nPresent illnes... | {
"necessary_evidence": [
"hx_fever_present",
"hx_abdominal_pain_present",
"hx_weight_loss_significant",
"exam_right_upper_abdominal_tenderness_present",
"lab_alkaline_phosphatase_elevated_elevated",
"lab_alanine_aminotransferase_elevated_elevated",
"lab_aspartate_aminotransferase_elevated... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00004 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Female patient, 53 years old, admitted for treatment on April 16, 2009, due to positive anti-HCV for 3 years, intermittent fatigue accompanied by nausea and decreased appetite for 3 months. Underwent left breast cancer radical surgery... | [] | {
"case_id": "mc_00004",
"patient_id": "mc_pt_00004",
"chief_complaint": "positive anti-HCV for 3 years, intermittent fatigue accompanied by nausea and decreased appetite for 3 months",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Female patient, 53 ye... | {
"necessary_evidence": [
"lab_anti_hcv_positive",
"lab_hcv_rna_elevated",
"lab_alt_elevated",
"lab_ast_elevated",
"hx_blood_transfusion"
],
"red_flags": [],
"accepted_diagnoses": [
"chronic hepatitis C",
"hepatitis C"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00006 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: Fatigue, abdominal distension, yellow urine for 3 days
Present Illness: Three days ago, the patient developed bilateral lower limb weakness and continuous abdominal distension without any obvious cause. Symptoms worsened after eating,... | [] | {
"case_id": "mc_00006",
"patient_id": "mc_pt_00006",
"chief_complaint": "Fatigue, abdominal distension, yellow urine for 3 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief Complaint: Fatigue, abdominal distension, yellow urine for 3 days\nPresent Illness: Thr... | {
"necessary_evidence": [
"hx_fatigue_present",
"hx_abdominal_distension_present",
"hx_yellow_urine_present",
"lab_hbv_serology_positive",
"lab_liver_enzymes_elevated",
"img_hepatic_masses_present",
"img_splenomegaly_present"
],
"red_flags": [
"img_hepatic_masses_present"
],
"a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00007 | [] | Chief complaint: Fatigue, abdominal distension for more than 2 months
Present illness: About 2 months ago, the patient experienced fatigue and abdominal distension without obvious triggers while working at a construction site, which became more pronounced after consuming greasy food. At that time, there were no sympt... | [] | {
"case_id": "mc_00007",
"patient_id": "mc_pt_00007",
"chief_complaint": "Fatigue, abdominal distension for over 2 months",
"patient_brief": "Chief complaint: Fatigue, abdominal distension for over 2 months \nPresent illness: About 2 months ago, the patient experienced fatigue and abdominal distension without ... | {
"necessary_evidence": [
"hx_fatigue_present",
"lab_hepatitis_b_virus_positive",
"lab_alt_elevated",
"lab_ast_elevated",
"exam_liver_area_tenderness_present"
],
"red_flags": [],
"accepted_diagnoses": [
"chronic hepatitis B",
"hepatitis B virus infection",
"hepatitis B"
],
"a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00008 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Female, 79 years old, married, Han nationality, retired. Shortness of breath after activity for more than 1 year, worsened in the last month.
Present illness: For more than 1 year before admission, the patient intermittently experienc... | [] | {
"case_id": "mc_00008",
"patient_id": "mc_pt_00008",
"chief_complaint": "Shortness of breath after activity for more than 1 year, worsened in the last month.",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Female, 79 years old, married, Han nationality... | {
"necessary_evidence": [
"hx_shortness_of_breath_present",
"exam_heart_sounds_present",
"img_aortic_and_coronary_artery_sclerosis_present"
],
"red_flags": [],
"accepted_diagnoses": [
"coronary atherosclerotic heart disease",
"coronary heart disease",
"congestive heart failure"
],
"a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00009 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Patient, male, 68 years old, farmer, admitted due to worsening anorexia for 1 month accompanied by discomfort in the right upper abdomen for 10 days. | [] | {
"case_id": "mc_00009",
"patient_id": "mc_pt_00009",
"chief_complaint": "worsening anorexia for 1 month accompanied by discomfort in the right upper abdomen for 10 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Patient, male, 68 years old, farmer... | {
"necessary_evidence": [
"hx_anorexia_present",
"sym_right_upper_abdomen_discomfort_present",
"img_dilation_common_bile_duct_present",
"img_dilation_intrahepatic_bile_ducts_present",
"img_thickened_gallbladder_wall_present",
"exam_tenderness_right_upper_abdomen_present"
],
"red_flags": []... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00010 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: 24 years old, employee, male. Main reason: Poor appetite accompanied by scleral jaundice for 2 days before admission. | [] | {
"case_id": "mc_00010",
"patient_id": "mc_pt_00010",
"chief_complaint": "Poor appetite accompanied by scleral jaundice for 2 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: 24 years old, employee, male. Main reason: Poor appetite accompanied by sc... | {
"necessary_evidence": [
"sym_poor_appetite_present",
"exam_mild_scleral_jaundice_present",
"lab_total_bilirubin_elevated",
"lab_direct_bilirubin_elevated",
"lab_alanine_aminotransferase_elevated",
"lab_aspartate_aminotransferase_elevated"
],
"red_flags": [],
"accepted_diagnoses": [
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00011 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Female, 53 years old, married, Han nationality, farmer. Diagnosed with liver cancer for over 1 year, planning to undergo further treatment.
Present illness: The patient experienced dull pain and discomfort in the upper abdomen without... | [] | {
"case_id": "mc_00011",
"patient_id": "mc_pt_00011",
"chief_complaint": "Dull pain and discomfort in the upper abdomen for over 1 year.",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Female, 53 years old, married, Han nationality, farmer. Diagnosed wi... | {
"necessary_evidence": [
"hx_past_hepatitis_b_infection_present",
"sym_upper_abdominal_pain_present",
"img_abdominal_ultrasound_mass_present",
"img_abdominal_mri_mass_present",
"lab_postoperative_pathology_positive"
],
"red_flags": [
"img_abdominal_mri_mass_present"
],
"accepted_diagn... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00012 | [] | Chief complaint: Female, 40 years old, widowed, Han ethnicity, unemployed. Cervical cancer for over 2 years, with rectal bleeding for 1 day.
Present illness history: In May 2012, the patient experienced increased menstrual flow without obvious cause. A pelvic enhanced CT at our hospital indicated a cervical occupying ... | [] | {
"case_id": "mc_00012",
"patient_id": "mc_pt_00012",
"chief_complaint": "Cervical cancer for over 2 years, with hematochezia for 1 day.",
"patient_brief": "Chief complaint: Female, 40 years old, widowed, Han ethnicity, unemployed. Cervical cancer for over 2 years, with hematochezia for 1 day.\n\nPresent illnes... | {
"necessary_evidence": [
"hx_increased_menstrual_flow_present",
"img_pelvic_enhanced_ct_positive",
"img_abdominal_pelvic_ct_positive",
"img_chest_abdominal_ct_positive"
],
"red_flags": [
"sym_hematochezia_present"
],
"accepted_diagnoses": [
"cervical cancer",
"cervical carcinoma"
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00013 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Male, 59 years old, married, Han nationality, retired. Primary liver cancer, 4 years post-surgery, bilateral lower limb edema for 1 week.
Present illness: The patient experienced upper abdominal distension and discomfort without obvio... | [] | {
"case_id": "mc_00013",
"patient_id": "mc_pt_00013",
"chief_complaint": "bilateral lower limb edema for 1 week",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Male, 59 years old, married, Han nationality, retired. Primary liver cancer, 4 years post-sur... | {
"necessary_evidence": [
"hx_upper_abdominal_distension",
"lab_afp_elevated_elevated",
"img_ct_soft_tissue_mass_left_lobe_liver_present",
"img_enhanced_nodule_left_outer_lobe_liver_present",
"exam_lower_limb_edema_present",
"lab_albumin_low_low"
],
"red_flags": [
"lab_afp_elevated_ele... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00014 | [] | Chief complaint: Complete preoperative preparation, undergoing surgical treatment under general anesthesia. Intraoperative exploration revealed normal liver texture, with a solid mass in the right posterior lobe of the liver, approximately 15.0 cm × 10.0 cm in size, with an intact capsule. The intraoperative diagnosis ... | [] | {
"case_id": "mc_00014",
"patient_id": "mc_pt_00014",
"chief_complaint": "intermittent fever accompanied by upper abdominal discomfort",
"patient_brief": "Chief complaint: Complete preoperative preparation, undergoing surgical treatment under general anesthesia. Intraoperative exploration revealed normal liver ... | {
"necessary_evidence": [
"hx_fever_and_upper_abdominal_discomfort_present",
"img_ct_space_occupying_lesion_present",
"exam_right_upper_quadrant_tenderness_present",
"exam_enlarged_liver_palpable_present"
],
"red_flags": [
"img_ct_space_occupying_lesion_present",
"exam_enlarged_liver_palpa... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00015 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: Male, 40 years old, from Zhejiang, admitted to the Department of Infectious Diseases at Huashan Hospital Affiliated with Fudan University on January 16, 2015, due to “recurrent fever for more than 6 months after esophageal foreign bod... | [] | {
"case_id": "mc_00015",
"patient_id": "mc_pt_00015",
"chief_complaint": "Recurrent fever for more than 6 months after esophageal foreign body surgery.",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief Complaint: Male, 40 years old, from Zhejiang, admitted to the De... | {
"necessary_evidence": [
"exam_temperature_elevated",
"exam_petechiae_ecchymosis_present",
"exam_aortic_murmur_present"
],
"red_flags": [
"exam_petechiae_ecchymosis_present",
"exam_aortic_murmur_present"
],
"accepted_diagnoses": [
"fever of unknown origin",
"recurrent fever",
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00016 | [] | Chief complaint: Male patient, 58 years old, admitted due to "progressive worsening of bone pain for 1 year."
