transcript stringlengths 1.4k 3.82k | structured_note stringlengths 710 2.86k |
|---|---|
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see from your chart that you are a 66-year-old woman with a significant past medical history of well-controlled hypertension. What brings you in today?
Patient: Hi, doctor. I've had complaints of microscopic hematuria... | S: 66-year-old female with a history of well-controlled hypertension presents with complaints of microscopic hematuria and mild proteinuria for the past 3 years. She reports that her creatinine levels were within normal range until eight months ago when it suddenly increased.
O: Last creatinine level was 4.53 mg/dL, up... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you have a history of anxiety, depression, and anorexia nervosa. Can you tell me about your symptoms and how long you've been experiencing them?
Patient: Yeah, I've been feeling really sad, lonely, and hope... | S: The patient reports long-standing feelings of sadness, loneliness, and hopelessness, with a loss of interest in previously enjoyed activities. The patient has a history of restricting food intake to lose weight, ongoing for several years, without engaging in purging, bingeing, or using laxatives. The patient denies ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, doctor. I have a problem with my left eye. I suddenly got a large scotoma about a week ago.
Doctor: I see. Have you had any recent medical treatments or vaccinations?
Patient: Yes,... | S: The patient, a previously healthy individual, reports a sudden onset of a large scotoma in the left eye occurring one week ago. The patient recently received the third dose of the Rabipur rabies vaccine following a scratch from a stray cat. No other recent vaccinations or significant medical history were reported. T... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I am aware that you have a history of schizoaffective disorder, chronic renal failure, type 2 diabetes mellitus, atrial fibrillation, arterial hypertension, previous stroke with a right arm contracture, and aortic steno... | S: The patient, with a history of schizoaffective disorder, chronic renal failure, type 2 diabetes mellitus, atrial fibrillation, arterial hypertension, previous stroke with right arm contracture, and aortic stenosis, reported a low mood related to his brother's illness two months prior to his last hospital admission i... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, I understand you have a complex medical history, including a total hip arthroplasty, bladder carcinoma in situ, and chronic kidney disease. What brings you in today?
Patient: Hi, Doctor. I've been experiencing worsen... | S: The patient, with a history of total hip arthroplasty (THA), bladder carcinoma in situ treated with Bacillus Calmette-Guérin (BCG), and chronic kidney disease, presents with worsening pain in the left thigh, new-onset drainage, swelling, purulent discharge, pain with movement, chills, rigors, and a previous fever of... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I have reviewed your medical history and I see that you were admitted to Shafa Hospital on August 15th, 2017. You have a history of ulcerative colitis, steroid-induced diabetes mellitus, deep vein thrombosis in your lef... | S: The patient reported intense intestinal bleeding following the Islamic fasting month, Ramadan. He has a history of ulcerative colitis, steroid-induced diabetes mellitus, deep vein thrombosis in the left thigh, ecchymotic skin lesions, swelling in the left nose, ptosis, and facial nerve palsy. The patient experienced... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi, I heard you're referred here due to constant pain in your right proximal thigh that has been progressing for 8 years. Is that correct?
Patient: Yes, it's been really painful, and it's affecting my daily life.
Doctor: Do yo... | S: The patient reports constant pain in the right proximal thigh, worsening over 8 years, aggravated at night and relieved by physical activity and cold baths. The patient uses daily analgesics including NSAIDs, paracetamol, and weak opioids. There is a history of leg length discrepancy managed with shoe inserts. The p... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you've been admitted with a history of febrile illness, arthralgia, and myalgia. Can you tell me how long you've been experiencing these symptoms?
Patient: Yes, I've had these symptoms for about 4 days now.
D... | S: The patient reports a 4-day history of febrile illness, arthralgia, and myalgia. Recently, the patient has experienced severe illness, postural dizziness, and abdominal pain. The patient also mentioned an inability to pass urine for the last 12 hours.
O: On admission, the patient tested positive for the NS1 antigen,... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you're a 32-year-old patient, gravida 3 para 3, with no history of abortion. How can I help you today?
Patient: Hi, doctor. I haven't had my period for about 7 months now, so I came here to the radiodiagnosis depa... | S: The patient is a 32-year-old female, gravida 3 para 3, presenting with amenorrhea for 7 months. She reports feeling generally good with no specific complaints or concerns during this pregnancy. Her menstrual history is regular with a 3-4/28-30 day cycle.
O: Physical examination shows blood pressure at 120/80 mmHg, p... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, can you please tell me how you've been feeling lately?
Patient: Hi, doctor. I've had obstructive jaundice for 3 years, melena for 5 months, and hematemesis for the past 10 days.
Doctor: I see. Have you been diagnosed wi... | S: The patient reports a history of obstructive jaundice for 3 years, melena for 5 months, and recent hematemesis over the past 10 days. The patient has a medical history of type 2 diabetes mellitus diagnosed 4 years ago, currently managed with metformin. The patient has a history of smoking and alcohol consumption, bo... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, can you please tell me a bit about your medical history?
Patient: Hi, I had an orthotropic heart transplant in 2001 for non-ischemic cardiomyopathy.
Doctor: Thank you. What brings you here today?
Patient: I've been expe... | S: Patient, a 2001 orthotropic heart transplant recipient for non-ischemic cardiomyopathy, reports experiencing intermittent palpitations and lightheadedness for about one hour. Denies chest pain, orthopnea, or paroxysmal nocturnal dyspnea. Describes baseline activities consistent with NYHA Class 2. Medications include... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you are a 35-year-old man with a history of gastric cancer for one year. You have been referred to Golestan Hospital in Ahvaz, southwest of Iran in 2015. Can you tell me about your symptoms?
Patient: Yeah, I'... | S: The patient, a 35-year-old male with a history of gastric cancer, reported symptoms including vomiting, loss of consciousness, food intolerances, impotence, icterus, and paleness for about a year. He had undergone chemotherapy with taxotel, cisplatin, and flucytosine.
