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Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 31, 'gender': 'M', 'symptoms': 'UTI\nConfusion/dementia', 'medical_history': ['CAD s/p CABG (___) and ICD (___)', 'CVA', 'HTN', 'HLD', 'dilated ischemic CM', 'COPD', 'central sleep apnea', 'BPH'], 'family_history': 'Father- CAD/ MI\nMother - CAD, DM', 'present_illness': '___ M with h/o CAD s... | {'final_diagnoses': ['UTI', 'Confusion/dementia'], 'procedures': ['None'], 'visit_summary': "___ M with h/o CAD s/p CABG and ICD, CVA on warfarin presenting \nto the ED with confusion following an unwitnessed fall yesterday \nevening. Pt is a practicing pediatrician at ___. His \noffice staff felt he was not his usual ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'F', 'symptoms': 'Vomiting', 'medical_history': ['1. Diabetes complicated by peripheral neuropathy, h/o DKA ', '2. Depression ', '3. Recurrent Alcohol Abuse with multiple admissions for detox, \nno h/o DT or w/d seizures ', '4. Cirrhosis, Childs A ', '5. Chronic pancreatiti... | {'final_diagnoses': ['Acute on Chronic Pancreatitis', 'Esophagitis', 'Alcohol abuse', 'Cdiff infection', 'Diabetes ', 'Vulvovaginitis '], 'procedures': ['___ femoral line placement', '___ PICC placement', '___ EGD'], 'visit_summary': '___ year old female with history of ETOH abuse, Child Class A \ncirrhosis, DMII, recu... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 51, 'gender': 'M', 'symptoms': 'Chest pain, dizziness', 'medical_history': ['Type 2 diabetes mellitus, Insulin-dependent', 'Gout', 'Hypertension', 'Atrial Fibrillation', 'OSA (normally on BiPAP)', 'CVA- in ___ (Left hemiparesis, she only has a slight \nresidual deficit. She stopped working a... | {'final_diagnoses': ['Dehydration, hypertension', 'Coronary artery disease, paroxysmal atrial \nfibrillation'], 'procedures': ['None'], 'visit_summary': "#. Chest pressure: Patient's chest pain resolved after receiving \nSL nitro and aspirin in the ED. Concern is for ischemia given \npatient's cardiac history (MI in _... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 68, 'gender': 'M', 'symptoms': 'Cough/Dyspnea', 'medical_history': ['- Metastatic renal cell cancer ', '- Stage I rectal adenocarcinoma s/p resection in ___ at age ___', '- ___ CHF/Cardiomyopathy- per patient cardiologist felt \nrelated to viral infection. No further follow up ', '- HTN', '-... | {'final_diagnoses': ['Shortness of breath likely ___ mucous plugging', 'Recurrent left pleural effusion', 'RML opacity', 'Ruptured ___ cyst'], 'procedures': ['None'], 'visit_summary': "Summary: \n\n# Dyspnea on exertion\n# RLE edema\n# Renal cell carcinoma, metastatic to the lung\nMs ___ is a ___ yo F with metastatic r... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'F', 'symptoms': 'abdominal pain, headache, generalized weakness', 'medical_history': ['Workup:', '___ Pap NIL ', '___ Pap NIL', '___ Pap LSIL, question HSIL', ' Cervical biopsy CIN 2', ' LEEP CIN-3, positive endocervical and exocervical margins', '___ through ___ Paps NIL ___ ... | {'final_diagnoses': ['Hemoperitoneum'], 'procedures': ['Blood transfusion'], 'visit_summary': 'Ms. ___ was admitted to the gynecologic oncology service \nfor postoperative pain and weakness after same day discharge \nfrom a cold knife cone with OR takeback for vaginal bleeding. \nHer Hct was noted to by 17.3 and then s... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 31, 'gender': 'F', 'symptoms': 'Altered mental status.', 'medical_history': ['#HIV/AIDS: Dx ___. Last genotype (___) without major PR/RT \nmutations. Poor tolerance of Sustiva ___ psych issues. Prior \nregimens include LPV/r and TDF/FTC. Evaluated most recently in \n___ with plan to start __... | {'final_diagnoses': ['Primary Diagnoses:', 'HIV encephalopathy ', 'HIV associated dementia', 'Secondary Diagnoses:', 'Diabetes Mellitus', 'Coronary Artery Disease', 'Hepatitis C', 'Bipolar D/O', 'Anxiety D/O'], 'procedures': ['Lumbar puncture ___'], 'visit_summary': '#Altered Mental Status: Initial concern was for prim... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'F', 'symptoms': 'left lower extremity stasis and swelling', 'medical_history': ['type 2 diabetes mellitus', 'history of kidney stones', 'diabetic retinopathy', 'obesity', 'dyslipidemia', 'hypertension', 'first metatarsal exostectomy, left foot (___)', 'left transmetatarsal amp... | {'final_diagnoses': ['left lower extremity stasis', 'swelling'], 'procedures': ['___ - left lower extremity diagnostic angiography'], 'visit_summary': "NEURO/PAIN: The patient was maintained on IV pain medication in \nthe immediate post-operative period and transitioned to PO \nnarcotic medication with adequate pain co... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'Chest Pain', 'medical_history': ['PAST ONCOLOGIC HISTORY:\n- ___: Initial presentation with left-sided rib pain. \n- XR revealed a fracture of the left 9th rib and a 2-cm density \nin the mid right lung. \n- ___: CT Chest showed a 2.6-cm spiculated lesion ... | {'final_diagnoses': ['pericardial effusion secondary to metastatic \nnon small cell lung cancer', 'metastatic non small cell lung cancer', 'pulmonary embolism'], 'procedures': ['Pericardiocentesis ___', 'Pericardial window ___', 'pleurX catheter placement ___'], 'visit_summary': 'RIEF SUMMARY\n==============\n___ with ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 50, 'gender': 'F', 'symptoms': 'CC: fever, chills, chest pain', 'medical_history': ['1. Adrenal crisis. On several occasions, she reports a history \nof adrenal insufficiency, which was diagnosed in ___.', '2. Aspiration pneumonia as above.', '3. Appendicitis ___ did not undergo appendectom... | {'final_diagnoses': ['Asthma', 'Chronic pain syndrome', 'HTN', 'PTSD'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ breathing has improved by arrival to the floor. \nHer CXR, ECG, and laboratory studies are all within normal \nlimits. \n\n1. Shortness of breath: likely due to asthma, as her peak flow \nis down f... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'F', 'symptoms': 'pancreatic lesion and CBD dilatation', 'medical_history': ['- CAD', '- HTN', '- HLD', '- GERD', '- BPH'], 'family_history': 'unable to obtain', 'present_illness': ' ___ year old ___ man with CAD, HTN, HLD, BPH, and \nGERD, transferred from ___ for pancreatic l... | {'final_diagnoses': ['- 1.3 cm cystic pancreatic head mass', '- Biliary obstruction', '- Hypertension', '- Non insulin dependent diabetes mellitus', '- Hyperlipidemia'], 'procedures': ['___: ERCP with sphincterotomy and brushings', '___: MRCP'], 'visit_summary': "___ year old man with several days of nausea, vomiting, ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 86, 'gender': 'M', 'symptoms': 'Abdominal pain', 'medical_history': ['PUD: asymptomatic duodenal ulcer since age ___ years ago', 'diagnosed with bleeding peptic ulcer', 'HTN', 'high cholesterol'], 'family_history': 'NC', 'present_illness': "___ year old who presented with stomach pains, begi... | {'final_diagnoses': ['Perforated duodenal ulcer', 'Sepsis', 'Renal failure', 'Repiratory failure', 'Atrial Fibrillation'], 'procedures': ['___', 'Exploratory laparotomy', '___ patch repair of perforated \nduodenal ulcer', 'G-tube placement', 'J-tube placement'], 'visit_summary': "Mr. ___ was evaluated in the emergency ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'M', 'symptoms': 'LLE pain', 'medical_history': ['DM', 'nephrolithiasis', 'diabetic retinopathy', 'obesity', 'dyslipidemia', 'hypertension'], 'family_history': 'Non-contributory', 'present_illness': 'HPI:\nMr. ___ is a ___ who has a significant past vascular surgical\nhistory o... | {'final_diagnoses': ['Critical ischemic left leg', 'Peripheral Arterial Disease', 'Diabetes'], 'procedures': ['___ AngioJet thrombectomy of the popliteal artery and \nabove-knee popliteal-to-dorsalis pedis vein graft', 'Percutaneous transluminal angioplasty of the vein graft', 'Placement of a ___ catheter for overnight... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 70, 'gender': 'M', 'symptoms': 'fall', 'medical_history': ['PMH: none', 'PSH: none'], 'family_history': 'noncontributory', 'present_illness': 'Mr. ___ is a ___ with no reported PMHx presenting as \ntrauma transfer from a hospital in ___. The patient fell two \nstories into empty pool on ___ ... | {'final_diagnoses': ['C1 burst fracture, C6 lamina fracture', 'Thrombosis in bilateral lower extremity veins', 'Acute toxic-metabolic encephalopathy', 'Acute kidney injury'], 'procedures': ['___: exploratory laparotomy (___)', '___: IVC filter placement', '___: percutaneous tracheostomy, percutaneous endoscopic \ngastr... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'F', 'symptoms': 'bright red blood per rectum', 'medical_history': ['Pancolonic diverticulosis', 'History of presumed diverticular GIBs', 'Hypertension', "Graves' Disease- Previously treated with Methimazole (DC'd \n___, currently Euthyroid", 'Chronic Low back pain', 'OSA (Has ... | {'final_diagnoses': ['diverticulosis', 'HTN'], 'procedures': ['Colonoscopy'], 'visit_summary': "___ yo F history of previous lower GI bleeds presumed to be \ndiverticular due to pancolonic diverticulosis who presents with \ntwo episodes of hematochezia consistent with bleeding \ndiverticula. \n\nACTIVE ISSUES:\n# GIB: ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 26, 'gender': 'M', 'symptoms': 'weakness', 'medical_history': ['-Neuromyelitis optica', '-Mitral valve prolapse', '-Hypertension', '-Asthma', '-Osteoarthritis, had required steroid injections to the spine \n(well controlled recently)', '-PMR (had been on plaquenil)', '-Depression', '-___ eso... | {'final_diagnoses': ['neuromyelitis optica', 'urinary tract infection', 'hypertension'], 'procedures': ['None'], 'visit_summary': '___ yo RH woman with PMH of NMO diagnosed in ___ (followed by \nDr. ___ who presents with difficulty transferring and sense \nof worsening BLE weakness and tingling/numbness after missing \... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 38, 'gender': 'M', 'symptoms': 'Hepatic Encephalopathy', 'medical_history': ['- Aortic stenosis s/p TAVR ___', '- ___ cirrhosis c/b splenomegaly/thrombocytopenia. No hx of \nvariceal bleeding or ascites requiring paracentesis ', '- HFpEF, also with PH, moderate to severe MR by echo. RHC __... | {'final_diagnoses': ['Hepatic encephalopathy h/o HCC and NASH cirrhosis', 'Lower GI bleed with acute on chronic anemia', 'Possible SBP', 'CKD'], 'procedures': ['Flexible Sigmoidoscopy ___: +for rectal varices', '1Unit platelets ___ PRBC ___'], 'visit_summary': '___ h/o NASH cirrhosis (complicated by esophageal varices,... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 37, 'gender': 'M', 'symptoms': 'Abdominal pain', 'medical_history': ['- ADHD', '- asthma', '- anxiety', '- eating disorder', '- moderate protein calorie malnutrition', '- migraine headaches', '- h/o endometriosis', '- h/o nephrolithiasis', '- h/o left ovarian cyst', '- h/o sexual assault'], ... | {'final_diagnoses': ['Abdominal pain', 'Hypotension', 'Acute on chronic normocytic anemia', 'Non-anion gap metabolic acidosis', 'Anxiety', 'ADHD'], 'procedures': ['None'], 'visit_summary': "ACUTES ISSUES\n========================\n#Lactic acidosis:\n#Hypotension: The patient presented with tachycardia to 140s and \nlac... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 34, 'gender': 'F', 'symptoms': 'difficulty breathing', 'medical_history': ['PAST ONCOLOGIC HISTORY PER OMR:\n___ Hodgkin lymphoma with extensive chest LAD\nMOPP and ABV chemotherapy\nXRT to chest by Dr. ___ at ___\n___ Relapsed Hodgkin lymphoma\nInduction chemotherapy \n___ Auto BMT by Dr.... | {'final_diagnoses': ['Severe dyspnea'], 'procedures': ['None'], 'visit_summary': '___ w/ h/o Hodgkin lymphoma s/p auto-BMT in ___, metastatic \nrenal cell carcinoma s/p multiple lines of treatment, SRS to R \noccipital and L frontal lesion in ___ and ___, leptomeningeal \ndisease (evident by b/l CN VIII enhancement but... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 37, 'gender': 'M', 'symptoms': 'asymptomatic lung nodules', 'medical_history': ['Silent MI likely ___', 'CAD', 'HTN', 'DM', 'Obesity', 'Pneumonia ___ complicated by sepsis', 'L leg cellulitis', 'L leg tibial plateau fx', 'MGUS'], 'family_history': 'non contributory', 'present_illness': 'Mr. ... | {'final_diagnoses': ['Left upper lobe and left lower lobe nodules', '___', 'Urinary retention', 'Atrial fibrillation'], 'procedures': ['VATS, left upper lobe wedge resection followed by\nVATS left upper lobe upper division by segmentectomy, left\nlower lobe superior segmentectomy, mediastinal lymph node\ndissection, br... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 50, 'gender': 'M', 'symptoms': 'back pain', 'medical_history': ['chronic pain', 'Asthma', 'COPD', 'Gout', 'arthritis', 'obesity', 'GERD', 'renal insufficiency (Stage III)', 'DM2', 'incontinence', 'h/o liver damage', 'fibromyalgia', 'depression', 'chronic low back pain', 'depression', 'anxiet... | {'final_diagnoses': ['lumbar spondylosis', 'delirium', 'Hyperglycemia', 'hypotension', 'hypovolemia', 'anema', 'DMII', 'SVT', 'elevated transaminase enzymes'], 'procedures': ['___ L3-S1 posterior lumbar laminectomy and fusion'], 'visit_summary': "Patient was admitted to Orthopedic Spine Service and underwent \nthe abov... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'F', 'symptoms': 'Dyspnea on exertion', 'medical_history': ['Atrial fibrillation', 'Congestive Heart Failure', 'Mitral Valve Prolapse', 'Mitral Regurgitation', 'Tricuspid Regurgitation', 'Irritable bowel syndrome - no per pt', 'Onychomycosis', 'Osteoarthritis', 'Neuropathy', 'C... | {'final_diagnoses': ['Mitral Valve Prolapse', 'Mitral Regurgitation', 'Tricupsid Regurgitation', 'Atrial Fibrillation', 'Congestive Heart Failure'], 'procedures': ['Mitral Valve Repair', 'Tricuspid Valve Repair', 'Oversewing of the \nLeft Atrial Appendage', 'CryoMAZE'], 'visit_summary': 'She was admitted on ___ for Hep... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'F', 'symptoms': 'HCC, s/p TACE', 'medical_history': ['Hepatitis C, complicated by cirrhosis with ascites and varices. \nOn liver transplant list.', 'History of IVDU, on methadone maintenance', 'Insulin dependent diabetes mellitus', 'GERD'], 'family_history': 'Negative for liv... | {'final_diagnoses': ['Hepatocellular carcinoma', 'cirrhosis'], 'procedures': ['TACE'], 'visit_summary': 'Mr. ___ is a ___ yo man with history of hepatitis C cirrhosis, \ncomplicated by focal HCC, s/p RFA in ___, here for monitoring \nafter TACE performed for residual disease seen in area of RFA. \nHe is doing well pos... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'F', 'symptoms': None, 'medical_history': ['A. flutter on apixaban', 'HTN'], 'family_history': None, 'present_illness': None, 'medications': [{'medication': 'Sodium Chloride 0.9% Flush', 'proc_type': 'Unit Dose', 'status': 'Discontinued via patient discharge', 'route': 'IV', '... | {'final_diagnoses': ['hepatitis A'], 'procedures': ['None'], 'visit_summary': '___ male PMH A. flutter on apixaban, HTN who presented \nto\nOSH with abdominal pain and weakness. Found to have severe\ntransaminitis and transferred for further work-up. Diagnosed \nwith hepatitis A. LFTs and T ___. Patient was recommended... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 37, 'gender': 'M', 'symptoms': 'Fatigue and palpitations at rest \npre-op for AVR', 'medical_history': ['Severe Aortic 0.7cm2)', 'Hypertension', 'Paroxysmal atrial fibrillation', 'Left Ventricular hypertrophy', 'Arthritis', 'current tobacco use'], 'family_history': 'Family History: father d... | {'final_diagnoses': ['s/p multiple teeth extractions', 'PMH:Severe Aortic 0.7cm2), Hypertension, Paroxysmal \natrial fibrillation, Left Ventricular hypertrophy, Arthritis, \ncurrent tobacco'], 'procedures': ['extraction of teeth #1,4,5,11,21,32 and cyst removal from \nright side of the mandible.'], 'visit_summary': '... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 75, 'gender': 'M', 'symptoms': 'Altered mental status and right arm weakness', 'medical_history': ['Tachybrady syndrome with permanent pacemaker placed in ___', 'OSA', 'HTN', 'hyperlipidemia', 'OA', 'BPH', 'R knee replacement'], 'family_history': 'heart disease', 'present_illness': 'History ... | {'final_diagnoses': ['Meningitis ? ___', 'Hyponatremia with SIADH', 'Tachybrady syndrome with permanent pacemaker placed in \n___', 'OSA', 'HTN', 'hyperlipidemia', 'OA', 'BPH', 'R knee replacement'], 'procedures': ['LP at OSH', 'Midline'], 'visit_summary': '___ yo man with tachy-brady syndrome s/p pacemaker in ___, OA,... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 81, 'gender': 'F', 'symptoms': 'CC: ___ pain and swelling', 'medical_history': ['- CAD: s/p CABG ___ ___, SVG-Diag), s/p Cyper \nDES to SVG->OM in ___', '- Paroxysmal atrial fibrillation x ___, multiple \ncardioversions, a flutter ablations, pulm vein ablation ___, \non dofetilide and coumad... | {'final_diagnoses': ['Cellulitis', 'Chronic kidney disease', 'Hypertension', 'Atrial fibrillation', 'Coagulopathy', 'Insulin dependent diabetes mellitus with complications'], 'procedures': ['none'], 'visit_summary': '1. Cellulitis, lower extremity: Likely the result of his fall \nwith skin trauma. Xray negative for fr... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'F', 'symptoms': 'Word-Finding Difficulties', 'medical_history': ['- Biclonal gammopathy (as per outpatient mhematologist, based on \nSPEP/BMBX in ___ ', '- AIHA (DAT+, found in ___, now on prednisone) ', '- Subarachnoid hemorrhage s/p coiling ___ c/b vasospasm ', '- Sleep A... | {'final_diagnoses': ['Cerebral edema', 'Expressive aphasia'], 'procedures': ['None'], 'visit_summary': 'Mr. ___ was admitted to ___ on ___ after mutliple \nepisodes of self-limiting word-finding difficulties. His \nsymptoms had resolved upon arrival. He denied any additional \nneurologic deficits, including numbness or... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 29, 'gender': 'M', 'symptoms': 'Acute Pancreatitis', 'medical_history': ['Type 2 DM', 'Schizoaffective Disorder'], 'family_history': 'No family history of pancreatitis, hypertriglyceridemia per \npatient', 'present_illness': '___ is a ___ year old male patient with a history of Type \n2\nDM ... | {'final_diagnoses': ['# acute pancreatitis', '# DM2'], 'procedures': ['none'], 'visit_summary': '___ is a ___ year old male patient with diabetes \npresenting with epigastric pain found to have pancreatitis in \nthe setting of hypertriglyceridemia, transferred to ___ for \nfurther management.\n\n# Hypertriglyceridemia-... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'F', 'symptoms': 'abdominal and back pain', 'medical_history': ['sleep apnea (not on CPAP)', 'hypothyroid', 'HTN', 'HLD', 'LEFT KNEE PAIN', 'MITRAL REGURGITATION', 'OSTEOARTHRITIS', 'OVARIAN CYSTS', 'PANCREATITIS', 's/p ERCP notable for incomplete pancreas divisum'], 'family_hi... | {'final_diagnoses': ['Pancreatitis'], 'procedures': ['None'], 'visit_summary': '___ w/ hx HTN, HLD, s/p hysterectomy admitted with right flank \nand right sided back pain.\n.\n#FLANK PAIN: The patient presented with an episode of right \nsided abdominal, flank, and back pain. LFT and lipase were \nwithin normal limits... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 76, 'gender': 'M', 'symptoms': 'slurred speech, weakness, altered mental status', 'medical_history': ['Hypothyroidism', 'Depression'], 'family_history': 'Unable to obtain from pt', 'present_illness': '___ with h/o EtOH abuse requiring hospitalization and \nhypothyroidism, last seen at baseli... | {'final_diagnoses': ['overdose', 'depression', 'alcohol abuse'], 'procedures': ['___ Endotracheal Intubation (extubated ___'], 'visit_summary': 'MS: Felt to be most likely toxic from either deliberate or \naccidental ingestion of anticholinergic agent given \nmydriasis/dry warm skin/transient hyperthermia to 100.8F/AMS... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 83, 'gender': 'M', 'symptoms': 'altered mental status, inability to ambulate', 'medical_history': ['alcoholism w/ withdrawal seizures', 'schizoaffective', 'tranvestic fetishism', 'personality disorder NOS:', 'bipolar', 'PTSD', 'hyperlidpidemia', 'HTN', 'DM2', 'cocaine abuse, alcohol abuse, b... | {'final_diagnoses': ['alcohol intoxication', 'substance abuse disorder', 'bipolar disorder', 'schizoaffective disorder'], 'procedures': ['none'], 'visit_summary': 'Mr. ___ was admitted to the hospital after being found on the \nstreet intoxicated and reportedly unable to walk. On arrival to \nthe ED, his VS were stable... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 72, 'gender': 'M', 'symptoms': 'Palpitaions', 'medical_history': ['Aortic stenosis', 'Atrial fibrillation', 'Asthma', 'Sleep Apnea (Uses CPAP)', 'Hyperlipidemia', 'Umbilical Hernia', 'Degenerative joint disease', 'Arthritis', 'Rheumatic fever', 'Inferior wall myocardial infarction', 'Hyperte... | {'final_diagnoses': ['Aortic stenosis s/p AVR', 'Atrial fibrillation', 'Asthma', 'Sleep Apnea on CPAP', 'Hyperlipidemia', 'Umbilical Hernia', 'Degenerative joint disease', 'Arthritis', 'Rheumatic fever', 'Inferior wall myocardial infarction', 'Hypertension', 'Anemia', 'Mitral valve prolapse'], 'procedures': ['Cardiac c... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'F', 'symptoms': 'Shortness of Breath', 'medical_history': ["1. CHF with EF of 10% s/p BiV pacer on coumadin, recently \nadmitted for CHF exacerbation in ___. ESRD - on HD since last admit (D/C'd ___", '3. CAD s/p MI & CABG x 2 ___ and revised in ___', '4. DMII x ___ on insulin... | {'final_diagnoses': ['Acute on chronic systolic heart failure', 'Hyperkalemia', 'Nonthrombotic troponin elevation', 'Ischemic CMP, EF 10% s/p ICD-BiV pacer', 'Atrial fibrillation', 'CKD stage V on hemodialysis', 'CABG x 2', 'Diabetes mellitus type II', 'Hypothyroidism', 'Asthma', 's/p left BKA'], 'procedures': ['none']... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 87, 'gender': 'F', 'symptoms': 'hyperkalemia', 'medical_history': ['Diabetes mellitus type 2 insulin complicated by peripheral \nneuropathy and nephropathy', 'Cervical and lumbar degenerative joint disease for the past ___ \nyears secondary to trauma.', 'Hypertension', 'Left calcaneal osteo... | {'final_diagnoses': ['Osteomyelitis', 'Hyperkalemia'], 'procedures': ['none'], 'visit_summary': 'ACUTE CARE\n# Hyperkalemia: initially thought to be secondary to ertapenem. \nNo EKG changes, asympyomatic. With kayexalate potassium \nimproved. However, despite being on meropenem and ultimately \ndiscontinuing this medic... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 68, 'gender': 'M', 'symptoms': 'Hyperglycemia\nSyncope', 'medical_history': ['Insulin dependent DM, diagnosed one year ago, was told type 1', 'chronic pancreatitis', 'HTN', 'HLD', 'H/O recurrent pneumonia', 'Multiple stab wounds ___ Right upper thorax, left axilla area & \nmid-lower back'], ... | {'final_diagnoses': ['Hyperglycemia'], 'procedures': ['None'], 'visit_summary': '___ yo M with history of T1DM, LUL lobectomy due to recurrent \npneumonia, and chronic abdominal pain reported to be ___ chronic \npancreatitis who presents from home for syncope and \nhyperglycemia.', 'medications_prescribed': []} |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 80, 'gender': 'M', 'symptoms': 'Post-operative monitoring after TIPS procedure', 'medical_history': ['Portal vein thrombosis, treated with Eliquis', 'Irritable bowel syndrome', 'Eczema', 'Menstrual irregularities', 'Cholelithiasis'], 'family_history': 'Per records: her family history is nota... | {'final_diagnoses': ['Status post transjugular intrahepatic portosystemic shunt, \ncomplicated by splenic vein rupture', 'History of splanchnic and portal vein thrombosis', 'History of chronic pain'], 'procedures': ['Transjugular intrahepatic portosystemic shunt ___'], 'visit_summary': "Summary:\n-------- \n___ is a __... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 76, 'gender': 'F', 'symptoms': 'abdominal pain', 'medical_history': ["Crohn's diagnosed in ___, followed at ___. No past \nsurgeries for Crohn's, no immunomodulators.", 'Depression', 'HTN'], 'family_history': 'Possible history of IBD in his dad (never formally diagnosed).', 'present_illness'... | {'final_diagnoses': ["Crohn's flare"], 'procedures': ['None'], 'visit_summary': "___ year old male with a history of Crohn's on sulfasalazine, who \npresents with acute severe abdominal pain on subacute abdominal \npain, consistent with a Crohn's flare.\n\n1. Abdominal pain with nausea/vomiting, and Crohn's flare and \... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 30, 'gender': 'F', 'symptoms': 'respiratory distress', 'medical_history': ['___ \n- metastatic to brain \n- s/p XRT 30 Gy \n- s/p WBT \n- last chemotherapy ___ \nCOPD', 'Chronic bronchitis', 'Atrial fibrillation (not on anticoagulation currently)', "Graves' disease"], 'family_history': ... | {'final_diagnoses': ['Left Main Bronchus Occlusion', 'Metastatic Non-Small Cell Lung Cancer', 'COPD', 'Atrial Fibrillation', 'Malnutrition', 'Chronic Bronchitis'], 'procedures': ['___: Rigid bronchoscopy and left main stem bronchus stent \nplacement'], 'visit_summary': '___ with recurrent metastatic NSCLC/adenocarcinom... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 58, 'gender': 'M', 'symptoms': 'Abdominal pain', 'medical_history': ['-Type 2 IDDM', '-Chronic pancreatitis with question of pseudocyst'], 'family_history': 'Denies any known history of malignancies, pancreaticobiliary \ndisease, or heart disease.', 'present_illness': "Patient is a ___ yo F ... | {'final_diagnoses': ['Chronic pancreatitis', 'Biliary Dilation', 'Hyperbilirubinemia', 'Abdominal pain'], 'procedures': ['Endoscopic ultrasound ___'], 'visit_summary': '___ yo F with h/o chronic pancreatitis and diabetes admitted \nwith abdominal pain and Alk phos/Bilirubin elevation concerning \nfor biliary obstructio... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'Rib fractures', 'medical_history': ['hepatitis C', 'polysubstance abuse (including heroin)', 'ETOH abuse (prior to arrest, 5 pints of vodka a day)', 'tobacco abuse'], 'family_history': 'Non-contributory', 'present_illness': 'Mr. ___ is a ___ man with PMH of po... | {'final_diagnoses': ['Multiple rib fractures', 'Opioid overdose', 'HCV', 'Polysubstance use disorder', 'EtOH use disorder', 'Tobacco use disorder'], 'procedures': ['NONE'], 'visit_summary': "PATIENT SUMMARY:\n================ \n___ with PMH of polysubstance abuse, hepatitis C (unknown \ntreatment status), who presented... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 91, 'gender': 'M', 'symptoms': 'fall', 'medical_history': ['-DM ', '-Dyslipidemia', '-HTN', '-Depression', '-Ulcerative colitis (questionable), Saw Dr. ___ in ___, last \n___ at ___ ___ with normal biopsies', '-ESRD '], 'family_history': 'father w stroke', 'present_illness': '___ PMH ESRD __... | {'final_diagnoses': ['Fall - R ___ phalanx fracture and hyperglycemia'], 'procedures': ['None - splint placed of R ___ finger by ortho.'], 'visit_summary': 'ASSESSMENT/PLAN:\n___ PMH ESRD ___ DM2, HTN on HD MWF, HLD, depression, UC, who \npresents following a mechanical fall, found to have close \nfracture of R ___ fin... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 59, 'gender': 'M', 'symptoms': 'fevers and leukocytosis', 'medical_history': ['DM Type 1 c/b retinopathy, nephropathy, neuropathy, and \ngastroparesis', 'CAD s/p CABG ___', 'Acute mitral regurgitation s/p MVR w/ biopros valve on ___', 'Severe orthostatic hypotension from autonomic neuropathy... | {'final_diagnoses': ['C. diff colitis', 'acute tubular necrosis/ ___', 'Diabetic foot ulcer', 'Right thigh pressure ulcer', 'Chronic kidney disease stage III', 'Type 1 diabetes mellitus, uncontrolled with complications', 'Diabetic neuropathy'], 'procedures': ['None'], 'visit_summary': "___ year old female with a PMH of... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 65, 'gender': 'M', 'symptoms': '"I was scaring my mom"', 'medical_history': ['- Polycystic ovarian syndrome, on birth control pills', '- Head concussion from being physically abused by brother 3 \nweeks\nago', '- Hit head really hard from passing out on Prazosin 3 weeks ago'], 'family_histor... | {'final_diagnoses': ['Bipolar disorder, current depressive episode', 'R/o bipolar disorder with psychotic features', 'Generalized anxiety disorder', 'PTSD', 'Cannabis use disorder'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ is a ___ yo F with reported history of depression, \nanxiety, bipolar I\ndisorder, ADHD... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 54, 'gender': 'F', 'symptoms': 'abdominal pain, fever, loose stools', 'medical_history': ['IBS', 'Fibromyalgia', "Takotsubo's, ___ yrs ago", 'HTN', 'GERD', 'Depression', 'GERD', 'HL', 's/p umbilical hernia repair', 's/p T&A', 's/p hysterectomy'], 'family_history': "Mom - 'tangled bowel', mel... | {'final_diagnoses': ['C. dificile'], 'procedures': ['none'], 'visit_summary': '# C. diff colitis: Risks included recent prolonged Augmentin \ncourse, and chronic PPI use. CT scan indicative of mild distal \ncolitis. C. dif toxin was positive. Patient was treated with IV \nflagyl and then transitioned to PO. Symptoms ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 19, 'gender': 'M', 'symptoms': 'gi bleed', 'medical_history': ['1. Hypertension.', '2. Pacemaker for sick sinus syndrome - interrogated on ___, \nfunctioning normally with no atrial or ventricular arrhythmias.', '3. CAD, status triple-vessel CABG in ___, EF= 40%. Most recent \nECHO in ___, s... | {'final_diagnoses': ['Primary Diagnosis: 285.1 ANEMIA, ACUTE BLOOD LOSS', 'Secondary Diagnosis: 414.05 CAD, BYPASS GRAFT', 'Secondary Diagnosis: 401.1 HYPERTENSION, BENIGN', 'Secondary Diagnosis: 250.80 DIABETES TYPE II, CONTROLLED W/ \nCOMPLICATIONS', 'Secondary Diagnosis: 244.9 HYPOTHYROIDISM', 'Secondary Diagnosis: ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'F', 'symptoms': 'R leg radicular pain', 'medical_history': ['HTN', 'L5 radiculopathy'], 'family_history': 'NC', 'present_illness': 'Ms. ___ is a very pleasant ___ ___ speaking\nwoman who presented to outpatient clinic with h/o sacral pain as \nwell as\nright what seems to be L... | {'final_diagnoses': ['Lumbar spinal stenosis', 'Facet fracture'], 'procedures': ['L3-4, L4-5, L5-S1 hemilaminectomies and discectomies', 'L5 facetectomy'], 'visit_summary': 'Patient was admitted to the neurosurgery service on ___ for \nelective discectomy. In the OR, patient had removal of fractured \nL5 inferior facet... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'Altered Mental Status', 'medical_history': ['RA', 'DM', 'Graves -> hypothyroid', 'Diplopia ___ Graves opthalmopathy)', 'Recent ankle fx (WBAT per pt)', 'Per pt had nml colonoscopy ___ yrs ago'], 'family_history': 'No h/o autoimmune dx or inflammatory bowel dx'... | {'final_diagnoses': ['Altered Mental Status', 'Urinary tract infection'], 'procedures': ['None'], 'visit_summary': '___ y/o F PMH significant for RA, DM, hypothyroidism as a result \nof graves treatment who is admitted for altered mental status \nsecondary to a urinary tract infection. \n\nACUTE MEDICAL ISSUES\n#Altere... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'F', 'symptoms': 'Dyspnea on exertion, fatigue', 'medical_history': ['Depression', 'Erectile Dysfunction', 'Gastroesophageal Reflux Disease', 'Mitral Regurgitation', 'Mitral Valve Prolapse', 'Reactive Airway Disease'], 'family_history': 'No premature history of coronary artery ... | {'final_diagnoses': ['Mitral Regurgitation and Prolapse s/p mitral valve repair', 'Post operative atrial fibrillation', 'Acute on chronic pain', 'Depression', 'Erectile Dysfunction', 'Gastroesophageal Reflux Disease', 'Reactive Airway Disease'], 'procedures': ['Mitral valve repair 32 mm ring and resection P2 leaflet __... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'M', 'symptoms': 'Pt admitted for ileostomy closure', 'medical_history': ['Hypertension', 'Right colonic polyp', 'Diverticulitis, Rectosigmoidectomy and anastomosis ___', 'Ileostomy and repair of anastomotic leak ___', 'Partial Small Bowel Obstruction ___'], 'family_history': '... | {'final_diagnoses': ['Ileostomy closure', 'Small Bowel Obstruction ___', 'diverticulitis', 'hypertension', 'Right colon polyp'], 'procedures': ['Ileostomy closure'], 'visit_summary': "Patient was admitted to the ___ from the PACU following \nan Ileostomy closure. Pt's vital signs were stable upon arrival \nto the floo... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 81, 'gender': 'M', 'symptoms': 'posterior cervical insicion pain', 'medical_history': ['MRSA', 'Chronic radiculopathy'], 'family_history': 'N/A', 'present_illness': '___ yo male patient with chronic radiculopathy and regoin pain \nsyndrome who underwent a cervical spinal cord stimulator on \... | {'final_diagnoses': ['Acute on chronic pain', 'Question of wound infection'], 'procedures': ['s/p cervical spinal cord stimulator ___'], 'visit_summary': 'On ___, the patient had presented on ___ with \ncomplaints of uncontrolled incisional pain and wound erythema \nafter having a spinal cord stimulator placed on ___. ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 68, 'gender': 'M', 'symptoms': 'Fever,Nausea', 'medical_history': ['- Type 1 DM', '- HTN', '- Hypothyroidism', '- HLD', '- Anemia', '- Asthma'], 'family_history': '"Father died at age ___ of CAD. His first MI occurred at ___. He \nalso had type 2 diabetes and rheumatoid arthritis. Mother is ... | {'final_diagnoses': ['Rotator cuff tendonitis', 'Type 1 diabetes', 'Hypertension', 'Hypothyroidism', 'Fevers'], 'procedures': ['Arthrocentesis ___'], 'visit_summary': "# Fever/Leukocytosis: Unclear etiology; has not had fevers here \nand borderline leukocytosis has normalized raising possibility \nof stress response. S... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 76, 'gender': 'M', 'symptoms': 'left sided weakness', 'medical_history': ['-CAD s/p 3 vessel CABG in ___ \n-HTN (treated for ___ year in the past, but apparently improved \nand\nnot currently on any meds)\n-duodenal ulcer s/p cauterization about ___ years ago (this\noccurred in the setting o... | {'final_diagnoses': ['Right ischemic stroke with Right ICA occlusion'], 'procedures': ['cerebral angiogram with intervention'], 'visit_summary': 'Mr. ___ is a ___ year-old right-handed man with PMH significant \nfor CAD s/p CABG (in ___ who presents with left sided \nweakness.\n\nNEURO: He was a CODE STROKE, with defic... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 49, 'gender': 'F', 'symptoms': 'SOB, chest heaviness x several hours', 'medical_history': ['<i>Cardiac Risk Factors:</i> (+)Diabetes, (+)Dyslipidemia, \n(-)Hypertension, (-) current smoker, (-) FH/o early MI', 'CAD ? h/o MI ?', 'CHF, EF 50% ___', 'AF, s/p Pacemaker on Coumadin', '<i>Coronary... | {'final_diagnoses': ['PRIMARY:', '-Left pleural effusion', '-Right pleural effusion', '-Obstructive sleep apnea', '-Central sleep apnea', '-Chronic diastolic heart failure', 'SECONDARY:', '-Atrial fibrillation with pacemaker in place'], 'procedures': ['-Cardiac catheterization without intervention', '-Right thoracentes... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 19, 'gender': 'M', 'symptoms': 'lightheadedness', 'medical_history': ['Testicular cancer with retroperitoneal metastasis, status\npost tumor resection and chemotherapy in ___.', 'Status post cholecystectomy.', 'Prostate cancer status post prostatectomy.', 'Recurrent SBOs, x 5.', 'Atrial fibr... | {'final_diagnoses': ['Heart failure with reduced ejection fraction', 'Atrial fibrillation'], 'procedures': ['None'], 'visit_summary': "Mr. ___ is a ___ old man with history of metastatic \ntesticular cancer s/p chemotherapy and resection, prostate \ncancer s/p prostatectomy, recurrent SBO, and atrial fibrillation \nand... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 69, 'gender': 'F', 'symptoms': 'chest pain', 'medical_history': ['- Coronary artery disease status post POBA ___ and ___', '- Hypertension', '- Hyperlipidemia', '- History of CVA without significant deficit', '- COPD', '- Hematuria', '- GERD with premalignant ___', '- Benign positional verti... | {'final_diagnoses': ['Atrial Flutter', 'Coronary Artery Disease', 'Hypertension', 'Hyperlipidemia', 'Chronic Obstructive Pulmonary Disease', 'Gastroesophageal reflux disease'], 'procedures': ['none.'], 'visit_summary': "Patient is a ___ year old male with past medical history of coronary artery disese, hypertension, hy... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'M', 'symptoms': 'Acute Blood Loss Anemia, GI Bleeding', 'medical_history': ['COPD', 'dCHF', 'atrial fibrillation, reportedly previously on anticoagulation but\nnone recently due to GI bleeding', 'recurrent GI Bleeding, angiodysplasias s/p APC, GEJ ulcer', 'BPH', 'peripheral ne... | {'final_diagnoses': ['Upper GI bleeding', 'Atrial fib', 'COPD'], 'procedures': ['Capsule Study ___', 'EGD ___'], 'visit_summary': "Hospital Course: ___ M h/o h/o CKD, HFpEF, hiatal hernia with \n___ erosions, recurrent GI bleeding likely due to AVM's, \npresenting with concern for upper GI bleed.\n\n# Acute Blood Loss ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 89, 'gender': 'M', 'symptoms': 'Chest pain', 'medical_history': ['Diabetes', 'Dyslipidemia', 'Hypertension', 'Heavy tobacco use (quit ___', 'Peripheral Vascular Diseases/p Aortobifemoral bypass ___ \ncomplicated with a small non ST segment elevation Myoacardial \nInfarction, treated with Cyp... | {'final_diagnoses': ['Coronary Artery Disease s/p Emergent Coronary Artery Bypass \nGraft x 2', 'Past medical history:', 'Diabetes', 'Dyslipidemia', 'Hypertension', 'Heavy tobacco use (quit ___', 'Peripheral Vascular Diseases/p Aortobifemoral bypass ___ \ncomplicated with a small non ST segment elevation Myoacardial \n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 27, 'gender': 'M', 'symptoms': '1. Recurrent hematuria.\n2. Benign prostatic hypertrophy.\n3. Prostatic urethral stone', 'medical_history': ['HTN, labile', 'Dyslipidemia', 'H/o DVT, right leg', 'Asthmatic bronchitis', 'Graves disease/hyperthyroidism'], 'family_history': 'No family history of... | {'final_diagnoses': ['Recurrent hematuria.', 'Benign prostatic hypertrophy.', 'Prostatic urethral stone.'], 'procedures': ['Laser lithotripsy of stone.', 'Limited transurethral resection of prostate.'], 'visit_summary': "Dr. ___ was admitted to Dr. ___ service after laser \nlithotripsy of stone and limited transurethra... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 35, 'gender': 'F', 'symptoms': 'Chest pain', 'medical_history': ['1. CARDIAC RISK FACTORS: -Diabetes, +Dyslipidemia, +Hypertension', '2. CARDIAC HISTORY: \n- CABG: \n- PERCUTANEOUS CORONARY INTERVENTIONS: none\n- PACING/ICD: PPM s/p PVI for afib', '3. OTHER PAST MEDICAL HISTORY: \n1. As... | {'final_diagnoses': ['- Hypoxemic respiratory failure', '- Abdominal compartment syndrome', '- Acute kidney injury', '- COPD exacerbation', '- Acute on chronic systolic and diastolic heart failure \nexacerbation', '- Hypertrophic cardiomyopathy', '- Atrial fibrillation s/p AVN with pacemaker', '- Tobacco abuse'], 'proc... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 71, 'gender': 'F', 'symptoms': 'L knee pain', 'medical_history': ['claudication R>L', 'CAD c MI ___ years ago', 'cardiac stent ___', 'hyperlipidemia', 'obesity', 'hiatal hernia', 'sleep apnea', 'GERD', 'LBP', 'Spinal stenosis'], 'family_history': 'N/C', 'present_illness': '___ obese female w... | {'final_diagnoses': ['L knee OA'], 'procedures': ['___ L total knee arthroplasty'], 'visit_summary': "The patient was admitted on ___ and, later that day, was \ntaken to the operating room by Dr. ___ L total knee \narthroplasty without complication. Please see operative report \nfor details. Postoperatively the patien... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'M', 'symptoms': 's/p fall with dizziness prior', 'medical_history': ['1. Follicular lymphoma with blastic transformation \n - involvement of mesenteric lymph nodes and lung\n - s/p VATS with LUL wedge resection, mesenteric LN excisional \nbiopsy ___. \n - completed 6 cycles of... | {'final_diagnoses': ['Fall secondary to orthostasis', 'Mild dehydration', 'Right ankle nondisplaced lateral malleolar fracture', 'Non Hodgkins lymphoma with blastic transformation ', 'Hypothyroidism', 'Peripheral neuropathy', 'B12 deficiency', 'Afib s/p PPM, on coumadin', 'Bronchiectasis'], 'procedures': ['Head CT scan... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 50, 'gender': 'M', 'symptoms': 'Admission for chemotherapy', 'medical_history': ['Status post maxillary malignancy respected by orbital \nexoneration and maxillary resection in ___.', 'Esophageal cancer as above.'], 'family_history': 'No family history of malignancy.', 'present_illness': '_... | {'final_diagnoses': ['Esophageal Cancer, chemotherapy with cisplatin and fluorouracil', 'Gastroesophageal Reflux Disease', 'Thrush (mild)'], 'procedures': ['chemotherapy: cisplatin and fluorouracil infusion'], 'visit_summary': '.\n1. Esophageal CA:\ns/p stent, here for chemo (cisplatin + fluorouracil) and XRT. Pt \ntol... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 37, 'gender': 'F', 'symptoms': 'claudication', 'medical_history': ['HTN', 'hyperlipidemia', 'atypical chest pain', 'PVD', 'Dyslipidemia', 'COPD', 'GERD', 'Diverticulosis/diverticulitis', 'GIB', 'Myalgias', 'BPH', 'Bladder CA', 'depression', 'DM'], 'family_history': 'Mother died of a brain tu... | {'final_diagnoses': ['Claudication'], 'procedures': ['none'], 'visit_summary': 'The patient was admitted to the hospital with claudication. His \npain was controlled with po pain medication that he was on while \nat home. He underwent arterial studies that showed severly \ndecreased flow to his lower left extremity. He... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 76, 'gender': 'M', 'symptoms': 'Chest & bilateral arm pain', 'medical_history': ['Actinic Keratosis', 'ADHD', 'Anxiety', 'Carpal tunnel ', 'Depression', 'Diabetes Mellitus Type II', "Dupuytren's Contracture left hand > right hand ", 'Hyperlipidemia ', 'Hypertension', 'Hypothyroid'], 'family_... | {'final_diagnoses': ['Coronary Artery Disease ', 'Actinic Keratosis ', 'ADHD ', 'Anxiety ', 'Carpal tunnel ', 'Depression ', 'Diabetes Mellitus Type II ', "Dupuytren's Contracture left hand > right hand ", 'Hyperlipidemia ', 'Hypertension ', 'Hypothyroid'], 'procedures': ['___ - Coronary artery bypass grafts x2 (LIM... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'F', 'symptoms': 'seizure', 'medical_history': ['-Subdural hemorrhages - unclear etiology, occurrence in ___ and \n___', '-Acute necrotizing pancreatitis', '-HTN ', '-HLD ', '-paroxysmal afib ', '-subdural hematoma while on ASA and Plavix, ___ (Plavis was \ndiscontinued; was on... | {'final_diagnoses': ['Seizure', 'Subdural hemorrhage', 'Subarachnoid hemorrhage'], 'procedures': ['None'], 'visit_summary': 'Summary: Mr. ___ is a ___ right-handed male with HTN, \nHLD, DM, hx prior subdural hemorrhages in ___ and ___, with \nleft frontal subdural again noted ___, presents with \nrecurrent abnormal mov... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'F', 'symptoms': 'rash', 'medical_history': ['HCV', 'DJD', 'Eczema'], 'family_history': 'Maternal Grandmother w/MS', 'present_illness': '___ w/HCV, eczema presemts with painful rash on her chest for 2 \nweeks. Pt first seen in ED on ___, diagnosed with \ncellulitis/erysiplas an... | {'final_diagnoses': ['possible Eczema herpeticum or possible reaction to Efudex.'], 'procedures': ['none'], 'visit_summary': 'ASSESSMENT AND PLAN: ___ w/HCV, eczema presemts with painful \nrash on her chest for 2 weeks. \n\nDermatology was consulted. \n\nThey felt that this was most likely a reaction from applying \ne... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 82, 'gender': 'F', 'symptoms': 'Hypertension, chest pain', 'medical_history': ['HTN', 'Mitral Prolapse/Mitral Regurg s/p mitral valve repair'], 'family_history': 'Non-contributory', 'present_illness': "___ y/o ___ speaking woman with h/o HTN and s/p mitral valve \nrepair for mitral prolapse ... | {'final_diagnoses': ['Hypertensive urgency'], 'procedures': ['None'], 'visit_summary': "HOSPITAL COURSE BY PROBLEM:\n# Hypertensive emergency: Patient had high blood pressure \n(around 200) at home and in the ED, unclear reason. Initially \nreported that the patient was hypertensive at home and took \nextra blood press... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 53, 'gender': 'M', 'symptoms': 's/p fall and finding of ___', 'medical_history': ['- R MCA stroke on ___', '- endocarditis', '- b/l renal infarcts', '- iv drug abuse: opiates, MDMA or "Ectasy", amphetamines', '- Asthma', '- Anxiety', '- Depression'], 'family_history': 'Denies any coronary ar... | {'final_diagnoses': ['- Hemorrhagic stroke', '- Endocarditis'], 'procedures': ['RIGHT PICC LINE PLACED'], 'visit_summary': 'Ms. ___ is a ___ year-old woman with active IVDU and recent \nhistory endocarditis with LV thrombus s/p surgical evacuation, \nrenal infarcts, and ischemic stroke of right MCA territory \n(right b... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'F', 'symptoms': 'intermittent CP with nausea and SOB', 'medical_history': ['1. CARDIAC RISK FACTORS: Dyslipidemia, Hypertension', '2. CARDIAC HISTORY: \n-CABG: None \n-PERCUTANEOUS CORONARY INTERVENTIONS: ___ - stent \n-PACING/ICD: None', '3. OTHER PAST MEDICAL HISTORY: \n... | {'final_diagnoses': ['atrial flutter status post ablation', 'coronary artery disease', 'hypertension', 'hyperlipidemia'], 'procedures': ['Ablation of atrial flutter', 'cardiac catheterization'], 'visit_summary': "___ yo M with HTN, HLD, CAD s/p DES in ___, now p/w seevral days \nof DOE, nausea, lightheadedness, s/p syn... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'M', 'symptoms': 'suicide attempt', 'medical_history': ['Cirrhosis', 'Anxiety/Depression'], 'family_history': 'FAMILY PSYCHIATRIC HISTORY:\n -Fam Dx: denies\n -Fam Hospitalizations: denies\n -Fam Treatment Hx/Med Trials: denies\n -Fam Hx Suicide: denies', 'present_illness': '__... | {'final_diagnoses': ['Suicide attempt', 'Alcohol Withdrawal', 'Cirrhosis'], 'procedures': ['None'], 'visit_summary': 'man who in the setting of alcohol use relapse and \nsuicide attempt with laceration of his right wrist on ___ \nexperienced transient hypotension and acute blood loss anemia \nrequiring blood transfusio... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 67, 'gender': 'M', 'symptoms': 'Nausea/Vomiting', 'medical_history': ['Bladder Cancer Depression, hypertension, eczema, history\nof SVT, GERD, hyperlipidemia, OSA, BPH, gout', '___: Presents with hematuria and clots in urine during\npreceding year. TURBT shows invasive high-grade papillary\n... | {'final_diagnoses': ['Nausea', 'Bladder cancer', 'Atrial fibrillation with rapid ventricular response', 'Acute on chronic kidney disease', 'Hyponatremia', 'Leukocytosis', 'Hyperlipidemia', 'Anemia', 'Thrombocytopenia'], 'procedures': ['None'], 'visit_summary': '___ year old male with bladder cancer (C3D10 of Gemcitabin... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'F', 'symptoms': 'bicycle accident', 'medical_history': ['HIV - not on therapy. States he has been "fine" He has had HIV\nsince age ___', 'HCV'], 'family_history': 'NC', 'present_illness': 'This patient is a ___ year old male who complains of a bicycle \naccident. The patient ... | {'final_diagnoses': ['polytrauma'], 'procedures': ['none'], 'visit_summary': 'Mr. ___ is a ___ year old man with a past medical history \nsignificant for HIV, HCV, and polysubstance abuse who was \nadmitted to ___ from an OSH after he was hit by a car while \nriding his bike intoxicated. At the ___ hospital he was foun... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 35, 'gender': 'F', 'symptoms': 'abdominal pain', 'medical_history': ['CKD, Stage IV, baseline Cr ___', 'Chronic atrial fibrillation on anti-coagulation', 'HTN', 'Diastolic dysfunction, mild systolic dysfunction', 'Rheumatic heart disease involving mitral valve with subsequent \nmild MS and 2... | {'final_diagnoses': ['Acute cholecystitis', 'E Coli bacteremia'], 'procedures': ['Percutaneous cholecystotomy tube placement'], 'visit_summary': 'Mrs. ___ was evaluated by the Acute Care service in the \nEmergency Room and based on her physical exam and liver \nultrasound she was admitted to the hospital with acute \nc... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 29, 'gender': 'M', 'symptoms': 'Weakness, cough', 'medical_history': ['Cardiac & Vascular History:', '- HFrEF / Ischemic Cardiomyopathy (EF ___', '- Coronary artery disease status post stenting of the RI with\n3.0x13 mm Tetra stent and the OM2 with a 2.5 x 13 Tetra stent in\n___ with a repea... | {'final_diagnoses': ['Cardiogenic Shock', 'Acute on Chronic Heart Failure', 'Acute tubular necrosis (ATN)'], 'procedures': ['None'], 'visit_summary': '___ yo F with history of ischemic cardiomyopathy (EF ___, \natrial fibrillation (on apixaban), CKD ___ IgA nephropathy s/p 2 \nrenal transplants (most recent ___, non-ID... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 71, 'gender': 'F', 'symptoms': 'Transient right hand numbness and weakness', 'medical_history': ['-previous stroke resulting in ischemic right ear deafness', '-HTN', '-hyperlipidemia'], 'family_history': 'no family history of strokes', 'present_illness': "___ year old right handed female who... | {'final_diagnoses': ['New strokes currently cryptogenic regarding aetiology', 'Urinary tract infection'], 'procedures': ['None'], 'visit_summary': "___ year old right handed female with a past history of previous \nstrokes and resultant right ear deafness, HTN, HLD presents \nafter MRI shows new abnormalities. The pati... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'M', 'symptoms': 'Asymptomatic 90% left-sided carotid stenosis', 'medical_history': ['-Coronary Artery Disease', '-Chronic Elevation Right Hemidiaphagm(secondary to MVA)', '-Chronic Obstructive Pulmonary Disease', '-Glucose Intolerance', '-Hypertension', '-Hypogonadism', '-Slee... | {'final_diagnoses': ['Asymptomatic 90% left carotid stenosis.'], 'procedures': ['Left carotid endarterectomy'], 'visit_summary': "Mr. ___ is a ___ years old man with left carotid stenosis \nwho was admitted to the ___ on \n___. The patient was taken to the OR and underwent left \ncarotid endarterectomy. For details of ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 38, 'gender': 'M', 'symptoms': 'Low grade fevers, nausea, and RUQ pain', 'medical_history': ['-Primary sclerosing cholangitis (PSC)', '-___ Laparoscopic cholecystectomy with liver\nbiopsy.', '-Celiac sprue: diagnosed by bx, slightly elevated tTG', '-HTN', '-GERD', '-Hypothyroidim', '-OSA pre... | {'final_diagnoses': ['Primary sclerosing cholangitis', 'Diabetes Mellitus, Type II'], 'procedures': ['None'], 'visit_summary': 'Ms. ___ is a ___ yo F with history of PSC (not yet on \ntransplant list) status post cholecystectomy in ___ who \npresents with RUQ prandial abdominal pain, nausea, and anorexia \ndue to pain.... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 79, 'gender': 'M', 'symptoms': 'Hypoxia.', 'medical_history': ["- B-cell non-Hodgkin's lymphoma, diagnosed after right renal \nmass found in ___, no evidence of recurrence based on ___ CT, \non maintenance Rituxan", '- Hypertension', '- Osteoarthritis', '- Left pre-patellar bursitis', '- Spi... | {'final_diagnoses': ['Diastolic Heart Failure.'], 'procedures': ['None.'], 'visit_summary': 'Patient is a very pleasant ___ year old ___ speaking female \nwith past medical history of lymphoma and hypertension who \npresents with new hypoxia. \n \n#. Hypoxia/Dyspnea: Given her weight gain, elevated JVP, \nscattered r... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 32, 'gender': 'M', 'symptoms': 'Palpitations/Jaw Tightness', 'medical_history': ['1. CARDIAC RISK FACTORS: (-) Diabetes, (+) Dyslipidemia, (+) \nHypertension', '2. CARDIAC HISTORY: \n-CABG: none\n-PERCUTANEOUS CORONARY INTERVENTIONS: LHC in ___, DES to RCA, \nsee below', '-PACING/ICD: no... | {'final_diagnoses': ['Paroxysmal atrial fibrillation', 'Hypertension', 'Hyperlipidemia'], 'procedures': ['none'], 'visit_summary': "___ yo female with HTN, HL, h/o CAD s/p DES to RCA in ___ p/w \njaw pain, palpitations.\n.\n# Jaw discomfort/palpitations: Given history, concern for \nangina/ischemia. Low suspicion for... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 52, 'gender': 'F', 'symptoms': 'Cellulitis', 'medical_history': ['Crystal Meth abuse'], 'family_history': 'Non-contributory', 'present_illness': "Patient is a ___ year-old male with a past medical history of \ncrystal meth abuse presenting to the ED from ___'s office \nyesterday with worseni... | {'final_diagnoses': ['methicillin resistant staphylococcus aureus skin \ninfection'], 'procedures': ['Incision and drainage'], 'visit_summary': "___ year old male with a history of crystal meth abuse presenting \nwith cellulitis and abscess that has worsened despite PO \nantibitoics.\n. \n#. Cellulitis/MRSA Abscess: P... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 35, 'gender': 'F', 'symptoms': 'painful contractions', 'medical_history': ['PNC: \n - ___ ___ by ___\n - Labs ___ pos/Abs neg/Rub I/RPR NR/HBsAg neg/HIV neg /GBS unk\n - Screening low risk ___, male \n - FFS no issues \n - GLT normal \n - U/S ___ EFW 1025g, 52%ile, BPP ___ anterior pla... | {'final_diagnoses': ['Preterm contractions', 'Hypothyroidism'], 'procedures': ['none'], 'visit_summary': '___ G3P2 at ___ who was admitted with preterm contractions. \nHer cervical exam was stable at fingertip/50/mid-position/soft \nover several hours. She had a negative FFN, negative UA, and \nnegative UTox. She had n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 47, 'gender': 'F', 'symptoms': 'Abdominal pain with nausea and vomiting', 'medical_history': ['HIV- refusing ARVs per ID note', 'ESRD on HD ___ HTN)', 'RUE AVG, ligated ___', 'Hep C', 'HTN', 'Liver biopsy- ___ showed focal mild-to-moderate portal \nchronic inflammation with focal periportal ... | {'final_diagnoses': ['Constipation'], 'procedures': ['None.'], 'visit_summary': '___ yo female with HIV, ESRD on HD, HepC and HTN who presented \nwith abdominal pain due to constipation.