Present illness: The patient experienced left foot pain without obvious inducement 1 year ago, with no redness, swelling, or skeletal deformity. An X-ray of the foot taken at a local hospital showed no abnorma... | [] | {
"case_id": "mc_00016",
"patient_id": "mc_pt_00016",
"chief_complaint": "progressive bone pain worsening over 1 year",
"patient_brief": "Chief complaint: The patient is a 58-year-old male who was admitted due to \"progressive bone pain worsening over 1 year.\"\n\nPresent illness: The patient experienced left f... | {
"necessary_evidence": [
"hx_progressive_bone_pain_worsening",
"img_spect_scan_abnormal",
"lab_phosphorus_low",
"exam_pelvic_compression_pain_positive",
"exam_chest_wall_compression_pain_positive"
],
"red_flags": [
"img_spect_scan_abnormal",
"lab_phosphorus_low",
"lab_potassium_lo... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00017 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: (1 mmHg = 0.133 kPa), acute appearance, no rash or petechiae on the skin, mild eyelid edema, no abnormalities in the face, slightly pale conjunctiva, no icterus of the sclera, equal and round pupils, light reflex present. Thyroid not ... | [] | {
"case_id": "mc_00017",
"patient_id": "mc_pt_00017",
"chief_complaint": "acute appearance, mild eyelid edema, slightly pale conjunctiva, few wet rales heard at both lung bases, mild pitting edema in both lower limbs",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief... | {
"necessary_evidence": [
"hx_abdominal_distension_present",
"hx_dyspnea_on_exertion_present",
"hx_edema_lower_limbs_present",
"exam_pitting_edema_lower_limbs_present",
"exam_hepatojugular_reflux_positive",
"hx_portal_hypertension_present",
"hx_liver_function_impairment_present",
"hx_p... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00018 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: Male patient, 59 years old, cough, sputum production, hemoptysis for 2 days
Present Illness: Two days ago, the patient developed fever (temperature not measured), cough, sputum production, and hemoptysis after being exposed to cold, w... | [] | {
"case_id": "mc_00018",
"patient_id": "mc_pt_00018",
"chief_complaint": "cough, sputum production, hemoptysis for 2 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief Complaint: Male patient, 59 years old, cough, sputum production, hemoptysis for 2 days\nPresen... | {
"necessary_evidence": [
"hx_acute_onset_present",
"sym_fever_present",
"sym_cough_present",
"sym_sputum_production_present",
"sym_hemoptysis_present",
"exam_wet_rale_in_lungs_present",
"lab_increased_neutrophil_ratio_elevated",
"img_inflammatory_changes_in_lungs_present"
],
"red_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00019 | [] | Chief complaint: Male patient, 70 years old
Medical history: The patient has been hospitalized twice due to "recurrent purpura of both lower limbs for 8 years, abnormal urine tests accompanied by elevated blood creatinine for over 3 years, worsening for more than 1 month." First hospitalization: In 2002 and 2003, the... | [] | {
"case_id": "mc_00019",
"patient_id": "mc_pt_00019",
"chief_complaint": "Male patient, 70 years old",
"patient_brief": "Chief complaint: Male patient, 70 years old \nMedical history: The patient has been hospitalized twice due to \"recurrent purpura of both lower limbs for 8 years, abnormal urine tests with e... | {
"necessary_evidence": [
"lab_lymphocytes_cd4_plus_low",
"lab_lymphocytes_cd20_plus_low",
"lab_lymphocytes_cd19_plus_low",
"lab_serum_free_kappa_light_chains_elevated",
"lab_kappa_lambda_ratio_abnormal",
"lab_immunofixation_electrophoresis_positive"
],
"red_flags": [],
"accepted_diagnos... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7353859-1 | [] | A 63-year-old Caucasian woman with severe thyrotoxicosis in the course of giant toxic nodular goiter was admitted to the Endocrinology Clinic of the Holycross Cancer Center in Kielce for treatment. The course of the disease was as follows: Approximately 20 years ago, the patient was diagnosed with non-toxic nodular goi... | [] | {
"case_id": "pmc_7353859-1",
"patient_id": "pmc_pt_7353859-1",
"chief_complaint": "Severe shortness of breath and palpitations",
"patient_brief": "A 63-year-old Caucasian woman with severe thyrotoxicosis in the course of giant toxic nodular goiter was admitted to the Endocrinology Clinic of the Holycross Cance... | {
"necessary_evidence": [
"hx_gradual_increase_in_goiter_size",
"sym_shortness_of_breath_present",
"sym_palpitations_present",
"exam_heart_rate_elevated",
"exam_enlarged_thyroid_gland_present",
"lab_tsh_decreased",
"lab_ft4_elevated",
"lab_ft3_elevated",
"lab_burch_wartofsky_scale_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "32545570",
"title": "Effective Preoperative Plasmapheresis Treatment of Severe Hyperthyroidism in a Patient with Giant Toxic Nodular Goiter and Methimazole-Induced Agranulocytosis",
"patient_uid": "7353859-1",
"age": 63,
"gender": "F",
... |
patient_pmc_7268707-1 | [] | We report a case of a 29-year-old female who presented to us in August 2015, presenting with green discoloration and frothy urine associated with lower limb edema (Fig. ). These symptoms were not preceded by any infective episodes. She was previously well and was only admitted for previous childbirth of which all her b... | [] | {
"case_id": "pmc_7268707-1",
"patient_id": "pmc_pt_7268707-1",
"chief_complaint": "green discoloration and frothy urine with lower limb edema",
"patient_brief": "We report a case of a 29-year-old female who presented to us in August 2015, presenting with green discoloration and frothy urine associated with low... | {
"necessary_evidence": [
"sym_green_discoloration_and_frothy_urine_present",
"sym_lower_limb_edema_present",
"lab_proteinuria_elevated",
"lab_albumin_low",
"lab_ana_positive",
"lab_complement_levels_low",
"lab_anti_ssa_antibody_positive",
"lab_anti_ssb_antibody_positive",
"img_ren... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "32487242",
"title": "Herbal medication triggering lupus nephritis - a case report",
"patient_uid": "7268707-1",
"age": 29,
"gender": "F",
"suitability_score": 5,
"suitability_reasons": [
"+present(?:ed",
"ing",
"s) with",
... |
patient_pmc_7060584-1 | [] | A 25-year-old housewife, with no prior medical illness presented to Kapit Hospital, Sarawak, Malaysian Borneo, with fever associated with dysuria, urinary frequency and vaginal discharge 1 week prior. She denied cough, shortness of breath or chest pain. She divorced 4 years prior, and was living with a healthy male par... | [] | {
"case_id": "pmc_7060584-1",
"patient_id": "pmc_pt_7060584-1",
"chief_complaint": "fever associated with dysuria, urinary frequency and vaginal discharge",
"patient_brief": "A 25-year-old housewife, with no prior medical illness presented to Kapit Hospital, Sarawak, Malaysian Borneo, with fever associated with... | {
"necessary_evidence": [
"hx_fever_dysuria_frequency_discharge_present",
"exam_vital_signs_elevated",
"lab_white_blood_cell_count_elevated",
"lab_metabolic_acidosis_present",
"lab_urinalysis_positive",
"img_abdominal_ultrasound_present",
"lab_blood_culture_positive"
],
"red_flags": [
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "32143598",
"title": "Disseminated melioidosis in early pregnancy - an unproven cause of foetal loss",
"patient_uid": "7060584-1",
"age": 25,
"gender": "F",
"suitability_score": 4,
"suitability_reasons": [
"+examination reveal",
... |
patient_pmc_6768443-1 | [] | A 54-year-old woman with poorly controlled diabetes (Glycated hemoglobin [HbA1C] of 10.5%) and grade 4 chronic kidney disease (creatinine of 3.2 mg/dL) presented to the clinic with a history of productive cough and dyspnoea of grade 4 Modified Medical Research Council scale for a period of one week. She had a history o... | [] | {
"case_id": "pmc_6768443-1",
"patient_id": "pmc_pt_6768443-1",
"chief_complaint": "productive cough and dyspnoea for one week",
"patient_brief": "A 54-year-old woman with poorly controlled diabetes (Glycated hemoglobin [HbA1C] of 10.5%) and grade 4 chronic kidney disease (creatinine of 3.2 mg/dL) presented to ... | {
"necessary_evidence": [
"hx_productive_cough_present",
"hx_dyspnoea_present",
"exam_tachypnoea_present",
"exam_reduced_breath_sounds_present",
"lab_respiratory_alkalosis_present",
"img_left_lung_opaque_present",
"img_left_lung_collapse_present",
"exam_bronchoscopy_finding_present",
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "31576206",
"title": "Mucormycosis: an unusual masquerader of an endobronchial tumour",
"patient_uid": "6768443-1",
"age": 54,
"gender": "F",
"suitability_score": 3,
"suitability_reasons": [
"+examination reveal",
"+physical ex... |
patient_pmc_6098868-1 | [] | An 86-year-old male with a past medical history significant for IgG lambda light chain multiple myeloma, congestive heart failure, and atrial fibrillation on anticoagulation presented for evaluation of abdominal pain, increasing abdominal distention, and inability to pass flatus or bowel movements for two days. Prior t... | [] | {
"case_id": "pmc_6098868-1",
"patient_id": "pmc_pt_6098868-1",
"chief_complaint": "abdominal pain, increasing abdominal distention, and inability to pass flatus or bowel movements for two days",
"patient_brief": "An 86-year-old male with a past medical history significant for IgG lambda light chain multiple my... | {
"necessary_evidence": [
"hx_abdominal_pain_present",
"hx_abdominal_distention_present",
"hx_no_flatus_or_bowel_movements_present",
"exam_tympanitic_abdomen_present",
"img_ct_scan_present",
"img_bowel_wall_thickening_present",
"exam_watery_diarrhea_present",
"img_colonoscopy_present"
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "30155318",
"title": "Pneumatosis Coli Formation via Counterperfusion Supersaturation in a Patient with Severe Diarrhea",
"patient_uid": "6098868-1",
"age": 86,
"gender": "M",
"suitability_score": 3,
"suitability_reasons": [
"+phys... |
patient_pmc_8700017-1 | [] | A 20-day-old girl was admitted to the neonatal intensive care unit with a chief complaint of poor oral intake through the emergency room. She was lethargic and did not suck well with swallowing only 10 to 20 mL of formula at a time in the last two days. However, the amount of urine did not decrease, and diapers were ch... | [] | {
"case_id": "pmc_8700017-1",
"patient_id": "pmc_pt_8700017-1",
"chief_complaint": "poor oral intake",
"patient_brief": "A 20-day-old girl was admitted to the neonatal intensive care unit with a chief complaint of poor oral intake through the emergency room. She was lethargic and did not suck well with swallowi... | {
"necessary_evidence": [
"hx_poor_oral_intake_present",
"exam_decreased_suck_present",
"exam_dry_lips_present",
"exam_prolonged_cap_refill_time_present",
"lab_severe_metabolic_acidosis_present",
"lab_hyponatremia_elevated",
"lab_hyperkalemia_elevated",
"lab_elevated_plasma_renin_activ... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "34943285",
"title": "A Neonate with Autosomal Dominant Pseudohypoaldosteronism Type 1 Due to a Novel Microdeletion of the NR3C2 Gene at 4q31.23",
"patient_uid": "8700017-1",
"age": null,
"gender": "F",
"suitability_score": 4,
"suitabi... |
patient_pmc_6824633-1 | [] | In 2017, a 63-year-old Japanese woman suffering for 2 days of a high-grade fever and general malaise was transported to our hospital. At presentation, her vital signs were as follows; blood pressure, 165/82 mm Hg; pulse rate, 83 beats/min; and temperature, 40.3°C and a detailed physical examination revealed tenderness ... | [] | {
"case_id": "pmc_6824633-1",
"patient_id": "pmc_pt_6824633-1",
"chief_complaint": "2 days of high-grade fever and general malaise",
"patient_brief": "In 2017, a 63-year-old Japanese woman suffering for 2 days of a high-grade fever and general malaise was transported to our hospital. At presentation, her vital ... | {
"necessary_evidence": [
"hx_fever_and_malaise_present",
"exam_right_ingual_lymph_node_swelling_present",
"lab_depressed_wbc_and_plt_depressed",
"lab_elevated_ferritin_elevated",