O: Vital signs showed BP 100/60 mmHg, PR 110/min... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I was requested for an intraoperative consultation during your left colectomy for adenocarcinoma. While performing the surgery, your left upper-mid ureter was resected, leaving a 12cm gap. To spare you from having anoth... | S: The patient underwent a left colectomy for adenocarcinoma, during which the left upper-mid ureter was resected, resulting in a 12cm gap. An antiperistaltic ureteroappendicoureterostomy was performed to bridge this gap. The patient reports no current symptoms and has had normal urinary habits since the surgery.
O: Th... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you have a 32-month-old boy born full term at a community hospital in Michigan. His birth weight was 3135 g, which is at the 15.0 percentile. Can you tell me about his prenatal ultrasounds?
Mother: Yes, docto... | S: The patient is a 32-month-old boy with a history of persistent wet cough starting at 1 month of age, productive cough, lack of appetite, and poor weight gain noted from 1 year of age. His weight-for-age percentile has ranged from 0.3 to 5.0. He has experienced frequent pharyngitis and otitis media, treated with oral... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you've come to our institution with a history of progressive dysphagia for the past 2 months, but without hoarseness. Can you tell me more about your lifestyle habits?
Patient: Yeah, I've smoked 60 cigarettes a da... | S: The patient, a 60-cigarette-per-day smoker for 40 years and heavy alcohol consumer, presents with progressive dysphagia over the past 2 months, without hoarseness. He has a history of hypertension for 9 years and type 2 diabetes diagnosed a year ago. He denies any history of malignant diseases or distant metastases.... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you were referred here due to intermittent fever and joint pain. Can you tell me more about your symptoms?
Patient: Yeah, I've been having fever on and off for a while now, and my joints have been really ac... | S: The patient reports intermittent fever and joint pain. He has been experiencing these symptoms for an unspecified duration.
O: The patient's laboratory tests indicate an inflammatory condition with elevated C-reactive protein at 12.91 mg/dL (normal <0.5 mg/dL), ferritin at 246 ng/mL (normal 24-336 ng/mL for males), ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I remember you were admitted to our hospital in May 2013 with fever, dyspnea, and impending respiratory failure. How have you been feeling since then?
Patient: Hi, doctor. I've been doing okay, but I still have some con... | S: The patient, previously diagnosed with ALK+ anaplastic large cell lymphoma (ALCL), reported feeling generally okay but expressed concerns about his health. He achieved complete remission 4 months post-diagnosis but experienced a relapse 28 months after initial treatment, confirmed by skin biopsy. He currently feels ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand that you're experiencing some scrotal swelling on the left side. Can you tell me more about the symptoms and when they started?
Patient: Yeah, it started about 5 days ago during a trip to Japan. I had a few... | S: The patient, a male with a history of left-sided varicocele, reported experiencing scrotal swelling on the left side that began 5 days ago during a trip to Japan. The onset was associated with severe sneezing. No other medical history was noted.
O: Physical examination revealed a large swelling of the left hemiscrot... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand that you're here for the birth of your baby. You're a 17-year-old woman, gravida 1, para 0, at 36 weeks of gestation. Can you tell me about the care you've received during your pregnancy?
Patient: Hi, docto... | S: The patient is a 17-year-old primigravida at 36 weeks of gestation, presenting for childbirth. She reports no prenatal care throughout her pregnancy. The patient inquires about the fetal ultrasound findings and expresses concern about the hepatic cyst identified in the fetus.
O: Physical examination reveals the pati... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I assist you today?
Patient: Hi, Doctor. I've been having some issues in my mouth, and I'm looking for some help with that.
Doctor: Of course, can you describe the problem or show me the affected areas?
Patient:... | S: The patient reports multiple lesions on the right side of the mouth, including the tongue, inserted gingiva, and retro commissural region, with no associated pain but noticeable appearance. The patient's main complaints are halitosis and spontaneous gingival bleeding. The patient had extensive amalgam restorations t... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you've presented here for an evaluation before your upcoming ophthalmological surgery. How can I help you today?
Patient: Hi, doctor. I've been experiencing shortness of breath and fatigue lately.
Doctor: I s... | S: The patient, scheduled for ophthalmological surgery, reports experiencing shortness of breath and fatigue. He has a history of coronary stents and heart failure.
O: Physical examination was unremarkable. Echocardiogram showed moderate dilation of the left ventricle, hypokinesis of the apical lateral wall and apical ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you've presented to our emergency department with complaints of progressive right chest pain for 1 week, preceded by back pain. Can you tell me more about this pain?
Patient: Yes, the pain has been getting worse o... | S: The patient, a carpenter, presented with progressive right chest pain for 1 week, initially preceded by back pain. He reports that the pain has been worsening over the past week. The patient has a history of hypertension, which he admits to not controlling regularly. He denies any recent trauma.
O: On examination, t... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, my son has been having some issues and I wanted to discuss his medical history with you.
Doctor: Sure, please tell me more about his issues and his medical history.
Patient: He is ... | S: The patient is a 14-year-old male with a history of global developmental delay, diagnosed with Autism Spectrum Disorder (ASD) at age 5. He has learning difficulties and attends a special needs school. He began speaking at 7 years old and currently uses a wheelchair. He has engaged in self-harm behaviors such as head... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, sir. I understand you've been involved in butchering and skinning a cow recently. Can you tell me about the symptoms you've developed?
Patient: Yeah, I've been having some gastrointestinal issues like the other guys who... | S: The patient, a male involved in butchering and skinning a cow, reports gastrointestinal issues and melena, similar to symptoms experienced by his colleagues. He expresses concern about his condition and seeks clarification on the tests and treatment.
O: The patient is scheduled for admission to Lady Reading Hospital... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you've come in for an evaluation of a pruritic plaque on your sacral region that's been present for a year. Can you tell me more about it?
Patient: Yeah, I started noticing it about a year ago. I had silico... | S: The patient reports a pruritic plaque on the sacral region, present for one year, following silicone oil injections two years prior. The patient has tried intralesional triamcinolone acetonide injections and clobetasol ointment without improvement. No family history of psoriasis.