\n\n#Constipation- Patient has been on increased narcotics following \nrecent right fistula procedure. She had only gone to the \nbat... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 56, 'gender': 'M', 'symptoms': 'elevated blood pressures\nPUPPS\ndi-di twin pregnancy', 'medical_history': ['PNC:', '- ___ ___ by LMP c/w ___ tri U/S', '- Labs Rh pos/Abs neg/Rub I/RPR NR/HBsAg neg/HIV neg/GBS neg on\n___', '- LR ERA x2', '- FFS FFS wnl x2', '- GLT nl', '- U/S ___ A vtx EFW... | {'final_diagnoses': ['primary C/S of twins', 'PUPPS', 'preeclampsia'], 'procedures': ['primary LTCS'], 'visit_summary': 'On ___, Ms. ___ was admitted to the antepartum service at \n36wk5d with di-di twins with gestational hypertension for rule \nout preeclampsia evaluation. On admission her serum PIH labs \nwere normal... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 35, 'gender': 'F', 'symptoms': 'transfer from ___ for anhydramnios', 'medical_history': ['OB Hx:\n___: SAB 10wks\n___: LTCS, failed IOL, girl', 'PMHx:\nAcid Base Ulcer Disease\nCrohns Disease \nOpioid dependance', 'PSHx:\n___: LTCS, term, failed IOL\nEx lap and repair of duodenal ulcer ___, ... | {'final_diagnoses': ['s/p repeat C/S, narcotic dependence'], 'procedures': ['repeat LTCS'], 'visit_summary': "MS. ___ is a ___ yo G3P1 @ ___ by 6wk US who was \ntransferred from ___ for a new finding of \nanhydramnios in the setting of maternal NSAID use. Upon \nevaluation, there was no evidence of PPROM. The fetus was... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 63, 'gender': 'M', 'symptoms': 'Vomiting', 'medical_history': ["1. Melanoma that was resected in ___, it was a right shoulder \nmelanoma w/ sentinel lymph node biopsy neg and no chemo given. \nPresented with hemoptysis ___ found to have lung metastasis \ncausing post obstructive PNA but was ... | {'final_diagnoses': ['Hypopituitarism', 'Metastatic Melanoma'], 'procedures': ['DC Cardioversion'], 'visit_summary': "___ y.o. Female with h.o. metastatic Melanoma to lungs, h.o. DVT \non Lovenox, presents with N/V/D and developed atrial flutter \nwith RVR. \n\n# N/V: Pt endorsed nausea over the past 2 weeks which lead... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'M', 'symptoms': 'abdominal pain/distension', 'medical_history': ['Alcoholic Liver Disease (diagnosed ___', 'Tuberculous Peritonitis (diagnosed ___'], 'family_history': 'Mother HL, HTN\nFather DM\nOne sister w/liver disease, etiology unknown', 'present_illness': "___ w/PMHx EtO... | {'final_diagnoses': ['Liver Cirrhosis', 'TB Peritonitis', 'Acute on Chronic Kidney Injury'], 'procedures': ['Paracentesis'], 'visit_summary': 'Mr. ___ is a ___ year old ___ gentleman with recent \ndiagnoses of alcoholic hepatitis and TB peritonitis, \nhospitalized at ___ ___ for these problems, admitted with \nincreasi... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 71, 'gender': 'F', 'symptoms': 's/p STEMI complicated by VF arrest', 'medical_history': ['Chronic pancreatitis', 'Alcohol abuse', 'Cocaine abuse'], 'family_history': '- Hypertension, cancer. No known history of sudden death, \narrhythmias. \n- Mother: died of lung cancer \n- Father: died o... | {'final_diagnoses': ['ST-elevation Myocardial infarction', 'Cardiac arrest', 'Cerebrovascular accident'], 'procedures': ['Cardiac Catheterization: ___ ___', 'Left heart catheterization', 'Right heart catheterization', 'Selective coronary angiography', 'Right ileofemoral angiography', 'Deployment of Angioseal to ___'], ... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 61, 'gender': 'F', 'symptoms': 'Chest tightness with shortness of breath', 'medical_history': ['HTN', 'HLD', 'GERD'], 'family_history': 'Father ___ cancer\nMother ___\n___ Uncle ___ ___ Stroke\nPaternal Aunt ___ - Type II\nPaternal Grandmother ___ - Type II', 'present_illness': 'Mr. ___ is ... | {'final_diagnoses': ['Bilateral pulmonary emboli with right heart strain', 'Hypertension', 'hyperlipidemia'], 'procedures': ['Cardiac catheterization'], 'visit_summary': "Mr. ___ is a ___ yo male with htn, hld, and gerd who \npresented with intermittent chest tightness, lightheadedness, \nand dyspnea on exertion x5 day... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 41, 'gender': 'M', 'symptoms': 'mechanical fall', 'medical_history': ['MEDICAL & SURGICAL HISTORY:', '1. Advanced dementia', '2. Permanent pacemaker placement (unknown device, syncope \nepisodes following placement, placed in ___ - last \ninterrogation unknown)', '3. Hypothyroidism', '4. Col... | {'final_diagnoses': ['Primary Diagnoses:', '1. Mechanical fall', '2. Non-displaced right radial head fracture', '3. Type II odontoid (dens) fracture', '4. Renal insufficiency (unclear if acute versus chronic)', '5. Urinary tract infection', '.', 'Secondary Diagnoses:', '1. Advanced dementia', '2. Permanent pacemaker pl... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 66, 'gender': 'F', 'symptoms': 'postmenopausal bleeding', 'medical_history': ['GASTROESOPHAGEAL REFLUX', 'GYNECOLOGIC', 'HYPERCHOLESTEROLEMIA', 'HYPERTENSION', 'LICHEN SIMPLEX CHRONICUS', 'OBESITY', 'PULMONARY NODULE', 'SLEEP APNEA', 'URINARY INCONTINENCE', 'FIBROID UTERUS', 'DIABETES TYPE I... | {'final_diagnoses': ['anterior peritoneal wall abscess', 'abdominal collection', 'acute blood loss anemia'], 'procedures': ['___ guided drainage of two collections', 'blood transfusion on 1 unit packed red blood cells'], 'visit_summary': "Ms. ___ is a ___ year old woman who underwent a \nrobotic-assisted total laparosc... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 81, 'gender': 'M', 'symptoms': 'Leg swelling', 'medical_history': ['DM2', 'CHF', 'DIABETIC AMYOTROPHY', 'DEPRESSION', 'HYPERCHOLESTEROLEMIA', 'HYPERTENSION', 'GOUT', '?STROKE', 'ATYPICAL CHEST PAIN', 'CHARCOT FOOT', 'PERIPHERAL NEUROPATHY', 'CHRONIC KIDNEY DISEASE', 'IRON DEF ANEMIA', 'CELLU... | {'final_diagnoses': ['Heart failure with preserved ejection fraction', 'Cellulitis', 'Hypertension', 'Diabetes type II', 'Gout', 'Chronic kidney disease', 'Diabetes Mellitus type II', 'Constipation'], 'procedures': ['None'], 'visit_summary': "# Heart Failure exacerbation with bilateral Lower extremity \nedema, left > r... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'M', 'symptoms': 'Shortness of breath', 'medical_history': ['Rheumatoid Arthritis', 'CAD', 'HTN', 'HL', 'DM2'], 'family_history': 'Noncontributory', 'present_illness': 'Per admission note:\n\n___ w/ CAD s/p cath w/ multivessel disease, HTN, HLD, DM, RA on \nhumira, p/w acute on... | {'final_diagnoses': ['Pulmonary emboli', 'Coronary Artery Disease', 'Hypertension', 'Hyperlipidemia', 'Paroxysmal Atrial fibrillation', 'Rheumatoid Arthritis'], 'procedures': ['None'], 'visit_summary': '___ yo M with h/o PAF, CAD, HTN, HL, RA presents with worsening \nSOB and found to have several subsegmental PEs. \n... |
Generate a treatment plan with clinical reasoning for this case: | {'patient_profile': {'age': 57, 'gender': 'F', 'symptoms': 'Scheduled R. main bronchus tumor resection', 'medical_history': ['Melanoma, back, ___- s/p wide local excision in ___ in \n___, ___.', 'H/o basal cell carcinoma, left lower eyelid in ___', 'Depression', 'Anxiety', 'Post traumatic stress syndrome', 'Head tremor... | {'final_diagnoses': ['Metastatic melanoma', 'Urinary tract infection'], 'procedures': ['Bronchoscopy and tumor debridement on ___'], 'visit_summary': '___ yo F with h/o superficial melanoma back in ___ ___ II per \npatient) now has recently diagnosed metastatic melanoma to the \nright main bronchus, presented with some... |
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