"lab_sfts_virus_positive_positive",
"exam_impaired_consciousness_impaired"
],
"red_flags": [
"lab_depresse... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "31626125",
"title": "Serial analysis of cytokine and chemokine profiles and viral load in severe fever with thrombocytopenia syndrome",
"patient_uid": "6824633-1",
"age": 63,
"gender": "F",
"suitability_score": 4,
"suitability_reasons... |
patient_pmc_8654339-2 | [] | A previously healthy 12-year-old girl from Dhaka, weighing 55 Kg, was admitted with a four-day history of high intermittent fever, headache, arthralgia, and generalized body aches. She had an erythematous rash on her trunk, cough, and respiratory distress. She was initially admitted to another hospital, but her conditi... | [] | {
"case_id": "pmc_8654339-2",
"patient_id": "pmc_pt_8654339-2",
"chief_complaint": "A previously healthy 12-year-old girl from Dhaka, weighing 55 Kg, was admitted with a four-day history of high intermittent fever, headache, arthralgia, and generalized body aches.",
"patient_brief": "A previously healthy 12-yea... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ultrasound_present",
"img_xray_present",
"lab_inflammatory_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"COVI... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6982508-1 | [] | Ms A is a 64-year-old, married, domiciled, formerly employed woman who experienced insidious onset of worsening thought disorder, tangential thinking, paranoia, and verbal aggression toward her family starting 12 years prior to the current admission. On admission, thought content was consistent with persecutory paranoi... | [] | {
"case_id": "pmc_6982508-1",
"patient_id": "pmc_pt_6982508-1",
"chief_complaint": "Ms A is a 64-year-old, married, domiciled, formerly employed woman who experienced insidious onset of worsening thought disorder, tangential thinking, paranoia, and verbal aggression toward her family starting 12 years prior to th... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"lab_blood_present"
],
"red_flags": [],
"accepted_diagnoses": [
"late-onset mania with anosognosia"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evide... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6393021-1 | [] | A 47-year-old woman was admitted to our hospital because of severe constipation with difficulty in the passage of both gas and feces for 7 days. Approximately 3 weeks before admission into our hospital, she had been diagnosed with renal inadequacy at a local hospital. Blood tests at that hospital revealed a serum creat... | [] | {
"case_id": "pmc_6393021-1",
"patient_id": "pmc_pt_6393021-1",
"chief_complaint": "A 47-year-old woman was admitted to our hospital because of severe constipation with difficulty in the passage of both gas and feces for 7 days.",
"patient_brief": "A 47-year-old woman was admitted to our hospital because of sev... | {
"necessary_evidence": [
"exam_cardiac_present",
"hx_past_history_present",
"img_ct_present",
"lab_blood_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"paralytic ileus and type II respiratory failure due to hypercalcemic crisis"
],
"accepted_treatment... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7021241-1 | [] | A 23-year-old female presented to the emergency department (ED) with two days of acutely worsening bilateral blurry vision in the setting of a constant low-grade bitemporal and occipital headache different from her usual headache. She reported nausea and vomiting for the past month and seeing "bright spots" for two wee... | [] | {
"case_id": "pmc_7021241-1",
"patient_id": "pmc_pt_7021241-1",
"chief_complaint": "A 23-year-old female presented to the emergency department (ED) with two days of acutely worsening bilateral blurry vision in the setting of a constant low-grade bitemporal and occipital headache different from her usual headache.... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"img_xray_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Presentation... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6279672-1 | [] | A 38-year-old unmarried female patient presented with pain, redness, and blurring of vision in the left eye for the last 5 days. She had a history of hypothyroidism, recurrent ulceration of breasts, hair loss, nausea, vomiting, and gastric pain. She was on treatment for hypothyroidism, anemia, and esophageal reflux dis... | [] | {
"case_id": "pmc_6279672-1",
"patient_id": "pmc_pt_6279672-1",
"chief_complaint": "A 38-year-old unmarried female patient presented with pain, redness, and blurring of vision in the left eye for the last 5 days.",
"patient_brief": "A 38-year-old unmarried female patient presented with pain, redness, and blurri... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"lab_blood_present",
"lab_inflammatory_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Syphilitic uveitis misdiagnosed as viral retinitis—a misleading history"
],
"accepte... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6367117-1 | [] | A 22-year-old man presented with a complaint of left-sided non-radiating headache throughout the day for two months, with the pain worsening at night and associated with non-projectile vomiting. The patient managed to achieve some relief with oral analgesia. There were no symptoms of raised intracranial pressure. His s... | [] | {
"case_id": "pmc_6367117-1",
"patient_id": "pmc_pt_6367117-1",
"chief_complaint": "A 22-year-old man presented with a complaint of left-sided non-radiating headache throughout the day for two months, with the pain worsening at night and associated with non-projectile vomiting.",
"patient_brief": "A 22-year-old... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Atypical Cavernous Sinus Thrombosis"
],
"accepted_treatments": [],
"tau_close": 0.7,
"e... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7479091-1 | [] | A 14-year-old boy who presented with nausea, vomiting, and weight loss (~6 kg within 1 month) was admitted to the Department of Pediatric Gastroenterology with the suspicion of acute gastritis. The patient denied previous vitamin D supplementation or sun exposure.\nClinical examination at the time of admission revealed... | [] | {
"case_id": "pmc_7479091-1",
"patient_id": "pmc_pt_7479091-1",
"chief_complaint": "A 14-year-old boy who presented with nausea, vomiting, and weight loss (~6 kg within 1 month) was admitted to the Department of Pediatric Gastroenterology with the suspicion of acute gastritis.",
"patient_brief": "A 14-year-old ... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_ultrasound_present",
"img_xray_present",
"lab_blood_present",
"lab_chemistry_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Hypercalcemia"
],
"accepted_treatm... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6950918-1 | [] | Our patient was a 62-year-old Hispanic African American man with a family history of four first-degree relatives with prostate cancer and past intervention of meniscus surgery 19 years ago with a flexion retraction sequela, but with no other remarkable history. He had started experiencing pain and noticed a mass appear... | [] | {
"case_id": "pmc_6950918-1",
"patient_id": "pmc_pt_6950918-1",
"chief_complaint": "Our patient was a 62-year-old Hispanic African American man with a family history of four first-degree relatives with prostate cancer and past intervention of meniscus surgery 19 years ago with a flexion retraction sequela, but wi... | {
"necessary_evidence": [
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"img_ct_present",
"img_mri_present",
"img_ultrasound_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Clear cell renal carcinoma synchronous with d... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6192182-1 | [] | We report a case of 38-year-old Greek woman who presented to our Emergency Department complaining of abdominal pain during the last week without any other symptoms. Her clinical history was clear and she had not noticed the occurrence of the same symptoms before. A clinical examination revealed only focal tenderness in... | [] | {
"case_id": "pmc_6192182-1",
"patient_id": "pmc_pt_6192182-1",
"chief_complaint": "We report a case of 38-year-old Greek woman who presented to our Emergency Department complaining of abdominal pain during the last week without any other symptoms.",
"patient_brief": "We report a case of 38-year-old Greek woman... | {
"necessary_evidence": [
"hx_present_illness_present",
"img_ct_present",
"img_ultrasound_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Ideal treatment strategy for chylous mesenteric cyst"
],
"accepted_treatments": [],
"tau_close... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7046046-1 | [] | A 58-year-old woman of Polish origin with rheumatoid arthritis presented with fever (temperatures to 38.5°C measured at home) and ulcers on the dorsum of the left foot and in the intergluteal cleft. She had seropositive rheumatoid arthritis for 15 years, which had been difficult to treat and for which she had received ... | [] | {
"case_id": "pmc_7046046-1",
"patient_id": "pmc_pt_7046046-1",
"chief_complaint": "A 58-year-old woman of Polish origin with rheumatoid arthritis presented with fever (temperatures to 38.5°C measured at home) and ulcers on the dorsum of the left foot and in the intergluteal cleft.",
"patient_brief": "A 58-year... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"img_mri_present",
"lab_blood_present",
"lab_inflammatory_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"rheumatoid arthritis"
],
"accepted_treat... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6029341-1 | [] | The 40-year-old male patient was enrolled in a study of anti-PD-1 therapy for Hodgkin lymphoma (HL) after a 3-year history of classical HL that was refractory to classical chemotherapeutic agents. The patient began intravenous administration of an anti-PD-1 antibody (SHR-1210, 200 mg) every 2 weeks. Urine protein was n... | [] | {
"case_id": "pmc_6029341-1",
"patient_id": "pmc_pt_6029341-1",
"chief_complaint": "The 40-year-old male patient was enrolled in a study of anti-PD-1 therapy for Hodgkin lymphoma (HL) after a 3-year history of classical HL that was refractory to classical chemotherapeutic agents.",
"patient_brief": "The 40-year... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"img_ct_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Minimal change disease associated with anti-PD1 immunotherapy"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7132049-1 | [] | A 61-year-old otherwise healthy Caucasian male presented to the emergency department for evaluation of 1 month history of generalized intermittent abdominal pain with occasional dark blood with bowel movements. He denied fever, chills, weight loss, diarrhea, or obstructive symptoms. He had no family history of gastroin... | [] | {
"case_id": "pmc_7132049-1",
"patient_id": "pmc_pt_7132049-1",
"chief_complaint": "A 61-year-old otherwise healthy Caucasian male presented to the emergency department for evaluation of 1 month history of generalized intermittent abdominal pain with occasional dark blood with bowel movements.",
"patient_brief"... | {
"necessary_evidence": [
"hx_past_history_present",
"img_ct_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"intussuscepting colon mass"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases": {},
"free_text_red_flags": [],
"category": "genera... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6280410-1 | [] | A 64-year-old woman with a history of Crohn’s disease (CD) was referred to Siriraj Hospital located in Bangkok, Thailand in June 2017 due to worsening of abdominal pain and watery diarrhea for 2 weeks. She was diagnosed with CD in 2010 after she presented with abdominal pain and palpable mass at the right lower quadran... | [] | {
"case_id": "pmc_6280410-1",
"patient_id": "pmc_pt_6280410-1",
"chief_complaint": "A 64-year-old woman with a history of Crohn’s disease (CD) was referred to Siriraj Hospital located in Bangkok, Thailand in June 2017 due to worsening of abdominal pain and watery diarrhea for 2 weeks.",