O: Examination reveals yellowish fir... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Well, I've been experiencing progressive worsening of my mental function, dysphasia, and ataxic gait over the last six months.
Doctor: I see. Can you tell me about your medical history... | S: The patient reports a progressive worsening of mental function, dysphasia, and ataxic gait over the last six months. He has a history of communicating hydrocephalus diagnosed in August 2012, attributed to tuberculous meningoencephalitis, treated with ventriculoperitoneal shunt surgery and six months of antituberculo... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I'm a 38-year-old unmarried woman, and I've been experiencing pain, redness, and blurring of vision in my left eye for the last 5 days.
Doctor: I see. Have you had any similar issu... | S: The patient is a 38-year-old unmarried woman presenting with pain, redness, and blurring of vision in her left eye for the past 5 days. She reports a medical history of hypothyroidism, recurrent breast ulceration, hair loss, nausea, vomiting, and gastric pain. She is currently on treatment for hypothyroidism, anemia... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I'm Dr. Smith. I understand you were admitted to our specialized lung clinic for further treatment of ARDS due to influenza A pneumonia. Can you tell me about the symptoms you've been experiencing?
Patient: Hi, Doctor. ... | S: The patient, a 60-year-old male with no comorbidities and no history of smoking, presents with symptoms of shortness of breath and coughing, which he describes as severe. He was diagnosed with ARDS secondary to influenza A pneumonia and has undergone endotracheal intubation prior to admission for severe hypoxemic re... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how have you been feeling since your extended right hepatectomy and bile duct resection with choledochojejunostomy for hilar cholangiocarcinoma?
Patient: Well, I've been experiencing some discomfort and pain lately.
Doc... | S: The patient reports discomfort and pain post-extended right hepatectomy and bile duct resection with choledochojejunostomy for hilar cholangiocarcinoma. He experienced cholangitis nine months after EUS-HGS, attributed to debris and granulation, and has occasional discomfort despite interventions.
O: The patient unde... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I'm Dr. Smith. What brings you to the emergency ward today?
Patient: Hi, doctor. I've been having abdominal distention, vomiting, and constipation for three days now.
Doctor: I'm sorry to hear that. Let's proceed with a... | S: The patient reports experiencing abdominal distention, vomiting, and constipation for three days. He describes significant discomfort associated with these symptoms.
O: Physical examination reveals dehydration, stable vital signs, abdominal distention with general guarding and rigidity, and absent bowel sounds. Rect... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I've had this slowly growing swelling and a dull aching pain in the right side of my face for the past two years.
Doctor: I see. Do you have any past history of trauma, surgery, or... | S: The patient reports a slowly growing swelling and a dull aching pain on the right side of the face for the past two years. The patient denies any history of trauma, surgery, or infection in the affected area. The swelling becomes more prominent when clenching teeth.
O: Physical examination reveals a non-tender, cyst... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you've presented with a huge tumor in your lower abdomen. Can you tell me how long you've been experiencing this issue?
Patient: Yes, I noticed it a few months ago, and it's been getting bigger.
Doctor: We pe... | S: The patient reported noticing a large tumor in the lower abdomen a few months ago, which has been increasing in size. The patient expressed concern about the seriousness of the condition.
O: Imaging studies revealed a 27 cm multilocular cystic tumor with a solid component and hemorrhaging, originating from the right... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, what brings you in today?
Patient: Hi, I've been experiencing a rapidly-growing neck mass, dyspnea, cyanosis, and I've lost 20 kg in the past year.
Doctor: I see, that sounds concerning. Let's perform some evaluation... | S: The patient reports a rapidly-growing neck mass, dyspnea, cyanosis, and significant weight loss of 20 kg over the past year.
O: The patient's pre-operative evaluation confirmed euthyroid status with elevated serum thyroglobulin (sTg) levels at 7560 ng/mL (normal range: 1.4-29.2 ng/mL) and negative thyroglobulin anti... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I'm Dr. Smith. Can you please tell me your symptoms that brought you to the emergency department?
Patient: Hi, doctor. I've had a fever and headache for the past 2 days. I've also been having sporadic episodes of projec... | S: The patient, a 23-year post-traumatic brain injury survivor with a history of CSF rhinorrhea repair, presented with a 2-day history of fever, headache, projectile vomiting, disorientation, and irrelevant speech.
O: On examination, the patient's vital signs showed a fever of 39 °C, tachycardia with a heart rate of 10... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, doctor. I first noticed my left knee was swollen when I was 10 years old. I've had repeated arthrocentesis since then.
Doctor: I see. Have you had any surgeries or treatments for t... | S: The patient, who first noticed swelling in the left knee at age 10, has a history of benign and malignant tenosynovial giant cell tumor (TGCT). The patient underwent multiple interventions including arthroscopic surgery, synovectomies, radiation therapy, and chemotherapy. The disease progressed to involve the upper ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you're a 66-year old man with multiple liver lesions involving approximately 70% of your right liver and multiple nodules in the left lobe. You also have right portal thrombosis due to non-alcoholic steatohepatiti... | S: The 66-year-old male patient reports a history of non-alcoholic steatohepatitis leading to right portal thrombosis and multiple liver lesions. He was diagnosed with hepatocellular carcinoma (HCC) in October 2012, confirmed by elevated serum AFP levels and CT findings. He experienced severe skin toxicity from sorafen... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you've been experiencing progressive pain in your right hip region for about a year now. Can you tell me more about it?
Patient: Yes, the pain has been getting worse over time and it's really affecting my d... | S: The patient reports progressive pain in the right hip region for about a year, worsening over time and significantly impacting daily activities.
O: X-ray and MRI findings indicate an osteolytic tumor in the metadiaphysis of the right distal femur with cortical bone destruction and extension to surrounding soft tissu... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, Mrs. Johnson. I see that you were diagnosed with VMT in your right eye back in September 2015. Can you tell me what symptoms you were experiencing at that time?
Patient: Yes, doctor. I was having blurry vision and some ... | S: Mrs. Johnson reports experiencing blurry vision and distortion in her right eye since September 2015, diagnosed as vitreomacular traction (VMT). She notes no significant improvement in vision following treatment but mentions feeling some relief after the intervention.
O: Initial examination revealed a best-corrected... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you're a 57-year-old woman with good performance status. Have you been experiencing any discomfort or pain recently?
Patient: Not really, but I've been feeling a bit off lately.
Doctor: I understand. We've de... | S: The patient is a 57-year-old woman who reports feeling "a bit off" but denies experiencing any significant discomfort or pain. She has a history of clear cell renal cell carcinoma with a WHO ISUP nucleolar grade 3, which has metastasized to the liver and possibly other areas. She has experienced upper gastrointestin... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you have no prior medical history. What brings you in today?
Patient: Hi, Doctor. I've been having trouble swallowing lately, like there's something stuck in my throat.
Doctor: I see, that's called dysphagia. We'l... | S: The patient reports experiencing dysphagia, describing it as feeling like something is stuck in their throat. No prior medical history was noted.
O: Initial chest radiography indicated enlargement of the upper mediastinum at the sternal angle. A subsequent barium swallow test showed an indentation on the right aspec... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: So, you're the second child of your parents, right? There's no family history of bone fragility or autism, correct?
Patient: Yes, that's correct.
Doctor: And your pregnancy was normal, with your mother delivering you by caesar... | S: The patient, a male with a history of developmental delays, reports being diagnosed with Autism Spectrum Disorder (ASD) at age 5 and experiencing ritualistic behaviors. He has a history of congenital left-sided calcaneus talipes equinovarus, right-sided developmental dysplasia of the hip, and surgically corrected un... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you are a 33-year-old gravida 3, para 2 female in your third trimester. What brings you to the emergency department today?
Patient: Hi, doctor. I've got active left nasal bleeding and it's been bothering me f... | S: The patient is a 33-year-old gravida 3, para 2 female in her third trimester presenting with active left nasal bleeding and a history of recurrent epistaxis. She reports a persistent left-sided nasal obstruction for about a month, with no history of trauma or nose picking. Previous episodes of nasal bleeding were ma... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you're a 14-year-old male patient who was diagnosed with a congenital aneurysm of the right atrium while still in the uterus. You've been referred to our institution for surgical treatment. Can you tell me ab... | S: The patient is a 14-year-old male with a history of congenital right atrial aneurysm diagnosed in utero, presenting with recent frequent palpitations. No other symptoms were reported.
O: Physical examination revealed a systolic murmur graded 3/6 at the tricuspid area. Electrocardiogram results were normal. Chest X-r... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, Doctor. I've been having some trouble with my right eye. My vision has been getting worse lately.
Doctor: I see. Have you had any other health issues or eye problems in the past?
P... | S: The patient, a middle-aged individual, presented with a chief complaint of worsening vision in the right eye. The patient reported no significant past medical history except for a mild flu-like illness a week prior. Recently, the patient also experienced numbness, pain, and tingling sensations in both lower legs, al... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I've been experiencing some enlargement in my right testicle for the past 2 months. I have a known G6PD deficiency, but no other significant symptoms.
Doctor: I see. Let's perform ... | S: The patient reports a 2-month history of right testicular enlargement. He has a known G6PD deficiency but no other significant symptoms.
O: Scrotal ultrasound revealed an enlarged right testicle measuring 27.3 cm3 with diffuse heterogeneity. CT scans showed multiple lung nodules up to 28 mm and enlarged thoracic and... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, can you please tell me what happened to you during the golf game?
Patient: Hi doc, I was watching one of the players take his shot at the 11th hole when I got hit by the golf ball. I was about 10 meters away from him at... | S: The patient reports severe pain in the lower leg following an incident where he was struck by a golf ball while watching a game. He was approximately 10 meters away from the player at a 50-degree angle. The patient denies any significant medical, family, or psychosocial history.
O: Physical examination and X-rays we... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you have been referred to the general internal medicine service by emergency medicine for a 2-week history of worsening confusion. How have you been feeling?
Patient: Yes, doctor, it's been quite challenging.... | S: The patient, a male with a history of coronary artery disease, hypertension, type 2 diabetes, asthma, and benign prostatic hyperplasia, presents with a 2-week history of worsening confusion, memory issues, difficulty finding words, agitation, hallucinations, rapid progression of symptoms leading to weakness, and new... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I've been diagnosed with cutaneous melanoma. Can you tell me more about my condition?
Doctor: Sure. Your biopsy results show that you have stage IIA cutaneous melanoma. The melanoc... | S: The patient reports a history of stage IIA cutaneous melanoma initially diagnosed three years ago, with subsequent in-transit metastasis and later liver metastases. The patient underwent wide excision, lymph node dissection, adjuvant radiotherapy, and systemic therapy with high-dose interferon. Recurrences were trea... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I've been reviewing your medical history and I see that you're an 11-year-old boy with Kleefstra syndrome, is that correct?
Patient: Yes, that's right.
Doctor: I understand that we first evaluated you in our endocrine c... | S: The patient is an 11-year-old boy with a history of Kleefstra syndrome, initially evaluated for obesity and hyperphagia to rule out Prader-Willi Syndrome at 8 years old. He reports a history of pyloric stenosis with postoperative complications including recurrent surgical site infections. Developmentally, he walked ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I'm a 76-year-old woman with rheumatoid arthritis. I had a Computed Tomography (CT) scan for a medical checkup a year ago, and they found a small nodule in my left upper lobe (S1+2... | S: The patient is a 76-year-old woman with a history of rheumatoid arthritis. She reports that a CT scan a year ago revealed a small nodule in her left upper lobe (S1+2), which has since grown to 22 mm. She was diagnosed with left upper lung adenocarcinoma, staged as cT1bN0M0 Stage IA. She underwent a video-assisted th... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello there, can you please tell me what brings you in today?