"patient_brief": "A 64-y... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"img_xray_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Disseminated cryptococcosis in Crohn’s disease"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6721880-1 | [] | A 60-year-old male with a history of pancreatic cancer presented to our emergency department with a syncopal episode. He was diagnosed with stage IV pancreatic cancer and was started on chemotherapy with a combination of 5-FU and irinotecan (FLOFRI regimen) three months ago. His last chemotherapy was one week prior to ... | [] | {
"case_id": "pmc_6721880-1",
"patient_id": "pmc_pt_6721880-1",
"chief_complaint": "A 60-year-old male with a history of pancreatic cancer presented to our emergency department with a syncopal episode.",
"patient_brief": "A 60-year-old male with a history of pancreatic cancer presented to our emergency departme... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"img_ct_present",
"img_ultrasound_present",
"img_xray_present",
"lab_blood_present",
"lab_inflammatory_present"
],
"red_flags": [],
"accepted_diagn... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7405101-1 | [] | A 55-year-old man with compressive angina, fever, and dyspnea but no cough and myalgia and reported history of close contact with a COVID-19-positive patient is presented. He had a history of hypertension in treatment with captopril and metoprolol succinate.\nOn admission, he had oxygen saturation (SPO2) of 95%, blood ... | [] | {
"case_id": "pmc_7405101-1",
"patient_id": "pmc_pt_7405101-1",
"chief_complaint": "A 55-year-old man with compressive angina, fever, and dyspnea but no cough and myalgia and reported history of close contact with a COVID-19-positive patient is presented.",
"patient_brief": "A 55-year-old man with compressive a... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"img_ct_present",
"img_ultrasound_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Cardiovascular patients in COVID-19 era"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6814334-2 | [] | A 68 years old male with a past history of arterial hypertension, hyperlipidemia, and type 2 diabetes treated with oral therapy, presented with hematochezia. On physical examination, he was pale, with a temperature of 37.1°C, a pulse rate of 85 beats per minute, a blood pressure of 140/83 mmHg, and a respiration rate o... | [] | {
"case_id": "pmc_6814334-2",
"patient_id": "pmc_pt_6814334-2",
"chief_complaint": "A 68 years old male with a past history of arterial hypertension, hyperlipidemia, and type 2 diabetes treated with oral therapy, presented with hematochezia.",
"patient_brief": "A 68 years old male with a past history of arteria... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"lab_blood_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Gastrointestinal hemorrhage caused by small intestinal benign tumors"
],
"accepted_treatments"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7444985-1 | [] | A 57-year-old ambulatory male with a medical history notable only for hypertension and obesity was referred for evaluation of persistent hypercalcemia. Onset of hypercalcemia was in 2008, and the patient had multiple serum calcium measurements in the range of 10.5-11.5 mg/dL during the period 2008-2011 prior to referra... | [] | {
"case_id": "pmc_7444985-1",
"patient_id": "pmc_pt_7444985-1",
"chief_complaint": "A 57-year-old ambulatory male with a medical history notable only for hypertension and obesity was referred for evaluation of persistent hypercalcemia.",
"patient_brief": "A 57-year-old ambulatory male with a medical history not... | {
"necessary_evidence": [
"exam_respiratory_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ultrasound_present",
"lab_chemistry_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Persistently Low-Normal Parathyroid Hormone Level"
],... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7054055-1 | [] | A 23-year-old gentleman with T-cell acute lymphocytic leukemia (ALL) was managed with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone induction, and maintenance therapy. He had a relapse after one year of diagnosis and was started on prednisolone and rituximab salvage therapy. He presented with br... | [] | {
"case_id": "pmc_7054055-1",
"patient_id": "pmc_pt_7054055-1",
"chief_complaint": "A 23-year-old gentleman with T-cell acute lymphocytic leukemia (ALL) was managed with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone induction, and maintenance therapy.",
"patient_brief": "A 23-year-old ge... | {
"necessary_evidence": [
"hx_present_illness_present",
"img_ct_present",
"lab_chemistry_present",
"lab_inflammatory_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Hepatic Portal Venous Gas"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7304250-1 | [] | The patient was a 62-year-old male with a history of Parkinson's disease and who was admitted to a community hospital with an altered mental status. He was in his usual state of health until 2 weeks prior to presentation when he attended an Albanian cultural festival. A few days afterwards, he started complaining of no... | [] | {
"case_id": "pmc_7304250-1",
"patient_id": "pmc_pt_7304250-1",
"chief_complaint": "The patient was a 62-year-old male with a history of Parkinson's disease and who was admitted to a community hospital with an altered mental status.",
"patient_brief": "The patient was a 62-year-old male with a history of Parkin... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Central Nervous System Tuberculosis"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases": {},
"f... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_8684410-1 | [] | A 74-year-old male with a history of two transient ischemic attacks was brought into our facility for altered mental status after being found unconscious by a relative. His social history was significant for 55 pack-years of smoking. Due to his mentation on arrival, no further history was obtained. Vital signs were nor... | [] | {
"case_id": "pmc_8684410-1",
"patient_id": "pmc_pt_8684410-1",
"chief_complaint": "A 74-year-old male with a history of two transient ischemic attacks was brought into our facility for altered mental status after being found unconscious by a relative.",
"patient_brief": "A 74-year-old male with a history of tw... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"img_ct_present",
"img_mri_present",
"img_xray_present",
"lab_blood_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Elevated Adrenocorticotropic Hormone"
],
"accepted_t... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7179977-1 | [] | A 30-year-old married Hispanic female with no past medical history presented with a one-month history of significant hair loss, black and gray floaters in her left eye, blurred vision, headaches, and an unintentional 23-pound weight loss. Her headaches were intermittent in nature and located in the bilateral occipital ... | [] | {
"case_id": "pmc_7179977-1",
"patient_id": "pmc_pt_7179977-1",
"chief_complaint": "A 30-year-old married Hispanic female with no past medical history presented with a one-month history of significant hair loss, black and gray floaters in her left eye, blurred vision, headaches, and an unintentional 23-pound weig... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"The Great Masquerader"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases":... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6693137-1 | [] | A 3-year-old girl with a 1-month history of sustained conjunctival injections of both eyes was presented to a local eye clinic. After failure of treatment with an anti-allergic eye drop, she was prescribed with eye drops (0.5% levofloxacin, 0.1% betamethasone, and 0.5% tropicamide/0.5% phenylephrine) and was referred t... | [] | {
"case_id": "pmc_6693137-1",
"patient_id": "pmc_pt_6693137-1",
"chief_complaint": "A 3-year-old girl with a 1-month history of sustained conjunctival injections of both eyes was presented to a local eye clinic.",
"patient_brief": "A 3-year-old girl with a 1-month history of sustained conjunctival injections of... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_xray_present"
],
"red_flags": [],
"accepted_diagnoses": [
"A case of probable Vogt–Koyanagi–Harada disease in a 3-year-old girl"
],
"accepted_treatments": [],
"tau_close": 0.... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7387077-1 | [] | A 70-year-old man with a medical history significant for viral hepatitis C (HCV) infection and liver cirrhosis initially presented with scrotal swelling, decreased appetite, and unintentional 15 Ib weight loss over the past two months. He also complained of abdominal distention, constipation, dizziness, and dyspnea on ... | [] | {
"case_id": "pmc_7387077-1",
"patient_id": "pmc_pt_7387077-1",
"chief_complaint": "A 70-year-old man with a medical history significant for viral hepatitis C (HCV) infection and liver cirrhosis initially presented with scrotal swelling, decreased appetite, and unintentional 15 Ib weight loss over the past two mo... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Inferior Ve... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6982381-1 | [] | A 57-year-old Caucasian woman with a medical history of bipolar I disorder, previous psychiatric hospitalizations, opioid use disorder, benzodiazepine use disorder, and Crohn’s disease as well as a family history of bipolar I disorder presented to the psychiatric emergency department with worsening anxiety and depressi... | [] | {
"case_id": "pmc_6982381-1",
"patient_id": "pmc_pt_6982381-1",
"chief_complaint": "A 57-year-old Caucasian woman with a medical history of bipolar I disorder, previous psychiatric hospitalizations, opioid use disorder, benzodiazepine use disorder, and Crohn’s disease as well as a family history of bipolar I diso... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Valproate-induced hyperammonemic encephalopathy"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00000 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Male, 41 years old, intentionally swallowed a foreign body one hour ago
Present illness: The patient intentionally swallowed a foreign body (reported as a cylindrical metal piece approximately 3 cm long) around 6:30 AM, experienced ab... | [] | {
"case_id": "mc_00000",
"patient_id": "mc_pt_00000",
"chief_complaint": "intentionally swallowed a foreign body one hour ago",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Male, 41 years old, intentionally swallowed a foreign body one hour ago\nPresen... | {
"necessary_evidence": [
"hx_foreign_body_swallowed_present",
"sym_abdominal_pain_present",
"img_ct_foreign_body_positive"
],
"red_flags": [],
"accepted_diagnoses": [
"gastric foreign body",
"foreign body in the stomach",
"ingested foreign body"
],
"accepted_treatments": [],
"tau_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00001 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Male, 60 years old, married, Han nationality, farmer. Diagnosed with lung cancer for 4 months, fever for 3 days.
Present illness: The patient developed fever in September 2016 without obvious inducement, more pronounced in the afterno... | [] | {
"case_id": "mc_00001",
"patient_id": "mc_pt_00001",
"chief_complaint": "Diagnosed with lung cancer for 4 months, fever for 3 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Male, 60 years old, married, Han nationality, farmer. Diagnosed with lung... | {
"necessary_evidence": [
"hx_fever_present",
"img_left_lung_mass_present",
"exam_left_upper_lung_breath_sounds_decreased_decreased",
"img_central_type_lung_cancer_present"
],
"red_flags": [
"img_left_lung_mass_present",
"lab_wbc_low",
"lab_neutrophils_low",
"img_central_type_lung_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00002 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Patient: female, 81 years old. Admitted on August 2, 2013, due to 'maintenance hemodialysis for 4 years, bilateral lower limb edema for 1 month'.