Patient: Hi, after a minor fall a while back, I had some trouble moving my arms and legs, but that went away quickly. However, since then, I've been suffering from ... | S: The patient reports recurrent urinary tract infections following a minor fall. Initially experienced transient difficulty in moving arms and legs. Aware of severe cervical stenosis and cord compression diagnosed via MRI.
O: MRI findings include severe stenosis and cord compression at the craniocervical junction (CVJ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you are a 45-year-old obese man with a height of 178.7 cm, a weight of 97 Kg, and a body mass index of 30.8 kg/m2. What brings you in today?
Patient: Hi, Doctor. I've been feeling really tired and drowsy at w... | S: The patient is a 45-year-old obese male presenting with symptoms of fatigue and drowsiness affecting his daily activities. He reports no family history of SITSH or TRβ gene mutations.
O: Physical examination shows a body mass index of 30.8 kg/m2. Blood tests reveal severe diabetes mellitus with an HbA1c of 10.6%. Th... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I heard that you were diagnosed with PJS at a local hospital in Southeast China and came to us at the Airforce Medical Center of PLA early this year for further treatment. Can you tell me more about your symptoms?
Patie... | S: The patient, diagnosed with Peutz-Jeghers Syndrome (PJS), reports a history of multiple mucocutaneous pigmentation (MPs) on lips and cheeks noticed shortly after birth, and recurrent gastrointestinal symptoms starting at age seven, including paroxysmal abdominal cramps post meals and hematochezia. Symptoms were init... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Good morning! I see you're here at the Department of Oral and Maxillofacial Surgery, and Periodontology at the Dental School of Ribeirao Preto, University of São Paulo for a placement of implants. Let's first do an initial exa... | S: The patient presented for the placement of dental implants and expressed concerns about a temporary crown. The patient has a history of using a removable partial denture and has undergone previous implant placements.
O: Examination revealed an unsatisfactory temporary Richmond type crown on the right upper central i... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you have a history of treated pulmonary tuberculosis in childhood, bronchiectasis, hypertension, hypothyroidism, polymyalgia rheumatica, and hyperlipidemia. What brings you to our clinic today?
Patient: Hi,... | S: The patient, with a history of treated pulmonary tuberculosis, bronchiectasis, hypertension, hypothyroidism, polymyalgia rheumatica, and hyperlipidemia, presents with a two-month history of shortness of breath on exertion, worsening lower extremity edema, and recent symptoms of vomiting, fever, and watery diarrhea.
... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you recently presented to our institution with some concerns. Can you tell me more about your medical history and what brings you here today?
Patient: Yeah, when I was 56, I had laparoscopic intersphincteri... | S: The patient, a 68-year-old male, reports a history of rectal cancer treated with laparoscopic intersphincteric resection and loop ileostomy, without adjuvant chemotherapy. He mentions postoperative development of anastomotic stenosis treated unsuccessfully with endoscopic balloon dilatation, leading to the maintenan... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, patient. I understand that you're a 75-year-old female with a history of active smoking at 75 year-package and other cardiovascular risk factors such as hypertension, hypercholesterolemia, non-insulin-dependant diabetes... | S: The patient is a 75-year-old female with a significant smoking history and multiple cardiovascular risk factors including hypertension, hypercholesterolemia, non-insulin-dependent diabetes, and obesity. She was referred for evaluation of a suspected strangulated umbilical hernia. She reports no specific symptoms dur... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi Doctor, I've been experiencing some health issues lately.
Doctor: I see. Can you please tell me about your prior medical history?
Patient: Well, I've had repeated plastic surgery fo... | S: The patient, a 38-year-old with a history of Recessive Dystrophic Epidermolysis Bullosa (RDEB), reports recurrent blistering of the skin since birth, treated symptomatically. The patient has undergone multiple surgeries, including plastic surgery for scar contracture of the hands and fingers, ablation surgery for ve... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi, I hope you're doing okay today. I wanted to discuss your medical history and recent test results. Can you tell me about any symptoms you've experienced?
Patient: Well, around 8 years ago, I started having involuntary movem... | S: The patient, aged 39, reports a progressive history of involuntary movements beginning in the legs 8 years ago, with subsequent involvement of arms and face. Symptoms include difficulty speaking, teeth grinding, drooling, abnormal tic-like facial movements, tongue protrusion, and lip biting. The patient also started... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you've presented with the incidental finding of anemia during a preliminary evaluation for rheumatoid arthritis. How have you been feeling lately?
Patient: To be honest, I've been asymptomatic, but I've had wrist ... | S: The patient, who was initially evaluated for rheumatoid arthritis, reported being asymptomatic but has experienced wrist and ankle joint pain for the past three months. The patient has a history of occasional spotty, painless rectal bleeding due to internal hemorrhoids. The patient has been using 2000 mg of ibuprofe... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you are a 31-year-old patient, Gravida 3 Para 2, and you presented to our center at 19-week gestation. Can you tell me about your previous pregnancies and if you had any complications?
Patient: Hi, I had two ... | S: The patient is a 31-year-old female, Gravida 3 Para 2, at 19 weeks gestation, with a history of two uncomplicated full-term vaginal deliveries and Rh immunoglobulin administration during and after each pregnancy. She reports no significant past medical or surgical history. The patient did not experience specific sym... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, Doc. I've got these multiple small papules, maybe 2-3 millimeters, on my face, and I'm here for an evaluation.
Doctor: I see. Can you tell me about your dermatologic history?
Patie... | S: The patient presents with multiple small papules, approximately 2-3 millimeters in size, on the face, seeking evaluation. The patient has a history of erythromelanosis follicularis faciei, characterized by follicular papules and erythematous hyperpigmented patches on the face.
O: Physical examination and biopsy of a... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, for the past 4 months, I've been really concerned about the esthetic appearance of my teeth. I'm ashamed of smiling because my maxillary canines are high and rotated.
Doctor: I see... | S: The patient reports being concerned about the esthetic appearance of their teeth for the past 4 months, specifically mentioning that their maxillary canines are high and rotated. The patient expresses embarrassment and dissatisfaction with their smile.
O: Facial and intraoral photographs indicate a proportional faci... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you're a 10-year-old right-handed boy who has been experiencing symptoms for the past 3 years. Can you tell me about the first episode you had at the age of 7?
Patient: Yeah, it just happened suddenly without... | S: 10-year-old right-handed male patient reports a history of seizures starting at age 7, characterized by sudden onset, shouting, right eye crossing, drooling, and a seizure lasting 4-5 minutes. Episodes recurred 10 days later with similar symptoms. After initiating oxcarbazepine, seizures ceased for 1 year but return... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I've been having some issues lately with my active rheumatoid arthritis and I'm currently on treatment with salazosulfapyridine 1,000 mg/day.
Doctor: I see. Have you experienced an... | S: The patient reports ongoing issues with active rheumatoid arthritis and is currently on salazosulfapyridine 1,000 mg/day. Previously diagnosed with primary mucosal melanoma, treated with resection and 60-Gy/30-Fr radiotherapy. Experienced relapse with metastasis to the left sixth rib, left iliac fossa, and duodenum,... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you're a 63-year-old man with idiopathic pulmonary fibrosis. We have admitted you to our hospital for a left lung transplant. How have you been feeling lately?
Patient: Not great, doc. I've been struggling with my... | S: The patient is a 63-year-old male with idiopathic pulmonary fibrosis who was admitted for a left lung transplant. He reports significant difficulty breathing, which has impacted his daily activities.
O: Preoperative chest radiographs and CT images showed no abnormalities. Bronchoscopic findings were normal. During t... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I've been having pain in the posterior region of my knee for about a week now. It started after I had a direct fall on my left knee from a standing position.
Doctor: I see. Did you... | S: Patient reports pain in the posterior region of the left knee, starting a week ago following a direct fall. The pain is exacerbated by transitioning from sitting to standing. The patient also experiences limited range of motion (30 to 60 degrees of flexion) and tingling and numbness in the calf. NSAIDs have been use... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you've been treated for POAG with high IOP for a couple of years now. How have you been managing your symptoms?
Patient: Well, I started with eye drops, and they worked for a while, but recently, my eye pre... | S: The patient, treated for primary open-angle glaucoma (POAG) with high intraocular pressure (IOP), reports that initially, eye drops were effective, but recently, IOP escalated to over 40 mmHg. The patient has a family history of blindness due to glaucoma, confirmed in the patient's mother. The patient mentions signi... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, I see you're a 12-year-old girl, and according to the file, you've been experiencing some health issues since 2 months of age. Can you tell me about the symptoms you've been experiencing?
Patient: Yeah, when I was 2 ... | S: A 12-year-old girl reports a history of recurrent febrile attacks starting at 2 months of age, with symptoms including fever (38–39 °C), abdominal pain, diarrhea, ankle arthralgia, oral ulcers, pharyngalgia, and an enlarged tonsil. The febrile attacks occur every 1–2 weeks and last about 4 days. She has a history of... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, I see in your report that you're a 23-year-old male with T-cell ALL, currently undergoing treatment with Hyper-CVAD. What brings you in today?
Patient: Hey, doc. I've been having some blurry vision lately.
Doctor: I ... | S: The patient is a 23-year-old male with T-cell acute lymphoblastic leukemia (ALL) undergoing Hyper-CVAD therapy. He reports experiencing blurry vision, which began 19 days after starting treatment cycle 1B in August 2016. The patient also noted a decrease in vision in his left eye 18 days after treatment cycle 2B in ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you have presented at the emergency room with a 1-day history of squeezing epigastric abdominal pain. Do you have any surgical history we should be aware of?
Patient: No, I don't have any specific medico-surg... | S: The patient, a female with no significant medico-surgical history, presented with a 1-day history of squeezing epigastric abdominal pain and a chronic, intermittent thick turbid yellowish discharge from the left inguinal area. She reports no acute changes in symptoms but expresses concern over the described symptoms... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you've recently presented to the outpatient Partial Psychiatric Hospital Program after an incident involving the police. Can you tell me what happened?
Patient: Yes, I ran away from home because I felt like... | S: The patient, a middle-aged female, presented to the outpatient Partial Psychiatric Hospital Program following an incident where she was found by the police under a tree in cold temperatures after running away from home. She reports feeling like a burden to her family and has a long-standing belief of being infested ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, Patient C. I understand that you were diagnosed with a moderate depressive episode. How have you been feeling lately?
Patient: I've been feeling better, but I still have some ups and downs.
Doctor: I see. Initially, you... | S: Patient C reports feeling better with some ups and downs since the change in medication from paroxetine 20 mg to vortioxetine 10 mg in August. The patient acknowledges an improvement in depressive symptoms and sleep quality. Patient C participated in a study analyzing daily activity and recalls the details provided ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, I see you've brought your 5-month-old daughter in today. What seems to be the issue?
Parent: She's been having trouble gaining weight, and she's not feeding well. She has also been vomiting and having diarrhea.
Docto... | S: The patient, a 5-month-old female, presented with difficulty in gaining weight, poor feeding, vomiting, and diarrhea. The parent mentioned a family history of a similar condition, noting that the patient's parents are cousins and they had a previous child who passed away.
O: Laboratory evaluations revealed pancytope... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, I see that you were admitted to our hospital back in October 2016. Can you tell me what symptoms you were experiencing at that time?
Patient: Yes, I had sicca syndrome, slight pain, and enlargement of my parotid glan... | S: The patient reported experiencing sicca syndrome, slight pain, and enlargement of the parotid glands for 18 months, along with progressive bilateral periorbital swelling. The patient denied any fever, cough, or other respiratory symptoms. The patient has a history of Sjogren syndrome diagnosed in 2015, with negative... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Welcome, Patient 6. I see you're here for enrollment in our study. Can you please tell me about your experience with seizures?