Past medical history: [Past medical history]
History of diabetes for over 30 years, hist... | [] | {
"case_id": "mc_00002",
"patient_id": "mc_pt_00002",
"chief_complaint": "maintenance hemodialysis for 4 years, bilateral lower limb edema for 1 month",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Patient: female, 81 years old. Admitted on August 2, 2... | {
"necessary_evidence": [
"hx_long_term_hemodialysis_present",
"exam_bilateral_lower_limb_edema_severe",
"lab_serum_creatinine_elevated",
"lab_urea_nitrogen_elevated",
"lab_hemoglobin_low"
],
"red_flags": [
"lab_serum_creatinine_elevated"
],
"accepted_diagnoses": [
"end-stage renal... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00003 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: 55 years old, female, presented with “fever and abdominal pain for 2 months.”
Present illness: Fever is of the intermittent type, with a maximum temperature of 39.4°C. Abdominal pain is located in the right upper abdomen, described as... | [] | {
"case_id": "mc_00003",
"patient_id": "mc_pt_00003",
"chief_complaint": "fever and abdominal pain for 2 months",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: 55 years old, female, presented with “fever and abdominal pain for 2 months.”\nPresent illnes... | {
"necessary_evidence": [
"hx_fever_present",
"hx_abdominal_pain_present",
"hx_weight_loss_significant",
"exam_right_upper_abdominal_tenderness_present",
"lab_alkaline_phosphatase_elevated_elevated",
"lab_alanine_aminotransferase_elevated_elevated",
"lab_aspartate_aminotransferase_elevated... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00004 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Female patient, 53 years old, admitted for treatment on April 16, 2009, due to positive anti-HCV for 3 years, intermittent fatigue accompanied by nausea and decreased appetite for 3 months. Underwent left breast cancer radical surgery... | [] | {
"case_id": "mc_00004",
"patient_id": "mc_pt_00004",
"chief_complaint": "positive anti-HCV for 3 years, intermittent fatigue accompanied by nausea and decreased appetite for 3 months",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Female patient, 53 ye... | {
"necessary_evidence": [
"lab_anti_hcv_positive",
"lab_hcv_rna_elevated",
"lab_alt_elevated",
"lab_ast_elevated",
"hx_blood_transfusion"
],
"red_flags": [],
"accepted_diagnoses": [
"chronic hepatitis C",
"hepatitis C"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00006 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: Fatigue, abdominal distension, yellow urine for 3 days
Present Illness: Three days ago, the patient developed bilateral lower limb weakness and continuous abdominal distension without any obvious cause. Symptoms worsened after eating,... | [] | {
"case_id": "mc_00006",
"patient_id": "mc_pt_00006",
"chief_complaint": "Fatigue, abdominal distension, yellow urine for 3 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief Complaint: Fatigue, abdominal distension, yellow urine for 3 days\nPresent Illness: Thr... | {
"necessary_evidence": [
"hx_fatigue_present",
"hx_abdominal_distension_present",
"hx_yellow_urine_present",
"lab_hbv_serology_positive",
"lab_liver_enzymes_elevated",
"img_hepatic_masses_present",
"img_splenomegaly_present"
],
"red_flags": [
"img_hepatic_masses_present"
],
"a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00007 | [] | Chief complaint: Fatigue, abdominal distension for more than 2 months
Present illness: About 2 months ago, the patient experienced fatigue and abdominal distension without obvious triggers while working at a construction site, which became more pronounced after consuming greasy food. At that time, there were no sympt... | [] | {
"case_id": "mc_00007",
"patient_id": "mc_pt_00007",
"chief_complaint": "Fatigue, abdominal distension for over 2 months",
"patient_brief": "Chief complaint: Fatigue, abdominal distension for over 2 months \nPresent illness: About 2 months ago, the patient experienced fatigue and abdominal distension without ... | {
"necessary_evidence": [
"hx_fatigue_present",
"lab_hepatitis_b_virus_positive",
"lab_alt_elevated",
"lab_ast_elevated",
"exam_liver_area_tenderness_present"
],
"red_flags": [],
"accepted_diagnoses": [
"chronic hepatitis B",
"hepatitis B virus infection",
"hepatitis B"
],
"a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00008 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Female, 79 years old, married, Han nationality, retired. Shortness of breath after activity for more than 1 year, worsened in the last month.
Present illness: For more than 1 year before admission, the patient intermittently experienc... | [] | {
"case_id": "mc_00008",
"patient_id": "mc_pt_00008",
"chief_complaint": "Shortness of breath after activity for more than 1 year, worsened in the last month.",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Female, 79 years old, married, Han nationality... | {
"necessary_evidence": [
"hx_shortness_of_breath_present",
"exam_heart_sounds_present",
"img_aortic_and_coronary_artery_sclerosis_present"
],
"red_flags": [],
"accepted_diagnoses": [
"coronary atherosclerotic heart disease",
"coronary heart disease",
"congestive heart failure"
],
"a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00009 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Patient, male, 68 years old, farmer, admitted due to worsening anorexia for 1 month accompanied by discomfort in the right upper abdomen for 10 days. | [] | {
"case_id": "mc_00009",
"patient_id": "mc_pt_00009",
"chief_complaint": "worsening anorexia for 1 month accompanied by discomfort in the right upper abdomen for 10 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Patient, male, 68 years old, farmer... | {
"necessary_evidence": [
"hx_anorexia_present",
"sym_right_upper_abdomen_discomfort_present",
"img_dilation_common_bile_duct_present",
"img_dilation_intrahepatic_bile_ducts_present",
"img_thickened_gallbladder_wall_present",
"exam_tenderness_right_upper_abdomen_present"
],
"red_flags": []... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00010 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: 24 years old, employee, male. Main reason: Poor appetite accompanied by scleral jaundice for 2 days before admission. | [] | {
"case_id": "mc_00010",
"patient_id": "mc_pt_00010",
"chief_complaint": "Poor appetite accompanied by scleral jaundice for 2 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: 24 years old, employee, male. Main reason: Poor appetite accompanied by sc... | {
"necessary_evidence": [
"sym_poor_appetite_present",
"exam_mild_scleral_jaundice_present",
"lab_total_bilirubin_elevated",
"lab_direct_bilirubin_elevated",
"lab_alanine_aminotransferase_elevated",
"lab_aspartate_aminotransferase_elevated"
],
"red_flags": [],
"accepted_diagnoses": [
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00011 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Female, 53 years old, married, Han nationality, farmer. Diagnosed with liver cancer for over 1 year, planning to undergo further treatment.
Present illness: The patient experienced dull pain and discomfort in the upper abdomen without... | [] | {
"case_id": "mc_00011",
"patient_id": "mc_pt_00011",
"chief_complaint": "Dull pain and discomfort in the upper abdomen for over 1 year.",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Female, 53 years old, married, Han nationality, farmer. Diagnosed wi... | {
"necessary_evidence": [
"hx_past_hepatitis_b_infection_present",
"sym_upper_abdominal_pain_present",
"img_abdominal_ultrasound_mass_present",
"img_abdominal_mri_mass_present",
"lab_postoperative_pathology_positive"
],
"red_flags": [
"img_abdominal_mri_mass_present"
],
"accepted_diagn... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00012 | [] | Chief complaint: Female, 40 years old, widowed, Han ethnicity, unemployed. Cervical cancer for over 2 years, with rectal bleeding for 1 day.
Present illness history: In May 2012, the patient experienced increased menstrual flow without obvious cause. A pelvic enhanced CT at our hospital indicated a cervical occupying ... | [] | {
"case_id": "mc_00012",
"patient_id": "mc_pt_00012",
"chief_complaint": "Cervical cancer for over 2 years, with hematochezia for 1 day.",
"patient_brief": "Chief complaint: Female, 40 years old, widowed, Han ethnicity, unemployed. Cervical cancer for over 2 years, with hematochezia for 1 day.\n\nPresent illnes... | {
"necessary_evidence": [
"hx_increased_menstrual_flow_present",
"img_pelvic_enhanced_ct_positive",
"img_abdominal_pelvic_ct_positive",
"img_chest_abdominal_ct_positive"
],
"red_flags": [
"sym_hematochezia_present"
],
"accepted_diagnoses": [
"cervical cancer",
"cervical carcinoma"
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00013 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief complaint: Male, 59 years old, married, Han nationality, retired. Primary liver cancer, 4 years post-surgery, bilateral lower limb edema for 1 week.
Present illness: The patient experienced upper abdominal distension and discomfort without obvio... | [] | {
"case_id": "mc_00013",
"patient_id": "mc_pt_00013",
"chief_complaint": "bilateral lower limb edema for 1 week",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief complaint: Male, 59 years old, married, Han nationality, retired. Primary liver cancer, 4 years post-sur... | {
"necessary_evidence": [
"hx_upper_abdominal_distension",
"lab_afp_elevated_elevated",
"img_ct_soft_tissue_mass_left_lobe_liver_present",
"img_enhanced_nodule_left_outer_lobe_liver_present",
"exam_lower_limb_edema_present",
"lab_albumin_low_low"
],
"red_flags": [
"lab_afp_elevated_ele... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00014 | [] | Chief complaint: Complete preoperative preparation, undergoing surgical treatment under general anesthesia. Intraoperative exploration revealed normal liver texture, with a solid mass in the right posterior lobe of the liver, approximately 15.0 cm × 10.0 cm in size, with an intact capsule. The intraoperative diagnosis ... | [] | {
"case_id": "mc_00014",
"patient_id": "mc_pt_00014",
"chief_complaint": "intermittent fever accompanied by upper abdominal discomfort",
"patient_brief": "Chief complaint: Complete preoperative preparation, undergoing surgical treatment under general anesthesia. Intraoperative exploration revealed normal liver ... | {
"necessary_evidence": [
"hx_fever_and_upper_abdominal_discomfort_present",
"img_ct_space_occupying_lesion_present",
"exam_right_upper_quadrant_tenderness_present",
"exam_enlarged_liver_palpable_present"
],
"red_flags": [
"img_ct_space_occupying_lesion_present",
"exam_enlarged_liver_palpa... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00015 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: Male, 40 years old, from Zhejiang, admitted to the Department of Infectious Diseases at Huashan Hospital Affiliated with Fudan University on January 16, 2015, due to “recurrent fever for more than 6 months after esophageal foreign bod... | [] | {
"case_id": "mc_00015",
"patient_id": "mc_pt_00015",
"chief_complaint": "Recurrent fever for more than 6 months after esophageal foreign body surgery.",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief Complaint: Male, 40 years old, from Zhejiang, admitted to the De... | {
"necessary_evidence": [
"exam_temperature_elevated",
"exam_petechiae_ecchymosis_present",
"exam_aortic_murmur_present"
],
"red_flags": [
"exam_petechiae_ecchymosis_present",
"exam_aortic_murmur_present"
],
"accepted_diagnoses": [
"fever of unknown origin",
"recurrent fever",
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00016 | [] | Chief complaint: Male patient, 58 years old, admitted due to "progressive worsening of bone pain for 1 year."