Patient: Yeah, I've been having these seizures since I was one. I get these ES and focal motor seiz... | S: Patient 6, a long-term epilepsy sufferer since age one, reports no significant change in seizure frequency following a left frontal lobectomy at age 14. The patient experiences both epileptic spasms (ES) and focal motor seizures, with a baseline ES frequency of approximately 39.60 times per day. Despite treatment, i... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, welcome to AG Dental Care Clinic. How can I help you today?
Patient: Hi, Doctor. I've been having some issues with my gums. They often bleed spontaneously and I feel pain on my gingiva. I also feel less comfortable and ... | S: Patient reports spontaneous bleeding and pain in the gingiva, particularly in the right maxilla region, where the gingiva appears enlarged. The patient also complains of bad breath and a lack of self-confidence due to these symptoms. The patient has a history of undergoing gingivectomy treatment three years ago, but... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, doctor. I had a urinary diversion by bilateral percutaneous nephrostomies (PCN) six months ago after laparoscopic surgery for the removal of a prostatic utricle cyst. But I've been... | S: The patient reports having undergone bilateral percutaneous nephrostomies (PCN) six months ago following laparoscopic surgery intended for the removal of a prostatic utricle cyst. Post-surgery, the patient developed anuria and was diagnosed with bilateral hydro-ureteronephrosis via sonogram. The patient has a histor... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi, how can I help you today?
Patient: Hi, I'm a 67-year-old retired clerk, and I've had a fever for the past three days. It's been accompanied by joint pain, muscle pain, headache, and a loss of appetite.
Doctor: I see. Have ... | S: The patient is a 67-year-old retired clerk presenting with a three-day history of fever, joint pain, muscle pain, headache, and loss of appetite. The patient denies respiratory or urinary symptoms and changes in bowel habits. There is no known exposure to leptospirosis or contact with febrile individuals.
O: General... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello there, I understand that you have a history of alcoholic and hepatitis C cirrhosis, which has led to complications like portal hypertension, refractory ascites, and hepatic hydrothorax. Can you tell me more about your re... | S: The patient, with a history of alcoholic and hepatitis C cirrhosis leading to portal hypertension, refractory ascites, and hepatic hydrothorax, reports a past medical history of ST-elevation myocardial infarction treated with percutaneous angioplasty, pericarditis and hemopericardium treated with a pericardial windo... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, how can I help you today?
Patient: Hi, I came here for the first time a while ago, and I had an abscess in the region of 1.1, 1.2, and 1.3. I was treated with Amoxicillin and Clavulanate for six days.
Doctor: I see. Let... | S: The patient reports mild pain when tapping on tooth 1.2, following a previous treatment for an abscess in the region of teeth 1.1, 1.2, and 1.3 with Amoxicillin and Clavulanate. No systemic diseases are reported, and the patient is classified as ASA-1.
O: Clinical examination reveals an isolated periodontal pocket o... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I'm Dr. Smith. Your 3-day-old baby girl has been diagnosed with a left-sided Bochdalek diaphragmatic hernia, which was discovered prenatally. She was born at full term through vaginal delivery. How has she been doing si... | S: The patient's mother reports that her 3-day-old baby girl, diagnosed prenatally with a left-sided Bochdalek diaphragmatic hernia, has been "okay" since birth but expresses significant concern. The baby was born at full term via vaginal delivery.
O: A chest X-ray confirmed intestinal herniation into the thoracic cavi... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I'm here to perform your preoperative evaluation. Can you tell me what brought you to the emergency department of our institution?
Patient: Well, for the past six months, I've been having memory impairment, urinary inco... | S: The patient, who has been experiencing memory impairment, urinary incontinence, and ataxia for the past six months, reported difficulty remembering both recent and past events despite being alert and oriented. The patient underwent a preoperative evaluation and surgery for a brain tumor.
O: Physical examination reve... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand that you're a 24-year-old female living in a long-term care facility due to quadriplegia. Can you tell me about your recent hospitalization?
Patient: Yes, I was hospitalized because of a urinary tract infec... | S: The patient is a 24-year-old female with quadriplegia, living in a long-term care facility. She reports a recent hospitalization due to a urinary tract infection (UTI). She confirms taking oxybutynin for bladder control, docusate sodium for bowel movements, and baclofen as a muscle relaxant.
O: During her hospitaliz... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, can you please tell me what brings you in today?
Patient: Well, I suddenly experienced dense right hemiparesis, right facial droop, and aphasia, so I came to the emergency department.
Doctor: I see. Do you have any h... | S: The patient presented with sudden onset of dense right hemiparesis, right facial droop, and aphasia. He has a history of an ischemic stroke approximately 15 months ago, previously treated with clopidogrel 75 mg daily and atorvastatin 40 mg daily. He reported full recovery from his previous stroke after 6 months.
O: ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello Patient 2, how have you been feeling lately?
Patient: Hmm, I've been feeling a bit off lately, doc.
Doctor: I see. I'd like to review your medical history with you. You were diagnosed in 2011 with a localized BRAF V600E-... | S: Patient reports feeling "a bit off" lately. He has a history of BRAF V600E- melanoma diagnosed in 2011, treated initially with wide local excision and adjuvant interferon alpha, followed by multiple recurrences and treatments including high-dose interleukin-2, nivolumab in combination with IL-21, and nivolumab monot... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, what brings you to the emergency department today?
Patient: Hey doc, I've had this substernal chest pain for an hour now, and it's really bothering me. I'm also feeling short of breath, nauseous, and I've been vomiti... | S: Patient presents with substernal chest pain rated 8/10, radiating to the right arm, sudden onset, lasting for one hour. Symptoms include shortness of breath, nausea, and vomiting. Pain slightly relieved by lying flat and worsens with walking. No fever, cough, runny nose, rash, or recent infections reported. Patient ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, how have you been feeling lately?
Patient: Hmm, I've been okay, just a little worried about my health.
Doctor: I understand. We recently conducted an MRI examination for possible distant metastasis due to your choroi... | S: The patient expresses concern about their health, particularly in relation to their diagnosis of choroidal malignant melanoma. They have been feeling "okay" but are worried about the potential for distant metastasis.
O: Recent MRI and MRCP imaging studies were conducted. The MRI showed a Shindoh's independent right ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you've been admitted to our internal medicine ward. Can you tell me what symptoms you've been experiencing?
Patient: Hi, I've had a high fever for the past 3 days, along with a headache and a mild cough.
Doctor: I... | S: The patient, admitted to the internal medicine ward, reports experiencing high fever, headache, and a mild cough for the past 3 days. No recent travel to malaria-endemic areas was reported.
O: Physical examination revealed jaundice and splenomegaly. Laboratory findings include thrombocytopenia, haemolytic anaemia, a... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, you've been introduced to Kochi Medical School because a right renal tumor was detected by abdominal computed tomography (CT) at a private hospital. Have you had any issues with your kidneys in the past?
Patient: Yes, I... | S: The patient, a previous recipient of a left radical nephrectomy for renal cell carcinoma (RCC) 7 years ago, presented with a newly detected right renal tumor. The patient denies any other medical or family history related to renal issues.
O: The recent abdominal CT scan showed a right renal tumor measuring 5.3 cm wi... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you're here for a follow-up regarding the hepatic tumors found during your routine medical examination. Can you tell me more about what led you to get the abdominal ultrasonography?
Patient: Yeah, I had a rou... | S: The patient presented for a follow-up regarding multiple hepatic tumors identified during a routine medical examination. The patient reported that these findings were initially detected through abdominal ultrasonography, which led to further evaluation by a general physician. The patient has no specific symptoms men... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand that you've been experiencing dyspnea for 5 days now. Can you tell me if you've had any past medical history that I should be aware of?
Patient: No, I don't have any past medical history.
Doctor: Alright. D... | S: Patient reports experiencing dyspnea for 5 days, accompanied by a frequent cough, rapid breathing, and a low-grade fever. The patient denies any past medical history, smoking, alcohol consumption, or recent contact with sick individuals.
O: Vital signs include tachypnea with a respiratory rate of 40 breaths per minu... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello there, how can I help you today?
Patient: Hi doctor, I've been having some trouble swallowing solid foods for the past 2 months, and it's gotten worse over the past 2 weeks. Now, it's even painful to swallow.
Doctor: I s... | S: The patient, a moderate alcohol consumer with no history of smoking or current medications, reports progressive difficulty swallowing solid foods over the past 2 months, worsening to painful swallowing in the last 2 weeks, diagnosed as dysphagia and odynophagia.
O: The patient underwent an oesophago-gastroduodenosco... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see that you have a history of UC. How have you been feeling lately?
Patient: Hi, doctor. I've been feeling weak for the past six months and I came in with a fever of 101℉ today.
Doctor: I see. And you have been treat... | S: The patient, with a history of ulcerative colitis (UC) treated with adalimumab, reports feeling weak for the past six months and presented with a fever of 101℉. The patient denies experiencing rashes, bruising, or joint swelling.
O: Physical examination revealed left submandibular lymphadenopathy. Laboratory tests s... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I understand you've been experiencing some nausea, vomiting, and diarrhea recently. Can you tell me more about your symptoms?
Patient: Yeah, I've had nausea, vomiting, and diarrhea for a day now. I had like six loose bo... | S: The patient reports experiencing nausea, vomiting, and diarrhea for one day, with six episodes of loose bowel movements in the last 24 hours. The patient also mentions generalized weakness and shooting pain down the lateral side of the right lower extremity. Previously diagnosed with influenza type A five days ago, ... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there, I understand you have a history of bilateral arthroscopic subacromial decompression. How have you been since your last visit?
Patient: I was doing fine until a week ago. I suffered a right shoulder dislocation while ... | S: The patient reports a history of bilateral arthroscopic subacromial decompression and a recent right shoulder dislocation that occurred three days ago while swimming, which he self-reduced. He describes ongoing mild pain rated 3 out of 10 and limited shoulder usage at less than 20% of normal capacity initially, wors... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hi there! I see you've been admitted to Yuying Children's Hospital. What seems to be the problem?
Patient: Hi, Doctor. My son has been having a productive cough and high fever for 5 days now.
Doctor: I'm sorry to hear that. Le... | S: The patient, a 4-year-old male, presented with a productive cough and high fever persisting for 5 days. His birth was unremarkable, and he was born in Zhejiang Province, China, with a birth weight of 3.5 kg. There is no family history of cystic fibrosis, meconium ileus, or diabetes. He has been formula-fed and exper... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, can you describe the symptoms that brought you to the emergency department today?
Patient: I've been experiencing upper abdominal pain and I've noticed my stools are black and tarry.
Doctor: I see. Have you had any rece... | S: The patient, a recent postoperative case of abdominal aortic aneurysm repair, presented with upper abdominal pain and black, tarry stools. He reported a history of similar symptoms occurring multiple times over the past few months, each time requiring hospitalization.
O: Initial vital signs showed hemodynamic stabil... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I see you have a history of hypertension and type 2 diabetes mellitus. Can you tell me what brought you here today?
Patient: Hi, doc. I've been feeling a loss of appetite, nausea, and I've had diarrhoea lately.
Doctor: ... | S: The patient, with a history of hypertension and type 2 diabetes mellitus, presents with a loss of appetite, nausea, and diarrhea. He reports increased consumption of star fruit, escalating from one to three fruits daily over the past month.
O: Physical examination reveals a blood pressure of 140/90 mmHg and signs of... |
Please convert the following medical transcript into a medical SOAP note. Transcript: Doctor: Hello, I'm Dr. Smith. How can I help you today?
Patient: Hi, Doctor. My son has been having some skin issues and difficulties with his appearance since birth. We're not sure what it is.
Doctor: I see. Can you tell me if there ... | S: The patient, a young child, has had skin issues and difficulties with his appearance since birth. He was born prematurely at 7 months of gestation and required incubation and tube feeding initially. The mother noted characteristics of a harlequin fetus at birth. The patient has experienced toe blisters, synechia aff... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.