Present illness: The patient experienced left foot pain without obvious inducement 1 year ago, with no redness, swelling, or skeletal deformity. An X-ray of the foot taken at a local hospital showed no abnorma... | [] | {
"case_id": "mc_00016",
"patient_id": "mc_pt_00016",
"chief_complaint": "progressive bone pain worsening over 1 year",
"patient_brief": "Chief complaint: The patient is a 58-year-old male who was admitted due to \"progressive bone pain worsening over 1 year.\"\n\nPresent illness: The patient experienced left f... | {
"necessary_evidence": [
"hx_progressive_bone_pain_worsening",
"img_spect_scan_abnormal",
"lab_phosphorus_low",
"exam_pelvic_compression_pain_positive",
"exam_chest_wall_compression_pain_positive"
],
"red_flags": [
"img_spect_scan_abnormal",
"lab_phosphorus_low",
"lab_potassium_lo... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00017 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: (1 mmHg = 0.133 kPa), acute appearance, no rash or petechiae on the skin, mild eyelid edema, no abnormalities in the face, slightly pale conjunctiva, no icterus of the sclera, equal and round pupils, light reflex present. Thyroid not ... | [] | {
"case_id": "mc_00017",
"patient_id": "mc_pt_00017",
"chief_complaint": "acute appearance, mild eyelid edema, slightly pale conjunctiva, few wet rales heard at both lung bases, mild pitting edema in both lower limbs",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief... | {
"necessary_evidence": [
"hx_abdominal_distension_present",
"hx_dyspnea_on_exertion_present",
"hx_edema_lower_limbs_present",
"exam_pitting_edema_lower_limbs_present",
"exam_hepatojugular_reflux_positive",
"hx_portal_hypertension_present",
"hx_liver_function_impairment_present",
"hx_p... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00018 | [] | [MedChain case, Chinese-language source. Translation pending audit.]
Chief Complaint: Male patient, 59 years old, cough, sputum production, hemoptysis for 2 days
Present Illness: Two days ago, the patient developed fever (temperature not measured), cough, sputum production, and hemoptysis after being exposed to cold, w... | [] | {
"case_id": "mc_00018",
"patient_id": "mc_pt_00018",
"chief_complaint": "cough, sputum production, hemoptysis for 2 days",
"patient_brief": "[MedChain case, Chinese-language source. Translation pending audit.]\nChief Complaint: Male patient, 59 years old, cough, sputum production, hemoptysis for 2 days\nPresen... | {
"necessary_evidence": [
"hx_acute_onset_present",
"sym_fever_present",
"sym_cough_present",
"sym_sputum_production_present",
"sym_hemoptysis_present",
"exam_wet_rale_in_lungs_present",
"lab_increased_neutrophil_ratio_elevated",
"img_inflammatory_changes_in_lungs_present"
],
"red_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_mc_00019 | [] | Chief complaint: Male patient, 70 years old
Medical history: The patient has been hospitalized twice due to "recurrent purpura of both lower limbs for 8 years, abnormal urine tests accompanied by elevated blood creatinine for over 3 years, worsening for more than 1 month." First hospitalization: In 2002 and 2003, the... | [] | {
"case_id": "mc_00019",
"patient_id": "mc_pt_00019",
"chief_complaint": "Male patient, 70 years old",
"patient_brief": "Chief complaint: Male patient, 70 years old \nMedical history: The patient has been hospitalized twice due to \"recurrent purpura of both lower limbs for 8 years, abnormal urine tests with e... | {
"necessary_evidence": [
"lab_lymphocytes_cd4_plus_low",
"lab_lymphocytes_cd20_plus_low",
"lab_lymphocytes_cd19_plus_low",
"lab_serum_free_kappa_light_chains_elevated",
"lab_kappa_lambda_ratio_abnormal",
"lab_immunofixation_electrophoresis_positive"
],
"red_flags": [],
"accepted_diagnos... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7353859-1 | [] | A 63-year-old Caucasian woman with severe thyrotoxicosis in the course of giant toxic nodular goiter was admitted to the Endocrinology Clinic of the Holycross Cancer Center in Kielce for treatment. The course of the disease was as follows: Approximately 20 years ago, the patient was diagnosed with non-toxic nodular goi... | [] | {
"case_id": "pmc_7353859-1",
"patient_id": "pmc_pt_7353859-1",
"chief_complaint": "Severe shortness of breath and palpitations",
"patient_brief": "A 63-year-old Caucasian woman with severe thyrotoxicosis in the course of giant toxic nodular goiter was admitted to the Endocrinology Clinic of the Holycross Cance... | {
"necessary_evidence": [
"hx_gradual_increase_in_goiter_size",
"sym_shortness_of_breath_present",
"sym_palpitations_present",
"exam_heart_rate_elevated",
"exam_enlarged_thyroid_gland_present",
"lab_tsh_decreased",
"lab_ft4_elevated",
"lab_ft3_elevated",
"lab_burch_wartofsky_scale_... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "32545570",
"title": "Effective Preoperative Plasmapheresis Treatment of Severe Hyperthyroidism in a Patient with Giant Toxic Nodular Goiter and Methimazole-Induced Agranulocytosis",
"patient_uid": "7353859-1",
"age": 63,
"gender": "F",
... |
patient_pmc_7268707-1 | [] | We report a case of a 29-year-old female who presented to us in August 2015, presenting with green discoloration and frothy urine associated with lower limb edema (Fig. ). These symptoms were not preceded by any infective episodes. She was previously well and was only admitted for previous childbirth of which all her b... | [] | {
"case_id": "pmc_7268707-1",
"patient_id": "pmc_pt_7268707-1",
"chief_complaint": "green discoloration and frothy urine with lower limb edema",
"patient_brief": "We report a case of a 29-year-old female who presented to us in August 2015, presenting with green discoloration and frothy urine associated with low... | {
"necessary_evidence": [
"sym_green_discoloration_and_frothy_urine_present",
"sym_lower_limb_edema_present",
"lab_proteinuria_elevated",
"lab_albumin_low",
"lab_ana_positive",
"lab_complement_levels_low",
"lab_anti_ssa_antibody_positive",
"lab_anti_ssb_antibody_positive",
"img_ren... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "32487242",
"title": "Herbal medication triggering lupus nephritis - a case report",
"patient_uid": "7268707-1",
"age": 29,
"gender": "F",
"suitability_score": 5,
"suitability_reasons": [
"+present(?:ed",
"ing",
"s) with",
... |
patient_pmc_7060584-1 | [] | A 25-year-old housewife, with no prior medical illness presented to Kapit Hospital, Sarawak, Malaysian Borneo, with fever associated with dysuria, urinary frequency and vaginal discharge 1 week prior. She denied cough, shortness of breath or chest pain. She divorced 4 years prior, and was living with a healthy male par... | [] | {
"case_id": "pmc_7060584-1",
"patient_id": "pmc_pt_7060584-1",
"chief_complaint": "fever associated with dysuria, urinary frequency and vaginal discharge",
"patient_brief": "A 25-year-old housewife, with no prior medical illness presented to Kapit Hospital, Sarawak, Malaysian Borneo, with fever associated with... | {
"necessary_evidence": [
"hx_fever_dysuria_frequency_discharge_present",
"exam_vital_signs_elevated",
"lab_white_blood_cell_count_elevated",
"lab_metabolic_acidosis_present",
"lab_urinalysis_positive",
"img_abdominal_ultrasound_present",
"lab_blood_culture_positive"
],
"red_flags": [
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "32143598",
"title": "Disseminated melioidosis in early pregnancy - an unproven cause of foetal loss",
"patient_uid": "7060584-1",
"age": 25,
"gender": "F",
"suitability_score": 4,
"suitability_reasons": [
"+examination reveal",
... |
patient_pmc_6768443-1 | [] | A 54-year-old woman with poorly controlled diabetes (Glycated hemoglobin [HbA1C] of 10.5%) and grade 4 chronic kidney disease (creatinine of 3.2 mg/dL) presented to the clinic with a history of productive cough and dyspnoea of grade 4 Modified Medical Research Council scale for a period of one week. She had a history o... | [] | {
"case_id": "pmc_6768443-1",
"patient_id": "pmc_pt_6768443-1",
"chief_complaint": "productive cough and dyspnoea for one week",
"patient_brief": "A 54-year-old woman with poorly controlled diabetes (Glycated hemoglobin [HbA1C] of 10.5%) and grade 4 chronic kidney disease (creatinine of 3.2 mg/dL) presented to ... | {
"necessary_evidence": [
"hx_productive_cough_present",
"hx_dyspnoea_present",
"exam_tachypnoea_present",
"exam_reduced_breath_sounds_present",
"lab_respiratory_alkalosis_present",
"img_left_lung_opaque_present",
"img_left_lung_collapse_present",
"exam_bronchoscopy_finding_present",
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "31576206",
"title": "Mucormycosis: an unusual masquerader of an endobronchial tumour",
"patient_uid": "6768443-1",
"age": 54,
"gender": "F",
"suitability_score": 3,
"suitability_reasons": [
"+examination reveal",
"+physical ex... |
patient_pmc_6098868-1 | [] | An 86-year-old male with a past medical history significant for IgG lambda light chain multiple myeloma, congestive heart failure, and atrial fibrillation on anticoagulation presented for evaluation of abdominal pain, increasing abdominal distention, and inability to pass flatus or bowel movements for two days. Prior t... | [] | {
"case_id": "pmc_6098868-1",
"patient_id": "pmc_pt_6098868-1",
"chief_complaint": "abdominal pain, increasing abdominal distention, and inability to pass flatus or bowel movements for two days",
"patient_brief": "An 86-year-old male with a past medical history significant for IgG lambda light chain multiple my... | {
"necessary_evidence": [
"hx_abdominal_pain_present",
"hx_abdominal_distention_present",
"hx_no_flatus_or_bowel_movements_present",
"exam_tympanitic_abdomen_present",
"img_ct_scan_present",
"img_bowel_wall_thickening_present",
"exam_watery_diarrhea_present",
"img_colonoscopy_present"
... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "30155318",
"title": "Pneumatosis Coli Formation via Counterperfusion Supersaturation in a Patient with Severe Diarrhea",
"patient_uid": "6098868-1",
"age": 86,
"gender": "M",
"suitability_score": 3,
"suitability_reasons": [
"+phys... |
patient_pmc_8700017-1 | [] | A 20-day-old girl was admitted to the neonatal intensive care unit with a chief complaint of poor oral intake through the emergency room. She was lethargic and did not suck well with swallowing only 10 to 20 mL of formula at a time in the last two days. However, the amount of urine did not decrease, and diapers were ch... | [] | {
"case_id": "pmc_8700017-1",
"patient_id": "pmc_pt_8700017-1",
"chief_complaint": "poor oral intake",
"patient_brief": "A 20-day-old girl was admitted to the neonatal intensive care unit with a chief complaint of poor oral intake through the emergency room. She was lethargic and did not suck well with swallowi... | {
"necessary_evidence": [
"hx_poor_oral_intake_present",
"exam_decreased_suck_present",
"exam_dry_lips_present",
"exam_prolonged_cap_refill_time_present",
"lab_severe_metabolic_acidosis_present",
"lab_hyponatremia_elevated",
"lab_hyperkalemia_elevated",
"lab_elevated_plasma_renin_activ... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "34943285",
"title": "A Neonate with Autosomal Dominant Pseudohypoaldosteronism Type 1 Due to a Novel Microdeletion of the NR3C2 Gene at 4q31.23",
"patient_uid": "8700017-1",
"age": null,
"gender": "F",
"suitability_score": 4,
"suitabi... |
patient_pmc_6824633-1 | [] | In 2017, a 63-year-old Japanese woman suffering for 2 days of a high-grade fever and general malaise was transported to our hospital. At presentation, her vital signs were as follows; blood pressure, 165/82 mm Hg; pulse rate, 83 beats/min; and temperature, 40.3°C and a detailed physical examination revealed tenderness ... | [] | {
"case_id": "pmc_6824633-1",
"patient_id": "pmc_pt_6824633-1",
"chief_complaint": "2 days of high-grade fever and general malaise",
"patient_brief": "In 2017, a 63-year-old Japanese woman suffering for 2 days of a high-grade fever and general malaise was transported to our hospital. At presentation, her vital ... | {
"necessary_evidence": [
"hx_fever_and_malaise_present",
"exam_right_ingual_lymph_node_swelling_present",
"lab_depressed_wbc_and_plt_depressed",
"lab_elevated_ferritin_elevated",
"lab_sfts_virus_positive_positive",
"exam_impaired_consciousness_impaired"
],
"red_flags": [
"lab_depresse... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": "LLM-drafted structure (free HF); NEEDS CLINICIAN AUDIT",
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | {
"dataset": "PMC-Patients",
"license": "CC-BY-NC-SA-4.0",
"pmid": "31626125",
"title": "Serial analysis of cytokine and chemokine profiles and viral load in severe fever with thrombocytopenia syndrome",
"patient_uid": "6824633-1",
"age": 63,
"gender": "F",
"suitability_score": 4,
"suitability_reasons... |
patient_pmc_8654339-2 | [] | A previously healthy 12-year-old girl from Dhaka, weighing 55 Kg, was admitted with a four-day history of high intermittent fever, headache, arthralgia, and generalized body aches. She had an erythematous rash on her trunk, cough, and respiratory distress. She was initially admitted to another hospital, but her conditi... | [] | {
"case_id": "pmc_8654339-2",
"patient_id": "pmc_pt_8654339-2",
"chief_complaint": "A previously healthy 12-year-old girl from Dhaka, weighing 55 Kg, was admitted with a four-day history of high intermittent fever, headache, arthralgia, and generalized body aches.",
"patient_brief": "A previously healthy 12-yea... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ultrasound_present",
"img_xray_present",
"lab_inflammatory_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"COVI... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6982508-1 | [] | Ms A is a 64-year-old, married, domiciled, formerly employed woman who experienced insidious onset of worsening thought disorder, tangential thinking, paranoia, and verbal aggression toward her family starting 12 years prior to the current admission. On admission, thought content was consistent with persecutory paranoi... | [] | {
"case_id": "pmc_6982508-1",
"patient_id": "pmc_pt_6982508-1",
"chief_complaint": "Ms A is a 64-year-old, married, domiciled, formerly employed woman who experienced insidious onset of worsening thought disorder, tangential thinking, paranoia, and verbal aggression toward her family starting 12 years prior to th... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"lab_blood_present"
],
"red_flags": [],
"accepted_diagnoses": [
"late-onset mania with anosognosia"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evide... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6393021-1 | [] | A 47-year-old woman was admitted to our hospital because of severe constipation with difficulty in the passage of both gas and feces for 7 days. Approximately 3 weeks before admission into our hospital, she had been diagnosed with renal inadequacy at a local hospital. Blood tests at that hospital revealed a serum creat... | [] | {
"case_id": "pmc_6393021-1",
"patient_id": "pmc_pt_6393021-1",
"chief_complaint": "A 47-year-old woman was admitted to our hospital because of severe constipation with difficulty in the passage of both gas and feces for 7 days.",
"patient_brief": "A 47-year-old woman was admitted to our hospital because of sev... | {
"necessary_evidence": [
"exam_cardiac_present",
"hx_past_history_present",
"img_ct_present",
"lab_blood_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"paralytic ileus and type II respiratory failure due to hypercalcemic crisis"
],
"accepted_treatment... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7021241-1 | [] | A 23-year-old female presented to the emergency department (ED) with two days of acutely worsening bilateral blurry vision in the setting of a constant low-grade bitemporal and occipital headache different from her usual headache. She reported nausea and vomiting for the past month and seeing "bright spots" for two wee... | [] | {
"case_id": "pmc_7021241-1",
"patient_id": "pmc_pt_7021241-1",
"chief_complaint": "A 23-year-old female presented to the emergency department (ED) with two days of acutely worsening bilateral blurry vision in the setting of a constant low-grade bitemporal and occipital headache different from her usual headache.... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"img_xray_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Presentation... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6279672-1 | [] | A 38-year-old unmarried female patient presented with pain, redness, and blurring of vision in the left eye for the last 5 days. She had a history of hypothyroidism, recurrent ulceration of breasts, hair loss, nausea, vomiting, and gastric pain. She was on treatment for hypothyroidism, anemia, and esophageal reflux dis... | [] | {
"case_id": "pmc_6279672-1",
"patient_id": "pmc_pt_6279672-1",
"chief_complaint": "A 38-year-old unmarried female patient presented with pain, redness, and blurring of vision in the left eye for the last 5 days.",
"patient_brief": "A 38-year-old unmarried female patient presented with pain, redness, and blurri... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"lab_blood_present",
"lab_inflammatory_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Syphilitic uveitis misdiagnosed as viral retinitis—a misleading history"
],
"accepte... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6367117-1 | [] | A 22-year-old man presented with a complaint of left-sided non-radiating headache throughout the day for two months, with the pain worsening at night and associated with non-projectile vomiting. The patient managed to achieve some relief with oral analgesia. There were no symptoms of raised intracranial pressure. His s... | [] | {
"case_id": "pmc_6367117-1",
"patient_id": "pmc_pt_6367117-1",
"chief_complaint": "A 22-year-old man presented with a complaint of left-sided non-radiating headache throughout the day for two months, with the pain worsening at night and associated with non-projectile vomiting.",
"patient_brief": "A 22-year-old... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Atypical Cavernous Sinus Thrombosis"
],
"accepted_treatments": [],
"tau_close": 0.7,
"e... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7479091-1 | [] | A 14-year-old boy who presented with nausea, vomiting, and weight loss (~6 kg within 1 month) was admitted to the Department of Pediatric Gastroenterology with the suspicion of acute gastritis. The patient denied previous vitamin D supplementation or sun exposure.\nClinical examination at the time of admission revealed... | [] | {
"case_id": "pmc_7479091-1",
"patient_id": "pmc_pt_7479091-1",
"chief_complaint": "A 14-year-old boy who presented with nausea, vomiting, and weight loss (~6 kg within 1 month) was admitted to the Department of Pediatric Gastroenterology with the suspicion of acute gastritis.",
"patient_brief": "A 14-year-old ... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_ultrasound_present",
"img_xray_present",
"lab_blood_present",
"lab_chemistry_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Hypercalcemia"
],
"accepted_treatm... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6950918-1 | [] | Our patient was a 62-year-old Hispanic African American man with a family history of four first-degree relatives with prostate cancer and past intervention of meniscus surgery 19 years ago with a flexion retraction sequela, but with no other remarkable history. He had started experiencing pain and noticed a mass appear... | [] | {
"case_id": "pmc_6950918-1",
"patient_id": "pmc_pt_6950918-1",
"chief_complaint": "Our patient was a 62-year-old Hispanic African American man with a family history of four first-degree relatives with prostate cancer and past intervention of meniscus surgery 19 years ago with a flexion retraction sequela, but wi... | {
"necessary_evidence": [
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"img_ct_present",
"img_mri_present",
"img_ultrasound_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Clear cell renal carcinoma synchronous with d... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6192182-1 | [] | We report a case of 38-year-old Greek woman who presented to our Emergency Department complaining of abdominal pain during the last week without any other symptoms. Her clinical history was clear and she had not noticed the occurrence of the same symptoms before. A clinical examination revealed only focal tenderness in... | [] | {
"case_id": "pmc_6192182-1",
"patient_id": "pmc_pt_6192182-1",
"chief_complaint": "We report a case of 38-year-old Greek woman who presented to our Emergency Department complaining of abdominal pain during the last week without any other symptoms.",
"patient_brief": "We report a case of 38-year-old Greek woman... | {
"necessary_evidence": [
"hx_present_illness_present",
"img_ct_present",
"img_ultrasound_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Ideal treatment strategy for chylous mesenteric cyst"
],
"accepted_treatments": [],
"tau_close... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7046046-1 | [] | A 58-year-old woman of Polish origin with rheumatoid arthritis presented with fever (temperatures to 38.5°C measured at home) and ulcers on the dorsum of the left foot and in the intergluteal cleft. She had seropositive rheumatoid arthritis for 15 years, which had been difficult to treat and for which she had received ... | [] | {
"case_id": "pmc_7046046-1",
"patient_id": "pmc_pt_7046046-1",
"chief_complaint": "A 58-year-old woman of Polish origin with rheumatoid arthritis presented with fever (temperatures to 38.5°C measured at home) and ulcers on the dorsum of the left foot and in the intergluteal cleft.",
"patient_brief": "A 58-year... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"img_mri_present",
"lab_blood_present",
"lab_inflammatory_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"rheumatoid arthritis"
],
"accepted_treat... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6029341-1 | [] | The 40-year-old male patient was enrolled in a study of anti-PD-1 therapy for Hodgkin lymphoma (HL) after a 3-year history of classical HL that was refractory to classical chemotherapeutic agents. The patient began intravenous administration of an anti-PD-1 antibody (SHR-1210, 200 mg) every 2 weeks. Urine protein was n... | [] | {
"case_id": "pmc_6029341-1",
"patient_id": "pmc_pt_6029341-1",
"chief_complaint": "The 40-year-old male patient was enrolled in a study of anti-PD-1 therapy for Hodgkin lymphoma (HL) after a 3-year history of classical HL that was refractory to classical chemotherapeutic agents.",
"patient_brief": "The 40-year... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"img_ct_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Minimal change disease associated with anti-PD1 immunotherapy"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7132049-1 | [] | A 61-year-old otherwise healthy Caucasian male presented to the emergency department for evaluation of 1 month history of generalized intermittent abdominal pain with occasional dark blood with bowel movements. He denied fever, chills, weight loss, diarrhea, or obstructive symptoms. He had no family history of gastroin... | [] | {
"case_id": "pmc_7132049-1",
"patient_id": "pmc_pt_7132049-1",
"chief_complaint": "A 61-year-old otherwise healthy Caucasian male presented to the emergency department for evaluation of 1 month history of generalized intermittent abdominal pain with occasional dark blood with bowel movements.",
"patient_brief"... | {
"necessary_evidence": [
"hx_past_history_present",
"img_ct_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"intussuscepting colon mass"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases": {},
"free_text_red_flags": [],
"category": "genera... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6280410-1 | [] | A 64-year-old woman with a history of Crohn’s disease (CD) was referred to Siriraj Hospital located in Bangkok, Thailand in June 2017 due to worsening of abdominal pain and watery diarrhea for 2 weeks. She was diagnosed with CD in 2010 after she presented with abdominal pain and palpable mass at the right lower quadran... | [] | {
"case_id": "pmc_6280410-1",
"patient_id": "pmc_pt_6280410-1",
"chief_complaint": "A 64-year-old woman with a history of Crohn’s disease (CD) was referred to Siriraj Hospital located in Bangkok, Thailand in June 2017 due to worsening of abdominal pain and watery diarrhea for 2 weeks.",
"patient_brief": "A 64-y... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"img_xray_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Disseminated cryptococcosis in Crohn’s disease"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6721880-1 | [] | A 60-year-old male with a history of pancreatic cancer presented to our emergency department with a syncopal episode. He was diagnosed with stage IV pancreatic cancer and was started on chemotherapy with a combination of 5-FU and irinotecan (FLOFRI regimen) three months ago. His last chemotherapy was one week prior to ... | [] | {
"case_id": "pmc_6721880-1",
"patient_id": "pmc_pt_6721880-1",
"chief_complaint": "A 60-year-old male with a history of pancreatic cancer presented to our emergency department with a syncopal episode.",
"patient_brief": "A 60-year-old male with a history of pancreatic cancer presented to our emergency departme... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"img_ct_present",
"img_ultrasound_present",
"img_xray_present",
"lab_blood_present",
"lab_inflammatory_present"
],
"red_flags": [],
"accepted_diagn... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7405101-1 | [] | A 55-year-old man with compressive angina, fever, and dyspnea but no cough and myalgia and reported history of close contact with a COVID-19-positive patient is presented. He had a history of hypertension in treatment with captopril and metoprolol succinate.\nOn admission, he had oxygen saturation (SPO2) of 95%, blood ... | [] | {
"case_id": "pmc_7405101-1",
"patient_id": "pmc_pt_7405101-1",
"chief_complaint": "A 55-year-old man with compressive angina, fever, and dyspnea but no cough and myalgia and reported history of close contact with a COVID-19-positive patient is presented.",
"patient_brief": "A 55-year-old man with compressive a... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"img_ct_present",
"img_ultrasound_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Cardiovascular patients in COVID-19 era"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6814334-2 | [] | A 68 years old male with a past history of arterial hypertension, hyperlipidemia, and type 2 diabetes treated with oral therapy, presented with hematochezia. On physical examination, he was pale, with a temperature of 37.1°C, a pulse rate of 85 beats per minute, a blood pressure of 140/83 mmHg, and a respiration rate o... | [] | {
"case_id": "pmc_6814334-2",
"patient_id": "pmc_pt_6814334-2",
"chief_complaint": "A 68 years old male with a past history of arterial hypertension, hyperlipidemia, and type 2 diabetes treated with oral therapy, presented with hematochezia.",
"patient_brief": "A 68 years old male with a past history of arteria... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"lab_blood_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Gastrointestinal hemorrhage caused by small intestinal benign tumors"
],
"accepted_treatments"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7444985-1 | [] | A 57-year-old ambulatory male with a medical history notable only for hypertension and obesity was referred for evaluation of persistent hypercalcemia. Onset of hypercalcemia was in 2008, and the patient had multiple serum calcium measurements in the range of 10.5-11.5 mg/dL during the period 2008-2011 prior to referra... | [] | {
"case_id": "pmc_7444985-1",
"patient_id": "pmc_pt_7444985-1",
"chief_complaint": "A 57-year-old ambulatory male with a medical history notable only for hypertension and obesity was referred for evaluation of persistent hypercalcemia.",
"patient_brief": "A 57-year-old ambulatory male with a medical history not... | {
"necessary_evidence": [
"exam_respiratory_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ultrasound_present",
"lab_chemistry_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Persistently Low-Normal Parathyroid Hormone Level"
],... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7054055-1 | [] | A 23-year-old gentleman with T-cell acute lymphocytic leukemia (ALL) was managed with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone induction, and maintenance therapy. He had a relapse after one year of diagnosis and was started on prednisolone and rituximab salvage therapy. He presented with br... | [] | {
"case_id": "pmc_7054055-1",
"patient_id": "pmc_pt_7054055-1",
"chief_complaint": "A 23-year-old gentleman with T-cell acute lymphocytic leukemia (ALL) was managed with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone induction, and maintenance therapy.",
"patient_brief": "A 23-year-old ge... | {
"necessary_evidence": [
"hx_present_illness_present",
"img_ct_present",
"lab_chemistry_present",
"lab_inflammatory_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Hepatic Portal Venous Gas"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_a... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7304250-1 | [] | The patient was a 62-year-old male with a history of Parkinson's disease and who was admitted to a community hospital with an altered mental status. He was in his usual state of health until 2 weeks prior to presentation when he attended an Albanian cultural festival. A few days afterwards, he started complaining of no... | [] | {
"case_id": "pmc_7304250-1",
"patient_id": "pmc_pt_7304250-1",
"chief_complaint": "The patient was a 62-year-old male with a history of Parkinson's disease and who was admitted to a community hospital with an altered mental status.",
"patient_brief": "The patient was a 62-year-old male with a history of Parkin... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Central Nervous System Tuberculosis"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases": {},
"f... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_8684410-1 | [] | A 74-year-old male with a history of two transient ischemic attacks was brought into our facility for altered mental status after being found unconscious by a relative. His social history was significant for 55 pack-years of smoking. Due to his mentation on arrival, no further history was obtained. Vital signs were nor... | [] | {
"case_id": "pmc_8684410-1",
"patient_id": "pmc_pt_8684410-1",
"chief_complaint": "A 74-year-old male with a history of two transient ischemic attacks was brought into our facility for altered mental status after being found unconscious by a relative.",
"patient_brief": "A 74-year-old male with a history of tw... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"img_ct_present",
"img_mri_present",
"img_xray_present",
"lab_blood_present",
"lab_chemistry_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Elevated Adrenocorticotropic Hormone"
],
"accepted_t... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7179977-1 | [] | A 30-year-old married Hispanic female with no past medical history presented with a one-month history of significant hair loss, black and gray floaters in her left eye, blurred vision, headaches, and an unintentional 23-pound weight loss. Her headaches were intermittent in nature and located in the bilateral occipital ... | [] | {
"case_id": "pmc_7179977-1",
"patient_id": "pmc_pt_7179977-1",
"chief_complaint": "A 30-year-old married Hispanic female with no past medical history presented with a one-month history of significant hair loss, black and gray floaters in her left eye, blurred vision, headaches, and an unintentional 23-pound weig... | {
"necessary_evidence": [
"hx_past_history_present",
"hx_present_illness_present",
"img_mri_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"The Great Masquerader"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases":... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6693137-1 | [] | A 3-year-old girl with a 1-month history of sustained conjunctival injections of both eyes was presented to a local eye clinic. After failure of treatment with an anti-allergic eye drop, she was prescribed with eye drops (0.5% levofloxacin, 0.1% betamethasone, and 0.5% tropicamide/0.5% phenylephrine) and was referred t... | [] | {
"case_id": "pmc_6693137-1",
"patient_id": "pmc_pt_6693137-1",
"chief_complaint": "A 3-year-old girl with a 1-month history of sustained conjunctival injections of both eyes was presented to a local eye clinic.",
"patient_brief": "A 3-year-old girl with a 1-month history of sustained conjunctival injections of... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_xray_present"
],
"red_flags": [],
"accepted_diagnoses": [
"A case of probable Vogt–Koyanagi–Harada disease in a 3-year-old girl"
],
"accepted_treatments": [],
"tau_close": 0.... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_7387077-1 | [] | A 70-year-old man with a medical history significant for viral hepatitis C (HCV) infection and liver cirrhosis initially presented with scrotal swelling, decreased appetite, and unintentional 15 Ib weight loss over the past two months. He also complained of abdominal distention, constipation, dizziness, and dyspnea on ... | [] | {
"case_id": "pmc_7387077-1",
"patient_id": "pmc_pt_7387077-1",
"chief_complaint": "A 70-year-old man with a medical history significant for viral hepatitis C (HCV) infection and liver cirrhosis initially presented with scrotal swelling, decreased appetite, and unintentional 15 Ib weight loss over the past two mo... | {
"necessary_evidence": [
"exam_cardiac_present",
"exam_general_present",
"exam_respiratory_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present",
"lab_blood_present",
"sym_general_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Inferior Ve... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
patient_pmc_6982381-1 | [] | A 57-year-old Caucasian woman with a medical history of bipolar I disorder, previous psychiatric hospitalizations, opioid use disorder, benzodiazepine use disorder, and Crohn’s disease as well as a family history of bipolar I disorder presented to the psychiatric emergency department with worsening anxiety and depressi... | [] | {
"case_id": "pmc_6982381-1",
"patient_id": "pmc_pt_6982381-1",
"chief_complaint": "A 57-year-old Caucasian woman with a medical history of bipolar I disorder, previous psychiatric hospitalizations, opioid use disorder, benzodiazepine use disorder, and Crohn’s disease as well as a family history of bipolar I diso... | {
"necessary_evidence": [
"exam_general_present",
"hx_past_history_present",
"hx_present_illness_present",
"img_ct_present"
],
"red_flags": [],
"accepted_diagnoses": [
"Valproate-induced hyperammonemic encephalopathy"
],
"accepted_treatments": [],
"tau_close": 0.7,
"evidence_aliases"... | {
"annotation_status": "pending",
"expert_id": null,
"verification_date": null,
"reviewer_notes": null,
"evidence_policy_verified": false,
"red_flags_verified": false,
"diagnosis_verified": false,
"treatment_verified": false
} | null | null |
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